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TexasWest Columbia › Westlake House LLC

Westlake House LLC

Child care center · 119 WASHINGTON ST, West Columbia, TX 77486-2845 · License 1746293

0Compliance score
Poor

Capacity 15. 8-17

Violation history (120)

SeverityDateStandard / narrativeCorrected
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
4 748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
There is no documentation showing that the applicants suitability was assessed.
Yes
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
While reviewing the children's medication records, it was found that the log shows 5 pills should be remaining in the pill pack, but 6 pills remain in the pill pack.
1 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
Upon reviewing two of two children's records they are missing multiple required records.
2 748.1217(b)(16) - Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
The form is missing a spot for the child's understanding. Also missing the operations determination of meeting hte needs.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
3 748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The form is missing a place for the child or children's date of admission. Also a place for an update if it was an awol and the child returned.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
Form is missing a place for how the operation will meet the needs. Also who will be responsible for meeting the needs of the child.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
One out of the two children's records were missing an initial service plan.
2 748.1219(1)(D) - Treatment Services Admission-ED or ASD: Admission assessment includes consideration of any history of inpatient or outpatient treatment
The form is missing a place for inpatient/outpatient history.
4 748.1219(4)(C) - Treatment Services Admission-Child's history/recent behavior indicates danger to self/others: Evaluate operation as appropriate to meet child's needs
Form is missing a spot for if the child is a danger to others.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregiver violated operation's policies.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The operations recreational activities log does not include daily indoor and outdoor activity options.
5 748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
The form is missing a spot to indicate if a suicide risk screening is needed and any results of that screening.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of the two child files were missing the 72 hours plan.
2 748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Form is missing place for persons allowed to leave the operation with and other medical consenters.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two of the Two children's records reviewed were missing admission's assessments.

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

Inspections (48)

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

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