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ACH Child and Family Services

Child care center · , TX · License 1779839

0Compliance score
Poor

Capacity 16. 5-17

Violation history (160)

SeverityDateStandard / narrativeCorrected
1— 748.101(3) - Plans to submit - sketch of operation's floor plan
Floor Plan did not include the severe weather shelter locations, or the meeting place for the fire evacuation. This was edited during the inspection.		 Yes
3— 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
One out of four children's rights reviewed did not have a signature for the child. The child was at the operation and signed the form during the inspection.		 Yes
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care timely.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A safe environment was not provided when a child was able to gain access to a medication room, left in the room out of the view of staff, and throw objects stored in the room at staff.		 —
5— 748.105(6) - Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements.
The polices included parents written approval for overnights over 72 hours but did not include overnight visits under 72 hours. Further policy did not include information regarding staff taking children away for personal day or overnight visits. This was corrected on inspection.		 Yes
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plans reviewed had the same supervision requirements, as well as the same generic statements documented.		 —
4— 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member inappropriate intervene when a child would not return to their room. The staff member grabbed the child by the arm and then drugged across the room. The child was then picked up and carried to their room.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Staff members did not intervene, when another staff was using inappropriate discipline techniques that could have caused injury to a child.		 —
3— 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operations policy does not address who will serve on the postvention team or address this standard in the policy.		 —
4— 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
A staff member did not complete EBI training that was due on 04/15/25.		 —
4— 748.2451(a)(4)(A) - Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp
After placing a child in their bedroom, the staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.		 —
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.		 —
5— 748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
One out of one children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.		 —
4— 748.3237(c) - Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
The emergency doors are locked and have a ten second delay when the alarm is set off not allowing the children to easily open the doors.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evaculation plans do not designate where the staff and children are to meet after they leave the building.		 —
2— 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Operation did not administer the medication to the child as instructed. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
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 training curriculum the operation will use to train staff, volunteers or non-employees.		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During walk through of the kitchen food items were found to be expired. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judgement when throwing a bean bag at a child's head.		 —
3— 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
One out of four children's rights reviewed did not have a signature for the child. The child was at the operation and signed the form during the inspection.		 Yes
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.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Operation did not administer the medication to the child as instructed. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
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 training curriculum the operation will use to train staff, volunteers or non-employees.		 —
1— 748.101(3) - Plans to submit - sketch of operation's floor plan
Floor Plan did not include the severe weather shelter locations, or the meeting place for the fire evacuation. This was edited during the inspection.		 Yes
4— 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
A staff member did not complete EBI training that was due on 04/15/25.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evaculation plans do not designate where the staff and children are to meet after they leave the building.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A safe environment was not provided when a child was able to gain access to a medication room, left in the room out of the view of staff, and throw objects stored in the room at staff.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care timely.		 —
3— 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operations policy does not address who will serve on the postvention team or address this standard in the policy.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judgement when throwing a bean bag at a child's head.		 —
5— 748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
One out of one children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.		 —
4— 748.2451(a)(4)(A) - Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp
After placing a child in their bedroom, the staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.		 —
4— 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member inappropriate intervene when a child would not return to their room. The staff member grabbed the child by the arm and then drugged across the room. The child was then picked up and carried to their room.		 —
4— 748.3237(c) - Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
The emergency doors are locked and have a ten second delay when the alarm is set off not allowing the children to easily open the doors.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Staff members did not intervene, when another staff was using inappropriate discipline techniques that could have caused injury to a child.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plans reviewed had the same supervision requirements, as well as the same generic statements documented.		 —
2— 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy.		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During walk through of the kitchen food items were found to be expired. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
5— 748.105(6) - Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements.
The polices included parents written approval for overnights over 72 hours but did not include overnight visits under 72 hours. Further policy did not include information regarding staff taking children away for personal day or overnight visits. This was corrected on inspection.		 Yes
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care timely.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Operation did not administer the medication to the child as instructed. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A safe environment was not provided when a child was able to gain access to a medication room, left in the room out of the view of staff, and throw objects stored in the room at staff.		 —
5— 748.105(6) - Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements.
The polices included parents written approval for overnights over 72 hours but did not include overnight visits under 72 hours. Further policy did not include information regarding staff taking children away for personal day or overnight visits. This was corrected on inspection.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judgement when throwing a bean bag at a child's head.		 —
3— 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
One out of four children's rights reviewed did not have a signature for the child. The child was at the operation and signed the form during the inspection.		 Yes
4— 748.2451(a)(4)(A) - Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp
After placing a child in their bedroom, the staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.		 —
5— 748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
One out of one children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.		 —
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.		 —
4— 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
A staff member did not complete EBI training that was due on 04/15/25.		 —
3— 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operations policy does not address who will serve on the postvention team or address this standard in the policy.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Staff members did not intervene, when another staff was using inappropriate discipline techniques that could have caused injury to a child.		 —
1— 748.101(3) - Plans to submit - sketch of operation's floor plan
Floor Plan did not include the severe weather shelter locations, or the meeting place for the fire evacuation. This was edited during the inspection.		 Yes
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During walk through of the kitchen food items were found to be expired. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
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 training curriculum the operation will use to train staff, volunteers or non-employees.		 —
4— 748.3237(c) - Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
The emergency doors are locked and have a ten second delay when the alarm is set off not allowing the children to easily open the doors.		 —
4— 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member inappropriate intervene when a child would not return to their room. The staff member grabbed the child by the arm and then drugged across the room. The child was then picked up and carried to their room.		 —
2— 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plans reviewed had the same supervision requirements, as well as the same generic statements documented.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evaculation plans do not designate where the staff and children are to meet after they leave the building.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Staff members did not intervene, when another staff was using inappropriate discipline techniques that could have caused injury to a child.		 —
4— 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member inappropriate intervene when a child would not return to their room. The staff member grabbed the child by the arm and then drugged across the room. The child was then picked up and carried to their room.		 —
5— 748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
One out of one children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Operation did not administer the medication to the child as instructed. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evaculation plans do not designate where the staff and children are to meet after they leave the building.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plans reviewed had the same supervision requirements, as well as the same generic statements documented.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care timely.		 —
4— 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
A staff member did not complete EBI training that was due on 04/15/25.		 —
1— 748.101(3) - Plans to submit - sketch of operation's floor plan
Floor Plan did not include the severe weather shelter locations, or the meeting place for the fire evacuation. This was edited during the inspection.		 Yes
4— 748.2451(a)(4)(A) - Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp
After placing a child in their bedroom, the staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.		 —
3— 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operations policy does not address who will serve on the postvention team or address this standard in the policy.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A safe environment was not provided when a child was able to gain access to a medication room, left in the room out of the view of staff, and throw objects stored in the room at staff.		 —
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— 748.125(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 training curriculum the operation will use to train staff, volunteers or non-employees.		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During walk through of the kitchen food items were found to be expired. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judgement when throwing a bean bag at a child's head.		 —
5— 748.105(6) - Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements.
The polices included parents written approval for overnights over 72 hours but did not include overnight visits under 72 hours. Further policy did not include information regarding staff taking children away for personal day or overnight visits. This was corrected on inspection.		 Yes
3— 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
One out of four children's rights reviewed did not have a signature for the child. The child was at the operation and signed the form during the inspection.		 Yes
4— 748.3237(c) - Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
The emergency doors are locked and have a ten second delay when the alarm is set off not allowing the children to easily open the doors.		 —
2— 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy.		 —
4— 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member inappropriate intervene when a child would not return to their room. The staff member grabbed the child by the arm and then drugged across the room. The child was then picked up and carried to their room.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Operation did not administer the medication to the child as instructed. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During walk through of the kitchen food items were found to be expired. Follow-up update 01/16/2026, the operation has corrected the deficiencies.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plans reviewed had the same supervision requirements, as well as the same generic statements documented.		 —
1— 748.101(3) - Plans to submit - sketch of operation's floor plan
Floor Plan did not include the severe weather shelter locations, or the meeting place for the fire evacuation. This was edited during the inspection.		 Yes
4— 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
A staff member did not complete EBI training that was due on 04/15/25.		 —
2— 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy.		 —
4— 748.2451(a)(4)(A) - Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp
After placing a child in their bedroom, the staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care timely.		 —
4— 748.3237(c) - Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
The emergency doors are locked and have a ten second delay when the alarm is set off not allowing the children to easily open the doors.		 —
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 training curriculum the operation will use to train staff, volunteers or non-employees.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evaculation plans do not designate where the staff and children are to meet after they leave the building.		 —
5— 748.105(6) - Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements.
The polices included parents written approval for overnights over 72 hours but did not include overnight visits under 72 hours. Further policy did not include information regarding staff taking children away for personal day or overnight visits. This was corrected on inspection.		 Yes
3— 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
One out of four children's rights reviewed did not have a signature for the child. The child was at the operation and signed the form during the inspection.		 Yes
5— 748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
One out of one children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Staff members did not intervene, when another staff was using inappropriate discipline techniques that could have caused injury to a child.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judgement when throwing a bean bag at a child's head.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A safe environment was not provided when a child was able to gain access to a medication room, left in the room out of the view of staff, and throw objects stored in the room at staff.		 —
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— 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operations policy does not address who will serve on the postvention team or address this standard in the policy.		 —

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

Inspections (80)

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

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