Texas › Spring › Harmony Therapy and Treatment Center LLC

Harmony Therapy and Treatment Center LLC

Child care center · 26619 OAK RIDGE DR, Spring, TX 77380-1968 · License 1735762

0Compliance score
Poor

Capacity 16. 7-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
5	—	745.4151(c)(5)(A) - Drug testing procedures-All drug testing will at a minimum screen for marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP) During the inspection, I observed one of four staff records reviewed contained a drug test which omitted THC from the screening panel.	—
1	—	748.4111(b)(1) - Transportation records-Must maintain the insurance verification in the vehicle Operation vehicles did not have the required insurance verification.	—
3	—	748.685(a)(1) - Caregiver responsibility - knowing which children they are responsible for A caregiver responsible for one to one supervision of a child failed to notice when the child walked away undetected during a group outing.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply An employee grabbed a child by the wrist.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A broke door frame was observed, exposing nails.	—
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. Bleach and Laundry detergent was observed in an unlocked pantry in the kitchen.	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 Drills document does not include length of time for the evacuation or relocation to take place.	—
2	—	748.1439(b)(1) - Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge Discharge document was not available for review at the time of inspection.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A caregiver did not intervene until an injury occurred.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child in care admitted that himself and two other residents were able to AWOL from the facility without staff noticing it.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Fire Extinguishers observed were not current. The last inspection was conduct in May of 2023.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During the inspection, it was observed that all three fire extinguishers were not in compliance; only one had a tag with the last inspection identified as April 2023.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Two medications for a child are not being administered according to the instructions on the bottle.	—
3	—	748.399(b) - Records Available for Licensing - reasonable access to storage and file areas Operation failed to provide staff with key access to records/ documents upon Licensing's request.	—
3	—	748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any The name of several witnesses has not been recorded on the Serious Incident Report. According to interviews conducted during the investigation there were several witnesses to the incident.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The operation's first aid kit did not contain the required guide to first aid and adhesive tape.	Yes
5	—	745.4151(c)(5)(A) - Drug testing procedures-All drug testing will at a minimum screen for marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP) Administrators drug test did not include testing for cocaine and phencyclidine (PCP).	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below Both the refrigerator and freezer had thermometers, but neither were showing appropriate temperatures of 40 degrees (showed 48 degrees) or 0 degrees (30 degrees) or below.	—
2	—	748.1101(b)(3)(J) - Children's rights-The right to personal space in the child's bedroom to store child's clothes and belongings Storage for children's clothing was not observed in all bedrooms at the time of inspection.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records There are inconsistencies in the operations policies regarding the services to be provided.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Two of the three employee files did not have documentation showing the references were contacted.	—
4	—	748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks Caregiver did not provide adequate supervision to child who was suspected to be under the influence in a potentially dangerous environment.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Five of eight reviewed medication records to not document the reason the child's medication is prescribed.	—
4	—	748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification The CPR/First Aid certificate for a staff's file reviewed expired 1/4/2023.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather The posted evacuation plan did not specify an indoor meeting place.	—
3	—	748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations Pest control has not yet treated the operation.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission Unauthorized Absence Log is missing required information.	—
3	—	748.399(b) - Records Available for Licensing - reasonable access to storage and file areas The operation was unable to provide licensing with the requested documents upon request.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair There were several holes in the wall in the second floor bed room. All children's bedroom were missing window screens. The door on a dresser located in a first floor bedroom was broken and a nail exposed.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below Deep freezer thermometer was observed at 60 degrees.	Yes
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving A staff member with an active background check since December 2022 does not have a completed personnel binder on-site or a definitive start date. A staff member who resigned two weeks ago is still listed as active in BGC.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A child in care was self-harming. An overnight caregiver was noted to be sleeping during their shift.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill There is no documentation of a severe weather drill since year 2023.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children Daily recreational calendar was not available for review.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. A youth in care was arrested on 09/09/2025 and the operation did not report this incident to licensing.	—
2	—	748.101(2)(C) - Plans to submit - Fiscal plan - estimated 12 month budget Budget does not accurately depict necessary items.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention Report to document EBI was not available for review at the time of inspection.	—
5	—	748.3231(b) - Evacuation-In an emergency, move all children to designated safe area known to employees, caregivers, & volunteers The operation did not timely inform Licensing, caseworkers of the temporary change of address due to inclement weather.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain A child in care involved had a fractured hand. A follow-up was needed but the child did not attend his follow up appointment.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Shelter in place area was not observed on the Evacuation Diagram.	—
2	—	748.2853(1) - EBI Documentation-Date and time the caregiver offered the post discussion to the child Record to document EBI debriefing with a child was not available for review at the time of inspection.	—
2	—	748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered An operation vehicle did not have a current state required registration. Documentation of registration could not be provided upon request.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. Active employee files reviewed have no record of a notarized Pre-Employment Affidavit for Applicants for Employment form.	—
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 redirect children in their care from interfering during a behavioral incident involving another child. This resulted in a physical altercation between the children. Two children required medical attention.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Two of the three personnel files were missing documentation regarding contact with previous employers prior to hire.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards None of the windows used for ventilation at the operation had screens. There were two broken windows in the facility that have not been fixed--even though a work order was requested three months prior.	—
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 child in care runaway on January 4, 2024. The incident was not reported to Licensing until January 7, 2024.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Three medication records for a child was observed without documentation of who administered the medication, the date or the time.	—
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. Multiple active employee files reviewed have no record of Pre-Employment Screenings.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer The 2 first aid kits were evaluated and were missing thermometers, and gloves. 1 first aid kit was missing, scissors, and tweezers as well.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection, I observed holes cut in the upholstery of the middle row of seats, there was damage to the interior handle on the front passenger door. The seat belt on the driver's side of the middle row of seats is damaged and frayed.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver was using inappropriate language around children in care.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer Thermometer was not observed in the First Aid Kit.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. The operation did not have an annual summary log of unauthorized absences for review.	—
3	—	748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number SIR does not include the operation's contact information or (8)Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The operation failed to follow the supervision plan noted in the child?s service plan.	—
3	—	748.363(9) - Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies. During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required employee signed operational policy.	—
3	—	748.363(10) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. Active employee files reviewed have no record of acknowledgement of reporting suspected child abuse, neglect, or exploitation policies.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff completed bed checks without physically seeing the child face or body parts.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children Recreational calendar observed did not have the required indoor and outdoor options.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving An employee who was terminated on 6/12/2023 has an active background check.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A staff member walked out and quit leaving four children unsupervised for approximately 20 to 60 minutes. At the time of the incident, three of the four children required direct/constant supervision per their child's plan of service.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The operation did not inform Licensing of their administrator's absence, the length of absence or identify a designated staff in the event of an emergency.	—
3	—	748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number The serious incident reports did not contain the operations physical address or phone number.	—
4	—	748.3005 - Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies The operation failed to correct deficiencies and/or comply with corrections, restrictions, or conditions that the inspector specifies in the sanitation report provided on 3/9/2026.	Yes
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver yelled at a child in care.	—
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. During the monitoring inspection, four personnel records were reviewed, and one personnel record did not have the required reference checks.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects RCCR Inspectors and Supervisor observed live bugs at the operation, during the monitoring inspection.	—
3	—	748.363(10) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required employee signed abuse and neglect policy.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill There were no severe weather drills to review at the operation. This was cited in November of 2025, and it was reported a drill was completed on 11/6/25, but staff could not locate the drill.	—
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 attempting to retrieve a cell phone from a child in care that led to a physical altercation that could have been avoided.	—
3	—	748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority Organization Chart does not depict all job titles for maintaining lines of authority.	—
2	—	748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered During the inspection, I observed the operation's transportation van had registration tags which were out of date.	Yes
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 An active employee record has an unnotarized Licensing Affidavit for Applicants for Employment form.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The operation failed to inform Licensing about the absence of an Administrator for a certain period and did not designate operational staff for emergencies.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The Unauthorized Absence Log does not include the child's DOA.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or Three children's binders did not document whether or not the child has allergies.	—
3	—	748.363(9) - Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies. Active employee files reviewed have no record of acknowledgement of operational policies.	—
3	—	748.2205(1) - Medication label error-Report medication label errors to the pharmacist A child's medication bottle contained an error, it states there were 60 pills prescribed when it was only 15. This was not addressed with the pharmacy.	—
4	—	748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist. During the monitoring inspection, four personnel records were reviewed, and three personnel files did not have the required administering medication training - instructor led, as required by Minimum Standards.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Three children in care made statements regarding staff being on their phones while supervising children. The investigator witnessed a staff member playing a game on her phone for 4-5 minutes while she was supposed to be providing one-on-one supervision.	—
3	—	748.831(a) - Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required orientation.	—
3	—	748.1221(c)(2) - Admission Assessment-Document why a delay in obtaining a piece of information is necessary, including efforts made to obtain the information The reason required information and due diligence to obtain it was not documented in the Admission Assessment.	—
3	—	748.363(1) - Personnel records-Include date of employment Two of three employee records did not state the date of hire.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves Admission Policy does not accurately depict the population the operation will admit.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies A staff member disclosed to the Administrator that they were leaving, which would leave the children unsupervised. The Administrator proceeded to leave the property and the staff member left shortly after.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy A bedroom window was observed with blinds, shades, or other provisions.	—
3	—	748.685(a)(1) - Caregiver responsibility - knowing which children they are responsible for A caregiver responsible for one to one supervision of a child failed to notice when the child walked away undetected during a group outing.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects RCCR Inspectors and Supervisor observed live bugs at the operation, during the monitoring inspection.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Three children in care made statements regarding staff being on their phones while supervising children. The investigator witnessed a staff member playing a game on her phone for 4-5 minutes while she was supposed to be providing one-on-one supervision.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Two of the three personnel files were missing documentation regarding contact with previous employers prior to hire.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Two of the three employee files did not have documentation showing the references were contacted.	—
3	—	748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number The serious incident reports did not contain the operations physical address or phone number.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather The posted evacuation plan did not specify an indoor meeting place.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention Report to document EBI was not available for review at the time of inspection.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection, I observed holes cut in the upholstery of the middle row of seats, there was damage to the interior handle on the front passenger door. The seat belt on the driver's side of the middle row of seats is damaged and frayed.	—
4	—	748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist. During the monitoring inspection, four personnel records were reviewed, and three personnel files did not have the required administering medication training - instructor led, as required by Minimum Standards.	—
3	—	748.399(b) - Records Available for Licensing - reasonable access to storage and file areas Operation failed to provide staff with key access to records/ documents upon Licensing's request.	—
2	—	748.1439(b)(1) - Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge Discharge document was not available for review at the time of inspection.	—
3	—	748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority Organization Chart does not depict all job titles for maintaining lines of authority.	—

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

Inspections (216)

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

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