Texas › Dallas › AT LAST!, Inc.

AT LAST!, Inc.

Child care center · 405 E OVERTON RD, Dallas, TX 75216-5918 · License 1767744

0Compliance score
Poor

Capacity 16. 5-13

Violation history (320)

Severity	Date	Standard / narrative	Corrected
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The operations did not have all documentation completed documentation was contractidcing on dates and information.	—
1	—	748.4111(b)(1) - Transportation records-Must maintain the insurance verification in the vehicle Van used to transport children did not have current liability insurance.	Yes
4	—	748.3369(d) - Bedding-A bunk bed must be equipped with a securely attached ladder capable of supporting the child using the bed and an employee Bunkbeds in all bedrooms were missing the ladder.	—
3	—	748.125(d)(4)(B)(ii) - Suicide Screening- Must be conducted at admission for children under 10 yrs if parent who admits the child or operation requests a screening. The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.	—
3	—	748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.	—
1	—	748.345(5) - Electronic records policies - Limit access to persons within operation authorized to view specific information in file Operation policy did not specified who has acess to the records.	—
4	—	748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation At Last! does not have written relocation plan.	—
2	—	748.3351(2) - Interior Space-Provide personal storage space in the child's bedroom for each child's clothing and belongings 4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. One staff's file contained reference checks that did not include all required information about the reference.	—
4	—	748.3369(d) - Bedding-A bunk bed must be equipped with a securely attached ladder capable of supporting the child using the bed and an employee Bunkbeds in all bedrooms were missing the ladder.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Child admission assessment did not have immunization record and other important information.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The last fire inspection was not completed within the 12 month time frame from the previous inspection.	—
2	—	748.724(a) - Volunteer/contractor of organization subject to operation policies/procedures unless org provides screening/training/supervision that protect children At Last! does not have policies and procedures regarding volunteers contracting with other organizations.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The operation admission policy did not specify the gender they will provide services for.	—
3	—	748.125(g)(2)(E) - You must offer mental health resources for children and staff who have a difficult time coping. The policy does not address all areas of the Addressing Suicide Attempts.	—
3	—	748.125(c)(1)(B) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of safety planning. The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Childrens bedrooms did have appropritate window covers to provide privacy.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Grass at the facility was overgrown.	—
3	—	748.539 - Child-care administrator must designate a licensed child-care administrator responsible for the operation while the administrator is absent The operation had designated a volunteer to be reponsible when the administrator was not at the facility.	—
2	—	748.721(a) - Volunteer personnel record-The operation must maintain a personnel record for each volunteer At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.	—
4	—	748.3061 - Gas Inspection-Operation must be inspected for gas leaks At Last! safety policies does not document when the operation needs to be inspected for gas leaks.	—
2	—	748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications. Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.	—
3	—	748.3063(a) - Gas Inspection-If operation uses natural gas, licensed plumber or gas company official must conduct gas leak inspection At Last! safety policies does not document who must conduct a gas inspection for the operation.	—
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 staff files were reviewed, and one staff file did not include TB test results.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.	—
2	—	748.3065(a) - Gas Inspection-Gas inspection report must show operation's gas system is free of leaks, must include inspection date & inspector name, phone number At Last! safety policies does not document what documentation is required for gas inspections.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.	—
3	—	748.2051(1) - Medication Self-Administration-The child's parent must give written authorization A child in care was self administering an inhaler and there was no documentation.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Two lighters were located in a drawer in the common living area.	Yes
4	—	748.2253(a)(5) - Operation employs professional who prescribes psychotropic med-Prescribing professional describe accompanying risks to consenter before consent given At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.	—
3	—	748.125(g)(1)(B)(i) - Your written action plan must include a communication strategy consistent with 748.125(g)(1)(B)(i)(I)-748.125(g)(1)(B)(i)(VI) of this subsection. The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.	—
4	—	748.3237(a) - Safety Practices-Closet door latches must allow children to open door from inside of closet At Last! safety polices does not include these additional safety provisions	—
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. The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Operation did not submit EBI information for quarter 3.	—
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 During the inspection three fire extinguishers were observed to have expired in April 2024.	—
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. The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.	—
4	—	748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation At Last! does not have written relocation plan.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Grass at the facility was overgrown.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.	—
3	—	748.125(g)(2)(E) - You must offer mental health resources for children and staff who have a difficult time coping. The policy does not address all areas of the Addressing Suicide Attempts.	—
2	—	748.721(a) - Volunteer personnel record-The operation must maintain a personnel record for each volunteer At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.	—
3	—	748.125(d)(4)(B)(ii) - Suicide Screening- Must be conducted at admission for children under 10 yrs if parent who admits the child or operation requests a screening. The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.	—
3	—	748.539 - Child-care administrator must designate a licensed child-care administrator responsible for the operation while the administrator is absent The operation had designated a volunteer to be reponsible when the administrator was not at the facility.	—
4	—	748.3061 - Gas Inspection-Operation must be inspected for gas leaks At Last! safety policies does not document when the operation needs to be inspected for gas leaks.	—
1	—	748.345(5) - Electronic records policies - Limit access to persons within operation authorized to view specific information in file Operation policy did not specified who has acess to the records.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The last fire inspection was not completed within the 12 month time frame from the previous inspection.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Operation did not submit EBI information for quarter 3.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.	—
3	—	748.125(c)(1)(B) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of safety planning. The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.	—
3	—	748.125(g)(1)(B)(i) - Your written action plan must include a communication strategy consistent with 748.125(g)(1)(B)(i)(I)-748.125(g)(1)(B)(i)(VI) of this subsection. The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.	—
1	—	748.4111(b)(1) - Transportation records-Must maintain the insurance verification in the vehicle Van used to transport children did not have current liability insurance.	Yes
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.	—
2	—	748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications. Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Childrens bedrooms did have appropritate window covers to provide privacy.	—
2	—	748.724(a) - Volunteer/contractor of organization subject to operation policies/procedures unless org provides screening/training/supervision that protect children At Last! does not have policies and procedures regarding volunteers contracting with other organizations.	—
4	—	748.3237(a) - Safety Practices-Closet door latches must allow children to open door from inside of closet At Last! safety polices does not include these additional safety provisions	—
3	—	748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Two lighters were located in a drawer in the common living area.	Yes
4	—	748.2253(a)(5) - Operation employs professional who prescribes psychotropic med-Prescribing professional describe accompanying risks to consenter before consent given At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Child admission assessment did not have immunization record and other important information.	—
4	—	748.3369(d) - Bedding-A bunk bed must be equipped with a securely attached ladder capable of supporting the child using the bed and an employee Bunkbeds in all bedrooms were missing the ladder.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The operations did not have all documentation completed documentation was contractidcing on dates and information.	—
2	—	748.3065(a) - Gas Inspection-Gas inspection report must show operation's gas system is free of leaks, must include inspection date & inspector name, phone number At Last! safety policies does not document what documentation is required for gas inspections.	—
3	—	748.3063(a) - Gas Inspection-If operation uses natural gas, licensed plumber or gas company official must conduct gas leak inspection At Last! safety policies does not document who must conduct a gas inspection for the operation.	—
2	—	748.3351(2) - Interior Space-Provide personal storage space in the child's bedroom for each child's clothing and belongings 4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.	—
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 During the inspection three fire extinguishers were observed to have expired in April 2024.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The operation admission policy did not specify the gender they will provide services for.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. One staff's file contained reference checks that did not include all required information about the reference.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors	—
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 staff files were reviewed, and one staff file did not include TB test results.	—
4	—	748.3369(d) - Bedding-A bunk bed must be equipped with a securely attached ladder capable of supporting the child using the bed and an employee Bunkbeds in all bedrooms were missing the ladder.	—
3	—	748.2051(1) - Medication Self-Administration-The child's parent must give written authorization A child in care was self administering an inhaler and there was no documentation.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Grass at the facility was overgrown.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. One staff's file contained reference checks that did not include all required information about the reference.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The last fire inspection was not completed within the 12 month time frame from the previous inspection.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Child admission assessment did not have immunization record and other important information.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.	—
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. The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The operations did not have all documentation completed documentation was contractidcing on dates and information.	—
2	—	748.3065(a) - Gas Inspection-Gas inspection report must show operation's gas system is free of leaks, must include inspection date & inspector name, phone number At Last! safety policies does not document what documentation is required for gas inspections.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.	—
3	—	748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.	—
2	—	748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy Childrens bedrooms did have appropritate window covers to provide privacy.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Two lighters were located in a drawer in the common living area.	Yes
3	—	748.125(d)(4)(B)(ii) - Suicide Screening- Must be conducted at admission for children under 10 yrs if parent who admits the child or operation requests a screening. The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors	—
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 During the inspection three fire extinguishers were observed to have expired in April 2024.	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.	—
3	—	748.539 - Child-care administrator must designate a licensed child-care administrator responsible for the operation while the administrator is absent The operation had designated a volunteer to be reponsible when the administrator was not at the facility.	—
3	—	748.3063(a) - Gas Inspection-If operation uses natural gas, licensed plumber or gas company official must conduct gas leak inspection At Last! safety policies does not document who must conduct a gas inspection for the operation.	—

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

Inspections (80)

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

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