Texas › Houston › Kensley Care LLC dba Kensley Care South

Kensley Care LLC dba Kensley Care South

Child care center · 6703 SEALEY ST, Houston, TX 77091-1921 · License 1734404

0Compliance score
Poor

Capacity 16. 8-17

Violation history (336)

Severity	Date	Standard / narrative	Corrected
2	—	748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists Staff did not document the results of the search conducted on their debriefing form. Staff confiscated a knife from a child in care.	—
3	—	748.1101(b)(3)(G) - Children's rights-comfortable clothing suitable to age/size/similar to peers in community. Teenagers have reasonable chance to select clothing The operation is not providing children in care with sufficient pairs of underwear.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer During the inspection conducted on 6/13/25, it was determined that the operation failed to document accurate circumstances surrounding a child's discharge.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A child was involved in 3 serious incidents that were not documented fully as required by 748.311(1-11). One incident was not documented at all. Two incidents did not include all required information about the incident, witness, or resolution to the incidents.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity A child was not properly supervised and was able to maintain a knife in their possession without the knowledge of staff.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions There are multiple food items expired, and uncovered food in the fridge.	Yes
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The staff trainings were taken late for Preventing and Recognizing Youth Sexual Abuse training and The DFPS Psychotropic Medication Training	—
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 food items were expired and not stored properly.	Yes
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child Staff was using derogatory language, including shaming, ridiculing, and yelling at a child in care.	—
4	—	748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child A child in care physically assaulted another child in care by punching the victim in the head several times. This resulted in the victim being taken to an urgent care center. The child was diagnosed with a mild concussion.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was reported that a victim child was injured during AWOL, however, the serious incident report completed reports that there were np injuries upon return.	—
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 All employees files reviewed did not have a photo copy of the actual drug test results.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. During the walkthrough conducted on 6/13/25, several maintenance and safety concerns were observed. Specifically, a broken kitchen cabinet, damaged curtain rods in a common area, visible cracks in a dining room window, chipped paint around a bedroom window, a missing light switch cover in one of the bedrooms and exposed screws in a bedroom wall were noted.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection At the time of the monitoring inspection, there was not proof of a current health inspection.	—
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. A serious incident report was completed for both children on 3/7/2025 at 5:40pm. The intake came in on 3/08/2025 at 7:24am which was about 14 hours after the children had gone AWOL and almost 8 hours past the time frame in which the facility was to report to licensing.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver failed to intervene and take appropriate action to separate a child from other aggressive children after a physical altercation.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A treatment team staff for the operation did not delegate or provide the appropriate direct supervision for a child in care with history of suicidal behaviors after the child expressed suicidal ideations and scored high on suicide screening.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill During the inspection, the opertion failed to provide documented records verifying that required severe weather drills are being conducted.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the investigation inspection, paint was observed peeling from the wall and the paint on the bathroom door is stained and needs to be repainted.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, the shower in a bathroom downatirs was observed to have dirt and grime present, and potentially mold can be present due a shower leak.	Yes
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The Admissions policy must include all genders that the operation will be excepting.	Yes
2	—	748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Multiple discrepancies were discovered in the active child records for discharge summaries, safety plans, and admission assessments. The discharge summaries for 3 children were verbatim copy and pasted information, including another child's name. A safety plan implemented after a physical altercation included contradictory information about the incident and resolution. Admission Assessments included contradictions regarding the medical care for each child. The assessments also include blanket, copy and pasted statements.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave There was meat observed in the kitchen sink defrosting and there was food not properly stored in the pantry.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspection, the fire inspection has not yet been completed and expired on 3/19/2025. The facility has already purchased the necessary items for the inspection. They are currently just awaiting completion.	—
4	—	748.113(2) - EBI policy - the specific techniques that caregivers can use Policy states that they can use emergency medication for PMN kids. Also says they can use mechanical restraints.	—
5	—	748.685(c)(2) - Caregiver responsibility - provide a safe environment Staff did not provide a safe environment for residents as a weapon was brought into the facility.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Information gathered and obtained throughout the investigation determined a staff member used inappropriate language towards a child in care.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. Four individuals hired after September 1,2023 were missing the Pre-Employment Affidavit in their personnel file.	—
4	—	748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child During the course of this investigation this standard was found to be deficient due to the operation failing to complete and report an incident where on child in care choked another child in care.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting During the course of the investigation this standard was found to be deficient when a caregiver threatened to physically harm a child in care and pulled him by his hoodie.	—
2	—	748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer 3 of 3 discharge forms did not document when the child was informed of the discharge.	—
3	—	748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225 One child in care's updated dental records were not included in his file.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspections. It appears that the fire inspection has not been completed as of yet and expired on 11/23/2023.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the investigation inspection, paint was observed peeling from the wall and the paint on the bathroom door is stained and needs to be repainted.	—
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Need to add time medication occurred to the form.	Yes
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 Three staff files were reviewed and were missing drug test results.	—
2	—	748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged During the inspection conducted on 6/13/25, it was determined that the discharge documentation for a child in care was incomplete and did not include who the child was discharged to .	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair The couches in the living room were observed to be broken and in not good repair.	—
4	—	748.457(a) - Unauthorized Absence - Triggered Review of childs unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days	—
3	—	748.455(a)(4) - Unauthorized Absence?Debriefing includes where child went, who was w/ child, child?s activities & any other relevant info to child?s health &safety The form was missing a spot for what occurred while the child was away.	Yes
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy The bathroom window inside of room 3 was observed uncovered.	Yes
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Need to add time medication occurred to the form.	Yes
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer During the inspection conducted on 6/13/25, it was determined that the operation failed to document accurate circumstances surrounding a child's discharge.	—
2	—	748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the investigation inspection, paint was observed peeling from the wall and the paint on the bathroom door is stained and needs to be repainted.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave There was meat observed in the kitchen sink defrosting and there was food not properly stored in the pantry.	—
3	—	748.455(a)(4) - Unauthorized Absence?Debriefing includes where child went, who was w/ child, child?s activities & any other relevant info to child?s health &safety The form was missing a spot for what occurred while the child was away.	Yes
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting During the course of the investigation this standard was found to be deficient when a caregiver threatened to physically harm a child in care and pulled him by his hoodie.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy The bathroom window inside of room 3 was observed uncovered.	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 couches in the living room were observed to be broken and in not good repair.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the investigation inspection, paint was observed peeling from the wall and the paint on the bathroom door is stained and needs to be repainted.	—
4	—	748.457(a) - Unauthorized Absence - Triggered Review of childs unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days	—
4	—	748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child A child in care physically assaulted another child in care by punching the victim in the head several times. This resulted in the victim being taken to an urgent care center. The child was diagnosed with a mild concussion.	—
3	—	748.1101(b)(3)(G) - Children's rights-comfortable clothing suitable to age/size/similar to peers in community. Teenagers have reasonable chance to select clothing The operation is not providing children in care with sufficient pairs of underwear.	—
2	—	748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists Staff did not document the results of the search conducted on their debriefing form. Staff confiscated a knife from a child in care.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspection, the fire inspection has not yet been completed and expired on 3/19/2025. The facility has already purchased the necessary items for the inspection. They are currently just awaiting completion.	—
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. A serious incident report was completed for both children on 3/7/2025 at 5:40pm. The intake came in on 3/08/2025 at 7:24am which was about 14 hours after the children had gone AWOL and almost 8 hours past the time frame in which the facility was to report to licensing.	—
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 food items were expired and not stored properly.	Yes
2	—	748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged During the inspection conducted on 6/13/25, it was determined that the discharge documentation for a child in care was incomplete and did not include who the child was discharged to .	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The staff trainings were taken late for Preventing and Recognizing Youth Sexual Abuse training and The DFPS Psychotropic Medication Training	—
2	—	748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer 3 of 3 discharge forms did not document when the child was informed of the discharge.	—
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 All employees files reviewed did not have a photo copy of the actual drug test results.	—
4	—	748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child During the course of this investigation this standard was found to be deficient due to the operation failing to complete and report an incident where on child in care choked another child in care.	—
5	—	748.685(c)(2) - Caregiver responsibility - provide a safe environment Staff did not provide a safe environment for residents as a weapon was brought into the facility.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Information gathered and obtained throughout the investigation determined a staff member used inappropriate language towards a child in care.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity A child was not properly supervised and was able to maintain a knife in their possession without the knowledge of staff.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. Four individuals hired after September 1,2023 were missing the Pre-Employment Affidavit in their personnel file.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Multiple discrepancies were discovered in the active child records for discharge summaries, safety plans, and admission assessments. The discharge summaries for 3 children were verbatim copy and pasted information, including another child's name. A safety plan implemented after a physical altercation included contradictory information about the incident and resolution. Admission Assessments included contradictions regarding the medical care for each child. The assessments also include blanket, copy and pasted statements.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child Staff was using derogatory language, including shaming, ridiculing, and yelling at a child in care.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions There are multiple food items expired, and uncovered food in the fridge.	Yes
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was reported that a victim child was injured during AWOL, however, the serious incident report completed reports that there were np injuries upon return.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver failed to intervene and take appropriate action to separate a child from other aggressive children after a physical altercation.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The Admissions policy must include all genders that the operation will be excepting.	Yes
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill During the inspection, the opertion failed to provide documented records verifying that required severe weather drills are being conducted.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection At the time of the monitoring inspection, there was not proof of a current health inspection.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. During the walkthrough conducted on 6/13/25, several maintenance and safety concerns were observed. Specifically, a broken kitchen cabinet, damaged curtain rods in a common area, visible cracks in a dining room window, chipped paint around a bedroom window, a missing light switch cover in one of the bedrooms and exposed screws in a bedroom wall were noted.	—
4	—	748.113(2) - EBI policy - the specific techniques that caregivers can use Policy states that they can use emergency medication for PMN kids. Also says they can use mechanical restraints.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A child was involved in 3 serious incidents that were not documented fully as required by 748.311(1-11). One incident was not documented at all. Two incidents did not include all required information about the incident, witness, or resolution to the incidents.	—
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 Three staff files were reviewed and were missing drug test results.	—
3	—	748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225 One child in care's updated dental records were not included in his file.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, the shower in a bathroom downatirs was observed to have dirt and grime present, and potentially mold can be present due a shower leak.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A treatment team staff for the operation did not delegate or provide the appropriate direct supervision for a child in care with history of suicidal behaviors after the child expressed suicidal ideations and scored high on suicide screening.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspections. It appears that the fire inspection has not been completed as of yet and expired on 11/23/2023.	—
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Need to add time medication occurred to the form.	Yes
3	—	748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225 One child in care's updated dental records were not included in his file.	—
2	—	748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged During the inspection conducted on 6/13/25, it was determined that the discharge documentation for a child in care was incomplete and did not include who the child was discharged to .	—
2	—	748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists Staff did not document the results of the search conducted on their debriefing form. Staff confiscated a knife from a child in care.	—
5	—	748.685(c)(2) - Caregiver responsibility - provide a safe environment Staff did not provide a safe environment for residents as a weapon was brought into the facility.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspection, the fire inspection has not yet been completed and expired on 3/19/2025. The facility has already purchased the necessary items for the inspection. They are currently just awaiting completion.	—
4	—	748.457(a) - Unauthorized Absence - Triggered Review of childs unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days	—
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. A serious incident report was completed for both children on 3/7/2025 at 5:40pm. The intake came in on 3/08/2025 at 7:24am which was about 14 hours after the children had gone AWOL and almost 8 hours past the time frame in which the facility was to report to licensing.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions There are multiple food items expired, and uncovered food in the fridge.	Yes
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection At the time of the monitoring inspection, there was not proof of a current health inspection.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill During the inspection, the opertion failed to provide documented records verifying that required severe weather drills are being conducted.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a review of the operation's current inspections. It appears that the fire inspection has not been completed as of yet and expired on 11/23/2023.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer During the inspection conducted on 6/13/25, it was determined that the operation failed to document accurate circumstances surrounding a child's discharge.	—
2	—	748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer 3 of 3 discharge forms did not document when the child was informed of the discharge.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A treatment team staff for the operation did not delegate or provide the appropriate direct supervision for a child in care with history of suicidal behaviors after the child expressed suicidal ideations and scored high on suicide screening.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. Four individuals hired after September 1,2023 were missing the Pre-Employment Affidavit in their personnel file.	—

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

Inspections (208)

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

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