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St. Georgia's

Child care center · , TX · License 1773300

0Compliance score
Poor

Capacity 16. 7-17

Violation history (312)

SeverityDateStandard / narrativeCorrected
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Child?s signature or refusal to sign the service plan is missing.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Upon request from Licensing, the operation did not furnish or make the requested child record (runaway prevention safety plan) accessible for review.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A youth in care AWOL from the facility on 1/26/2026 at 1:48p. Documentation shows Licensing was not contacted until 7 hours later at 8:40p.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was not properly supervised as he used pillows under the blanket as a form of disguise and was gone for several hours before staff realized he was missing.		 —
4— 748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
It was reported by the operation that a Suicide Screening was not completed related to the incident regarding this investigation. In addition, a Suicide Screening was also not conducted for a previous incident as reported by the operation.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One medication log reviewed was missing the signature of the staff member who administered the medication.		 —
3— 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Two employees that were terminated on 1/30/2025 remain active on background checks.		 —
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.
It was determined that a child in care was in a physical altercation with other children in care as well as with a staff member that resulted in the child be given a ticket by local law enforcement who responded to the incident at the operation. It was concluded that this incident was not reported to the Hotline.		 —
4— 748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
A review of personnel records shows that an active employee who transports children in care does not have a state issued driver's license.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Drug test results are not complete. No positive or negative results are documented.		 —
5— 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
It was corroborated by staff and children in care that a staff member performed an EBI by pushing children up against the wall.		 —
3— 748.3443(a)(1) - Food Preparation-Food items must be covered & stored off the floor
During the walkthrough a bag of rice and potatoes were stored in a contatiner on the floor in the pantry.		 Yes
3— 748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Personnel records reviewed show Licensing Affidavit for Applicants for Employment forms not completed and or notarized.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation did not have an updated Unauthorized Absence log during the inspection.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough a dresser in one of the boys room had two missing dressers.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member told a child that they "deserved it" after that child was in a physical altercation with another child.		 —
3— 748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported to the parent within the required timeframe.		 —
3— 748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
5 out of 10 serious incident reports reviewed identified incidents as both serious and reportable but the incidents were not reported to the Texas Abuse & Neglect Hotline.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers were unaware of child's bruising to their eye.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
The following required annual trainings expired in May 2025 for an active employee: Medical Consent, Recognizing and Reporting Child Sexual Abuse, Runaway Prevention, Normalcy, Psychotropic Medication, Trauma Informed Care, and Reporting Child Abuse & Neglect.		 —
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
A review of personal records shows an active employee with a hire date of 10/17/2024 has not completed a TB test to date.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's preliminary service plan is dated 01/02/24 and signed 02/02/24.		 —
5— 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
Two caregivers did not implement a restraint during an emergency situation. Children in care assisted in breaking up the fight.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
4— 748.319(a) - AP Within five days after you receive notification of a deficiency as described in 748.317 you must notify the parents of each child admitted.
Operation was notified of a children's rights deficiency on 06/05/25 and notification to parent/guardian was not made on or before 06/10/25. Notifications were sent to the parents/guardians on 06/24/25.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The last documented severe weather drill was conducted 06/25/2025.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
Medication was observed not in a locked container.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One service plan reviewed contained inaccurate information and incomplete sections.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported Licensing within the required timeframe.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Multiple medication logs reviewed contained inaccurate dates. Multiple medication logs reviewed contained an inaccurate pill count.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
After reviewing the documents provided, the child?s Preliminary Service Plan noted multiple pronouns when referring to the child, an SIR provided did not include the circumstances surrounding the incident, an SIR provided did not depict the resolution of the incident, an SIR provided did not record the child?s date of admission and a document submitted as the suicide screening did not have the name of the document, the name of the child nor did it have a date recorded on it.		 —
4— 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained when the situation was not an emergency.		 —
5— 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
It was noted that staff indicated a child was in a Prone position for over 1 minute.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Based on interviews, it was determined staff sleep on shift.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
Both incident reports reviewed were missing the staff's role, and one was missing the staff's full name and role.		 —
3— 748.463(e) - Unauthorized Absence Eval-results of each overall operation eval for unauth absences must be avb to CCR for review and reproduction upon request
The operation did not have the evaluation of unauthorized absences available for review by Licensing.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Corroborating information from multiple sources state that a staff member and a child in care had a relationship that was too close and exceeded professional boundaries.		 —
3— 748.313(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation
The unauthorized absence log does not indicate how long the child was gone from the operation.		 —
2— 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Based on interviews, it was determined staff sleep on shift.		 —
3— 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Two employees that were terminated on 1/30/2025 remain active on background checks.		 —
4— 748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
It was reported by the operation that a Suicide Screening was not completed related to the incident regarding this investigation. In addition, a Suicide Screening was also not conducted for a previous incident as reported by the operation.		 —
3— 748.463(e) - Unauthorized Absence Eval-results of each overall operation eval for unauth absences must be avb to CCR for review and reproduction upon request
The operation did not have the evaluation of unauthorized absences available for review by Licensing.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's preliminary service plan is dated 01/02/24 and signed 02/02/24.		 —
5— 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
It was corroborated by staff and children in care that a staff member performed an EBI by pushing children up against the wall.		 —
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.
It was determined that a child in care was in a physical altercation with other children in care as well as with a staff member that resulted in the child be given a ticket by local law enforcement who responded to the incident at the operation. It was concluded that this incident was not reported to the Hotline.		 —
3— 748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported to the parent within the required timeframe.		 —
3— 748.3443(a)(1) - Food Preparation-Food items must be covered & stored off the floor
During the walkthrough a bag of rice and potatoes were stored in a contatiner on the floor in the pantry.		 Yes
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation did not have an updated Unauthorized Absence log during the inspection.		 —
4— 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained when the situation was not an emergency.		 —
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
A review of personal records shows an active employee with a hire date of 10/17/2024 has not completed a TB test to date.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The last documented severe weather drill was conducted 06/25/2025.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One service plan reviewed contained inaccurate information and incomplete sections.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough a dresser in one of the boys room had two missing dressers.		 Yes
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Child?s signature or refusal to sign the service plan is missing.		 —
5— 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
It was noted that staff indicated a child was in a Prone position for over 1 minute.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One medication log reviewed was missing the signature of the staff member who administered the medication.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers were unaware of child's bruising to their eye.		 —
4— 748.319(a) - AP Within five days after you receive notification of a deficiency as described in 748.317 you must notify the parents of each child admitted.
Operation was notified of a children's rights deficiency on 06/05/25 and notification to parent/guardian was not made on or before 06/10/25. Notifications were sent to the parents/guardians on 06/24/25.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
After reviewing the documents provided, the child?s Preliminary Service Plan noted multiple pronouns when referring to the child, an SIR provided did not include the circumstances surrounding the incident, an SIR provided did not depict the resolution of the incident, an SIR provided did not record the child?s date of admission and a document submitted as the suicide screening did not have the name of the document, the name of the child nor did it have a date recorded on it.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was not properly supervised as he used pillows under the blanket as a form of disguise and was gone for several hours before staff realized he was missing.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Corroborating information from multiple sources state that a staff member and a child in care had a relationship that was too close and exceeded professional boundaries.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
The following required annual trainings expired in May 2025 for an active employee: Medical Consent, Recognizing and Reporting Child Sexual Abuse, Runaway Prevention, Normalcy, Psychotropic Medication, Trauma Informed Care, and Reporting Child Abuse & Neglect.		 —
5— 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
Two caregivers did not implement a restraint during an emergency situation. Children in care assisted in breaking up the fight.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Drug test results are not complete. No positive or negative results are documented.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Upon request from Licensing, the operation did not furnish or make the requested child record (runaway prevention safety plan) accessible for review.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A youth in care AWOL from the facility on 1/26/2026 at 1:48p. Documentation shows Licensing was not contacted until 7 hours later at 8:40p.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
Medication was observed not in a locked container.		 —
3— 748.313(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation
The unauthorized absence log does not indicate how long the child was gone from the operation.		 —
3— 748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
5 out of 10 serious incident reports reviewed identified incidents as both serious and reportable but the incidents were not reported to the Texas Abuse & Neglect Hotline.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Multiple medication logs reviewed contained inaccurate dates. Multiple medication logs reviewed contained an inaccurate pill count.		 —
4— 748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
A review of personnel records shows that an active employee who transports children in care does not have a state issued driver's license.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member told a child that they "deserved it" after that child was in a physical altercation with another child.		 —
3— 748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Personnel records reviewed show Licensing Affidavit for Applicants for Employment forms not completed and or notarized.		 —
2— 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
Both incident reports reviewed were missing the staff's role, and one was missing the staff's full name and role.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported Licensing within the required timeframe.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Drug test results are not complete. No positive or negative results are documented.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
Medication was observed not in a locked container.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Multiple medication logs reviewed contained inaccurate dates. Multiple medication logs reviewed contained an inaccurate pill count.		 —
5— 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
Two caregivers did not implement a restraint during an emergency situation. Children in care assisted in breaking up the fight.		 —
3— 748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported to the parent within the required timeframe.		 —
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.
It was determined that a child in care was in a physical altercation with other children in care as well as with a staff member that resulted in the child be given a ticket by local law enforcement who responded to the incident at the operation. It was concluded that this incident was not reported to the Hotline.		 —
3— 748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Personnel records reviewed show Licensing Affidavit for Applicants for Employment forms not completed and or notarized.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One medication log reviewed was missing the signature of the staff member who administered the medication.		 —
4— 748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
It was reported by the operation that a Suicide Screening was not completed related to the incident regarding this investigation. In addition, a Suicide Screening was also not conducted for a previous incident as reported by the operation.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One service plan reviewed contained inaccurate information and incomplete sections.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Based on a review of documentation, it was determined that a child's unauthorized absence was not reported Licensing within the required timeframe.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Upon request from Licensing, the operation did not furnish or make the requested child record (runaway prevention safety plan) accessible for review.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers were unaware of child's bruising to their eye.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
The following required annual trainings expired in May 2025 for an active employee: Medical Consent, Recognizing and Reporting Child Sexual Abuse, Runaway Prevention, Normalcy, Psychotropic Medication, Trauma Informed Care, and Reporting Child Abuse & Neglect.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Child?s signature or refusal to sign the service plan is missing.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation did not have an updated Unauthorized Absence log during the inspection.		 —
4— 748.4003(1)(C) - General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
A review of personnel records shows that an active employee who transports children in care does not have a state issued driver's license.		 —
3— 748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
5 out of 10 serious incident reports reviewed identified incidents as both serious and reportable but the incidents were not reported to the Texas Abuse & Neglect Hotline.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
3— 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Two employees that were terminated on 1/30/2025 remain active on background checks.		 —
3— 748.463(e) - Unauthorized Absence Eval-results of each overall operation eval for unauth absences must be avb to CCR for review and reproduction upon request
The operation did not have the evaluation of unauthorized absences available for review by Licensing.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
Both incident reports reviewed were missing the staff's role, and one was missing the staff's full name and role.		 —

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

Inspections (192)

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

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