Texas › Corpus Christi › Paloma Place, LLC

Paloma Place, LLC

Child care center · 2058 FM 665 RD, Corpus Christi, TX 78415-6830 · License 1722378

0Compliance score
Poor

Capacity 32. 6-17

Violation history (336)

Severity	Date	Standard / narrative	Corrected
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof Two of six beds on a pod were observed with no mattress covers or protectors.	Yes
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free During a walk through of the operation. It was noticed that that several 2X2 railings were missing from a wooden stairway leading to the recreational area.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation 13 year old child in care was slapped by a caregiver and a 14 year old child was grabbed by the throat and slammed to the floor by the same caregiver.	—
2	—	748.989(a) - Documentation of first-aid and CPR certification-Document completion of each training requirement in the appropriate personnel records During a review of records it was found that a caregiver was missing CPR Certification and First Aid Certification documentation in the personnel file. A second caregiver was missing First Aid Certification documentation in their personnel file.	—
3	—	748.125(d)(6) - Suicide Screening- Must be documented. Suicide screening was not conducted on new admission.	—
3	—	748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator During a walk-through of the operation the kitchen area was observed. In the refrigerator there was a package of Hash browns that was opened, it was not properly covered.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer During a walk through of the operation, two first aid kits were found to be missing items. one kit was missing a thermometer and the other a pair of scissors. NOTE: No Action plan is required, the Deficiency was corrected at inspection.	Yes
5	—	HRC42.04412(a) - Interference with an investigation Permit holder told a child in care to not participate in interviews with investigators. The child did not participate in two interview attempts.	—
2	—	748.2857(b) - A copy of the documentation provided to the parent must be maintained in the child?s record. There was no documentation found in the child's file stating the child's parent was notified of an EBI.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The initial Service Plan did not indicate who reviewed the plan with the youth in care and only the child's signature was obtained. It is important all team members provide signatures as required no later than the 15 days after the set date of the meeting to comply with minimum standards.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Staff member did not respond properly when youth-in-care requested alone time to speak.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication A child in care was not displaying behaviors that required emergency intervention at the time of implementing the intervention or during continued interventions.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply A child in care was restrained in order to comply with directives, to surrender a prohibited item (cell phone), and enter the operation.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication Medication logs did not include names and signatures of those who administered daily medication.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care A contracted employee who provided therapy to youth in care, did not have a Tuberculosis Test	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Serious incident report did not give an accurate account of what occurred regarding a restraint. Statements made by staff do not align with documentation in the report.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Two of Five medication blister packs were found to be inacurate according to the medication log.	—
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 A child in care sustained a self-inflicted laceration to the head and injury to the hand. Emergency medical treatment was obtained for the child on 8/24/2022. The incident was not reported to Licensing as required.	—
3	—	748.1111(a)(2) - Child Rights contact others-Not listen to or screen child's calls without permission from parents, service planning team, treatment director, or PLSP During a monitoring inspection a child in care was observed using a land line phone in the presence of two other children and one staff. The phone was located in a day room area were other children were watching TV. This did not allow for the child to have privacy.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form During a review of personnel records a caregivers affidavit for employment was incomplete.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof During a walk-through of the operation a bed being used by one of the clients was found to be missing a mattress protector.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered In 1 of 4 child records, it was found that a Medication Administration Record did not have the time the medication was administered for 5 of 31 days in May 2022.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child's medical records showed that medication was not issued according to physicans orders.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report During the monitoring inspection 2 of 4 Serious Incident Reports were found to be missing full names for the staff.	—
4	—	748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention Operation staff did not conduct an approved type of restraint on a child in care, when using a bear hug hold and walking restraint.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign 2 out of 3 child's files received were not signed.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication errors were not completed within 24 hours, as they were dated using a date range.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children Staff member left children under his care/ratio without direct supervision to assist with a restraint.	—
3	—	748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any The Incident Report did not list all witnesses present during a restraint.	—
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 Hand-washing sinks for Quad 4 and Quad 2 were not equipped with soap at the time of inspection.	Yes
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The operation did not have all active child records immediately available for review and reproduction at the time of inspection.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value In reviewing menus going back 90 days, food substitutions were not documented on the menus.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings During a walk through of the operation it was observed that an emergency evacuation and relocation diagram was not posted in a prominent and visible location.	—
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 reviewing employees files, one employee did not have a current drug test completed before having contact with youth in care.	—
3	—	748.535(3)(F) - Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws. The Administrator allowed a governing body member with restricted access to child file to be included in email communications regarding a child behaviors and information included in a child's record.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language There is information to support staff use profane language around and towards children in care.	—
3	—	748.3365(c)(3) - Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child Several pillows were observed to be stained and dirty.	—
5	—	748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver not trained in EBI was included in the implementation of a restraint of a child in care.	—
5	—	748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back An untrained caregiver used a restraint hold where a child's arm was placed behind their back while held against a wall.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two Serious Incident Reports depicting two different incidents on different dates, have the same wording verbatim. The reports were documented by different staff	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed There were 3 children that had several missed doses of medication on multiple occasions.	—
3	—	748.2855(a)(8) - EBI Documentation-Must include the name of the person(s) who observed the child The Incident Report did not include information on who observed the child after the restraint and after PRN medication was provided.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof Two of six beds on a pod were observed with no mattress covers or protectors.	Yes
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed There were 3 children that had several missed doses of medication on multiple occasions.	—
3	—	748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any The Incident Report did not list all witnesses present during a restraint.	—
3	—	748.535(3)(F) - Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws. The Administrator allowed a governing body member with restricted access to child file to be included in email communications regarding a child behaviors and information included in a child's record.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language There is information to support staff use profane language around and towards children in care.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication Medication logs did not include names and signatures of those who administered daily medication.	—
5	—	HRC42.04412(a) - Interference with an investigation Permit holder told a child in care to not participate in interviews with investigators. The child did not participate in two interview attempts.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children Staff member left children under his care/ratio without direct supervision to assist with a restraint.	—
5	—	748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back An untrained caregiver used a restraint hold where a child's arm was placed behind their back while held against a wall.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two Serious Incident Reports depicting two different incidents on different dates, have the same wording verbatim. The reports were documented by different staff	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered In 1 of 4 child records, it was found that a Medication Administration Record did not have the time the medication was administered for 5 of 31 days in May 2022.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Serious incident report did not give an accurate account of what occurred regarding a restraint. Statements made by staff do not align with documentation in the report.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child's medical records showed that medication was not issued according to physicans orders.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Two of Five medication blister packs were found to be inacurate according to the medication log.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value In reviewing menus going back 90 days, food substitutions were not documented on the menus.	—
3	—	748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator During a walk-through of the operation the kitchen area was observed. In the refrigerator there was a package of Hash browns that was opened, it was not properly covered.	—
3	—	748.3365(c)(3) - Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child Several pillows were observed to be stained and dirty.	—
3	—	748.125(d)(6) - Suicide Screening- Must be documented. Suicide screening was not conducted on new admission.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof During a walk-through of the operation a bed being used by one of the clients was found to be missing a mattress protector.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer During a walk through of the operation, two first aid kits were found to be missing items. one kit was missing a thermometer and the other a pair of scissors. NOTE: No Action plan is required, the Deficiency was corrected at inspection.	Yes
2	—	748.989(a) - Documentation of first-aid and CPR certification-Document completion of each training requirement in the appropriate personnel records During a review of records it was found that a caregiver was missing CPR Certification and First Aid Certification documentation in the personnel file. A second caregiver was missing First Aid Certification documentation in their personnel file.	—
4	—	748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention Operation staff did not conduct an approved type of restraint on a child in care, when using a bear hug hold and walking restraint.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The initial Service Plan did not indicate who reviewed the plan with the youth in care and only the child's signature was obtained. It is important all team members provide signatures as required no later than the 15 days after the set date of the meeting to comply with minimum standards.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation 13 year old child in care was slapped by a caregiver and a 14 year old child was grabbed by the throat and slammed to the floor by the same caregiver.	—
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 A child in care sustained a self-inflicted laceration to the head and injury to the hand. Emergency medical treatment was obtained for the child on 8/24/2022. The incident was not reported to Licensing as required.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication errors were not completed within 24 hours, as they were dated using a date range.	—
5	—	748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver not trained in EBI was included in the implementation of a restraint of a child in care.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The operation did not have all active child records immediately available for review and reproduction at the time of inspection.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Staff member did not respond properly when youth-in-care requested alone time to speak.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign 2 out of 3 child's files received were not signed.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care A contracted employee who provided therapy to youth in care, did not have a Tuberculosis Test	—
3	—	748.2855(a)(8) - EBI Documentation-Must include the name of the person(s) who observed the child The Incident Report did not include information on who observed the child after the restraint and after PRN medication was provided.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free During a walk through of the operation. It was noticed that that several 2X2 railings were missing from a wooden stairway leading to the recreational area.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form During a review of personnel records a caregivers affidavit for employment was incomplete.	—
3	—	748.1111(a)(2) - Child Rights contact others-Not listen to or screen child's calls without permission from parents, service planning team, treatment director, or PLSP During a monitoring inspection a child in care was observed using a land line phone in the presence of two other children and one staff. The phone was located in a day room area were other children were watching TV. This did not allow for the child to have privacy.	—
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 Hand-washing sinks for Quad 4 and Quad 2 were not equipped with soap at the time of inspection.	Yes
2	—	748.2857(b) - A copy of the documentation provided to the parent must be maintained in the child?s record. There was no documentation found in the child's file stating the child's parent was notified of an EBI.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply A child in care was restrained in order to comply with directives, to surrender a prohibited item (cell phone), and enter the operation.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report During the monitoring inspection 2 of 4 Serious Incident Reports were found to be missing full names for the staff.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication A child in care was not displaying behaviors that required emergency intervention at the time of implementing the intervention or during continued interventions.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings During a walk through of the operation it was observed that an emergency evacuation and relocation diagram was not posted in a prominent and visible location.	—
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 reviewing employees files, one employee did not have a current drug test completed before having contact with youth in care.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The initial Service Plan did not indicate who reviewed the plan with the youth in care and only the child's signature was obtained. It is important all team members provide signatures as required no later than the 15 days after the set date of the meeting to comply with minimum standards.	—
3	—	748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator During a walk-through of the operation the kitchen area was observed. In the refrigerator there was a package of Hash browns that was opened, it was not properly covered.	—
2	—	748.989(a) - Documentation of first-aid and CPR certification-Document completion of each training requirement in the appropriate personnel records During a review of records it was found that a caregiver was missing CPR Certification and First Aid Certification documentation in the personnel file. A second caregiver was missing First Aid Certification documentation in their personnel file.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form During a review of personnel records a caregivers affidavit for employment was incomplete.	—
5	—	748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back An untrained caregiver used a restraint hold where a child's arm was placed behind their back while held against a wall.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Serious incident report did not give an accurate account of what occurred regarding a restraint. Statements made by staff do not align with documentation in the report.	—
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 Hand-washing sinks for Quad 4 and Quad 2 were not equipped with soap at the time of inspection.	Yes
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings During a walk through of the operation it was observed that an emergency evacuation and relocation diagram was not posted in a prominent and visible location.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof Two of six beds on a pod were observed with no mattress covers or protectors.	Yes
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 A child in care sustained a self-inflicted laceration to the head and injury to the hand. Emergency medical treatment was obtained for the child on 8/24/2022. The incident was not reported to Licensing as required.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign 2 out of 3 child's files received were not signed.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child's medical records showed that medication was not issued according to physicans orders.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof During a walk-through of the operation a bed being used by one of the clients was found to be missing a mattress protector.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language There is information to support staff use profane language around and towards children in care.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The operation did not have all active child records immediately available for review and reproduction at the time of inspection.	—
5	—	HRC42.04412(a) - Interference with an investigation Permit holder told a child in care to not participate in interviews with investigators. The child did not participate in two interview attempts.	—

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

Inspections (168)

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

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