Texas › Conroe › Inspirational Hope House

Inspirational Hope House

Child care center · 596 MOSSWOOD DR, Conroe, TX 77302-3708 · License 1750110

0Compliance score
Poor

Capacity 27. 5-17

Violation history (448)

Severity	Date	Standard / narrative	Corrected
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The incident that lead to the report and subsequent investigation was not documented accurately and correctly. The incident report is missing the child's age, date of admission, name of child witness, and staff signature.	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained Form is missing a place for an initial evaluation of the placement. A place for the child's understanding and a place for whether and how they will meet the needs.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services Two out of three child files reviewed contained preliminary service plans that were not signed.	—
4	—	748.191(3) - Required Postings-Post emergency and evacuation relocation plans in each building and living quarters used by children where all may view them There was only one evacuation posting posted downstairs in the whole operation.	—
1	—	748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it One child receiving treatment services service plan did not contain any signatures.	—
3	—	748.3395(a) - Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean During the inspection it was found that one bathroom sink had a broken knob. It was also found in another bathroom that the sink was backed up and not draining properly.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation does not currently have a designated administrator.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A child in care was physically assaulted by staff member at the operation.	—
4	—	748.113(5)(A)(vii) - EBI policy - for orientation, explain and document to a child the way to report an inappropriate EBI Policy did not include how the operation will explain to a child in care the way to report an inappropriate EBI.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Documentation received from the operation contained inaccurate information and incomplete forms.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Interviews with children and staff yielded consistent and corroborated statements that a staff member used profanity while on duty in the presence of children in care.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill The operation does not have any documented weather drills.	—
4	—	748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply A staff member used emergency behavior intervention to get a child in care to return a missing MP3 player.	—
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 they would meet immediate needs.	—
5	—	748.3421(1) - Poisons-The operation must ensure that poisonous or flammable materials are stored in their original, labeled containers The laundry room where cleaning supplies was stored was not locked.	Yes
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child A staff member was observed attempting to intimidate and/or encourage a child in care to engage in a physical altercation with her.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed Child in care was not taking medication as prescribed.	—
2	—	748.1209(b)(12) - Child Orientation-Include general daily schedule for routine activities Form is missing that a general daily schedule will be reviewed.	—
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 There are 3 previous employees still listed as active in CLASS.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child A staff member at the operation performed an inappropriate restraint on a child in care, restricting the child's ability to breathe and causing pain.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions One staff member with a condition on her background check stating she cannot be left in charge at the operation was the only staff member present with the children upon my arrival.	—
3	—	748.705(b)(7) - Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity A staff member allowed children in care to pick fleas off dogs belonging to the staff member while on an outing.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement Out of 4 children files reviewed for compliance, 2 child records are missing the child's signature on their admission assessment.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. The date completed and summary of the interview with reference is missing.	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration The operation needs a small medication fridge or a lock for the large fridge to store cold medications.	—
3	—	748.1219(2)(D) - Treatment Services Admission-ID: Admission assessment must include reason(s) for choosing treatment services for child Form is missing a place for reasons for choosing.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Staff members were not providing the level of supervision required per their service plans.	—
3	—	748.363(7) - Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies One staff's file reviewed did not contain a signed statement saying they have read a copy of the operational policies.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Operation staff allowed a child in care to render first aid to another child in care.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in care were not appropriately supervised. There were multiple children both upstairs and downstairs in different areas of the operation with one staff member present downstairs cooking upon my arrival.	—
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 child's file reviewed did not contain the child's right's documentation.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Multiple medication logs reviewed contained the incorrect pill count.	—
1	—	748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required. Form is missing a section regarding suicide screening and safety plans if needed.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection it was observed that two bathroom showers contained mold.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One staff member's file showed conflicting information regarding their high school education. One staff members high school diploma was believed to be unauthentic.	—
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 Based on the interviews with residents and staff, there is only one staff member supervising up to 8 children on Side B between 5am, when the children wake up, and 6:20am, when they leave for bus stop.	—
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 was physically assaulted by staff member at the operation.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds There is no inventory form for discontinued or expired meds.	—
4	—	748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed A staff member performed emergency behavior intervention immediately on a child in care before attempting de-escalation.	—
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 did not report quarterly EBI information within 15 days following the end of the quarter.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication A staff member performed emergency behavior intervention on child in care about a MP3 player to have the child return a MP3 player.	—
3	—	748.705(b)(2) - Reasonable & prudent parent standard-must consider the child's cognitive, social, emotional and physical development level A 12-year-old child in care was allowed to watch a rated R movie, which contained strong violence, language, and disturbing imagery. This child reported nightmares and hallucinations after viewing this movie.	—
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 Upon my arrival to the operation there was one staff member present with eight children who are receiving treatment services.	—
3	—	748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child A staff member at the operation did not complete the post emergency behavior intervention with the child whom they performed the intervention on.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Multiple medication logs reviewed did not contain the year the medication was administered. One child's medication log did not contain the time the medication was administered. One child's medication log reviewed did not contain the signature of the staff member who administered it.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A staff member directed profanity towards children in care.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation Multiple children in care were neglectfully supervised.	—
3	—	748.115(3) - Discipline policy - Include measures for positive responses to appropriate behavior Discipline policy did not include positive measures for positive responses to appropriate behaviors. Does not include the importance of nurturing behavior, stimulation, and promptly meeting the child?s needs.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Upon review of a service plan there was inaccurate information regarding the child's recent behaviors.	—
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 made inappropriate comments and showed unsuitable videos to children in care.	—
5	—	748.2553(1)(A) - EBI Release-Child released from short personal restraint immediately in emergency health situation and treatment obtained immediately Child in care was not released by staff member from emergency behavior intervention when the child stated it hurt them.	—
3	—	748.453(b) - Unauthorized Absence - Maintain each annual summary log for five years Upon review of documents received from IHH, Unauthorized log was not maintained for the month of March for child in care	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A staff member at the operation was not providing adequate supervision to children in care due to sleeping.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current The investigator was unable to review some of the incident reports on the children, as they were illegible.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs Service plan did not have medication listed for a child in care.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was observed staff was arguing with residents and staff was also arguing amongst each other in front of the residents.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Interviews with children and staff yielded consistent and corroborated statements that a staff member used profanity while on duty in the presence of children in care.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Staff members were not providing the level of supervision required per their service plans.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Multiple medication logs reviewed contained the incorrect pill count.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child A staff member at the operation performed an inappropriate restraint on a child in care, restricting the child's ability to breathe and causing pain.	—
5	—	748.3421(1) - Poisons-The operation must ensure that poisonous or flammable materials are stored in their original, labeled containers The laundry room where cleaning supplies was stored was not locked.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in care were not appropriately supervised. There were multiple children both upstairs and downstairs in different areas of the operation with one staff member present downstairs cooking upon my arrival.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Documentation received from the operation contained inaccurate information and incomplete forms.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A staff member directed profanity towards children in care.	—
3	—	748.115(3) - Discipline policy - Include measures for positive responses to appropriate behavior Discipline policy did not include positive measures for positive responses to appropriate behaviors. Does not include the importance of nurturing behavior, stimulation, and promptly meeting the child?s needs.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services Two out of three child files reviewed contained preliminary service plans that were not signed.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection it was observed that two bathroom showers contained mold.	—
4	—	748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed A staff member performed emergency behavior intervention immediately on a child in care before attempting de-escalation.	—
3	—	748.705(b)(2) - Reasonable & prudent parent standard-must consider the child's cognitive, social, emotional and physical development level A 12-year-old child in care was allowed to watch a rated R movie, which contained strong violence, language, and disturbing imagery. This child reported nightmares and hallucinations after viewing this movie.	—
4	—	748.191(3) - Required Postings-Post emergency and evacuation relocation plans in each building and living quarters used by children where all may view them There was only one evacuation posting posted downstairs in the whole operation.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. The date completed and summary of the interview with reference is missing.	—
3	—	748.3395(a) - Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean During the inspection it was found that one bathroom sink had a broken knob. It was also found in another bathroom that the sink was backed up and not draining properly.	—
1	—	748.1217(b)(15) - Admission Assessment-At admission, must include child's understanding of the placement Out of 4 children files reviewed for compliance, 2 child records are missing the child's signature on their admission assessment.	—
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 Upon my arrival to the operation there was one staff member present with eight children who are receiving treatment services.	—
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 child's file reviewed did not contain the child's right's documentation.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill The operation does not have any documented weather drills.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Operation staff allowed a child in care to render first aid to another child in care.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One staff member's file showed conflicting information regarding their high school education. One staff members high school diploma was believed to be unauthentic.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Upon review of a service plan there was inaccurate information regarding the child's recent behaviors.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed Child in care was not taking medication as prescribed.	—
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 Based on the interviews with residents and staff, there is only one staff member supervising up to 8 children on Side B between 5am, when the children wake up, and 6:20am, when they leave for bus stop.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds There is no inventory form for discontinued or expired meds.	—
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 There are 3 previous employees still listed as active in CLASS.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was observed staff was arguing with residents and staff was also arguing amongst each other in front of the residents.	—
2	—	748.1209(b)(12) - Child Orientation-Include general daily schedule for routine activities Form is missing that a general daily schedule will be reviewed.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A staff member at the operation was not providing adequate supervision to children in care due to sleeping.	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained Form is missing a place for an initial evaluation of the placement. A place for the child's understanding and a place for whether and how they will meet the needs.	—
1	—	748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it One child receiving treatment services service plan did not contain any signatures.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs Service plan did not have medication listed for a child in care.	—
3	—	748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child A staff member at the operation did not complete the post emergency behavior intervention with the child whom they performed the intervention on.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The incident that lead to the report and subsequent investigation was not documented accurately and correctly. The incident report is missing the child's age, date of admission, name of child witness, and staff signature.	—
3	—	748.363(7) - Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies One staff's file reviewed did not contain a signed statement saying they have read a copy of the operational policies.	—
3	—	748.705(b)(7) - Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity A staff member allowed children in care to pick fleas off dogs belonging to the staff member while on an outing.	—
5	—	748.2553(1)(A) - EBI Release-Child released from short personal restraint immediately in emergency health situation and treatment obtained immediately Child in care was not released by staff member from emergency behavior intervention when the child stated it hurt them.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions One staff member with a condition on her background check stating she cannot be left in charge at the operation was the only staff member present with the children upon my arrival.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current The investigator was unable to review some of the incident reports on the children, as they were illegible.	—
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 they would meet immediate needs.	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration The operation needs a small medication fridge or a lock for the large fridge to store cold medications.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication A staff member performed emergency behavior intervention on child in care about a MP3 player to have the child return a MP3 player.	—
4	—	748.113(5)(A)(vii) - EBI policy - for orientation, explain and document to a child the way to report an inappropriate EBI Policy did not include how the operation will explain to a child in care the way to report an inappropriate EBI.	—

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

Inspections (224)

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

Nearby alternatives

Facility	Score	City	Distance
Kids Only I	4	Conroe	—
Glenwood Private School	0	Conroe	—
Saint James Episcopal Day School	0	Conroe	—
Promise Land Day Care Center	0	Conroe	—
YMCA @ B. B. Rice	0	Conroe	—
Met Head Start Montgomery County	0	Conroe	—

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.