Texas › Houston › L'Amor Village RTC

L'Amor Village RTC

Child care center · 16540 KUYKENDAHL RD, Houston, TX 77068-2756 · License 515678

0Compliance score
Poor

Capacity 42. 12-17

Violation history (368)

Severity	Date	Standard / narrative	Corrected
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. It was noted that Ms. Sweed's EBI training expired on 05/12/22.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Several children and a passerby heard staff use profane language around children in care. The staff admitted to "exchanging words" with a child.	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights One of the four files did not include the copy of child's rights.	—
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 discovered that the fire inspection certificate was expired.	—
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 didn't return home from school at the regularly scheduled time which is approximately 3:46-4:00pm. The unauthorized absence was not reported until 1:41am the following morning.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. An electrical outlet cover was observed in the boys house in the bedroom to the right to be missing on an outlet actively being used by children in care to charge electronics.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Three of the children's restrooms were not equipped with handsoap.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation A staff member admitted to preparing and administering medication for the evening and following morning for five out of six kids.	—
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. A bottle of what appears to be laundry detergent or fabric softener and an aerosol can of disinfectant/air freshener was observed to be in a resident's bedroom and accessible to all children in care.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period Report was not able to be given at time of inspection.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Two children in care expressed that a staff grabbed a child in care around the neck and threw him onto the couch to stop them from potentially fighting.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization A child in care sustained an injury that required treatment by a medical professional and the operation failed to report the incident to statewide intake.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. The operation failed to submit quarterly EBI data for the 4th quarter on time.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams were modified and included a designated place written however did not match with the area distinctly marked with a star in the emergency evacuation diagram. The diagrams are inconsistent and inaccurate.	—
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. Licensing was not notified of children's unauthorized absence until nearly 12hours after the children left the operation without permission.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Five out of six child medication counts were not accurate due to being predated.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures The operation's staff did not follow their written policies and procedures regarding hazardous chemicals use and storage when two cleaning/laundry products were observed to be unsecured and easily accessible to children in care.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams should have a designated place written or outlined in the emergency evacuation diagram.	—
1	—	748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer 3 of 3 child discharge files were observed without documentation confirming when the children were informed of thier discharge or tranfer.	—
3	—	748.2855(a)(4) - EBI Documentation-Must include the specific emergency behavior intervention administered EBI reports were reviewed and did not include the specific type of restraint used, the time it started, nor a section for witnesses if there were any.	—
4	—	748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person A child received two doses of medication that was not prescribed to them.	—
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 readily available for review.	—
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 2 of 7 children's file reviewed were observed without a signed copy of child's rights.	—
3	—	748.3441(i) - Food Preparation-Food packages must be in good condition & protect the integrity of the contents Food was observed to not be properly stored in the freezer.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse Three out of three youth interviewed stated a caregiver makes smart alleck statements toward them.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers 4 of 4 bathrooms accessible to children were observed without soap near the handwashing sink. 1 of 4 bathrooms accessible to children were observed without toliet paper.	Yes
4	—	748.931(a)(1)(B)(i) - Annual Training-Must include 2 hours on trauma informed care Direct Care Staff most recent Trauma Informed Care Training was last taken on 10/19/20.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records 2 serious incident reports were observed with inaccurate dates of birth of children in care.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was found during the course of the investigation that staff got into a verbal altercation with a child in care's visitor. In addition, it was also found that a staff sometimes yell.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization On 12/5/22 a child received medical treatment at Brazos Urgent Care. This situation was not reported to the hotline as required.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions On June 21 in the girls house in the refrigerator there was a gallon of milk was observed with an expiration date of May 18.	Yes
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Four childrens' records were reviewed during the monitoring inspection.One was missing child's signature on the orientation and grievance forms.	—
4	—	748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division. The suicide prevention, intervention, and postvention policy is not consistent with the requirements of 748.124. The current policy in place does not: -Address suicide prevention, intervention, and postvention; -Include plans and procedures to support children who return to the operation following hospitalization for a mental health condition. -Have approval from the Executive Commissioner of the Texas Health and Human Services Commission or Designee to use a suicide policy other than the model policy provided in the minimum standards.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language 5 children admitted that a staff member uses vulgar language in front of them.	—
3	—	748.311(6) - Serious Incident Documentation-Includes nature of the incident During the inspection it was observed that multiple serious incident reports were missing information like the nature of the incident, and the names of witnesses, residents, & staff involved.	—
3	—	748.393(b)(5) - Active child record - Ensure record is kept confidential as required by law 2 of 2 binders containing medication records were observed on a desk in the common areas.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The staff list provided included names that are no longer employed at the operation.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During a monitoring inspection, the following was observed: -There was a window in the front room that was cracked on the inside and outside. -One of the bathroom sinks had mildew and rotted sealant behind it. Note: this was corrected at inspection. -One of the bathrooms had a mildew and rotted sealant behind a toilet. Note: this was corrected at inspection.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Based on the training certificates reviewed it was discovered that some of the staff did not complete required annual trainings within the allowed subsequent 12-month period. These trainings include Psychotropic Medication for Children in Texas Foster Care Training and Preventing and Recognizing Sexual Abuse and Victimization of Youth in Foster Care Training.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams were observed and a supervisor confirmed that there was no idenified for sheltering inside.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value All nutrients menus were observed without food substitutions documented on the menus.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer Both first aid kits did not include a thermometer. This standard was corrected by putting working thermometers in the kit.	Yes
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds An urinalysis strip was observed to be expired in August of 2023. This was corrected during the inspection by discarding it immediately.	Yes
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Two residents interviewed stated a staff member curses at them. One staff member interviewed stated it has been reported to her that a staff member curses at the residents.	—
5	—	748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes. When reviewing the EBI policy, it stated that a personal restraint may not exceed one hour.	—
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 2 of 7 children's file reviewed were observed without a signed copy of child's rights.	—
4	—	748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division. The suicide prevention, intervention, and postvention policy is not consistent with the requirements of 748.124. The current policy in place does not: -Address suicide prevention, intervention, and postvention; -Include plans and procedures to support children who return to the operation following hospitalization for a mental health condition. -Have approval from the Executive Commissioner of the Texas Health and Human Services Commission or Designee to use a suicide policy other than the model policy provided in the minimum standards.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Several children and a passerby heard staff use profane language around children in care. The staff admitted to "exchanging words" with a child.	—
3	—	748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights One of the four files did not include the copy of child's rights.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams were observed and a supervisor confirmed that there was no idenified for sheltering inside.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was found during the course of the investigation that staff got into a verbal altercation with a child in care's visitor. In addition, it was also found that a staff sometimes yell.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures The operation's staff did not follow their written policies and procedures regarding hazardous chemicals use and storage when two cleaning/laundry products were observed to be unsecured and easily accessible to children in care.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer Both first aid kits did not include a thermometer. This standard was corrected by putting working thermometers in the kit.	Yes
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse Three out of three youth interviewed stated a caregiver makes smart alleck statements toward them.	—
3	—	748.2855(a)(4) - EBI Documentation-Must include the specific emergency behavior intervention administered EBI reports were reviewed and did not include the specific type of restraint used, the time it started, nor a section for witnesses if there were any.	—
1	—	748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer 3 of 3 child discharge files were observed without documentation confirming when the children were informed of thier discharge or tranfer.	—
3	—	748.3441(i) - Food Preparation-Food packages must be in good condition & protect the integrity of the contents Food was observed to not be properly stored in the freezer.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The staff list provided included names that are no longer employed at the operation.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams were modified and included a designated place written however did not match with the area distinctly marked with a star in the emergency evacuation diagram. The diagrams are inconsistent and inaccurate.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions On June 21 in the girls house in the refrigerator there was a gallon of milk was observed with an expiration date of May 18.	Yes
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 readily available for review.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. It was noted that Ms. Sweed's EBI training expired on 05/12/22.	—
3	—	748.393(b)(5) - Active child record - Ensure record is kept confidential as required by law 2 of 2 binders containing medication records were observed on a desk in the common areas.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language 5 children admitted that a staff member uses vulgar language in front of them.	—
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. A bottle of what appears to be laundry detergent or fabric softener and an aerosol can of disinfectant/air freshener was observed to be in a resident's bedroom and accessible to all children in care.	—
4	—	748.931(a)(1)(B)(i) - Annual Training-Must include 2 hours on trauma informed care Direct Care Staff most recent Trauma Informed Care Training was last taken on 10/19/20.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Based on the training certificates reviewed it was discovered that some of the staff did not complete required annual trainings within the allowed subsequent 12-month period. These trainings include Psychotropic Medication for Children in Texas Foster Care Training and Preventing and Recognizing Sexual Abuse and Victimization of Youth in Foster Care Training.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Five out of six child medication counts were not accurate due to being predated.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization A child in care sustained an injury that required treatment by a medical professional and the operation failed to report the incident to statewide intake.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During a monitoring inspection, the following was observed: -There was a window in the front room that was cracked on the inside and outside. -One of the bathroom sinks had mildew and rotted sealant behind it. Note: this was corrected at inspection. -One of the bathrooms had a mildew and rotted sealant behind a toilet. Note: this was corrected at inspection.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Two residents interviewed stated a staff member curses at them. One staff member interviewed stated it has been reported to her that a staff member curses at the residents.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation A staff member admitted to preparing and administering medication for the evening and following morning for five out of six kids.	—
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. Licensing was not notified of children's unauthorized absence until nearly 12hours after the children left the operation without permission.	—
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 didn't return home from school at the regularly scheduled time which is approximately 3:46-4:00pm. The unauthorized absence was not reported until 1:41am the following morning.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period Report was not able to be given at time of inspection.	—
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 discovered that the fire inspection certificate was expired.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. An electrical outlet cover was observed in the boys house in the bedroom to the right to be missing on an outlet actively being used by children in care to charge electronics.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Three of the children's restrooms were not equipped with handsoap.	—
3	—	748.311(6) - Serious Incident Documentation-Includes nature of the incident During the inspection it was observed that multiple serious incident reports were missing information like the nature of the incident, and the names of witnesses, residents, & staff involved.	—
5	—	748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes. When reviewing the EBI policy, it stated that a personal restraint may not exceed one hour.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Four childrens' records were reviewed during the monitoring inspection.One was missing child's signature on the orientation and grievance forms.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Two children in care expressed that a staff grabbed a child in care around the neck and threw him onto the couch to stop them from potentially fighting.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value All nutrients menus were observed without food substitutions documented on the menus.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams should have a designated place written or outlined in the emergency evacuation diagram.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds An urinalysis strip was observed to be expired in August of 2023. This was corrected during the inspection by discarding it immediately.	Yes
4	—	748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person A child received two doses of medication that was not prescribed to them.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization On 12/5/22 a child received medical treatment at Brazos Urgent Care. This situation was not reported to the hotline as required.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. The operation failed to submit quarterly EBI data for the 4th quarter on time.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records 2 serious incident reports were observed with inaccurate dates of birth of children in care.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers 4 of 4 bathrooms accessible to children were observed without soap near the handwashing sink. 1 of 4 bathrooms accessible to children were observed without toliet paper.	Yes
3	—	748.3441(i) - Food Preparation-Food packages must be in good condition & protect the integrity of the contents Food was observed to not be properly stored in the freezer.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Five out of six child medication counts were not accurate due to being predated.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Three of the children's restrooms were not equipped with handsoap.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Four childrens' records were reviewed during the monitoring inspection.One was missing child's signature on the orientation and grievance forms.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions On June 21 in the girls house in the refrigerator there was a gallon of milk was observed with an expiration date of May 18.	Yes
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The staff list provided included names that are no longer employed at the operation.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather All posted evacuation diagrams were modified and included a designated place written however did not match with the area distinctly marked with a star in the emergency evacuation diagram. The diagrams are inconsistent and inaccurate.	—

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

Inspections (208)

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

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