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A Better Choice ABC LLC

Child care center · 1835 S PERRY RD, Carrollton, TX 75006-7567 · License 1752752

0Compliance score
Poor

Capacity 9. 14-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. Employee files were missing the required list five years of employment history, verification of employment and reference checks.	—
2	—	748.949(b)(2) - Annual Training Documentation-Includes date of the training All training certificate submitted did not include the date of the training or the length of the training on the certificates.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. Both child files reviewed did not have the suicide prevention assessment for children age 10 and over. Both children are over the age of 10.	—
4	—	748.753(c)(3) - Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children. The employee's file did not include contact names and information for reference checks, reference checks and information required for the reference checks, and an assessment of applicant's suitability to work with or around children.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child was not given their morning medication.	—
3	—	748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing Fire extinguishers are past due for their annual inspection.	—
3	—	748.363(10) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months Both employee files reviewed did not have the drivers license. One of them did not have the license or job description. The second employee file indicated that the employee would be assisting in driving, but did not have a vailid Texas driving license.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved On both of the incident reports reviewed, neither one documented information about the other child involved.	—
4	—	748.459(b) - Unauthorized Absence Triggered Review - notify the child?s parent at least two weeks before triggered review of child?s unauthorized absences Three triggered reviews were conducted without providing a two week notice to the child's parent. They were conducted within a day or two of the event.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded at a GRO for an altercation between children and both children were issued tickets for assault family violence.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event Children's documents were not in their record within the 30 day timeframe requirement.	—
1	—	748.1205(a)(6) - Admission Documentation-Includes medication the child is taking The Admissions policy did not include the statement "medication the children are taking"	Yes
5	—	748.2101(1) - Medication Storage-Store medication in a locked container Upon entry of the operation, medication was observed to be in three individual medication cups located on the staff table in the front room. This was left unattended by staff when they walked out of the front room.	—
3	—	748.363(1) - Personnel records-Include date of employment Both employee files reviewed did not have the date of hire in the employee file	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following informaton is missing from the serious incidet reports: The address of the operation, the phone number of the operation, the time of the incident, the age of the child, the gender of the child, the placement date of the child, and the resolution of the incident.	—
3	—	748.363(1) - Personnel records-Include date of employment The following information was missing from an employee file: The date of hire, the proof of education, and a signed statement showing that they must document and report incident of child abuse/neglect	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity A caregiver failed to provide appropriate supervision for two children in care which allowed the children to engage in inappropriate contact while placed at the operation.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services There were no signatures on the preliminary service plans that were reviewed.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model It was discovered that a child's medication count did not match the medication log.	—
1	—	748.1205(a)(4) - Admission Documentation-Includes names, addresses, telephone numbers of siblings One of the two files reviewed did not have the contact numbers of the siblings.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign Two children did not sign their initial service plans.	—
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 was seriously injured, and the incident was not reported.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child It was discovered that a child attempted suicide and it was not reported to state wide intake. The child was also arrested during the same incident which is also reportable and was not reported.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form The pre-employment affidavit for applicants were not completed before employees were hired and is missing information on the form.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation Two children in care, both age 14 were involved in inappropriate sexualized behavior while placed at the operation, and the caregiver was unaware of the children's activity.	—
3	—	748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan One of the two children at the operation were not supervised in accordance with the information that is described and documented in the child's information data.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The current fire inspection was marked as a foster home and not a GRO. It was noted on the fire inspection that they housed 5 or less children.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. The facility has a lot of dirt around the windows. There are cracked tiles that are also coming up. There is a hole in a step, broken window blinds, paint is peeling in a bedroom, a broken window, cracked walls, and black marks on a wall.	—
5	—	745.8641 - Requirements during probation Condition 1 is met. Condition 2 is not ready for review. Condition 3 is deficient. This was corrected on 10/30 when they submitted a resume for a outside trainer. However, this was submitted late. Condition 4 is not ready for review. Condition 5 is not ready for review. Condition 6 is met. Condition 7 is met.	Yes
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. The operation failed to self-report when a child in care was arrested.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication The name and signature of the person dispensing the laxative was not provided only the initials were present.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records There were multiple documents that contained inaccurate information.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A contract employee did not have an eligible background check.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements Two children's files are missing information required in the section below 748.1337(b).	—
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 During the investigation inspection, it was discovered that some of a child's medications are being stored in a weekly pill container outside of the original container.	—
3	—	748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number The incident report did not have a physical address, telephone number or the name of the operation on the incident form.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking Staff was missing the first aid trianing.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions During the investigation inspection, it was discovered that staff did not adhere to the restrictions placed by CBCU.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record A child did not have a completed admission assessment in their record.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services The preliminary service plans submitted by the operation were not signed by the PLSP.	—
4	—	748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used A caregiver has transported children while driver s license is expired.	—
2	—	748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan It was determined that the service plan reviews were not being conducted for a child in care placed at the operation for more than 180 days.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the walk through for the investigation inspection, one child's medication logs were filled out for the rest of the month. The date of the inspection was on 11/26.	—
2	—	748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours The length of training hours is not included on all training certificates.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. The tile in the child's bathroom is cracked and is pulling up from the floor.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. During the investigation inspection, the unauthorized absence log was not provided to licensing staff upon request.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the walk through when examining the medication logs, the pill count for one of the children's medications did not match what was documented on the child's medication log.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation 17-year-old child in care with a history of aggressive behaviors was escalated by a caregiver resulting in a physical altercation and the child's arrest.	—
1	—	748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required. One child's file reviewed did not contain a suicide risk screening upon admission. Additionally, the child's admission assessment did not contain the following information: the child's social history, mental health and substance abuse history, school history, previous placements outside the home, and the child's criminal history. (748.1217 (1, 5, 6, 7, 8)	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A caregiver fought and hit a child in care in the face.	—
3	—	748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care Both employee files did not contain documentation regarding the tuberculosis screenng or results.	—
5	—	748.363(9) - Personnel records-Include proof of request for background checks One of the two employee files reviewed did not have the background check requested.	—
2	—	748.393(a) - Active child record-kept at operation where child is receiving services The operation does not maintain all child records at the operation. They advised that they take paper files out of state.	—
3	—	748.363(3) - Personnel records-Include current job description One of the two employee files reviewed did not contain a job description.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers did not provide adequate supervision to children which led to an altercation among children and resulted in a serious injury.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Two child files reviewed did not have initial service plans. There were also no service plan reviews for a child who has been placed for 13 months.	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The admission assessments submitted did not include all the required information.	—
5	—	745.619 - Background Check Requirements - Submit All Identifying Information An out of state back ground check was not completed for an employee who moved to Texas in 2020.	—
3	—	748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return The date and time the incident was reported to the legal parent and/or law enforcement was notified was not noted on a serious incident report.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event During the review of children's records, it was discoverd that the children's service plans were not in the child's file.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old The medication log did not have the cumulative totals listed. There was no medication log, The time, name of medication and dosage amount was llisted on the childs daily notes.	—
2	—	748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth Both child files reviewed did not list the religion for the child in care in the admissions.	—
5	—	745.8641 - Requirements during probation Condition #1 is met Condition #2 is met Condition #3 is met Condition #4 is met Condition #5 is met Condition #6 is not met. Two new placements do not have an initial audit completed. The children ae not emergency placements and have been in placement for almost a month. Condition #7 is met	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was determined that staff did not demonstrate self-control and maintain appropriate boundaries causing a child's behavior to escalate.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One of the two childrens medication log did not match the number of pills in the pill packs.	—
2	—	748.1205(a)(3) - Admission Documentation-Include names, addresses, phone numbers of bio or adoptive parents, unless parental rights terminated A child's file reviewed did not have the child s bio parent s names or contact information documented in the file. It was also missing the child s sibling's information.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) A serious incident report is missing the names of the staff involved.	—
2	—	748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged The discharge notice did not document who all was involved in the child's discharge or the reason why they were not involved, that the child was provided a four day notice of the discharge, or the address and relationship of the person who the child was discharged to. This narrative and deficiency also references (748.1433(a,b,c, and d).	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Children's admission assessments contained more than one child's name. The dates of the signature page of the admission assessments for two children were 7/14/24 (Children were admitted in 12/18/2025 and 4/17/25). Also, a child's preliminary service plan was dated one month prior to the actual placement of the child.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. One of the three employee files did not have the contact attempts made prior to being hired.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model It was discovered that a child's medication count did not match the medication log. During the follow up inspection, there was another medication that had a count that did not match the medication log.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 Staff file is missing the form 2912.	—
5	—	748.2551(b) - EBI Implementation-The caregiver must act to protect the child's safety Caregivers did not intervene when children in care were injured during an altercation.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The pill count for multiple children's medications did not match what was documented on the medication log.	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles The operation supplied the updated financials for the 3 month and 12 month as well as a bank statement	Yes
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions A caregiver did not follow the conditions listed on their background check when the caregiver transported children.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions During the inspection it was determined that a staff is not following the restrictions placed by CBCU.	—
3	—	748.723(b) - Volunteers and Contractors-Personnel record documents how volunteer requirements are met if person performs an employee function A contract employee does not have an employee file.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication During the follow up inspection, it was discovered that the medication record was not updated within two hours of administering the medication.	—
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. An employee file did not have reference checks or employment verifications in their record.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services There were no signatures on the preliminary service plans that were reviewed.	—
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. An employee file did not have reference checks or employment verifications in their record.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign Two children did not sign their initial service plans.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers did not provide adequate supervision to children which led to an altercation among children and resulted in a serious injury.	—
3	—	748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return The date and time the incident was reported to the legal parent and/or law enforcement was notified was not noted on a serious incident report.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded at a GRO for an altercation between children and both children were issued tickets for assault family violence.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions During the investigation inspection, it was discovered that staff did not adhere to the restrictions placed by CBCU.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions During the inspection it was determined that a staff is not following the restrictions placed by CBCU.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication The name and signature of the person dispensing the laxative was not provided only the initials were present.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved On both of the incident reports reviewed, neither one documented information about the other child involved.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old The medication log did not have the cumulative totals listed. There was no medication log, The time, name of medication and dosage amount was llisted on the childs daily notes.	—
3	—	748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan One of the two children at the operation were not supervised in accordance with the information that is described and documented in the child's information data.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A caregiver fought and hit a child in care in the face.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. Both child files reviewed did not have the suicide prevention assessment for children age 10 and over. Both children are over the age of 10.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation Two children in care, both age 14 were involved in inappropriate sexualized behavior while placed at the operation, and the caregiver was unaware of the children's activity.	—
4	—	748.459(b) - Unauthorized Absence Triggered Review - notify the child?s parent at least two weeks before triggered review of child?s unauthorized absences Three triggered reviews were conducted without providing a two week notice to the child's parent. They were conducted within a day or two of the event.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event During the review of children's records, it was discoverd that the children's service plans were not in the child's file.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was determined that staff did not demonstrate self-control and maintain appropriate boundaries causing a child's behavior to escalate.	—

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

Inspections (244)

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

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