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Moving Forward Treatment Center

Child care center · 7943 FAITHFUL TRL, Dallas, TX 75237-3654 · License 1784695

0Compliance score
Poor

Capacity 8. 10-17

Violation history (256)

Severity	Date	Standard / narrative	Corrected
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Several serious incident reports did not mention what staff did to stop the kids from running from the operation.	—
3	—	748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest The operation's policy states that the staff will open or read the child's incoming or outgoing mail, including electronic mail. The operation also plans to have children conduct their phone calls on speakerphone in the presence of staff.	—
3	—	748.3001(C)(2) - Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us This standard is not addressed in the operation's policy.	—
3	—	748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services The agency's policy does not address the full standard. There is no policy regarding a child's right to medical, dental, vision, and mental health care and developmental services that adequately meet the child?s needs.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The operation will only provide services to female children in care but the policies states that male children to be included.	—
4	—	748.911(c)(2) - Each caregiver must be certified and able to respond to emergencies prior to being the only caregiver counted in ratio. The operation's policy does not state that an employee cannot be counted in the child/caregiver ration until they have obtained their first aid & CPR training.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance This standard is not addressed in the operation's policies.	—
3	—	748.103(b)(1) - Policies and procedures to submit - Related to record keeping, including where records will be located. Operation policy states that they will maintain records for 12. The length of time is not complete and is unknown.	—
2	—	748.345(3) - Electronic records policies - Requirements for routine back-up of data The operation's policies does not address the requirements for backing up the data for electronic records.	—
4	—	748.3283(a)(1) - You must ensure there are no unsafe products at your operation unless product is an antique/collectible and is not used/accessible to any child. This standard is not addressed in the operation's policies.	—
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. This standard is not addressed in the operation's policies and procedures.	—
5	—	748.3361(d) - Bedroom Space-A child may not sleep in the same bed with an adult caregiver at any time This standard is not addressed in the operation's policies.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the five high-risk behaviors documented	—
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 indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the time of inspection, the medication storage was observed to not have a secondary locking mechanism for the psychotropic medications. The medications are stored behind a locked closet door in a filing cabinet that does not lock.	—
4	—	748.121(5) - Abuse and neglect policy - Actions that the parent of a child who is a victim of abuse/neglect should take to obtain assistance & intervention This standard has not been addressed in the operation's policies.	—
5	—	748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes. Teh operation's policy states that a child over the age of nine may be restrained up to one hour.	—
3	—	748.3311(1) - Physical Site-Children under 16 years old must not be permitted to operate a tractor This standard along with 748.3312 are not addressed in the operation's policies.	—
4	—	748.121(4) - Abuse and neglect policy - Strategies for coordination between the operation and appropriate community organizations This standard is not addressed in the operation's policies.	—
3	—	748.881(7) - General pre-service training curriculum-Includes normalcy The operation's policy does not include the preservice training requirements for normalcy.	—
4	—	748.2901(2)(A) - Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance The operation's policy does not fully address this standard. The policy is missing a triggered review must occur if a child is restrained more than 12 times in 30 days.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer During the time of inspection there were 2 theromometers missing out of the 2 red first aid kits for transportation and upstairs living quarters.	—
5	—	748.2501(5)(A) - Emergency Behavior Intervention Orders-Required for mechanical restraint The operation's policy states that mechanical restraints are not allowed but has policies on the use of mechanical restraints.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. The operation's policy do not address whether or not the use of unassigned epinephrine injectors are permitted.	—
3	—	748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available This standard is missing from the operation's policy.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. The operation's policy does not state that unproductive work is prohibited.	—
3	—	748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases The operation does not have a written policy to address vaccine requirements (or lack thereof) for the employees.	—
1	—	748.345(1) - Electronic records policies - What records must be in external paper file and those that can be stored in electronic file The operation's policy does not state which records will be electronic and which records will be in external paper files.	—
5	—	748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously The operation's policy does not meet fully this standard and is missing the information regarding ways a child may file a complaint or make a report.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication The operation's policy does not state that a child's medication record should be updated within two hours of administering a child's medication.	—
3	—	748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan This operation's policy only addresses that a child may be provided with a copy of their service plan but does not address that a child may sign and review their service plan.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child The operation's policy is does not address this standard.	—
4	—	748.121(4) - Abuse and neglect policy - Strategies for coordination between the operation and appropriate community organizations This standard is not addressed in the operation's policies.	—
3	—	748.3311(1) - Physical Site-Children under 16 years old must not be permitted to operate a tractor This standard along with 748.3312 are not addressed in the operation's policies.	—
4	—	748.2901(2)(A) - Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance The operation's policy does not fully address this standard. The policy is missing a triggered review must occur if a child is restrained more than 12 times in 30 days.	—
5	—	748.2501(5)(A) - Emergency Behavior Intervention Orders-Required for mechanical restraint The operation's policy states that mechanical restraints are not allowed but has policies on the use of mechanical restraints.	—
4	—	748.911(c)(2) - Each caregiver must be certified and able to respond to emergencies prior to being the only caregiver counted in ratio. The operation's policy does not state that an employee cannot be counted in the child/caregiver ration until they have obtained their first aid & CPR training.	—
1	—	748.345(1) - Electronic records policies - What records must be in external paper file and those that can be stored in electronic file The operation's policy does not state which records will be electronic and which records will be in external paper files.	—
2	—	748.345(3) - Electronic records policies - Requirements for routine back-up of data The operation's policies does not address the requirements for backing up the data for electronic records.	—
3	—	748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases The operation does not have a written policy to address vaccine requirements (or lack thereof) for the employees.	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The operation will only provide services to female children in care but the policies states that male children to be included.	—
3	—	748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available This standard is missing from the operation's policy.	—
3	—	748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan This operation's policy only addresses that a child may be provided with a copy of their service plan but does not address that a child may sign and review their service plan.	—
5	—	748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously The operation's policy does not meet fully this standard and is missing the information regarding ways a child may file a complaint or make a report.	—
4	—	748.3283(a)(1) - You must ensure there are no unsafe products at your operation unless product is an antique/collectible and is not used/accessible to any child. This standard is not addressed in the operation's policies.	—
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. This standard is not addressed in the operation's policies and procedures.	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Several serious incident reports did not mention what staff did to stop the kids from running from the operation.	—
3	—	748.881(7) - General pre-service training curriculum-Includes normalcy The operation's policy does not include the preservice training requirements for normalcy.	—
4	—	748.121(5) - Abuse and neglect policy - Actions that the parent of a child who is a victim of abuse/neglect should take to obtain assistance & intervention This standard has not been addressed in the operation's policies.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the time of inspection, the medication storage was observed to not have a secondary locking mechanism for the psychotropic medications. The medications are stored behind a locked closet door in a filing cabinet that does not lock.	—
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 indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance This standard is not addressed in the operation's policies.	—
3	—	748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services The agency's policy does not address the full standard. There is no policy regarding a child's right to medical, dental, vision, and mental health care and developmental services that adequately meet the child?s needs.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child The operation's policy is does not address this standard.	—
3	—	748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest The operation's policy states that the staff will open or read the child's incoming or outgoing mail, including electronic mail. The operation also plans to have children conduct their phone calls on speakerphone in the presence of staff.	—
3	—	748.3001(C)(2) - Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us This standard is not addressed in the operation's policy.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication The operation's policy does not state that a child's medication record should be updated within two hours of administering a child's medication.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. The operation's policy do not address whether or not the use of unassigned epinephrine injectors are permitted.	—
5	—	748.3361(d) - Bedroom Space-A child may not sleep in the same bed with an adult caregiver at any time This standard is not addressed in the operation's policies.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the five high-risk behaviors documented	—
5	—	748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes. Teh operation's policy states that a child over the age of nine may be restrained up to one hour.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. The operation's policy does not state that unproductive work is prohibited.	—
3	—	748.103(b)(1) - Policies and procedures to submit - Related to record keeping, including where records will be located. Operation policy states that they will maintain records for 12. The length of time is not complete and is unknown.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer During the time of inspection there were 2 theromometers missing out of the 2 red first aid kits for transportation and upstairs living quarters.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer During the time of inspection there were 2 theromometers missing out of the 2 red first aid kits for transportation and upstairs living quarters.	—
3	—	748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available This standard is missing from the operation's policy.	—
4	—	748.121(5) - Abuse and neglect policy - Actions that the parent of a child who is a victim of abuse/neglect should take to obtain assistance & intervention This standard has not been addressed in the operation's policies.	—
5	—	748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes. Teh operation's policy states that a child over the age of nine may be restrained up to one hour.	—
3	—	748.103(b)(1) - Policies and procedures to submit - Related to record keeping, including where records will be located. Operation policy states that they will maintain records for 12. The length of time is not complete and is unknown.	—
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 indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning	—
3	—	748.109(2) - Admission Policies - include characteristics of the population the program serves The operation will only provide services to female children in care but the policies states that male children to be included.	—
5	—	748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously The operation's policy does not meet fully this standard and is missing the information regarding ways a child may file a complaint or make a report.	—
3	—	748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan This operation's policy only addresses that a child may be provided with a copy of their service plan but does not address that a child may sign and review their 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 Several serious incident reports did not mention what staff did to stop the kids from running from the operation.	—
2	—	748.345(3) - Electronic records policies - Requirements for routine back-up of data The operation's policies does not address the requirements for backing up the data for electronic records.	—
3	—	748.3001(C)(2) - Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us This standard is not addressed in the operation's policy.	—
4	—	748.911(c)(2) - Each caregiver must be certified and able to respond to emergencies prior to being the only caregiver counted in ratio. The operation's policy does not state that an employee cannot be counted in the child/caregiver ration until they have obtained their first aid & CPR training.	—
3	—	748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services The agency's policy does not address the full standard. There is no policy regarding a child's right to medical, dental, vision, and mental health care and developmental services that adequately meet the child?s needs.	—
5	—	748.2501(5)(A) - Emergency Behavior Intervention Orders-Required for mechanical restraint The operation's policy states that mechanical restraints are not allowed but has policies on the use of mechanical restraints.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the five high-risk behaviors documented	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the time of inspection, the medication storage was observed to not have a secondary locking mechanism for the psychotropic medications. The medications are stored behind a locked closet door in a filing cabinet that does not lock.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. The operation's policy does not state that unproductive work is prohibited.	—
4	—	748.3283(a)(1) - You must ensure there are no unsafe products at your operation unless product is an antique/collectible and is not used/accessible to any child. This standard is not addressed in the operation's policies.	—
4	—	748.2901(2)(A) - Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance The operation's policy does not fully address this standard. The policy is missing a triggered review must occur if a child is restrained more than 12 times in 30 days.	—
1	—	748.345(1) - Electronic records policies - What records must be in external paper file and those that can be stored in electronic file The operation's policy does not state which records will be electronic and which records will be in external paper files.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance This standard is not addressed in the operation's policies.	—
3	—	748.881(7) - General pre-service training curriculum-Includes normalcy The operation's policy does not include the preservice training requirements for normalcy.	—
3	—	748.3311(1) - Physical Site-Children under 16 years old must not be permitted to operate a tractor This standard along with 748.3312 are not addressed in the operation's policies.	—
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. This standard is not addressed in the operation's policies and procedures.	—
4	—	748.121(4) - Abuse and neglect policy - Strategies for coordination between the operation and appropriate community organizations This standard is not addressed in the operation's policies.	—
5	—	748.3361(d) - Bedroom Space-A child may not sleep in the same bed with an adult caregiver at any time This standard is not addressed in the operation's policies.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication The operation's policy does not state that a child's medication record should be updated within two hours of administering a child's medication.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child The operation's policy is does not address this standard.	—
5	—	748.2271(1) - Adopt and Implement a written policy that complies with the unassigned epinephrine auto-injector requirements set by DSHS. The operation's policy do not address whether or not the use of unassigned epinephrine injectors are permitted.	—
3	—	748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest The operation's policy states that the staff will open or read the child's incoming or outgoing mail, including electronic mail. The operation also plans to have children conduct their phone calls on speakerphone in the presence of staff.	—
3	—	748.123 - Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases The operation does not have a written policy to address vaccine requirements (or lack thereof) for the employees.	—
1	—	748.345(1) - Electronic records policies - What records must be in external paper file and those that can be stored in electronic file The operation's policy does not state which records will be electronic and which records will be in external paper files.	—
4	—	748.3283(a)(1) - You must ensure there are no unsafe products at your operation unless product is an antique/collectible and is not used/accessible to any child. This standard is not addressed in the operation's policies.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child The operation's policy is does not address this standard.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance This standard is not addressed in the operation's policies.	—

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

Inspections (40)

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

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