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Dawn Rise RTC

Child care center · 4018 DAWN RISE CT, Fresno, TX 77545-7016 · License 1786371

0Compliance score
Poor

Capacity 10. 6-17

Violation history (224)

SeverityDateStandard / narrativeCorrected
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
Monthly Drill record does not include the type of drill being conducted.
4 748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration
The operation does not have provisions to store medication that requires refrigeration.
3 748.111(14) - Child-care policy - Procedures for routine and emergency diagnosis, including treatment of medical and dental problems
The operation policy and procedure manual does not state whether it offers a religious program or not.
4 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation plan does not have a designated location outside the operation.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff applicant was present at the operation and in the presence of children in care before the operation received an eligible background check determination.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The evacuation plan does not have a designated location inside the operation.
4 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
The emergency evacuation plan was not posted during inspection.
Yes
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The discharge summary is not available for review.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that a caregiver was not in a position to visually supervise children in care leading to the children leaving the operation.
3 748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The Resident Director position with job description does not exist in witting or on the organization chart. Lead Resident Assistant position does not exist on the organization chart.
2 748.111(6) - Child-care policy - Personal possessions a child is or is not allowed to have, where stored, and search policies
The operation policy and procedure manual does not designate a location for possessions to be stored that are prohibited.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
The operation policy and procedure does not have Minimum Standard 748.105(3) procedure implemented.
3 748.105(2) - Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
The Chief Executive Officer position does not have a written minimum qualifications outlined in the operation's policy and procedure manual.
5 748.125(e)(1)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
The operation policy and procedure manual is missing this component / section.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
The operation policy and procedure manual does not describe how random drug testing will be conducted.
2 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The 'Keeping Children Safe' sign was not posted during inspection.
Yes
4 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
The operation policy and procedure manual is missing the following component / section. 748.125(f)1, 2, A, B, C and 3.
4 748.125(d)(3) - Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements.
The operation policy and procedure manual is missing this component / section.
2 748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
The operations policy manual does not make TB testing a qualification or requirement for volunteers.
2 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operation policy and procedure manual is missing this component / section.
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
The operation policy does not state how long the training will be or indicate the training will be instructor led. As well as 748.125(c)(1)(A) The risk factors, protective factors, and warning signs of suicide.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Corrected at inspection by the case manager, admended the medication log after auditing the medication count.
Yes
5 748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
The operation policy and procedure manual must specify how soon the child will be sent to the LPC for a suicide risk assessment
2 748.111(4) - Child-care policy - Child's right to receive and give gifts
The operation policy and procedure manual states residents are not able to give gifts to friends, employees, or other residents in while in care.
3 748.125(d)(6) - Suicide Screening- Must be documented.
The operation policy and procedure manual is missing this component / section.
4 748.125(e)(2)(A) - You must refer a child to a MH professional within 24hrs for a suicide risk assessment if screening finds child to be a potential risk for suicide.
The operation policy and procedure manual must specify how soon the child will be seen by the LPC for a suicide risk assessment.
3 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operation policy and procedure manual is missing this component / section. 748.125(g)(1)(B)(I thru VI)(iii) 748.125(g)(2),(B),(D), E( i)(ii) and (F)
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
One upstairs bedroom would require occupants to cross the game room to the bathroom.
4 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
The operation policy and procedure manual is missing the following component / section. 748.125(f)1, 2, A, B, C and 3.
4 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation plan does not have a designated location outside the operation.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
Monthly Drill record does not include the type of drill being conducted.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Corrected at inspection by the case manager, admended the medication log after auditing the medication count.
Yes
2 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The 'Keeping Children Safe' sign was not posted during inspection.
Yes
5 748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
The operation policy and procedure manual must specify how soon the child will be sent to the LPC for a suicide risk assessment
3 748.125(d)(6) - Suicide Screening- Must be documented.
The operation policy and procedure manual is missing this component / section.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
The operation policy and procedure does not have Minimum Standard 748.105(3) procedure implemented.
4 748.125(e)(2)(A) - You must refer a child to a MH professional within 24hrs for a suicide risk assessment if screening finds child to be a potential risk for suicide.
The operation policy and procedure manual must specify how soon the child will be seen by the LPC for a suicide risk assessment.
2 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operation policy and procedure manual is missing this component / section.
2 748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
The operations policy manual does not make TB testing a qualification or requirement for volunteers.
2 748.111(4) - Child-care policy - Child's right to receive and give gifts
The operation policy and procedure manual states residents are not able to give gifts to friends, employees, or other residents in while in care.
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
One upstairs bedroom would require occupants to cross the game room to the bathroom.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
The operation policy and procedure manual does not describe how random drug testing will be conducted.
3 748.111(14) - Child-care policy - Procedures for routine and emergency diagnosis, including treatment of medical and dental problems
The operation policy and procedure manual does not state whether it offers a religious program or not.
5 748.125(e)(1)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
The operation policy and procedure manual is missing this component / section.
3 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operation policy and procedure manual is missing this component / section. 748.125(g)(1)(B)(I thru VI)(iii) 748.125(g)(2),(B),(D), E( i)(ii) and (F)
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
The operation policy does not state how long the training will be or indicate the training will be instructor led. As well as 748.125(c)(1)(A) The risk factors, protective factors, and warning signs of suicide.
3 748.105(2) - Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
The Chief Executive Officer position does not have a written minimum qualifications outlined in the operation's policy and procedure manual.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The evacuation plan does not have a designated location inside the operation.
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The discharge summary is not available for review.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff applicant was present at the operation and in the presence of children in care before the operation received an eligible background check determination.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that a caregiver was not in a position to visually supervise children in care leading to the children leaving the operation.
4 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
The emergency evacuation plan was not posted during inspection.
Yes
4 748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration
The operation does not have provisions to store medication that requires refrigeration.
2 748.111(6) - Child-care policy - Personal possessions a child is or is not allowed to have, where stored, and search policies
The operation policy and procedure manual does not designate a location for possessions to be stored that are prohibited.
3 748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The Resident Director position with job description does not exist in witting or on the organization chart. Lead Resident Assistant position does not exist on the organization chart.
4 748.125(d)(3) - Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements.
The operation policy and procedure manual is missing this component / section.
3 748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The Resident Director position with job description does not exist in witting or on the organization chart. Lead Resident Assistant position does not exist on the organization chart.
2 748.111(6) - Child-care policy - Personal possessions a child is or is not allowed to have, where stored, and search policies
The operation policy and procedure manual does not designate a location for possessions to be stored that are prohibited.
3 748.125(d)(6) - Suicide Screening- Must be documented.
The operation policy and procedure manual is missing this component / section.
3 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operation policy and procedure manual is missing this component / section. 748.125(g)(1)(B)(I thru VI)(iii) 748.125(g)(2),(B),(D), E( i)(ii) and (F)
4 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
The operation policy and procedure manual is missing the following component / section. 748.125(f)1, 2, A, B, C and 3.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
The operation policy and procedure does not have Minimum Standard 748.105(3) procedure implemented.
5 748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
The operation policy and procedure manual must specify how soon the child will be sent to the LPC for a suicide risk assessment
4 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
The emergency evacuation plan was not posted during inspection.
Yes
4 748.125(e)(2)(A) - You must refer a child to a MH professional within 24hrs for a suicide risk assessment if screening finds child to be a potential risk for suicide.
The operation policy and procedure manual must specify how soon the child will be seen by the LPC for a suicide risk assessment.
5 748.125(e)(1)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
The operation policy and procedure manual is missing this component / section.
4 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation plan does not have a designated location outside the operation.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff applicant was present at the operation and in the presence of children in care before the operation received an eligible background check determination.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The evacuation plan does not have a designated location inside the operation.
4 748.125(d)(3) - Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements.
The operation policy and procedure manual is missing this component / section.
4 748.2101(4) - Medication Storage-make provisions for storing medication that requires refrigeration
The operation does not have provisions to store medication that requires refrigeration.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Corrected at inspection by the case manager, admended the medication log after auditing the medication count.
Yes
2 748.125(d)(5) - Suicide Screening- Must be performed in a manner that protects the child?s privacy.
The operation policy and procedure manual is missing this component / section.
3 748.111(14) - Child-care policy - Procedures for routine and emergency diagnosis, including treatment of medical and dental problems
The operation policy and procedure manual does not state whether it offers a religious program or not.
2 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The 'Keeping Children Safe' sign was not posted during inspection.
Yes
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
One upstairs bedroom would require occupants to cross the game room to the bathroom.
2 748.111(4) - Child-care policy - Child's right to receive and give gifts
The operation policy and procedure manual states residents are not able to give gifts to friends, employees, or other residents in while in care.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
Monthly Drill record does not include the type of drill being conducted.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
The operation policy and procedure manual does not describe how random drug testing will be conducted.
3 748.105(2) - Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
The Chief Executive Officer position does not have a written minimum qualifications outlined in the operation's policy and procedure manual.
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The discharge summary is not available for review.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that a caregiver was not in a position to visually supervise children in care leading to the children leaving the operation.
2 748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
The operations policy manual does not make TB testing a qualification or requirement for volunteers.
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
The operation policy does not state how long the training will be or indicate the training will be instructor led. As well as 748.125(c)(1)(A) The risk factors, protective factors, and warning signs of suicide.
3 748.125(d)(6) - Suicide Screening- Must be documented.
The operation policy and procedure manual is missing this component / section.
5 748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
The operation policy and procedure manual must specify how soon the child will be sent to the LPC for a suicide risk assessment
4 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
The emergency evacuation plan was not posted during inspection.
Yes
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
Monthly Drill record does not include the type of drill being conducted.
5 748.125(e)(1)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
The operation policy and procedure manual is missing this component / section.
4 748.125(e)(2)(A) - You must refer a child to a MH professional within 24hrs for a suicide risk assessment if screening finds child to be a potential risk for suicide.
The operation policy and procedure manual must specify how soon the child will be seen by the LPC for a suicide risk assessment.
2 748.111(6) - Child-care policy - Personal possessions a child is or is not allowed to have, where stored, and search policies
The operation policy and procedure manual does not designate a location for possessions to be stored that are prohibited.
4 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The evacuation plan does not have a designated location outside the operation.
3 748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The Resident Director position with job description does not exist in witting or on the organization chart. Lead Resident Assistant position does not exist on the organization chart.
2 748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
The operations policy manual does not make TB testing a qualification or requirement for volunteers.
2 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The 'Keeping Children Safe' sign was not posted during inspection.
Yes
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The discharge summary is not available for review.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
The operation policy and procedure does not have Minimum Standard 748.105(3) procedure implemented.
3 748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operation policy and procedure manual is missing this component / section. 748.125(g)(1)(B)(I thru VI)(iii) 748.125(g)(2),(B),(D), E( i)(ii) and (F)
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
The operation policy does not state how long the training will be or indicate the training will be instructor led. As well as 748.125(c)(1)(A) The risk factors, protective factors, and warning signs of suicide.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff applicant was present at the operation and in the presence of children in care before the operation received an eligible background check determination.

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

Inspections (32)

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

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