Texas › Tomball › Kismet Residential Treatment Center

Kismet Residential Treatment Center

Child care center · 22218 MAIN BLVD, Tomball, TX 77377-3431 · License 1753012

0Compliance score
Poor

Capacity 16. 10-17

Violation history (224)

Severity	Date	Standard / narrative	Corrected
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Three staff did not have any unrelated reference checks in their file.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.	—
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 The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23	—
2	—	748.1217(c)(12) - Admission Assessment-Prior to initial service plan, add recommendations for further assessments or testing 4 of 4 admissions assessments did not include any recommendations for further testing or assessments.	—
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 Three fire extinguishers observed at the operations were last serviced in May of 2024.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.	—
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. It was found that only one previous employer was contacted for three current staff.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.	—
2	—	748.533(a)(5) - Child-care administrator-Can be administrator for two operations if the Operations are contiguous The current Administrator was employed at another-non-contiguous operation.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Bedroom windows did not have a covering for privacy.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.	Yes
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.	Yes
3	—	748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A medication error that occurred on 4/6/23 was not documented until 4/13/23.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit	—
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 During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.	—
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 out of five child files are missing signed child's rights.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.	—
3	—	748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return Debriefing form not available for review.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.	—
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 Three fire extinguishers observed at the operations were last serviced in May of 2024.	—
2	—	748.533(a)(5) - Child-care administrator-Can be administrator for two operations if the Operations are contiguous The current Administrator was employed at another-non-contiguous operation.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A medication error that occurred on 4/6/23 was not documented until 4/13/23.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.	—
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 During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.	—
3	—	748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.	—
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. It was found that only one previous employer was contacted for three current staff.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return Debriefing form not available for review.	—
2	—	748.1217(c)(12) - Admission Assessment-Prior to initial service plan, add recommendations for further assessments or testing 4 of 4 admissions assessments did not include any recommendations for further testing or assessments.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.	Yes
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Bedroom windows did not have a covering for privacy.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.	—
3	—	748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.	—
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 out of five child files are missing signed child's rights.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit	—
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 The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Three staff did not have any unrelated reference checks in their file.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.	—
2	—	748.1217(c)(12) - Admission Assessment-Prior to initial service plan, add recommendations for further assessments or testing 4 of 4 admissions assessments did not include any recommendations for further testing or assessments.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.	—
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 The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A medication error that occurred on 4/6/23 was not documented until 4/13/23.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.	—
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 Three fire extinguishers observed at the operations were last serviced in May of 2024.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.	Yes
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 During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.	—
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 out of five child files are missing signed child's rights.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return Debriefing form not available for review.	—
3	—	748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Three staff did not have any unrelated reference checks in their file.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.	Yes
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Bedroom windows did not have a covering for privacy.	—
2	—	748.533(a)(5) - Child-care administrator-Can be administrator for two operations if the Operations are contiguous The current Administrator was employed at another-non-contiguous operation.	—
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. It was found that only one previous employer was contacted for three current staff.	—
3	—	748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.	—
2	—	748.533(a)(5) - Child-care administrator-Can be administrator for two operations if the Operations are contiguous The current Administrator was employed at another-non-contiguous operation.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Bedroom windows did not have a covering for privacy.	—
3	—	748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.	—
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 During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. Three staff did not have any unrelated reference checks in their file.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.	Yes
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 out of five child files are missing signed child's rights.	—
2	—	748.1217(c)(12) - Admission Assessment-Prior to initial service plan, add recommendations for further assessments or testing 4 of 4 admissions assessments did not include any recommendations for further testing or assessments.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.	—
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 Three fire extinguishers observed at the operations were last serviced in May of 2024.	—

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

Inspections (120)

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

Nearby alternatives

Facility	Score	City	Distance
Danette Mathews	4	Tomball	—
Salem Lutheran Early Childhood	4	Tomball	—
Step By Step Christian School	0	Tomball	—
New Life Adoptions	0	Tomball	—
Susanna Wesley Day School and After School Program	0	Tomball	—
Graceview Baptist Church	0	Tomball	—

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.