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Divine Integrity Group Home

Child care center · , TX · License 1732146

0Compliance score
Poor

Capacity 16. 7-17

Violation history (184)

SeverityDateStandard / narrativeCorrected
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff allowed children to play truth or dare, and the dares were inappropriate for the age group.		 —
4— 748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
A child in care was subjected to a restraint that was inappropriate and was only let go once the child expressed that she should not be in a choke hold.		 —
4— 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During inspection it was noted that the medication record for multiple children in care was not accurately recorded with date, count and signature.		 —
4— 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was noticed during the walkthrough that the fence surrounding the operation in the backyard was not in good repair.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was determined the wall in room 5 needed to be repaired as there was a hole in the wall and door frame in room 4 was broken with a piece of wood sticking out. Worker order could not be provided by staff.		 —
4— 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Four of four children's admission assessment did not document known contraindications to the use of restraints		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
One of two child records reviewed did not contain discharge summaries to include all required information.		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
One of four child records reviewed did not document the reason for emergency placement.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the inspection it was learned that a child in care ran out of her medication 3 days prior to the inspection. The child's appointment is not until 2/6/2024. The child will be without her medication for a total of 6 days.		 —
2— 748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
During the investigation through child and staff interviews, it has been heard that consequences for bad behavior or disruption of placement. Three of the three children admitted to hearing staff saying children will be discharged with bad behavior. Staff admitted to consequences of bad behavior is discharge.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Four of four child records reviewed of children in program over 15 days, did not contain a written discharge plan.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the inspection it was found that one of the child's records reviewed were missing the required 14 day notification to the child's parent.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Four children have remained in program over the maximum amount of time allowed and have not had an approved placement extension.		 —
2— 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
During the inspection of children's records it was noticed that 2 out of 8 records did not have an initial service plan at the 45 day mark		 —
3— 748.303(c) - Serious Incident- Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child's two unauthorized absences were not documented as serious incident to include required information.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough it was discovered that at the bottom of the shower curtain, in bathroom 2, contained mold. Soap scrum was present as well on the walls. While at the facility, staff changed the shower curtains out with a new curtain and clean the shower stalls.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
An employee did not use prudent judgement or self-control when a comment was made which triggered a child to fight another child in care.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection it was found that several windows did not have protective screens attached.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Two of four staff records did not contact proof of education.		 —
5— 748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
It was determined a wall electrical cover is broken and needs to be replaced.		 —
1— 748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
One of four children's placement agreement did not document reason for placement nor anticipated length of time in program.		 —
5— 748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
In bedroom #2 the top of safety guardrails is not at least five inches above the top of the mattress.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to leave the facility and be out of sight and earshot for at least 10minutes and brought back alcohol without being noticed by staff.		 —
4— 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Four of four children's admission assessment did not document known contraindications to the use of restraints		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
One of four child records reviewed did not document the reason for emergency placement.		 —
4— 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During inspection it was noted that the medication record for multiple children in care was not accurately recorded with date, count and signature.		 —
2— 748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
During the investigation through child and staff interviews, it has been heard that consequences for bad behavior or disruption of placement. Three of the three children admitted to hearing staff saying children will be discharged with bad behavior. Staff admitted to consequences of bad behavior is discharge.		 —
5— 748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
In bedroom #2 the top of safety guardrails is not at least five inches above the top of the mattress.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff allowed children to play truth or dare, and the dares were inappropriate for the age group.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Four of four child records reviewed of children in program over 15 days, did not contain a written discharge plan.		 —
4— 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was noticed during the walkthrough that the fence surrounding the operation in the backyard was not in good repair.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
An employee did not use prudent judgement or self-control when a comment was made which triggered a child to fight another child in care.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough it was discovered that at the bottom of the shower curtain, in bathroom 2, contained mold. Soap scrum was present as well on the walls. While at the facility, staff changed the shower curtains out with a new curtain and clean the shower stalls.		 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 was able to leave the facility and be out of sight and earshot for at least 10minutes and brought back alcohol without being noticed by staff.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Four children have remained in program over the maximum amount of time allowed and have not had an approved placement extension.		 —
1— 748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
One of four children's placement agreement did not document reason for placement nor anticipated length of time in program.		 —
2— 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
During the inspection of children's records it was noticed that 2 out of 8 records did not have an initial service plan at the 45 day mark		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the inspection it was found that one of the child's records reviewed were missing the required 14 day notification to the child's parent.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Two of four staff records did not contact proof of education.		 —
3— 748.303(c) - Serious Incident- Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child's two unauthorized absences were not documented as serious incident to include required information.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was determined the wall in room 5 needed to be repaired as there was a hole in the wall and door frame in room 4 was broken with a piece of wood sticking out. Worker order could not be provided by staff.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection it was found that several windows did not have protective screens attached.		 —
4— 748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
A child in care was subjected to a restraint that was inappropriate and was only let go once the child expressed that she should not be in a choke hold.		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
One of two child records reviewed did not contain discharge summaries to include all required information.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the inspection it was learned that a child in care ran out of her medication 3 days prior to the inspection. The child's appointment is not until 2/6/2024. The child will be without her medication for a total of 6 days.		 —
5— 748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
It was determined a wall electrical cover is broken and needs to be replaced.		 —
4— 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was noticed during the walkthrough that the fence surrounding the operation in the backyard was not in good repair.		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
One of four child records reviewed did not document the reason for emergency placement.		 —
5— 748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
In bedroom #2 the top of safety guardrails is not at least five inches above the top of the mattress.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the inspection it was found that one of the child's records reviewed were missing the required 14 day notification to the child's parent.		 —
2— 748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
During the investigation through child and staff interviews, it has been heard that consequences for bad behavior or disruption of placement. Three of the three children admitted to hearing staff saying children will be discharged with bad behavior. Staff admitted to consequences of bad behavior is discharge.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff allowed children to play truth or dare, and the dares were inappropriate for the age group.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to leave the facility and be out of sight and earshot for at least 10minutes and brought back alcohol without being noticed by staff.		 —
3— 748.303(c) - Serious Incident- Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child's two unauthorized absences were not documented as serious incident to include required information.		 —
1— 748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
One of four children's placement agreement did not document reason for placement nor anticipated length of time in program.		 —
4— 748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
A child in care was subjected to a restraint that was inappropriate and was only let go once the child expressed that she should not be in a choke hold.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was determined the wall in room 5 needed to be repaired as there was a hole in the wall and door frame in room 4 was broken with a piece of wood sticking out. Worker order could not be provided by staff.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Four of four child records reviewed of children in program over 15 days, did not contain a written discharge plan.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough it was discovered that at the bottom of the shower curtain, in bathroom 2, contained mold. Soap scrum was present as well on the walls. While at the facility, staff changed the shower curtains out with a new curtain and clean the shower stalls.		 Yes
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection it was found that several windows did not have protective screens attached.		 —
2— 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
During the inspection of children's records it was noticed that 2 out of 8 records did not have an initial service plan at the 45 day mark		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
One of two child records reviewed did not contain discharge summaries to include all required information.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
An employee did not use prudent judgement or self-control when a comment was made which triggered a child to fight another child in care.		 —
5— 748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
It was determined a wall electrical cover is broken and needs to be replaced.		 —
4— 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During inspection it was noted that the medication record for multiple children in care was not accurately recorded with date, count and signature.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Two of four staff records did not contact proof of education.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the inspection it was learned that a child in care ran out of her medication 3 days prior to the inspection. The child's appointment is not until 2/6/2024. The child will be without her medication for a total of 6 days.		 —
4— 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Four of four children's admission assessment did not document known contraindications to the use of restraints		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Four children have remained in program over the maximum amount of time allowed and have not had an approved placement extension.		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
One of two child records reviewed did not contain discharge summaries to include all required information.		 —
1— 748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
One of four children's placement agreement did not document reason for placement nor anticipated length of time in program.		 —
4— 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Four of four children's admission assessment did not document known contraindications to the use of restraints		 —
2— 748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
During the investigation through child and staff interviews, it has been heard that consequences for bad behavior or disruption of placement. Three of the three children admitted to hearing staff saying children will be discharged with bad behavior. Staff admitted to consequences of bad behavior is discharge.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff allowed children to play truth or dare, and the dares were inappropriate for the age group.		 —
5— 748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
It was determined a wall electrical cover is broken and needs to be replaced.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Two of four staff records did not contact proof of education.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough it was discovered that at the bottom of the shower curtain, in bathroom 2, contained mold. Soap scrum was present as well on the walls. While at the facility, staff changed the shower curtains out with a new curtain and clean the shower stalls.		 Yes
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection it was found that several windows did not have protective screens attached.		 —
5— 748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
In bedroom #2 the top of safety guardrails is not at least five inches above the top of the mattress.		 —
3— 748.303(c) - Serious Incident- Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child's two unauthorized absences were not documented as serious incident to include required information.		 —
4— 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was noticed during the walkthrough that the fence surrounding the operation in the backyard was not in good repair.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to leave the facility and be out of sight and earshot for at least 10minutes and brought back alcohol without being noticed by staff.		 —
4— 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During inspection it was noted that the medication record for multiple children in care was not accurately recorded with date, count and signature.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was determined the wall in room 5 needed to be repaired as there was a hole in the wall and door frame in room 4 was broken with a piece of wood sticking out. Worker order could not be provided by staff.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the inspection it was found that one of the child's records reviewed were missing the required 14 day notification to the child's parent.		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
One of four child records reviewed did not document the reason for emergency placement.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
An employee did not use prudent judgement or self-control when a comment was made which triggered a child to fight another child in care.		 —
2— 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
During the inspection of children's records it was noticed that 2 out of 8 records did not have an initial service plan at the 45 day mark		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Four children have remained in program over the maximum amount of time allowed and have not had an approved placement extension.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the inspection it was learned that a child in care ran out of her medication 3 days prior to the inspection. The child's appointment is not until 2/6/2024. The child will be without her medication for a total of 6 days.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Four of four child records reviewed of children in program over 15 days, did not contain a written discharge plan.		 —
4— 748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
A child in care was subjected to a restraint that was inappropriate and was only let go once the child expressed that she should not be in a choke hold.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Four of four child records reviewed of children in program over 15 days, did not contain a written discharge plan.		 —
4— 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Four of four children's admission assessment did not document known contraindications to the use of restraints		 —
4— 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During inspection it was noted that the medication record for multiple children in care was not accurately recorded with date, count and signature.		 —
2— 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
During the inspection of children's records it was noticed that 2 out of 8 records did not have an initial service plan at the 45 day mark		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough it was discovered that at the bottom of the shower curtain, in bathroom 2, contained mold. Soap scrum was present as well on the walls. While at the facility, staff changed the shower curtains out with a new curtain and clean the shower stalls.		 Yes
5— 748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
In bedroom #2 the top of safety guardrails is not at least five inches above the top of the mattress.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was determined the wall in room 5 needed to be repaired as there was a hole in the wall and door frame in room 4 was broken with a piece of wood sticking out. Worker order could not be provided by staff.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Four children have remained in program over the maximum amount of time allowed and have not had an approved placement extension.		 —

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

Inspections (80)

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

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