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Prime Residential Care

Child care center · 1902 ASCOT DEW CT, Richmond, TX 77469-1887 · License 1722710

0Compliance score
Poor

Capacity 12. 7-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
4	—	748.125(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. A child in care threatened to self-harm and was admitted into a behavioral hospital on 04/26/25. There were no screenings conducted by the operation upon his discharge from the hospital. The child subsequently attempted suicide on 05/01/25.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Three of 4 children had knowledge that the incident took and the children were left unsupervised.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet During the walkthrough, we observed the emergency evacuation plan lacked a designated meeting spot outside in case of fire or inside for inclement weather.	—
3	—	748.111 - Child-care policy required The policies need to reflect detailed information on child care policies.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Based on the information gathered, staff did not appropriately handle a situation regarding administration of medication leading to a restraint.	—
3	—	748.2851(b)(1) - EBI Follow-Up-Caregiver involved in EBI must conduct post discussion with child to discuss child's behavior and circumstances that required EBI Based on the information gathered, it was determined that staff does not inform children in care why they are being restrained when a restraint occurs.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing A child in care was restrained in a manner that obstructed the child's breathing.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period The unauthorized absence evaluation is nonexistent.	—
3	—	748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner During the inspection, a pile of trash bags were observed outside of the home in the backyard. The trash was not in a trash can. The trash had a distinct smell and flies were surrounding the garbage.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Medication log shows that a child's last AM pill was given on 4/4/22 with a remaining 6 pills. The medication pack shows 5 pills are remaining. Documentation does not show that the pill was given or refused.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. Staff has not completed 4 hours of EBI ever 6 months.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance There are two residence under the age on 10 and under the height of 4'9 that require booster seats when being transported, the operation, does not have booster seats for either child.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly. While conducting a walkthrough of the operation, multiple doors that have chemicals stored in were unlocked.	Yes
5	—	748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint A child in care was restrained by a staff in a prone position.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing Based on the information reviewed, it was determined staff conducted a restraint that caused impairment in child's breathing.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions It was found in childs files reviewed that there was no documentation of an orientation occuring or reason for omission.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. The operation had holes in the wall which exposed wired, there was mold growing in the ceiling and the attic lock was broken leaving it accessible to children s area in the second floor.	—
3	—	748.125(b) - All employees and caregivers must be aware of and follow your operation's policies and procedures Staff did not follow the operations policy in regard to cellphone use.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Operation needs evacuation drill forms.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Schedule two medication need to be a a location where they can be double locked.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. There were multiple holes in the wall observed in one of the bedrooms upstairs, in addition one of the bedroom upstairs was observed with a broken window with shattered glass.	—
4	—	748.1101(b)(4)(A)(v) - Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family Based on information gathered, it was determined one staff member uses profanity towards the children in care.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record There is no indication that the child's rights were reviewed with the child and that they understood their rights as the form was not signed by the child and did not indicate a reason why it was not signed.	—
4	—	748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours Two staff members sleep during night shifts.	—
3	—	748.363(13) - Personnel records-Include record of training and training hours. There were multiple staff files with no training record to reflect the required components.	—
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 Sinks in the bathrooms throughout the operation were observed without soap or anything for the children to dry their hands with.	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 The operation waited 3 days to report an injury before going to the doctor.	—
3	—	748.453(a)(2) - Unauthorized Absence - Annual summary log must include time and date absence was discovered The log did not indicate the date of the unauthorized absence.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Each medication log is missing the reason the residence are receiving the medications.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain The operation was made aware of the need for medical attention to an injury to a child on 9/16/24. Medical care was not provided until 9/18/2024.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care was inappropriately restrained leading to injuries.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff provided resident with a cellphone.	—
4	—	748.3115(3) - Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector Fire extinguisher inspection expired Jan 2022	—
3	—	748.3001(b) - Sanitation Inspection-Each inspection must meet regulations of the local health department ordinances The facility has not had a health inspection conducted.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds There were three expired medications stored with other medications currently being used.	Yes
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed Medication logs reviewed, indicated medication was not provided to child in care as prescribed. In addition, there was no medical log for child's inhaler.	—
3	—	748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet It was found at the inspection that a child did not have a fitted sheet on their bed.	Yes
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 Resident does not have documentation for a TB exam.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions It was found in childs files reviewed that there was no documentation of an orientation occuring or reason for omission.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards During the walkthrough, we observed an upstairs window that lacked a screen.	—
3	—	748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number Serious Incidents are missing physical address, telephone number of the operation, the age of the child, and follow up information after the incident.	Yes
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care were not being supervised as instructed on their service plans.	—
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 The operation has not developed an unauthorized absence log.	—
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 Both fire extinguishers in the kitchen area are out of compliance, as the last fire inspection for extinguisher was conducted in February 2022	—
4	—	748.3061(2) - Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks The operations last Gas Inspection was conducted on 04/03/2021.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. A bottle of Multi Purpose cleaner was found in an unlocked cabinet in the kitchen.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child on 1:1 supervision was not being adequately supervised. A child in care on 1:1 supervision stated he is not always supervised 1:1.	—
4	—	748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity It is alleged that the caregiver did not arrange suitable transportation home from the workplace for a child in care.	—
1	—	748.3397(d)(1) - Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children The showers do not have hot water and only has cold running water.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. In the laundry area and hallway it was observed that the ceiling is bubbled up and has mold.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards In two bedrooms there were exposed screws found	Yes
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards It was found during a walkthrough of the grounds of the operation several fence posts were missing or in malrepair in the backyard.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. It was found during an inspection that the second story banister was unstable and spindles were missing.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record A child's admission assessment was not in the child record as required.	Yes
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Medication log is missing the reason the medication is being taken on each of the medication logs.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation One requested personnel file was reported to be located at the LCCA personal residence.	—
3	—	748.4763(a)(1) - Initial Service Plan- Include the plans to obtain alcohol treatment, substance abuse treatment, or both, for children who require it The child's service plan did not discuss a plan for treatment of substance abuse.	—
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 freezer and the pantry were not properly stored. Expired items were also observed in the freezer and pantry as well.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. It was found during an inspection that walls were in malrepair ,needed paint,blinds were broken in the living room downstairs, and there was exposed wires from an smoke dectector in a childs bedroom.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. Light fixtures has wires expose and it hanging from the ceiling.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Video footage reviewed during inspection showed a staff member sitting down engaged on their phone while two children in care walked up to another child and assaulted him by slapping, shoving, and punching them.	—
4	—	748.457(a) - Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days There was not a trigger review conducted for a child that had run away 3 times within a 60 day period.	—
4	—	748.3161(a) - Heating Devices-Gas appliances must be safe and in good repair The gas stove was malfunctioning in that it emmitted a clicking noise.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Caregivers failed to institute a safety plan for two residents who both had high risk behaviors for sexually acting out and sexual aggression despite noting the plan would be put in place in the children's service plans. The two children were also placed in bedrooms directly across from each other despite the operation's knowledge of their alleged previous sexual interactions at their shared previous placement.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the inspection, multiple were observed in the walls of the operation in various places. At least three holes bigger than the size of large fists were observed in the walls of more than one bedroom upstairs and behind the doors of at least one bathroom. There was one exceptionally large hole in onoe bedroom where planks of wood were exposed through the hole on the other side of the wall. Pieces of the wall were observed on the floor of the bedroom. Missing rail posts on the stairway were also observed in two different places. Lighter fluid was observed outside of the residence in the backyard near the trash.	—
4	—	748.3115(3) - Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector The fire extinguisher system in the kitchen was last serviced May 2025.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply Based on the interviews, it was determined child was pushed down on multiple occasions as a means to comply.	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers The policy lacks detail on what the volunteers role at the facility will initial	—
3	—	748.105(3)(C) - Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers The policy lack plans to provide a backup care giver in case of an emergency.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free The chairs on the back patio has crack in them and are not clean.	Yes
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A child in care was found to be in another child in care bedroom during the incident.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy During the walkthrough of the inspection, blinds were missing from the window in the downstairs bedroom close to the kitchen.	—
4	—	748.4653(a)(2) - Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only. There is no documentation to show that a staff member has completed pre-service EBI training.	—
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 The Unauthorized Absence log does not mention how long the children were gone.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly. The operation had rubbing alcohol and a cleaning agent in the kitchen accessible to children.	Yes
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication directions advise that medication is to be taken every 3 hours but medication has been administered once daily.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. While reviewing staff records it was noted that reference checks were missing from a staff record.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. A suicide screening was not administered at admission for a child who has a history of suicidal ideations.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child took automobile keys from an unlocked drawer and drove off with another resident. The automobile belonged to the operation.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication In review of multiple medication records, it has been found that multiple med logs do not match the count of the pills in the pill packs and bottles.	—
2	—	748.191(1) - Required Postings-Post the permit in a prominent and publicly accessible place where others may easily view it at all times The facility lacks required postings.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff member was using profane language towards children in care.	—
3	—	748.363(1) - Personnel records-Include date of employment In review of the two staff files the items list below were missing: A copy of the record of tuberculosis screening, A statement signed and dated by the employee documenting that the employee has read a copy of the operational policies required A statement signed and dated by the employee indicating the employee must immediately report any suspected incident of child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or administrator?s designee A current job description Documentation showing the date of employment	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks a staff member made the choice to have a child in care get out of the car to follow another child in care to convince him to get in the car instead of contacting the operation/ law enforcement that she knew where the child in care was.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed While counting medications, it was found for multiple medications, there was more medication is missing from the pill packs, than recording as administered on the medication logs.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A documented suicide attempt that occurred on 05/01/2025 at or around 10:48 p.m. was not reported to Licensing until 05/02/2025 6:09 p.m.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Child in cares service plan stated the wrong name in several sections.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff member was using profane language towards children in care.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Child in cares service plan stated the wrong name in several sections.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Medication log shows that a child's last AM pill was given on 4/4/22 with a remaining 6 pills. The medication pack shows 5 pills are remaining. Documentation does not show that the pill was given or refused.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. It was found during an inspection that walls were in malrepair ,needed paint,blinds were broken in the living room downstairs, and there was exposed wires from an smoke dectector in a childs bedroom.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation One requested personnel file was reported to be located at the LCCA personal residence.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Schedule two medication need to be a a location where they can be double locked.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care were not being supervised as instructed on their service plans.	—
3	—	748.363(1) - Personnel records-Include date of employment In review of the two staff files the items list below were missing: A copy of the record of tuberculosis screening, A statement signed and dated by the employee documenting that the employee has read a copy of the operational policies required A statement signed and dated by the employee indicating the employee must immediately report any suspected incident of child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or administrator?s designee A current job description Documentation showing the date of employment	—
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 The operation has not developed an unauthorized absence log.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance There are two residence under the age on 10 and under the height of 4'9 that require booster seats when being transported, the operation, does not have booster seats for either child.	—
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 waited 3 days to report an injury before going to the doctor.	—
3	—	748.453(a)(2) - Unauthorized Absence - Annual summary log must include time and date absence was discovered The log did not indicate the date of the unauthorized absence.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Video footage reviewed during inspection showed a staff member sitting down engaged on their phone while two children in care walked up to another child and assaulted him by slapping, shoving, and punching them.	—

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

Inspections (344)

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

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