Capacity 30. 0-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 1 | — |
748.1205(a)(15) - Admission Documentation-Includes a copy of the placement agreement, if applicable.
The placement paperwork was signed after the children were moved to a different location. |
— |
| 3 | — |
748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases
This rule was not addressed in the policies and procedures. |
— |
| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A caregiver had a cup of hot coffee sitting on the floor between herself and a toddler in care resulting in the toddler spilling the hot coffee onto the floor which could have resulted in burns. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
At the time of the inspection, an infant's bed was observed to have additional items such as a top-sheet, blankets, a pillow stuffed, animals, and toys in it. |
— |
| 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
The child did not sign the child's rights from within the allotted timeframe. |
— |
| 4 | — |
748.1203(b) - Admission-Placement must meet child's physical, medical, recreational, educational, & emotional needs as identified in admission assessment
The placement authorization was not completed within the timeframe. |
— |
| 1 | — |
748.101(3) - Plans to submit - sketch of operation's floor plan
The floor plan documents the purpose of most rooms except for bedrooms. It is assumed that bedrooms are listed as rooms only. |
— |
| 5 | — |
748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
Two of two children's records reviewed did not have a signed medical consent. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as living space and a toddler was being cared for in that space. The caregiver was also utilizing the restricted space to eat and watch TV in. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A Medication log does not have written down the month the PRN medication was administered to a child in care. |
— |
| 3 | — |
748.1207(b) - Placement agreement - Must be signed by parent
The placement agreement was not signed on the day the children were placed at the new location. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
A caregiver shoved a toddler causing them to fall to the floor instead of using a less forceful technique such as blocking the toddler. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication log for September 2025 is missing a signature/ initials September 11, 2025. According to the pill count it is believed the medication was administered. |
— |
| 1 | — |
748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
The children's living area was set up to have couches and various chairs throughout the open space between child rooms and bathrooms. This creates a rule violation. |
— |
| 3 | — |
748.107(2) - Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
The conflict-of-interest policy is missing this statement. It also does not address how your employees will avoid conflicts of interest with the families of children placed. |
— |
| 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 operation failed to report a child in care was transported by EMS and hosptilized. |
— |
| 4 | — |
748.685(b)(1) - Caregiver responsibility - when deciding how close to supervise, takes into account the child's age
A caregiver left an infant unattended on the bed to grab clean clothes before bath time, which resulted in the infant slipping off the bed and receiving carpet burn to the left side of their face. |
— |
| 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
Operation did not report the incident within timeframe. |
— |
| 4 | — |
748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation diagram does not demonstrate meeting locations outside of the building. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and two children were being cared for in the space. |
— |
| 4 | — |
748.113(2) - EBI policy - the specific techniques that caregivers can use
The policies did not state what types of restraints will be implemented. |
— |
| 1 | — |
748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate.
This rule was not addressed. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Caretaker yelled at children in care. |
— |
| 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
One staff member supervised 9 children in care including a child under the age of 5. |
— |
| 3 | — |
748.2301(b)(5) - Disciplinary Measures-must be appropriate to the incident and severity of the behavior demonstrated
A caregiver forcefully pulled a toddler to get a TV remote from the toddler's hands which resulted in the toddler knocking over hot coffee. The level of force used on the child was not warranted based on the severity level in a toddler having a TV remote in their hand. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A medication is being administrated not according to the label instructions. There was a second medication that did not have a prescription label on it to indicate how the medication should be administered. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and children were observed to be playing. |
— |
| 3 | — |
748.105(3)(C) - Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
The procedures for childcare ratio do not explain how the policy for treatment services ratios will be implemented. |
— |
| 3 | — |
748.109 - Admission policies must include description of each program you offer
The application requested to offer services for Childcare, Autism Spectrum Disorder, Intellectually Developmental Disabilities, Respite Care, Emergency Care Services, and Young adults in Care. The Admissions Policies include admission procedures for HT, Assessment Services, and Emotional Disorders. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs were not current during the time of the inspection. A PRN medication was administered six times without the time or reason being documented. Six different medication logs reviewed did not have completed medication counts daily. There was a medication that was administered to a child in care without being documented on a medication log. |
— |
| 1 | — |
748.101(3) - Plans to submit - sketch of operation's floor plan
The floor plan documents the purpose of most rooms except for bedrooms. It is assumed that bedrooms are listed as rooms only. |
— |
| 1 | — |
748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate.
This rule was not addressed. |
— |
| 5 | — |
748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
Two of two children's records reviewed did not have a signed medical consent. |
— |
| 4 | — |
748.1203(b) - Admission-Placement must meet child's physical, medical, recreational, educational, & emotional needs as identified in admission assessment
The placement authorization was not completed within the timeframe. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A Medication log does not have written down the month the PRN medication was administered to a child in care. |
— |
| 3 | — |
748.1207(b) - Placement agreement - Must be signed by parent
The placement agreement was not signed on the day the children were placed at the new location. |
— |
| 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 operation failed to report a child in care was transported by EMS and hosptilized. |
— |
| 3 | — |
748.2301(b)(5) - Disciplinary Measures-must be appropriate to the incident and severity of the behavior demonstrated
A caregiver forcefully pulled a toddler to get a TV remote from the toddler's hands which resulted in the toddler knocking over hot coffee. The level of force used on the child was not warranted based on the severity level in a toddler having a TV remote in their hand. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and children were observed to be playing. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as living space and a toddler was being cared for in that space. The caregiver was also utilizing the restricted space to eat and watch TV in. |
— |
| 4 | — |
748.685(b)(1) - Caregiver responsibility - when deciding how close to supervise, takes into account the child's age
A caregiver left an infant unattended on the bed to grab clean clothes before bath time, which resulted in the infant slipping off the bed and receiving carpet burn to the left side of their face. |
— |
| 3 | — |
748.107(2) - Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
The conflict-of-interest policy is missing this statement. It also does not address how your employees will avoid conflicts of interest with the families of children placed. |
— |
| 4 | — |
748.113(2) - EBI policy - the specific techniques that caregivers can use
The policies did not state what types of restraints will be implemented. |
— |
| 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
The child did not sign the child's rights from within the allotted timeframe. |
— |
| 3 | — |
748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases
This rule was not addressed in the policies and procedures. |
— |
| 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
Operation did not report the incident within timeframe. |
— |
| 1 | — |
748.1205(a)(15) - Admission Documentation-Includes a copy of the placement agreement, if applicable.
The placement paperwork was signed after the children were moved to a different location. |
— |
| 3 | — |
748.109 - Admission policies must include description of each program you offer
The application requested to offer services for Childcare, Autism Spectrum Disorder, Intellectually Developmental Disabilities, Respite Care, Emergency Care Services, and Young adults in Care. The Admissions Policies include admission procedures for HT, Assessment Services, and Emotional Disorders. |
— |
| 1 | — |
748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
The children's living area was set up to have couches and various chairs throughout the open space between child rooms and bathrooms. This creates a rule violation. |
— |
| 4 | — |
748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation diagram does not demonstrate meeting locations outside of the building. |
— |
| 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
One staff member supervised 9 children in care including a child under the age of 5. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs were not current during the time of the inspection. A PRN medication was administered six times without the time or reason being documented. Six different medication logs reviewed did not have completed medication counts daily. There was a medication that was administered to a child in care without being documented on a medication log. |
— |
| 3 | — |
748.105(3)(C) - Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
The procedures for childcare ratio do not explain how the policy for treatment services ratios will be implemented. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
A caregiver shoved a toddler causing them to fall to the floor instead of using a less forceful technique such as blocking the toddler. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication log for September 2025 is missing a signature/ initials September 11, 2025. According to the pill count it is believed the medication was administered. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
At the time of the inspection, an infant's bed was observed to have additional items such as a top-sheet, blankets, a pillow stuffed, animals, and toys in it. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and two children were being cared for in the space. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A medication is being administrated not according to the label instructions. There was a second medication that did not have a prescription label on it to indicate how the medication should be administered. |
— |
| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A caregiver had a cup of hot coffee sitting on the floor between herself and a toddler in care resulting in the toddler spilling the hot coffee onto the floor which could have resulted in burns. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Caretaker yelled at children in care. |
— |
| 5 | — |
748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
Two of two children's records reviewed did not have a signed medical consent. |
— |
| 3 | — |
748.1207(b) - Placement agreement - Must be signed by parent
The placement agreement was not signed on the day the children were placed at the new location. |
— |
| 1 | — |
748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
The children's living area was set up to have couches and various chairs throughout the open space between child rooms and bathrooms. This creates a rule violation. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Caretaker yelled at children in care. |
— |
| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A caregiver had a cup of hot coffee sitting on the floor between herself and a toddler in care resulting in the toddler spilling the hot coffee onto the floor which could have resulted in burns. |
— |
| 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
The child did not sign the child's rights from within the allotted timeframe. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A Medication log does not have written down the month the PRN medication was administered to a child in care. |
— |
| 3 | — |
748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases
This rule was not addressed in the policies and procedures. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
A caregiver shoved a toddler causing them to fall to the floor instead of using a less forceful technique such as blocking the toddler. |
— |
| 3 | — |
748.105(3)(C) - Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
The procedures for childcare ratio do not explain how the policy for treatment services ratios will be implemented. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A medication is being administrated not according to the label instructions. There was a second medication that did not have a prescription label on it to indicate how the medication should be administered. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as living space and a toddler was being cared for in that space. The caregiver was also utilizing the restricted space to eat and watch TV in. |
— |
| 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 operation failed to report a child in care was transported by EMS and hosptilized. |
— |
| 4 | — |
748.1203(b) - Admission-Placement must meet child's physical, medical, recreational, educational, & emotional needs as identified in admission assessment
The placement authorization was not completed within the timeframe. |
— |
| 3 | — |
748.109 - Admission policies must include description of each program you offer
The application requested to offer services for Childcare, Autism Spectrum Disorder, Intellectually Developmental Disabilities, Respite Care, Emergency Care Services, and Young adults in Care. The Admissions Policies include admission procedures for HT, Assessment Services, and Emotional Disorders. |
— |
| 4 | — |
748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation diagram does not demonstrate meeting locations outside of the building. |
— |
| 3 | — |
748.107(2) - Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
The conflict-of-interest policy is missing this statement. It also does not address how your employees will avoid conflicts of interest with the families of children placed. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
At the time of the inspection, an infant's bed was observed to have additional items such as a top-sheet, blankets, a pillow stuffed, animals, and toys in it. |
— |
| 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
One staff member supervised 9 children in care including a child under the age of 5. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs were not current during the time of the inspection. A PRN medication was administered six times without the time or reason being documented. Six different medication logs reviewed did not have completed medication counts daily. There was a medication that was administered to a child in care without being documented on a medication log. |
— |
| 1 | — |
748.101(3) - Plans to submit - sketch of operation's floor plan
The floor plan documents the purpose of most rooms except for bedrooms. It is assumed that bedrooms are listed as rooms only. |
— |
| 4 | — |
748.113(2) - EBI policy - the specific techniques that caregivers can use
The policies did not state what types of restraints will be implemented. |
— |
| 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
Operation did not report the incident within timeframe. |
— |
| 4 | — |
748.685(b)(1) - Caregiver responsibility - when deciding how close to supervise, takes into account the child's age
A caregiver left an infant unattended on the bed to grab clean clothes before bath time, which resulted in the infant slipping off the bed and receiving carpet burn to the left side of their face. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and children were observed to be playing. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and two children were being cared for in the space. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication log for September 2025 is missing a signature/ initials September 11, 2025. According to the pill count it is believed the medication was administered. |
— |
| 1 | — |
748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate.
This rule was not addressed. |
— |
| 3 | — |
748.2301(b)(5) - Disciplinary Measures-must be appropriate to the incident and severity of the behavior demonstrated
A caregiver forcefully pulled a toddler to get a TV remote from the toddler's hands which resulted in the toddler knocking over hot coffee. The level of force used on the child was not warranted based on the severity level in a toddler having a TV remote in their hand. |
— |
| 1 | — |
748.1205(a)(15) - Admission Documentation-Includes a copy of the placement agreement, if applicable.
The placement paperwork was signed after the children were moved to a different location. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs were not current during the time of the inspection. A PRN medication was administered six times without the time or reason being documented. Six different medication logs reviewed did not have completed medication counts daily. There was a medication that was administered to a child in care without being documented on a medication log. |
— |
| 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
The child did not sign the child's rights from within the allotted timeframe. |
— |
| 5 | — |
HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range)
The operation did not follow the conditions on the permit when the upstairs center space was used as activity space and two children were being cared for in the space. |
— |
| 1 | — |
748.1205(a)(15) - Admission Documentation-Includes a copy of the placement agreement, if applicable.
The placement paperwork was signed after the children were moved to a different location. |
— |
| 3 | — |
748.105(3)(C) - Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
The procedures for childcare ratio do not explain how the policy for treatment services ratios will be implemented. |
— |
| 3 | — |
748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases
This rule was not addressed in the policies and procedures. |
— |
| 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
Operation did not report the incident within timeframe. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
A caregiver shoved a toddler causing them to fall to the floor instead of using a less forceful technique such as blocking the toddler. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A medication is being administrated not according to the label instructions. There was a second medication that did not have a prescription label on it to indicate how the medication should be administered. |
— |
| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A caregiver had a cup of hot coffee sitting on the floor between herself and a toddler in care resulting in the toddler spilling the hot coffee onto the floor which could have resulted in burns. |
— |
104 inspection record(s) on file from TX-HHSC.