Texas › › Ayanti Residential Treatment Center Inc

Ayanti Residential Treatment Center Inc

Name: Ayanti Residential Treatment Center Inc
Address: TX, US

Child care center · , TX · License 1738882

0Compliance score
Poor

Capacity 11. 10-17

Violation history (168)

Severity	Date	Standard / narrative	Corrected
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below The thermometer observed in the refrigerator indicated the temperature was at 49 degrees Fahrenheit.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the 3rd initial monitoring inspection 6 children in care medication records were reviewed. it was discovered that 3 of the children in care cumulative records were not updated correctly. 3 out of 6 Medication logs reviewed had a different number of pills listed from the prescription package.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Mutiple children have missed medication doses and there was no medical error documentation.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera It was found in a child's file that the caseworker did not consent the use of a video camera .	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history During the inspection, 1 of 5 reviewed records was found to not have information of neonatal history.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During the inspection, it was found that since the operation opened in April (9 mths), they have never validated their employee list.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Multiple children interviewed in this investigation stated that staff member was on the phone during an outing at a park. This resulted in the staff member not witnessing multiple kissing incidents between children in care.	—
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 During the inspection, it was found that 4 employees who no longer worked at the operation were still active in the People's List after 7 days.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement During the inspection, it was found that the admission assessment did not mention the child s understanding of placement in 1 of 5 records.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The emergency evacuation plans posted upstairs did not have a designated location indicated as to where the caregivers and children meet. The diagram also does not indicate where one is standing to follow the emergency evacuation plan.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking During inspection, it was found that 1 of 4 staff records reviewed did not have a First Aid certificate.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair It was found that a shower rod was rusted, and a toilet handle was missing in a bathroom accessible to children.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The operation recreational activity calendar does not have indoor and outdoor recreational activities daily, some days only have indoor activities. In addition, the recreation should be planned according to the children's needs, interests and abilities.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone A staff member working at the operation had not had a background check completed.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three children in care are not receiving their medication as prescribed due to medication running out.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves At the time of review, admission polices did not state the type of behaviors the operation accepts.	—
1	—	748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves The operation menu is not maintained daily there is a generic "summer menu" and also does not include any alternatives.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Interviews completed confirmed that overnight caregiver fell asleep while on shift.	—
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history During the inspection, it was noticed in 1 of 5 reviewed records that there was no previous school history.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During the inspection two hanging poles in the closets upstairs were lose and easily removeable.	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 Multiple employees were inactivated more than 7 days after being terminated.	—
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 During the inspection, it was found that 4 employees who no longer worked at the operation were still active in the People's List after 7 days.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below The thermometer observed in the refrigerator indicated the temperature was at 49 degrees Fahrenheit.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves At the time of review, admission polices did not state the type of behaviors the operation accepts.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement During the inspection, it was found that the admission assessment did not mention the child s understanding of placement in 1 of 5 records.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During the inspection two hanging poles in the closets upstairs were lose and easily removeable.	Yes
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The operation recreational activity calendar does not have indoor and outdoor recreational activities daily, some days only have indoor activities. In addition, the recreation should be planned according to the children's needs, interests and abilities.	—
1	—	748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves The operation menu is not maintained daily there is a generic "summer menu" and also does not include any alternatives.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During the inspection, it was found that since the operation opened in April (9 mths), they have never validated their employee list.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera It was found in a child's file that the caseworker did not consent the use of a video camera .	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the 3rd initial monitoring inspection 6 children in care medication records were reviewed. it was discovered that 3 of the children in care cumulative records were not updated correctly. 3 out of 6 Medication logs reviewed had a different number of pills listed from the prescription package.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Interviews completed confirmed that overnight caregiver fell asleep while on shift.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three children in care are not receiving their medication as prescribed due to medication running out.	—
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history During the inspection, it was noticed in 1 of 5 reviewed records that there was no previous school history.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The emergency evacuation plans posted upstairs did not have a designated location indicated as to where the caregivers and children meet. The diagram also does not indicate where one is standing to follow the emergency evacuation plan.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Multiple children interviewed in this investigation stated that staff member was on the phone during an outing at a park. This resulted in the staff member not witnessing multiple kissing incidents between children in care.	—
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 Multiple employees were inactivated more than 7 days after being terminated.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair It was found that a shower rod was rusted, and a toilet handle was missing in a bathroom accessible to children.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking During inspection, it was found that 1 of 4 staff records reviewed did not have a First Aid certificate.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone A staff member working at the operation had not had a background check completed.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Mutiple children have missed medication doses and there was no medical error documentation.	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history During the inspection, 1 of 5 reviewed records was found to not have information of neonatal history.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Interviews completed confirmed that overnight caregiver fell asleep while on shift.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera It was found in a child's file that the caseworker did not consent the use of a video camera .	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During the inspection two hanging poles in the closets upstairs were lose and easily removeable.	Yes
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement During the inspection, it was found that the admission assessment did not mention the child s understanding of placement in 1 of 5 records.	—
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history During the inspection, it was noticed in 1 of 5 reviewed records that there was no previous school history.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During the inspection, it was found that since the operation opened in April (9 mths), they have never validated their employee list.	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history During the inspection, 1 of 5 reviewed records was found to not have information of neonatal history.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking During inspection, it was found that 1 of 4 staff records reviewed did not have a First Aid certificate.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone A staff member working at the operation had not had a background check completed.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair It was found that a shower rod was rusted, and a toilet handle was missing in a bathroom accessible to children.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three children in care are not receiving their medication as prescribed due to medication running out.	—
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 Multiple employees were inactivated more than 7 days after being terminated.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Multiple children interviewed in this investigation stated that staff member was on the phone during an outing at a park. This resulted in the staff member not witnessing multiple kissing incidents between children in care.	—
1	—	748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves The operation menu is not maintained daily there is a generic "summer menu" and also does not include any alternatives.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves At the time of review, admission polices did not state the type of behaviors the operation accepts.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below The thermometer observed in the refrigerator indicated the temperature was at 49 degrees Fahrenheit.	—
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 During the inspection, it was found that 4 employees who no longer worked at the operation were still active in the People's List after 7 days.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The emergency evacuation plans posted upstairs did not have a designated location indicated as to where the caregivers and children meet. The diagram also does not indicate where one is standing to follow the emergency evacuation plan.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the 3rd initial monitoring inspection 6 children in care medication records were reviewed. it was discovered that 3 of the children in care cumulative records were not updated correctly. 3 out of 6 Medication logs reviewed had a different number of pills listed from the prescription package.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Mutiple children have missed medication doses and there was no medical error documentation.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The operation recreational activity calendar does not have indoor and outdoor recreational activities daily, some days only have indoor activities. In addition, the recreation should be planned according to the children's needs, interests and abilities.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking During inspection, it was found that 1 of 4 staff records reviewed did not have a First Aid certificate.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During the inspection two hanging poles in the closets upstairs were lose and easily removeable.	Yes
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The emergency evacuation plans posted upstairs did not have a designated location indicated as to where the caregivers and children meet. The diagram also does not indicate where one is standing to follow the emergency evacuation plan.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair It was found that a shower rod was rusted, and a toilet handle was missing in a bathroom accessible to children.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Interviews completed confirmed that overnight caregiver fell asleep while on shift.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The operation recreational activity calendar does not have indoor and outdoor recreational activities daily, some days only have indoor activities. In addition, the recreation should be planned according to the children's needs, interests and abilities.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera It was found in a child's file that the caseworker did not consent the use of a video camera .	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the 3rd initial monitoring inspection 6 children in care medication records were reviewed. it was discovered that 3 of the children in care cumulative records were not updated correctly. 3 out of 6 Medication logs reviewed had a different number of pills listed from the prescription package.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone A staff member working at the operation had not had a background check completed.	—
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history During the inspection, it was noticed in 1 of 5 reviewed records that there was no previous school history.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three children in care are not receiving their medication as prescribed due to medication running out.	—
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 Multiple employees were inactivated more than 7 days after being terminated.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Multiple children interviewed in this investigation stated that staff member was on the phone during an outing at a park. This resulted in the staff member not witnessing multiple kissing incidents between children in care.	—
1	—	748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves The operation menu is not maintained daily there is a generic "summer menu" and also does not include any alternatives.	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history During the inspection, 1 of 5 reviewed records was found to not have information of neonatal history.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below The thermometer observed in the refrigerator indicated the temperature was at 49 degrees Fahrenheit.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves At the time of review, admission polices did not state the type of behaviors the operation accepts.	—
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 During the inspection, it was found that 4 employees who no longer worked at the operation were still active in the People's List after 7 days.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Mutiple children have missed medication doses and there was no medical error documentation.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement During the inspection, it was found that the admission assessment did not mention the child s understanding of placement in 1 of 5 records.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During the inspection, it was found that since the operation opened in April (9 mths), they have never validated their employee list.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone A staff member working at the operation had not had a background check completed.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below The thermometer observed in the refrigerator indicated the temperature was at 49 degrees Fahrenheit.	—
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history During the inspection, it was noticed in 1 of 5 reviewed records that there was no previous school history.	—
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 During the inspection, it was found that 4 employees who no longer worked at the operation were still active in the People's List after 7 days.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Mutiple children have missed medication doses and there was no medical error documentation.	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history During the inspection, 1 of 5 reviewed records was found to not have information of neonatal history.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Multiple children interviewed in this investigation stated that staff member was on the phone during an outing at a park. This resulted in the staff member not witnessing multiple kissing incidents between children in care.	—
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 Multiple employees were inactivated more than 7 days after being terminated.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement During the inspection, it was found that the admission assessment did not mention the child s understanding of placement in 1 of 5 records.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the 3rd initial monitoring inspection 6 children in care medication records were reviewed. it was discovered that 3 of the children in care cumulative records were not updated correctly. 3 out of 6 Medication logs reviewed had a different number of pills listed from the prescription package.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The emergency evacuation plans posted upstairs did not have a designated location indicated as to where the caregivers and children meet. The diagram also does not indicate where one is standing to follow the emergency evacuation plan.	—
1	—	748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves The operation menu is not maintained daily there is a generic "summer menu" and also does not include any alternatives.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Interviews completed confirmed that overnight caregiver fell asleep while on shift.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves At the time of review, admission polices did not state the type of behaviors the operation accepts.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking During inspection, it was found that 1 of 4 staff records reviewed did not have a First Aid certificate.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera It was found in a child's file that the caseworker did not consent the use of a video camera .	—

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

Inspections (72)

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

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.