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TexasHouston › Triple 7 Ranch GRO

Triple 7 Ranch GRO

Child care center · 5106 WEAVER RD, Houston, TX 77016-6448 · License 1721595

0Compliance score
Poor

Capacity 22. 10-17

Violation history (500)

SeverityDateStandard / narrativeCorrected
3 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
All child bathrooms were observed with nothing for them to dry their hands.
Yes
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The air conditioning vents in operations van only works in the front set and are missing from the remaining body of the van.
5 745.8641 - Requirements during probation
Condition #5 - Not Met. There is no documentation that the 12/24/2024 scheduled emergency drills were conducted. There is no documentation that the 12/24/2024 scheduled smoke detectors check was conducted. There is no documentation that the 12/24/2024 scheduled first aid kits check was conducted. There is no documentation that the 12/24/2024 scheduled fire extinguishers check was conducted.
4 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Caregiver observed corporal punishment of a child, and failed to intervene.
3 745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operation has not validated the background list in 5 months
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
A caregiver witnessed a child being hit with a belt by another caregiver and failed to report the incident.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
This standard was found deficient as part of a DFPS Investigation.
4 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Medication logs reviewed did not reflect an accurate pill count.
3 748.3273(2) - First Aid Kits-Each one must contain adhesive tape
The operation's first aid kit did not contain adhesive tape, antiseptic wipes/solution, and scissors as required.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
3 out of 4 children's records reviewed did not consist of child's initial service plan.
3 748.683(1) - Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being
The management staff did not provide the direct care staff that accompanied the children on the hunting trip the proper supervision requirements to ensure that the staff that were in charge of the children were properly supervising the children at all times.
2 748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child
One child's admission assessment reviewed did not list the services the operation planned to provide the child.
3 748.453(a)(3) - Unauthorized Absence - Annual summary log must include how long the child was gone or if the child did not return
An entry in the annual unauthorized absence summary log dated 09/14/2025 does not state what time the victim returned to the operation.
4 748.3107(c)(1) - Smoke Detector-Must be equipped with battery back-up
One smoke detector in House 2 did not have a battery in it causing it to continuously beep.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The staff that accompanied the children on the hunting trip, were not supervising the children properly due to the children being with left with staff from the hunting grounds. The staff allowed the children to engage in high-risk activities by using firearms to hunt. Furthermore, the operations weapons policy states that no child may use a firearms during recreational activities.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
4 out of 5 children records reviewed did not consist of child's initial service plan.
5 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
In 4 out of 4 staff files there is no documentation regarding any drug testing being done prior to having access to children.
3 748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
One out one personnel record reviewed was missing the affidavit form and several other components that should be in the personnel file. Including date of hire, orientation, normalcy training, job description.
3 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
During a monitoring inspections one of the two staff files reviewed the TB testing was missing.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
At the time of inspection, 3 out of 4 files reviewed child's prelimanary plan was not completed within 72 hours.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The 2nd. Quarter EBI Report has not been submitted to Child Care Regulation.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
Several of the tubs has dead bugs in them. The toilet paper roll handle was broken in one of the bathrooms located in building 10
4 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Review of incident reports revealed an alleged sexual abuse incident was not called in to Licensing.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
During the inspection four out of four medication logs reviewed had missing signatures for doses administered.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver was observed using corporal punishment on a child.
3 748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
One freezer in House 2 did not contain a thermometer inside.
Yes
4 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or
Two out of three youth files reviewed did not include known allergies or chronic conditions on the exterior or in an easily visible location on the file.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401. A caregiver failed to protect a child from abuse as defined in Texas family Code 261.401
3 748.63(1) - Types of services-Operation must only provide services listed on permit
Triple 7 Ranch is a GRO only licensed for emotional disorders treatment services. Records reviewed show five placed youth in care require ASD and IDD treatment services which the operation is not licensed for.
3 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
At the time of the inspection, the medication administration records did not consist of prescribing health-care professional's name.
2 748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
The operation's vehicle used to transport the children registration expired in October 2021.
4 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
During the inspection, it was observed that multiple items in the refrigerator were not properly stored. Multiple expired items were also observed in the refrigerator as well.
5 745.8411(b)(3) - Responsibilities - Provides access to all records
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Operation's last fire inspection occurred on 02/17/2021. Operation failed to complete a fire inspection within 12 months of last fire inspection.
3 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
During a monitoring inspections one of the two staff files reviewed the affidavit of application for employment was not completed.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, multiple holes were observed in the walls of the operation in various places, including the bathroom and the bedrooms. Broken blinds and broken electrical wall plugs were also observed at the operation. Missing light bulbs were observed in two refrigerators on the property.
2 748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
The operation's vehicle inspection sticker expired 7/31/2025.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Based on interviews conducted and records reviewed, it was determined that children were not administered their medications on multiple days.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
1 of 4 staff records reviewed did not contain instructor led psych med training.
3 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the inspection, it was discovered that a former employee is no longer employed at the operation, but has yet to be inactivated.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
3 out of 4 children records reviewed did not consist of a preliminary service plan..
3 748.863(a)(1) - Pre-Service Training-All caregivers must receive 8 hrs of general pre-service training & 4hrs before being counted in child/caregiver ratio.
In 2 staff files out of the 4 reviewed the pre-service training was conducted untimely, in addition there is no indication in any of the files when staff was counted into ratio.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
2 out of 4 medication records reviewed were missing documentation of medication administration.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
2 out of 4 medication records reviewed were missing documentation of medication administration.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was determined that the operation did not use prudent judgement when they picked up prescription medication for a child no longer in their care. The child was without medication for more than a day due to this. The operation also misplaced the child's cream and inhaler.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
The operation refused to comply with the request for documentation related to the investigation.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
There was a green lighter found outside of building 10
Yes
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Based on a review of medication administration records, it was found that medication logs were not completed properly.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
At the time of the inspection, 2 out of 4 files reviewed were missing proof of child's orientation.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The health insepction was expired on 10/7/2021
1 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Four out four children's records did not have an admissions assessment completed for non-emergency admissions to the operation.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The operation's evacuation diagram does not indicate a location designated inside the operation to take shelter in severe weather.
3 748.1217(b)(10) - Admission Assessment-At admission, must include any applicable requirements of 748.1219
3 out of 4 children records reviewed did not consist of an admission assessment.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Medication records reviewed documented a different pill count remaining then counted.
4 748.936(1) - Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
During the monitoring inspection one of the two files reviewed was missing EBI training. The last documented EBI training for the staff occurred on 12.02.2021.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
In 1 of the refrigerator's there was no thermometer.
2 748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
1 out of 4 children's records reviewed did not consist of current immunization record.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Caregiver observed corporal punishment of a child, and failed to intervene.
4 748.3709(3) - Higher Risk Activity-Must continue to meet the child/caregiver ratios and appropriately supervise children at all times
The staff that accompanied the children to the hunting trip were not with the children while they were hunting deer, therefore ratio was not complaint.
2 748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
The vehicle registration has been expired for over a year, as it expired 01/2023
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Based on the information gathered and obtained throughout the investigation it was determined staff members use profane language towards children in care.
3 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
1 out of 4 children records reviewed did not consist of proof medical exam with 30 days of admission.
3 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
3 out of 4 children records reviewed did not consist of proof of TB test.
5 748.1009(2) - Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
5 745.8641 - Requirements during probation
Condition #1- Not Met There is not documentation of at least two child records reviewed during the following weeks: 7/21/2025-7/27/2025 7/28/2025-8/3/2025 8/4/2025-8/10/2025 8/11/2025-8/17/2025 8/18/2025-8/24/2025 Condition #2- Not Met As of 8/14/2025 the operation has not had a Medication Technician for the ongoing oversight of medication administration and documentation. Condition #3- Not Met There is no record within 30 days that two new hires completed a Serious Incident Reporting Training with a source outside of Triple 7. There is no proof of training, including a sign-in sheet and or a signed and dated certificate on file and available for review. Condition #4- Not Met There is not documentation of at least two staff records reviewed during the following weeks: 7/19/2025- 7/25/2025 7/26/2025- 8/1/2025 8/2/2025-8/8/2025 8/9/2025-8/15/2025 8/16/2025-8/22/2025 8/23/2025- 8/28/2025 Condition #6- Not Met Triple 7 Ranch GRO has hired 5 new staff members and there is no record of them being informed about the operation being on probation and or a signed acknowledgement of probation conditions form on file. Although there are sign-in sheets for Monday Weekly Meetings being conducted on 8/25/2025, 8/18/2025, 8/11/2025, 8/4/2025, and 7/28/2025 there are no meeting notes on file.
3 748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
The operation does not currently have an administrator. The last administrator left the operation in October 2021.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
A caregiver witnessed a child being hit with a belt by another caregiver and failed to report the incident.
4 748.3709(1) - Higher Risk Activity-There must be a person that is responsible for and supervises a higher risk recreational activity
The staff that accompanied the children on the hunting trip left the children with staff from the hunting facility, while operation staff were in a different facility.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection three out of four medication records did not include an accurate daily count for multiple medication doses.
4 748.153(3)(C) - Notification - Remove controlling person
A controlling person is no longer associated with the operation and thus needs to be removed.
3 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
1 out of 5 children records reviewed did not consist of proof of TB test.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
During a CCI inspection, it was observed one staff member did not follow the condition of their provisional background while providing supervision of children in care at the operation.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the course of the investigation, documentation reviewed contained inaccurate information as well as incomplete sections.
3 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
A staff member who is no longer associated with the operation is still listed as active
3 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
At the time of the inspection, the medication administration records did not consist of reason for medication prescribed.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During a monitoring inspection, the operations health inspection was expired on 12/04/2021.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
During a monitoring inspections one staff member did not follow the condition of their provisional background while providing supervision of children in care at the operation.
4 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Review of incident reports revealed an alleged sexual abuse incident was not called in to Licensing.
3 748.453(b) - Unauthorized Absence - Maintain each annual summary log for five years
There is no unauthorized absence log and is non-existent at this time. In addition, there is no overall operation evaluation for unauthorized absences as required by 748.463(a).
3 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
The serious incident documentation is missing some of the required components such as the operations physical address, telephone number, individuals involved (children & staff), child's age and gender.
3 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
On 8/20/2025 a youth in care eloped from school around 2:30p and did not return to the facility until the morning of 8/21/2025 at 11:00a. Although the operation contacted Law Enforcement to report the child missing, the incident was not reported to Licensing/Statewide Intake.
3 748.363(9) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
In 1 out of 4 staff files there was a statement regarding immediately reporting suspected child, abuse, neglect, or exploitation however it was not signed or dated.
3 748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
The operation did not have documentation indicating the battery-operated smoke detectors are being tested on a monthly basis.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
3 out of 4 children's records reviewed did not consist of child orientation.
2 748.1225(b) - Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
2 out of 4 children records reviewed did not consist of proof of dental exam.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver was observed using corporal punishment on a child.
3 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
On 8/15/2025 a youth in care was arrested and taken into custody. Although a written reportable serious incident report was completed by the facility, this incident was not reported to Licensing/Statewide Intake.
3 748.2953(b) - Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly
The operation has not reported the EBI numbers.
5 745.4151(c)(5)(B) - Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method
The operation provided documentation that they conducted their own drug tests on the four employees whose files were reviewed in this investigation.
2 748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
In a review of files for staff hired after 8/9/23, two staff records were observed to not have pre-employment screenings completed.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The 1st. Quarter EBI Report has not been submitted to Child Care Regulation.
3 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Three fire extinguishers were observed to be out of compliance.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During a walk through the following area are in need of repair: Location East bathroom 5112 Door broken 5112 and 5110 check all outlet cover and replace covers. 5112 hole next to closet door and 5110 repair holes in walls in common area and rooms. (Maintenance Report provided.
4 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation reported a serious injury of a youth in care that required professional medical treatment to Licensing more than 24 hours after the discovery.
5 748.3931(a)(1) - Weapons- Handguns are not permitted at an operation or during any type of activity.
Several children in care admitted to going on a hunting trip where they were allowed to hold a real gun and pull the trigger.
5 748.3931(a)(2) - Children receiving treatment services or emergency services are not permitted to use weapons, firearms, explosive materials, or projectiles.
The children at the operation engage in treatment services, therefore they should not be allowed to use any firearms due to the children's behaviors and trauma, as this can pose a risk to the safety of children in care.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation does not have completed preliminary service plans for the four children placed at the facility.

Severity 5 = most serious. Source: official state record.

Inspections (288)

288 inspection record(s) on file from TX-HHSC.

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