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right at home care 2 Inc.

Child care center · , TX · License 1786553

0Compliance score
Poor

Capacity 11. 6-17

Violation history (136)

SeverityDateStandard / narrativeCorrected
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 Yes
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection, an admission assessment, a preliminary service plan, and the facilities evacuation route contained inaccurate information.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Multiple service plans were not signed or dated by the children in care.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver stated that they "dozed off" during a time that they were in charge of supervising children.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 Yes
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver stated that they "dozed off" during a time that they were in charge of supervising children.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Multiple service plans were not signed or dated by the children in care.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection, an admission assessment, a preliminary service plan, and the facilities evacuation route contained inaccurate information.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection, an admission assessment, a preliminary service plan, and the facilities evacuation route contained inaccurate information.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 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
Multiple service plans were not signed or dated by the children in care.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver stated that they "dozed off" during a time that they were in charge of supervising children.		 —
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 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
Multiple service plans were not signed or dated by the children in care.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection, an admission assessment, a preliminary service plan, and the facilities evacuation route contained inaccurate information.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver stated that they "dozed off" during a time that they were in charge of supervising children.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 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
Multiple service plans were not signed or dated by the children in care.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection, an admission assessment, a preliminary service plan, and the facilities evacuation route contained inaccurate information.		 —
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver stated that they "dozed off" during a time that they were in charge of supervising children.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
5— 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A staff involved in the incident did not make themselves available to be interviewed for the investigation. The staff was attempted to be contacted on 1.29.26, 1.30.26, 2.3.26, and 2.4.26. The operation was contacted on 1.29.26 to have the staff return their call. No attempts were successful.		 —
3— 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
A child in care did not receive a suicide screening every thirty days.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
A staff threatened to physically assault a child in care.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Multiple service plans were not signed or dated by the children in care.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
During the inspection, the monthly menu did not list the snacks provided by the operation.		 —
4— 748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
Upon reviewing medication logs, multiple medication logs were observed to not have the reason for medication being prescribed.		 —
3— 748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
When reviewing the policies and procedures, this policy was not created.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, it was determined that a caregiver argued with a child in care and used inappropriate language.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Two children's prescribed medication did not have an accurate count of medication.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication record does not match the count of the pills.		 —
1— 748.1209(b)(9) - Child Orientation-Include policies on the educational program
Upon reviewing the orientation given to the child upon admission, the education programs the facility provides was not found in handbook.		 —
1— 748.1217(c)(1) - Admission Assessment-Prior to initial service plan, add child's social history
Admission Assessments did not include children's home environments and family function, the children's birth and neonatal history, and the child's social history.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff lacked self-control when they had to be held back from engaging with a child during an altercation. Additionally, during the same incident, the same staff used inappropriate language towards the child.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
PLSP signature or dates were not found in multiple service plans.		 —
3— 748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
The bathroom was observed with nothing for the children to use to dry their hands.		 Yes

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

Inspections (80)

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

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