Texas › Houston › Armanis House Inc. Residential Care

Armanis House Inc. Residential Care

Child care center · 4419 SMOOTH OAK LN, Houston, TX 77053-1336 · License 1769798

0Compliance score
Poor

Capacity 7. 8-17

Violation history (472)

Severity	Date	Standard / narrative	Corrected
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. Staff present at the operation did not have a current job description to indicate their role as well as official date of hire for type of position.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. Two employee files did not have reference check screening.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The recreational calendar provided does not contain daily indoor and outdoor activities for the children in care.	—
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 Operation staff informed licensing they did not have debriefing documentation for children who eloped from care.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. There is no documentation to support that a staff member has completed the annual suicide prevention training.	—
1	—	748.1337(b)(1)(L) - Initial Service Plan-Include date service plan was developed and completed 3 children service plan reviewed did not have the date the service plan was developed.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking Staff files reviewed do not contain current first aid certifications.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) Serious incident reports were reviewed which did not indicate the roles of the staff involved in the incidents.	—
4	—	748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions During the inspection, it was observed that multiple items in the freezer were not properly labeled with expiration dates after being removed from its original packaging.	—
3	—	748.721(b) - Volunteer personnel record-Include signed/dated statement that volunteer will report child abuse/neglect to Tx Abuse & Neglect hotline & administrator A volunteer did not have a signed and dated statement to report abuse and neglect.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. Operation staff files reviewed did not have completed references for staff and volunteers present at the operation.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission One child's date of admission is missing in the Unauthorized absence log	—
3	—	748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 Operation staff present at the operation does not have notarized affidavit but was signed by employee in May, 2024.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill Operation has not had an unannounced fire drill in the last 6 months.	—
2	—	748.721(a) - Volunteer personnel record-The operation must maintain a personnel record for each volunteer A volunteer was observed to be at the operation did not have a personnel file.	—
4	—	748.931(c)(2) - Annual Training- Childcare administrators, PLSP's, treatment directors and case managers who hold a prof. license must have 2hrs transportation. One employee file did not have transportation training.	—
1	—	748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting A child file did not have a documentation of notice being provided to their guardian of service plan meeting.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. Staff records were reviewed and the tuberculosis screening results were not located in the file.	—
3	—	748.3001(b) - Sanitation Inspection-Each inspection must meet regulations of the local health department ordinances Operation did not have a current health inspection.	—
5	—	745.4151(c)(5)(B) - Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. 2 of 2 staff files reviewed did not include in the signed statement for abuse, neglect and exploitation to include specific instructions for hotline and notifying operation.	—
5	—	745.4151(c)(5)(B) - Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.	—
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 Operation has 50 % of their population as treatment services and do not have a treatment director.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Operation used a form for serious incident reporting that did not include required information per minimum standards.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Fence was observed to have exposed nails.	—
4	—	748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication. One employee file had psychotropic medication training that expired in January 2024.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A serious incident in which a resident became physically aggressive towards other staff and sustained an injury was not documented on a serious incident report.	—
3	—	748.3443(a)(1) - Food Preparation-Food items must be covered & stored off the floor There are food items in the pantry being stored on the floor.	Yes
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 Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements Operation staff/volunteer present at the operation with access to children in care did not have a completed TB screening. Another staff file did not have a TB test completed within 30 days before or after hire date.	—
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 Operation staff present at the operation does not a drug screen in employee file.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission According to the information in a child initial service plan, the child was admitted on 1-5-24 and the date initial service plan was completed on 8-2-24 which is about 210 days after placement.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Operation used a form for serious incident reporting that did not include required information per minimum standards.	—
3	—	748.4651(b) - Pre-Service Training- caregiver not meeting 40 hr experience must be supervised at all times by another qualified caregiver Two employee files did not have required 40 hrs of experience or supervised experience.	—
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan 3 children service plan reviewed did not have signatures of service planning team members.	—
3	—	748.1205(a)(12) - Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement A child file had identified high risk behaviors, however there was no documented safety plan that would be implemented on how to address the behaviors.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. The operation excepts children as young as seven years old, however there is no documentation to support that staff have completed an annual transportation training.	—
3	—	748.605(c) - Treatment director-must meet specific professional qualifications if most prevalent population is children with emotional disorders Based on the documents/credentials provided for verification, the treatment director doesn't meet the requirements for emotional disorders.	—
5	—	748.105(7) - Personnel Policies - Ensure that personnel policies comply with background check requirements Updated background check policy was not completed and approved at time of inspection.	—
1	—	748.1337(b)(1)(K) - Initial Service Plan-Include names and roles of persons who participated in service plan development 3 children service plan reviewed did not have the names and roles of the service plan participants.	—
4	—	748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years Child File had a medication log that was not completely filled out and did not list the reason why medication was given.	—
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 staff files did not have a current TB test.	—
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. An incident where law enforcement responded to the operation and arrested a child in care was not reported.	—
3	—	748.751(a)(1) - Pre-Employment Screening- You must obtain in writing an applicant's employment history for the last five years before hiring. Operation staff files reviewed did not show employment history for the last five years and did not indicate if staff did not have employment history prior to working at the operation.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the inspection, in the bathroom down the hallway near the living room on the left side, the left knob on the first bathroom sink turns, but does not produce any water.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 A person identified by the Administrator as a peer-to-peer support/volunteer was present at the operation on 2/11/24 and one other time prior, without a background check. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.	—
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 Operation staff present at the operation does not a drug screen in employee file.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Food items are not stored properly/safely in the refrigerator.	Yes
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. Staff files were missing the required reference checks and or the date that the reference check was completed and the outcome of the reference check.	—
5	—	745.4151(c)(4)(C) - Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Residents left the facility and went out with an unknown male without the knowledge of staff on duty. Residents left the facility through the Neighbours fence, and they stated during interview that staff did not see them leave the facility.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A service plan that identified a child as having high risk behaviors for AWOL, self-harm, and harm to others stated she did not require supervision outside the home and included no supervision requirements for the child while outside the home.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. One employee file had expired normalcy training.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report did not contain necessary information required on form regarding child's gender and date of admission.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Operation has not had an unannounced severe weather drill in the last 6 months.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The thermometers in the freezer and refrigerator are not functioning properly to give an accurate temperature reading.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid One employee file did not have a CPR/First Aid certification.	—
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 The operations peoples list for background checks was validated last on 2/26/25.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission A child file did not have a preliminary service plan completed within the required time frame.	—
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. An incident where law enforcement responded to the operation and arrested a child in care was not reported.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) Serious incident reports were reviewed which did not indicate the roles of the staff involved in the incidents.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Operation used a form for serious incident reporting that did not include required information per minimum standards.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking Staff files reviewed do not contain current first aid certifications.	—
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. Staff present at the operation did not have a current job description to indicate their role as well as official date of hire for type of position.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements Operation staff/volunteer present at the operation with access to children in care did not have a completed TB screening. Another staff file did not have a TB test completed within 30 days before or after hire date.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Residents left the facility and went out with an unknown male without the knowledge of staff on duty. Residents left the facility through the Neighbours fence, and they stated during interview that staff did not see them leave the facility.	—
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 staff files did not have a current TB test.	—
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 The operations peoples list for background checks was validated last on 2/26/25.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Food items are not stored properly/safely in the refrigerator.	Yes
3	—	748.3001(b) - Sanitation Inspection-Each inspection must meet regulations of the local health department ordinances Operation did not have a current health inspection.	—
3	—	748.751(a)(1) - Pre-Employment Screening- You must obtain in writing an applicant's employment history for the last five years before hiring. Operation staff files reviewed did not show employment history for the last five years and did not indicate if staff did not have employment history prior to working at the operation.	—
3	—	748.605(c) - Treatment director-must meet specific professional qualifications if most prevalent population is children with emotional disorders Based on the documents/credentials provided for verification, the treatment director doesn't meet the requirements for emotional disorders.	—
5	—	745.4151(c)(5)(B) - Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.	—
2	—	748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children The recreational calendar provided does not contain daily indoor and outdoor activities for the children in care.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission One child's date of admission is missing in the Unauthorized absence log	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A serious incident in which a resident became physically aggressive towards other staff and sustained an injury was not documented on a serious incident report.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. Two employee files did not have reference check screening.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The thermometers in the freezer and refrigerator are not functioning properly to give an accurate temperature reading.	—
1	—	748.1337(b)(1)(K) - Initial Service Plan-Include names and roles of persons who participated in service plan development 3 children service plan reviewed did not have the names and roles of the service plan participants.	—
3	—	748.3443(a)(1) - Food Preparation-Food items must be covered & stored off the floor There are food items in the pantry being stored on the floor.	Yes
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 Operation staff informed licensing they did not have debriefing documentation for children who eloped from care.	—
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 Operation staff present at the operation does not a drug screen in employee file.	—
3	—	748.1205(a)(12) - Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement A child file had identified high risk behaviors, however there was no documented safety plan that would be implemented on how to address the behaviors.	—
1	—	748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting A child file did not have a documentation of notice being provided to their guardian of service plan meeting.	—
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 Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Fence was observed to have exposed nails.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Operation used a form for serious incident reporting that did not include required information per minimum standards.	—
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 Operation staff present at the operation does not a drug screen in employee file.	—
4	—	748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication. One employee file had psychotropic medication training that expired in January 2024.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. There is no documentation to support that a staff member has completed the annual suicide prevention training.	—
2	—	748.721(a) - Volunteer personnel record-The operation must maintain a personnel record for each volunteer A volunteer was observed to be at the operation did not have a personnel file.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 A person identified by the Administrator as a peer-to-peer support/volunteer was present at the operation on 2/11/24 and one other time prior, without a background check. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report did not contain necessary information required on form regarding child's gender and date of admission.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A service plan that identified a child as having high risk behaviors for AWOL, self-harm, and harm to others stated she did not require supervision outside the home and included no supervision requirements for the child while outside the home.	—
4	—	748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions During the inspection, it was observed that multiple items in the freezer were not properly labeled with expiration dates after being removed from its original packaging.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. Operation staff files reviewed did not have completed references for staff and volunteers present at the operation.	—
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 Operation has 50 % of their population as treatment services and do not have a treatment director.	—
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. Staff files were missing the required reference checks and or the date that the reference check was completed and the outcome of the reference check.	—
3	—	748.4651(b) - Pre-Service Training- caregiver not meeting 40 hr experience must be supervised at all times by another qualified caregiver Two employee files did not have required 40 hrs of experience or supervised experience.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the inspection, in the bathroom down the hallway near the living room on the left side, the left knob on the first bathroom sink turns, but does not produce any water.	—

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

Inspections (112)

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

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