Texas › Houston › A Promising Journey Inc.

A Promising Journey Inc.

Child care center · 18418 DESERT MARIGOLD DR, Houston, TX 77073-4490 · License 1754771

0Compliance score
Poor

Capacity 18. 12-17

Violation history (152)

Severity	Date	Standard / narrative	Corrected
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration There is no place for cold medication.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety It was determined that one caregiver was not able to intervene during a fight due to an injury to the ankle.	—
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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Three out of three employee files reviewed did not contain a record of TB skin test results.	—
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Several medication records were observed missing the reason the medication was prescribed. The case manager went through the medication log and entered the reason medication was prescribed for each child prior to the inspection concluding.	Yes
4	—	748.2753(a)(1) - Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies missing from policy	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers There was not a job description for volunteers.	Yes
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident It was determined that the incident report is missing the resolution of the incident. It also does not include any child or adult witnesses.	—
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. A serious incident was not reported to Licensing when an officer responded to an incident at the operation.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	Yes
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements The service plan report reviewed for this investigation had several areas left blank to include summary of goals, needs and strengths sections, summary progress for goals, medication list, triggers, target dates, emotional disorders, and missing signatures.	—
2	—	748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable The form is missing who the child can leave with.	Yes
1	—	748.1211(a)(1) - Parent Orientation - Provide fee policies No policy for private placement for fees	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations No contact with a health care professional was made when the child was given the wrong medication.	—
2	—	748.117 - Transitional living policy - For operations who offer a transitional living program, you must develop policies No transitional living policy	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The form is missing a determination of how the operation can meet their needs and if they are emergency placement.	—
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The form is missing a determination of how the operation can meet their needs and if they are emergency placement.	—
4	—	748.2753(a)(1) - Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies missing from policy	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers There was not a job description for volunteers.	Yes
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety It was determined that one caregiver was not able to intervene during a fight due to an injury to the ankle.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident It was determined that the incident report is missing the resolution of the incident. It also does not include any child or adult witnesses.	—
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	Yes
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations No contact with a health care professional was made when the child was given the wrong medication.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Several medication records were observed missing the reason the medication was prescribed. The case manager went through the medication log and entered the reason medication was prescribed for each child prior to the inspection concluding.	Yes
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
2	—	748.117 - Transitional living policy - For operations who offer a transitional living program, you must develop policies No transitional living policy	—
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements The service plan report reviewed for this investigation had several areas left blank to include summary of goals, needs and strengths sections, summary progress for goals, medication list, triggers, target dates, emotional disorders, and missing signatures.	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration There is no place for cold medication.	—
2	—	748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable The form is missing who the child can leave with.	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. A serious incident was not reported to Licensing when an officer responded to an incident at the operation.	—
1	—	748.1211(a)(1) - Parent Orientation - Provide fee policies No policy for private placement for fees	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Three out of three employee files reviewed did not contain a record of TB skin test results.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety It was determined that one caregiver was not able to intervene during a fight due to an injury to the ankle.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Several medication records were observed missing the reason the medication was prescribed. The case manager went through the medication log and entered the reason medication was prescribed for each child prior to the inspection concluding.	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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations No contact with a health care professional was made when the child was given the wrong medication.	—
4	—	748.2753(a)(1) - Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies missing from policy	—
2	—	748.117 - Transitional living policy - For operations who offer a transitional living program, you must develop policies No transitional living policy	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	Yes
2	—	748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable The form is missing who the child can leave with.	Yes
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Three out of three employee files reviewed did not contain a record of TB skin test results.	—
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements The service plan report reviewed for this investigation had several areas left blank to include summary of goals, needs and strengths sections, summary progress for goals, medication list, triggers, target dates, emotional disorders, and missing signatures.	—
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. A serious incident was not reported to Licensing when an officer responded to an incident at the operation.	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration There is no place for cold medication.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident It was determined that the incident report is missing the resolution of the incident. It also does not include any child or adult witnesses.	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers There was not a job description for volunteers.	Yes
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The form is missing a determination of how the operation can meet their needs and if they are emergency placement.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
1	—	748.1211(a)(1) - Parent Orientation - Provide fee policies No policy for private placement for fees	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers There was not a job description for volunteers.	Yes
1	—	748.1211(a)(1) - Parent Orientation - Provide fee policies No policy for private placement for fees	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The form is missing a determination of how the operation can meet their needs and if they are emergency placement.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Several medication records were observed missing the reason the medication was prescribed. The case manager went through the medication log and entered the reason medication was prescribed for each child prior to the inspection concluding.	Yes
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	Yes
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety It was determined that one caregiver was not able to intervene during a fight due to an injury to the ankle.	—
2	—	748.117 - Transitional living policy - For operations who offer a transitional living program, you must develop policies No transitional living policy	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident It was determined that the incident report is missing the resolution of the incident. It also does not include any child or adult witnesses.	—
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements The service plan report reviewed for this investigation had several areas left blank to include summary of goals, needs and strengths sections, summary progress for goals, medication list, triggers, target dates, emotional disorders, and missing signatures.	—
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Three out of three employee files reviewed did not contain a record of TB skin test results.	—
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
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. A serious incident was not reported to Licensing when an officer responded to an incident at the operation.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations No contact with a health care professional was made when the child was given the wrong medication.	—
2	—	748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable The form is missing who the child can leave with.	Yes
4	—	748.2753(a)(1) - Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies missing from policy	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration There is no place for cold medication.	—
4	—	748.2753(a)(1) - Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies missing from policy	—
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
2	—	748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable The form is missing who the child can leave with.	Yes
1	—	748.1211(a)(1) - Parent Orientation - Provide fee policies No policy for private placement for fees	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained The form is missing a determination of how the operation can meet their needs and if they are emergency placement.	—
2	—	748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements The service plan report reviewed for this investigation had several areas left blank to include summary of goals, needs and strengths sections, summary progress for goals, medication list, triggers, target dates, emotional disorders, and missing signatures.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident It was determined that the incident report is missing the resolution of the incident. It also does not include any child or adult witnesses.	—
2	—	748.119(1) - Volunteer policy - Include job descriptions and/or responsibilities for the volunteers There was not a job description for volunteers.	Yes
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Several medication records were observed missing the reason the medication was prescribed. The case manager went through the medication log and entered the reason medication was prescribed for each child prior to the inspection concluding.	Yes
2	—	748.117 - Transitional living policy - For operations who offer a transitional living program, you must develop policies No transitional living policy	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Three out of three employee files reviewed did not contain a record of TB skin test results.	—
4	—	748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration There is no place for cold medication.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety It was determined that one caregiver was not able to intervene during a fight due to an injury to the ankle.	—
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations No contact with a health care professional was made when the child was given the wrong medication.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	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. A serious incident was not reported to Licensing when an officer responded to an incident at the operation.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
4	—	748.2003(b)(11) - Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication A child in care received another child's prescribed medication.	—
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 The form is missing a spot for trauma informed strategies child can use, a spot for child conditions, what occurred while gone and any inappropriate activities for the child to return to.	Yes
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During walk through, it was observed in the downstairs bathroom shower, mold in adjacent corners of the door frame, each ranging in about 3 in wide in diameter.	Yes
4	—	748.2755(a)(1) - Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies Missing from policy	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission The form is missing gender and date of admission.	Yes

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

Inspections (64)

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

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