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New Beginnings

Child care center · 8307 ADLER LAKE DR, Houston, TX 77083-5271 · License 1731240

0Compliance score
Poor

Capacity 12. 5-17

Violation history (496)

Severity	Date	Standard / narrative	Corrected
3	—	748.685(c)(4) - Caregiver responsibility - positively reinforce children's efforts and accomplishments A caregiver was encouraging children in care that they could leave the facility and run away.	—
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 Fire Extinguisher inspection expired March 2023.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff were not aware that the children were engaging in inappropriate behaviors.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Multiple staff files reviewed have no record of annual training. The operation reports they were unaware staff was required to complete an annual suicide prevention training.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Staff member stated during LE interview they held their weight down on victim until victim calmed down. This is documented in the offense report.	—
3	—	748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan A child in care requires intense level of care and 1:1 supervision according to his service plan but he eloped from the facility and returned without staff being unaware.	—
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 Psychotropic medications were not locked during the visit.	Yes
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was reported that a staff member waited patiently at the bathroom door while a child in care smoked marijuana.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language During the course of the investigation it was determined that a caregiver was using profane language towards the children.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record During the inspection, I observed that two of the three child records reviewed lacked immunization records obtained prior to non-emergency admission.	—
2	—	748.3701(e)(2)(B) - Recreation responsibility-Child receiving treatment services-Ensure that children receiving treatment services has individualized recreation plan 2 of the 2 children records reviewed did not include individualized recreation plans for either child.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards There are planks of wood in the backyard with multiple nails sticking out of them.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects Several individuals interviewed reported seeing cockroaches at the operation.	—
2	—	748.119(5) - Volunteer policy - Address volunteer contact with children in care The volunteer policy does not specify the volunteers contact with the children.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The recreation calendar did not list daily indoors and outdoors activities for each day.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The serious incident report did not contain the date of admission for the child or the names of the staff members involved in the incident.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The medication log advises that a child was given medication on at 7:40pm on 5/12/25, however that time have not come. The medication log also advises that the remaining pill count is 25 as on 5/12/25, however there are only 24 pills in the pill pack.	—
4	—	748.113(9)(A) - A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation Two children in care were notified of discharge due to implementation of safety plan prohibiting the use of restraints on the residents during investigation.	—
5	—	748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously The operation would not allow the children to make private phone calls to the Ombudsman or to their caseworker.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone Background checks for an employee who was hired on 10/04/24 was not active at the time of inspection. His background checks were inactive as of 06/03/24.	Yes
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair The couch in the living room where children in care congregate and watch television is broken and poses a safety concern for children in care.	Yes
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 2 of the 3 children medication records reviewed had incorrect medication counts. The medication counts did not match the medication documentation.	—
3	—	748.3119(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect fire sprinkler system annually & conduct any required service or testing The fire sprinkler system next to the stove needs to be evaluated.	—
3	—	748.393(b)(4) - Active child record - Ensure record is locked and kept in a safe location or locations Employee files were observed to be unlocked and stored in the game room that children have access to.	—
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. Bleach cleaner and rust remover were observed to be stored unlocked in the cabinet in the child's bathroom. Cans of paint were observed in the game room accessible to children.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given A child in care is being administered non prescription medication and there is no medication record for given medication,	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return Two children that eloped were not debriefed once they returned or within the allotted timeframe.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During interviews with operation staff, residents and school personnel, it was determined the residents are not being dropped off at the school, but instead are being dropped off at the McDonalds located next to the school.	—
4	—	748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist. 3 of the 3 staff records reviewed did not include instructor led training for administration of psychotropic medication.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being It was reported that a child left the facility, obtained marijuana, and returned to the facility without staff knowing. There is no serious incident that documents the absence.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child The children were made to stay in their rooms for a long period of time. In addition, a staff person had called a child names regarding their weight and used "slang" comments regarding their sexual orientation.	—
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 The fire drill log did not include length of time for the evacuation or relocation to take place.	Yes
5	—	748.3421(2) - Poisons-The operation must ensure that poisonous or flammable materials are kept separate from medication, food, food prep and dining surfaces Bleach and other cleaning supplies were observed in an unlocked pantry in the kitchen that also stores food.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair The couch and recliner in the game room was observed with visible shredding and exposed cushioning.	—
5	—	748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back One staff members stated residents are restrained with arms behind the back. Another staff member stated for restraints, they put their hands on the kids and puts the kids on the floor; they stated restraints are not black and white, and there is no standard method of restraint. EBI trainer stated staff are not taught to control the child by any means necessary, nor do they teach any restraints against the wall or on the floor.	—
4	—	748.507(3) - Employee general responsibilities-Know and comply with rules of Chapter 748 and any other rules and laws relevant to person's duties Staff member did not follow operation's policy.	—
2	—	748.3065(a) - Gas Inspection-Gas inspection report must show operation's gas system is free of leaks, must include inspection date & inspector name, phone number The operation has not had a Gas Inspection conducted.	—
5	—	748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute Two children confirmed victim was restrained on the floor. Staff member confirmed victim was restrained on the floor and stated for restraints, they put their hands on the kids and puts the kids on the floor. Staff member also stated victim was on their back during this time. EBI trainer stated staff are not taught to control the child by any means necessary, nor do they teach any restraints against the wall or on the floor.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of two children's child rights forms were observed to have the incorrect date. In addition, the unauthorized absence log did not meet the required information documented.	—
3	—	748.115(2) - Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child The operations discipline policy fails to integrate trauma informed care information.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. Two staff record viewed did not include documentation of verifying the applicant's employment history.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff member was preoccupied while caring for children.	—
5	—	748.2301(b)(2) - Disciplinary Measures-must not be physically or emotionally damaging to the child Staff member stated during interview they did push victim prior to restraint and did not accept the apology victim offered them. Two children confirmed staff member pushed victim to the floor.	—
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 No record of documented fire and severe weather drills was available during 6/23/2025 monitoring inspection.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child During an altercation between a staff member and a child in care, the staff member reacted to the child's behavior by verbally threatening harm to the child.	—
3	—	748.531(a)(2) - Child-care administrator-Licensed according to HRC Chapter 43 and Subchapter N of Chapter 745 The operation currently does not have a licensed child care administrator.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One child record reviewed found medication count does not match with medication documentation.	—
3	—	748.363(5) - Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position. One staff record reviewed was missing proof of education required for the position.	—
2	—	748.1303(4) - Education-Provide quiet, well-lighted space for the child to study and allow regular times for homework and study The operation would not allow the children access to their school computer to complete homework. The children were taken to school late numerous times. The operation did not purchase the school supplies that the children in care needed.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders A child in care was given the incorrect medications for several days and documentation does not reflect that the correct prescribed dosage was being administered.	—
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. The operation did not report to licensing when two children ran away.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Multiple food items were observed not properly stored.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The operation currently does not have a full-time Treatment Director.	—
4	—	748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used Files reviewed show an active employee that transports youth has a driver's license that expired 8/3/2023.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet During the inspection, I observed that the posted evacuation diagrams do not include a designated meeting place outside the building in case of emergency egress.	—
4	—	748.1501(a)(4) - Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health A child in care was not scheduled follow up appointments for their on-going dental treatments.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof A mattress that a child in care is sleeping on does not have a mattress cover. This was observed on the bottom bunk in bedroom number three.	Yes
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. One staff record reviewed was missing the TB screening result.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment During an altercation between a staff member and a child in care, the staff member responded to the child posturing up to them by pushing them away from them.	—
3	—	748.3319(a) - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted. During the inspection, I observed that the operation lacks the required No Trespassing signs posted.	—
5	—	748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint While a safety plan was in place, stating that a staff member would not perform any restraints on any children, the named staff member did perform a restraint on a child.	—
1	—	748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required. During the inspection, I observed that 2 of the three records reviewed did not include documentation of the administered suicide screening in the child's record at the time of non-emergency admission.	Yes
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects Several individuals interviewed reported seeing cockroaches at the operation.	—
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. Bleach cleaner and rust remover were observed to be stored unlocked in the cabinet in the child's bathroom. Cans of paint were observed in the game room accessible to children.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Staff member stated during LE interview they held their weight down on victim until victim calmed down. This is documented in the offense report.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. One staff record reviewed was missing the TB screening result.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet During the inspection, I observed that the posted evacuation diagrams do not include a designated meeting place outside the building in case of emergency egress.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was reported that a staff member waited patiently at the bathroom door while a child in care smoked marijuana.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The medication log advises that a child was given medication on at 7:40pm on 5/12/25, however that time have not come. The medication log also advises that the remaining pill count is 25 as on 5/12/25, however there are only 24 pills in the pill pack.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given A child in care is being administered non prescription medication and there is no medication record for given medication,	—
5	—	748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute Two children confirmed victim was restrained on the floor. Staff member confirmed victim was restrained on the floor and stated for restraints, they put their hands on the kids and puts the kids on the floor. Staff member also stated victim was on their back during this time. EBI trainer stated staff are not taught to control the child by any means necessary, nor do they teach any restraints against the wall or on the floor.	—
3	—	748.363(5) - Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position. One staff record reviewed was missing proof of education required for the position.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof A mattress that a child in care is sleeping on does not have a mattress cover. This was observed on the bottom bunk in bedroom number three.	Yes
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record During the inspection, I observed that two of the three child records reviewed lacked immunization records obtained prior to non-emergency admission.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff were not aware that the children were engaging in inappropriate behaviors.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being It was reported that a child left the facility, obtained marijuana, and returned to the facility without staff knowing. There is no serious incident that documents the absence.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair The couch in the living room where children in care congregate and watch television is broken and poses a safety concern for children in care.	Yes
1	—	748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required. During the inspection, I observed that 2 of the three records reviewed did not include documentation of the administered suicide screening in the child's record at the time of non-emergency admission.	Yes
2	—	748.3701(e)(2)(B) - Recreation responsibility-Child receiving treatment services-Ensure that children receiving treatment services has individualized recreation plan 2 of the 2 children records reviewed did not include individualized recreation plans for either child.	—
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 The fire drill log did not include length of time for the evacuation or relocation to take place.	Yes
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 No record of documented fire and severe weather drills was available during 6/23/2025 monitoring inspection.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return Two children that eloped were not debriefed once they returned or within the allotted timeframe.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone Background checks for an employee who was hired on 10/04/24 was not active at the time of inspection. His background checks were inactive as of 06/03/24.	Yes
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child During an altercation between a staff member and a child in care, the staff member reacted to the child's behavior by verbally threatening harm to the child.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Multiple staff files reviewed have no record of annual training. The operation reports they were unaware staff was required to complete an annual suicide prevention training.	—
4	—	748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist. 3 of the 3 staff records reviewed did not include instructor led training for administration of psychotropic medication.	—
3	—	748.3319(a) - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted. During the inspection, I observed that the operation lacks the required No Trespassing signs posted.	—
3	—	748.685(c)(4) - Caregiver responsibility - positively reinforce children's efforts and accomplishments A caregiver was encouraging children in care that they could leave the facility and run away.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair The couch and recliner in the game room was observed with visible shredding and exposed cushioning.	—
4	—	748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used Files reviewed show an active employee that transports youth has a driver's license that expired 8/3/2023.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language During the course of the investigation it was determined that a caregiver was using profane language towards the children.	—
5	—	748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously The operation would not allow the children to make private phone calls to the Ombudsman or to their caseworker.	—
5	—	748.3421(2) - Poisons-The operation must ensure that poisonous or flammable materials are kept separate from medication, food, food prep and dining surfaces Bleach and other cleaning supplies were observed in an unlocked pantry in the kitchen that also stores food.	—
3	—	748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan A child in care requires intense level of care and 1:1 supervision according to his service plan but he eloped from the facility and returned without staff being unaware.	—
3	—	748.115(2) - Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child The operations discipline policy fails to integrate trauma informed care information.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 2 of the 3 children medication records reviewed had incorrect medication counts. The medication counts did not match the medication documentation.	—
4	—	748.113(9)(A) - A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation Two children in care were notified of discharge due to implementation of safety plan prohibiting the use of restraints on the residents during investigation.	—
4	—	748.507(3) - Employee general responsibilities-Know and comply with rules of Chapter 748 and any other rules and laws relevant to person's duties Staff member did not follow operation's policy.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment During an altercation between a staff member and a child in care, the staff member responded to the child posturing up to them by pushing them away from them.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During interviews with operation staff, residents and school personnel, it was determined the residents are not being dropped off at the school, but instead are being dropped off at the McDonalds located next to the school.	—

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

Inspections (184)

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

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