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Ray's of Life

Child care center · , TX · License 1768076

0Compliance score
Poor

Capacity 8. 6-17

Violation history (448)

SeverityDateStandard / narrativeCorrected
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
One child's medication record was reviewed and did not contain a signature of who administered the medication.		 —
5— 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Two out of three employee files reviewed contained a drug test taken more than 1 year prior to employment with the operation.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
Missing from 2/2 employee files.		 —
2— 748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
Immediate dental needs not included in preliminary service plan.		 —
3— 748.111(14) - Child-care policy - Procedures for routine and emergency diagnosis, including treatment of medical and dental problems
Missing from policy		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Upon arrival at the operation, RCCR Inspectors knocked on the door. Staff was not around and one of the children at the operation answered the door allowing Inspectors inside the operation.		 —
3— 748.363(1) - Personnel records-Include date of employment
Missing from 2/2 employee files.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Two out of two youth medication files reviewed were missing either a signature, date, and/or time to indicate the medication was given.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
The menu doesn't indicate snacks to be given, the date, or any substitutions.		 Yes
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
One out of three youth files reviewed did not contain a PLSP signature on the admission assessment.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
Upon review of a DFPS investigation, it was determined that staff member put a child in care in the closet as a means to control or immediate the child.		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One out of four employee files reviewed did not contain an affidavit for employment. Another employee file reviewed did not have the affidavit for employment notarized.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several documents reviewed contained errors such as wrong dates or names listed on the documents.		 —
3— 748.363(1) - Personnel records-Include date of employment
Upon review of staff files, it was seen that 1 of 1 file did not have a start date to reference. Operation had no employment history verified. Operation had no job description for the staff in the file. Operation did not have a signed statement that confirms employee read operational polices. No signed statement confirming that the employee will immediately report suspected abuse, neglect, or exploitation per policy.		 —
2— 748.681(1)(B) - Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
One employee of the operation is under age 21 and has been the only staff working on shift with the group of youth who are more than 13 years old.		 —
3— 748.311(11) - Serious Incident Documentation-Must include an update regarding the unauthorized absence and the child?s return.
Not included in mock incident report form		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Missing from evacuation diagram.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff involved did not practice self-control during an escalated incident.		 —
3— 748.363(3) - Personnel records-Include current job description
Missing from 2/2 employee files.		 —
3— 748.363(3) - Personnel records-Include current job description
Two out of four employee files reviewed did not contain a job description.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The evacuation diagram was observed without a shelter in place indicating the designated location.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was observed that a child did not receive the morning dosage of his prescribed medication on 03/19/2025.		 —
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the inspection, all beds were observed missing flats sheets.		 Yes
3— 748.111(12) - Child-care policy - Child grievance procedures
Missing from policy		 —
3— 748.341(a) - Operating policies retention requirements - Maintain copy at operation available for review upon request
A copy of operational policies were not available at operation upon request.		 —
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
Two out of three employee files reviewed did not contain a TB test or drug test. One out of three employee files reviewed did not contain verification of educational requirements.		 —
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
The operation doesn't have an unauthorized absence debriefing form.		 —
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 1 out 3 employee files did not contain verification of TB.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
One out of one child files reviewed did not contain in a visibly accessible place the known allergies or medical conditions for the child.		 —
4— 748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
The operation needs to hire a Treatment Director based on the services they will provide. Verification of this will need to be by the intended Treatment Director having an active background check under the operation.		 —
3— 748.363(1) - Personnel records-Include date of employment
Two out of two employee files reviewed did not included a concrete date of employment. One out of the two employee files reviewed did not have the affidavit for employment notarized.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several documents reviewed in employee files contained another operation's name.		 —
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
The fire extinguisher on the second floor expired October of 2023.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Three out of three admission assessments reviewed were not signed by the PLSP.		 —
3— 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
During the inspection it was determined that the last validation date of the employee background checks was completed on 02/24/2025.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
One child's medication record was reviewed and did not contain the time a dosage was given or a signature of who administered the medication.		 —
3— 748.863(a)(1) - Pre-Service Training-All caregivers must receive 8 hrs of general pre-service training & 4hrs before being counted in child/caregiver ratio.
4 out of 4 files that were reviewed were missing complete pre-service trainings.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
One out of four employee files reviewed did not include any record of trainings.		 —
2— 748.3273(8) - First Aid Kits-Each one must contain thermometer
Missing form 2/3 first aid kits.		 Yes
1— 748.365 - Personnel records-Background check results must be kept confidential and protected from unauthorized access or release
Upon inspection of 1 of 1 staff file's it was viewed that no physical copy background check was input into personnel record.		 —
3— 748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence annual summary log presented during the inspection did not include the age, gender, or date of admission.		 —
3— 748.363(7) - Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
Missing from 2/2 employee files.		 —
4— 748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, 1 out of the 3 files reviewed did not contain verification for all requirred trainings.Staff did not complet EBI training.		 —
4— 748.3061(2) - Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
During the inspection, it was determined that the gas inspection certificate of the operation was expired.		 —
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
Six children in care were observed with only one staff member present.		 —
1— 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
One out of three youth files reviewed did not contain an initial or preliminary service plan. One out of three youth files reviewed did not contain an admission assessment.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or
One child's file reviewed did not have the required criteria on the exterior or in a clearly visible location.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
A child's evening medication log was observed to be documented early in the day on 03/19/25 showing that the medication was administered, although it was not.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
During the inspection is was discovered that the light fixture in the common area children have access to is not in working condition. The light switch was flipped up and the light fixture did not turn on. There were steps with large wood chips pieces missing. The fence in the backyard was in need of repair. The wooden panel & slate need to be nailed into the fence post. The staircase railing on the left side was observed being loose as children walked up and down the stairs.		 —
1— 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
One child's file reviewed was missing the Admission Assessment, Child Orientation, and Service Plan.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Three out of three youth files reviewed did not contain a preliminary service plan.		 —
3— 748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
Not included in mock incident report form		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
When RCCR Inspector arrived at the operation for inspection, a caregiver was outside seated in a car while multiple children in care were awake and walking about in the living room of the home. The caregiver was the only one on duty at the time.		 —
2— 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
Upon review of June, July, & August recreational calendars there was no indication of scheduled indoor/outdoor activities.		 —
5— 748.363(9) - Personnel records-Include proof of request for background checks
Missing from 2/2 employee files.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
Missing from 1/2 employee files.		 —
3— 748.111(12) - Child-care policy - Child grievance procedures
Missing from policy		 —
1— 748.365 - Personnel records-Background check results must be kept confidential and protected from unauthorized access or release
Upon inspection of 1 of 1 staff file's it was viewed that no physical copy background check was input into personnel record.		 —
3— 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
During the inspection it was determined that the last validation date of the employee background checks was completed on 02/24/2025.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
The menu doesn't indicate snacks to be given, the date, or any substitutions.		 Yes
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
One child's medication record was reviewed and did not contain the time a dosage was given or a signature of who administered the medication.		 —
4— 748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, 1 out of the 3 files reviewed did not contain verification for all requirred trainings.Staff did not complet EBI training.		 —
3— 748.111(14) - Child-care policy - Procedures for routine and emergency diagnosis, including treatment of medical and dental problems
Missing from policy		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
One out of four employee files reviewed did not include any record of trainings.		 —
3— 748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
Not included in mock incident report form		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
One out of one child files reviewed did not contain in a visibly accessible place the known allergies or medical conditions for the child.		 —
3— 748.363(1) - Personnel records-Include date of employment
Missing from 2/2 employee files.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several documents reviewed in employee files contained another operation's name.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Missing from evacuation diagram.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was observed that a child did not receive the morning dosage of his prescribed medication on 03/19/2025.		 —
2— 748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
Immediate dental needs not included in preliminary service plan.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
Missing from 1/2 employee files.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
When RCCR Inspector arrived at the operation for inspection, a caregiver was outside seated in a car while multiple children in care were awake and walking about in the living room of the home. The caregiver was the only one on duty at the time.		 —
3— 748.363(1) - Personnel records-Include date of employment
Two out of two employee files reviewed did not included a concrete date of employment. One out of the two employee files reviewed did not have the affidavit for employment notarized.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
One child's medication record was reviewed and did not contain a signature of who administered the medication.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Three out of three admission assessments reviewed were not signed by the PLSP.		 —
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the inspection, all beds were observed missing flats sheets.		 Yes
2— 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
Upon review of June, July, & August recreational calendars there was no indication of scheduled indoor/outdoor activities.		 —
2— 748.681(1)(B) - Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
One employee of the operation is under age 21 and has been the only staff working on shift with the group of youth who are more than 13 years old.		 —
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 1 out 3 employee files did not contain verification of TB.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
During the inspection is was discovered that the light fixture in the common area children have access to is not in working condition. The light switch was flipped up and the light fixture did not turn on. There were steps with large wood chips pieces missing. The fence in the backyard was in need of repair. The wooden panel & slate need to be nailed into the fence post. The staircase railing on the left side was observed being loose as children walked up and down the stairs.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Upon arrival at the operation, RCCR Inspectors knocked on the door. Staff was not around and one of the children at the operation answered the door allowing Inspectors inside the operation.		 —
3— 748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence annual summary log presented during the inspection did not include the age, gender, or date of admission.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
A child's evening medication log was observed to be documented early in the day on 03/19/25 showing that the medication was administered, although it was not.		 —
4— 748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
The operation needs to hire a Treatment Director based on the services they will provide. Verification of this will need to be by the intended Treatment Director having an active background check under the operation.		 —
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
Six children in care were observed with only one staff member present.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The evacuation diagram was observed without a shelter in place indicating the designated location.		 —
3— 748.363(3) - Personnel records-Include current job description
Missing from 2/2 employee files.		 —
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
The operation doesn't have an unauthorized absence debriefing form.		 —
3— 748.363(7) - Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
Missing from 2/2 employee files.		 —
1— 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
One out of three youth files reviewed did not contain an initial or preliminary service plan. One out of three youth files reviewed did not contain an admission assessment.		 —
3— 748.363(3) - Personnel records-Include current job description
Two out of four employee files reviewed did not contain a job description.		 —
3— 748.863(a)(1) - Pre-Service Training-All caregivers must receive 8 hrs of general pre-service training & 4hrs before being counted in child/caregiver ratio.
4 out of 4 files that were reviewed were missing complete pre-service trainings.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
Upon review of a DFPS investigation, it was determined that staff member put a child in care in the closet as a means to control or immediate the child.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
Missing from 2/2 employee files.		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One out of four employee files reviewed did not contain an affidavit for employment. Another employee file reviewed did not have the affidavit for employment notarized.		 —
5— 748.363(9) - Personnel records-Include proof of request for background checks
Missing from 2/2 employee files.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or
One child's file reviewed did not have the required criteria on the exterior or in a clearly visible location.		 —
1— 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
One child's file reviewed was missing the Admission Assessment, Child Orientation, and Service Plan.		 —
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
The fire extinguisher on the second floor expired October of 2023.		 —

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

Inspections (128)

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

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