Texas › Willis › Rejo Helping Hands Inc.

Rejo Helping Hands Inc.

Child care center · 16673 INTERSTATE 45 N, Willis, TX 77318-6915 · License 1744228

0Compliance score
Poor

Capacity 48. 7-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
3	—	748.363(11) - Personnel records-Include record of training and training hours During the application review, staff files did not have an adequate amount of required training and the file was missing training hours.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection It was determined during this inspection that the operation's sanitation certification was expired.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Butter was not covered in the freezer, staff threw uncovered food.	Yes
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered One of the three children's medication records reviewed was missing the times medications were administered.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements 1 of 3 records was observed without a TB exam. Staff was hired 6/9/23.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. Two of the four staff members records involved was observed to be delinquent on Normalcy Training.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication 4 of 4 records reviewed had medication logs with the reason for the medications not listed.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The operation did not document the serious incident.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services One of four Preliminary Service Plans reviewed was observed to be missing a signature from Treatment Director or Professional Level Service Provider.	—
4	—	748.3115(3) - Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector The operation's fire extinguisher in the rec area was due to be serviced by the end of May 2025.	Yes
1	—	748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required. 4 of 4 records reviewed did not include the results of the child's suicide risk screening.	—
2	—	748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child 4 of 4 admissions' assessments did not include the services the operation would provide to children in care, and the child's substance abuse history, and the child's understanding of placement.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records An incident report was observed with additional information that was not reported to SWI.	—
4	—	748.113 - EBI policy - develop EBI policies if my operation is permitted to use EBI The EBI policy is missing information, such as what restraints are acceptable.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child initial service plan was not completed within 45 days after admission.	—
3	—	748.111 - Child-care policy required The child care policy is missing information including education, child's rights and religion.	—
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 involved other children when attempting to de-escalate a situation with one child in care.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One of four children's records reviewed did not have an initial service plan in the file.	—
3	—	748.2301(a) - Disciplinary Measures-only a caregiver known to and knowledgeable of the child may discipline the child A child visiting the operation threatened to discipline a child in care.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures A caregiver did not follow operation policies for 24-hour awake staff as the staff was found asleep by DFPS contracts representative.	—
1	—	748.1217(c)(3) - Admission Assessment-Prior to initial service plan, add child's birth and neonatal history 4 of 4 admissions assessments did not include the child's birth and neonatal history; (c)(6) child?s school history, including the names and dates of previous schools attended, grades earned, and special achievements; (c)(7) the reason for the previous placements.	—
4	—	748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs A staff member did not have training prior to being counted into ratio and conducting a restraint.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation has been operating without an Administrator for more than 60 days.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders One medication, Guanfacine 2MG, was supposed to be administered daily at 4pm, was administered after 4pm on 7/5-7/13.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid One of four staff members was observed to have an expired CPR Certification.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A child in care reported being attacked by other children in care by the direction of a staff member. The victim sustained injuries that required medical attention.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Employee was observed to be asleep during night shift.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The administrator failed to communicate with all caregivers a children's risk behaviors.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child A caregiver restrained a child in care with force, leaving a hand print. on the child's arm.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission Unauthorized Absent Log is missing the age and gender of the victim.	—
4	—	748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child. According to documentation and interviews, the child injured their hand on 4/3/2025 but refused medical care until 4/4/2025. Staff made a report to SWI, however, the CVS parent did not receive the I&R until 3 days later on 4/7/2025. Thus, the CVS parent was not immediately notified of the critical injury immediately after ensuring the child's safety.	—
4	—	748.121 - Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children During the inspection, the abuse and neglect policies are missing from the operational policies.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver was captured by video standing close by as physical altercation was occurring and did not intervene.	—
2	—	748.1331(b)(5) - Preliminary Service Plan-For child receiving treatment services, designate who will be responsible for meeting each of the child's needs 4 preliminary service plans did not document who would be responsible for meeting each of the child's needs.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation Case manager reported that some staff files could not be reviewed due to them being forgotten at her personal residence.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Three of the four records reviewed was observed to have immunization records in the admission documentation.	—
3	—	748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested One of the two child case workers indicated they were not notified by the operation of the child arrest. The worker reported being notified by a Probation Officer on Monday on the incident that took place over the weekend. The worker denied missing a call over the weekend from the operation.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Service plans reviewed noted the effective date of the plans to be before the completion dates of the plan; the supervision and ratio requirements are inconsistent between the preliminary, initial, and review service plans; admission's assessments, preliminary, initial, and review service plans were not individualized and detailed for each child in care; dates did not accompany all signatures on documents, for example initial and review service plans, to show when the document was signed and to ensure compliance with minimum standards timeframes; information from the application for placement, psychological assessment, and admission's assessment were not thoroughly included in the goals and needs documented for children in care in their initial and review service plans	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. Of the two files reviewed, neither employee had a signed statement of reporting abuse or neglect.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The annual fire inspection was due on 4/1/23.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers The tobacco and e-cigarette policy is missing from operational policies. This policy should be address both staff and children in care.	—
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 During this application review, it was found that the drug test for the staff C.R. was invalid. C.R. has not had drug test.	—
1	—	748.1347(a)(2) - Initial Service Plan-Document PLSP's date of participation 3 of 4 initial and review service plans did not include the date of participation for the PLSP. 1 service plan did not include the signature of the PLSP.	—
5	—	748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back Staff placed youth in cares arms behind their back and during a short personal restraint.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to appropriately intervene during a serious incident involving a child in care exhibiting self-harm and making threats of harm to others, as well as engaging in self-injurious behavior.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply Staff used restraint in an effort to have child comply with taking a shower.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below Two of the three chest freezers did not contain thermometers	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return The annual summary log does not have how long the child was gone for. The log has a designated area for time and date of return however only the date is being entered.	—
5	—	748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back Staff admitted to placing the child's arms behind his back.	—
4	—	748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued The sanitation inspection was not present and needs to be sent in writing.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During a walk-through of the operation, cottage three had mold in the shower handel.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone The operation failed to ensure a caregiver had a completed background check prior to being hired.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children During a walkthrough of the facility it was observed that there was one caregiver to 9 children in the recreational area.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid During the application review, the staff did not have valid First Aid and CPR Training in their file.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) Names of staff involved and witnesses not listed on serious incident report. Report mentioned staff intervened but staff was not listed.	—
4	—	748.125(f)(2)(B) - Post hospitalization protocols must include creating or reviewing and updating the child?s safety plan. There wasn't a post hospitalization safety plan created/updated after a child's hospitalization stay.	—
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 determined that the operation's fire inspection certification was expired.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The operation created an incident with an incorrect child in care's name on it.	—
3	—	748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older. One of two child case workers indicated they had not been notified by the operation within six hours of determining their child was on unauthorized absence. The worker reported the unauthorized absence occurred on June 6, 2025, and the worker was notified by a Probation Officer on June 9, 2025, of the unauthorized absence.	—
3	—	748.105(3)(B) - Personnel policies-develop professional staffing plan that describes qualifications/duties/responsibilities/authority of professional positions The personnel policies do not include all required information for the professional positions. The personnel policies were missing a professional staffing plan with required information.	—
2	—	748.1387 - Service Plan Review-Must comply with notification, participation, implementation, and documentation requirements for an initial service plan 1 of 1 service plan reviews were missing all signatures.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly. Cleaning supplies and chemicals were on the table and under an unlocked cabinet in the rec room. This was corrected by staff at inspection.	Yes
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 walk through there were several physical site issues such as a hole in the ceiling on the corner of bedroom 4, a broken drape handle, a hole in the wall with chipped paint in bedroom 3. Additionally, the air ducts needed to cleaned. Work orders were provided.	Yes
2	—	748.864(d) - Pre-Service Training-Document the completion of each training requirement in the appropriate personnel record. The administrator personnel file did not contain any of the trainings documents.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders One medication record reviewed showed a child received Lovastatin on 10 days, in the morning, when the instructions stated it should have been given with an evening meal. The same record showed the child was given Omega 3 Acid once a day on 1/12/23 and 1/17/23 when it was prescribed to be given twice a day. The child also received Aripiprazole only once on 1/17/23, when it was prescribed to be given twice daily.	—
1	—	748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care 3 of 4 placement agreements did not include the reason for placement and the anticipated length of time in care.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Neither of the four staff files reviewed was observed to be current in Suicide Training.	—
3	—	748.2551(d)(2) - EBI Implementation-Caregiver must make every effort to protect child's dignity and well-being, including ensuring that child's body is covered Staff removed a child's shirt from their body in front of other children in care while attempting to get the child to shower.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Medication counts were inaccurate for all three boys' medicaition records.	—
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 During this application review, it was found that the drug test for the staff C.R. was invalid. C.R. has not had drug test.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Personnel records were not available for review when requested, records were locked up and staff did not have a key to access records.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements During the inspection, the staff did not have a record of a TB in their file.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record One of four Child Right's documents reviewed for a child admitted on 07/29/2024 was observed to be missing the child's signature.	—
5	—	748.103(b)(12) - Policies and procedures to submit - Weapons, firearms, explosive materials and projectiles The weapons, firearms, explosive materials and projectiles policy is missing from the operational policies.	—
5	—	748.3369(e) - Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard The top bunk bed was observed to have no safety bedrails.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. During interview, staff admitted to threatening a child with corporal punishment.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Three of the boys' medications are being prepared between 12 to 24 hours in advance.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the inspection, the children's records reviewed did not include a copy of the service plan invitation in the file. Additionally, two of the employee records reviewed lacked documentation of the drug tests taken.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Two of four children's records reviewed did not have an immunization record in the file.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. One of the four staff files reviewed was observed to be delinquent in annual Emergency Behavior Intervention Training.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Incident report was missing required information such as time, child's date of birth, date of admission...	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being One of the two children Plan of Services was reviewed indicating the child is on 1:1 supervision. Two of the three staff indicated the child had 1:1 supervision; although they were not present when the child went on unauthorized absence. One of the three staff, that was present during the incident, indicated neither of the two children were on 1:1 supervision, which is contradictory to one child's plan of service.	—
2	—	748.1385(1) - Service Plan Review-Must include evaluation of child's progress and effectiveness of strategies and techniques used to meet identified needs The evaluation of the child's progress was not thoroughly documented on 2 of 4 service plan reviews.	—
3	—	748.563(c) - Professional level service provider-must meet specific educational and professional qualifications During the application review, C.R. as the PLSP job description is missing the 2 years of experience, education requirement and training does not meet the minimum standards for this position.	—
4	—	748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization. The required PLSP debriefing wasn't conducted with a child post hospitalization.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The annual fire inspection was not completed timely.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline A caregiver witnessed and recorded a physical altercation while on duty but did not report the serious incident to the Hotline when became aware.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction One file did not include the child's immunization record.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services One preliminary service plan was missing the signature from the PLSP/Treatment Director.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Two of four Admission Assessments reviewed was observed to not be signed or dated from the Professional Level Service Provider.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Three out of three medications were observed to be stored in disposable cups - outside of their original packaging.	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return The annual summary log does not have how long the child was gone for. The log has a designated area for time and date of return however only the date is being entered.	—
3	—	748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested One of the two child case workers indicated they were not notified by the operation of the child arrest. The worker reported being notified by a Probation Officer on Monday on the incident that took place over the weekend. The worker denied missing a call over the weekend from the operation.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services One of four Preliminary Service Plans reviewed was observed to be missing a signature from Treatment Director or Professional Level Service Provider.	—
2	—	748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child 4 of 4 admissions' assessments did not include the services the operation would provide to children in care, and the child's substance abuse history, and the child's understanding of placement.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements During the inspection, the staff did not have a record of a TB in their file.	—
3	—	748.563(c) - Professional level service provider-must meet specific educational and professional qualifications During the application review, C.R. as the PLSP job description is missing the 2 years of experience, education requirement and training does not meet the minimum standards for this position.	—
2	—	748.1387 - Service Plan Review-Must comply with notification, participation, implementation, and documentation requirements for an initial service plan 1 of 1 service plan reviews were missing all signatures.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records An incident report was observed with additional information that was not reported to SWI.	—
3	—	748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older. One of two child case workers indicated they had not been notified by the operation within six hours of determining their child was on unauthorized absence. The worker reported the unauthorized absence occurred on June 6, 2025, and the worker was notified by a Probation Officer on June 9, 2025, of the unauthorized absence.	—

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

Inspections (280)

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

Nearby alternatives

Facility	City	Distance
Kids World Learning Center	Willis	—
Met Head Start Montgomery County II	Willis	—
Danville Daycare	Willis	—
Yakima Arias	Willis	—
Little Treasures Learning Center	Willis	—
Adrienne Pasket	Willis	—

Licensed facilities near this one, highest compliance score first.

Get violation alerts for this daycare

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