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Serving Children and Adults

Child care center · , TX · License 522278

0Compliance score
Poor

Capacity 16. 0-17

Violation history (176)

SeverityDateStandard / narrativeCorrected
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
EBI quarterly report not submitted within required time frame.
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
Initial service plan did not include signatures of all members involved in the development of the service plan. Signatures missing included the child in care as well as the service provider.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Four employee files did not contain suicide prevention annual training and one employee file had incomplete annual training records.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
One employee file did not have the require two references.
4 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation did not report suicide attempt of a child to licensing.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
16 year old and 17 year old youths in care engaged in sexual activity due to lack of supervision by caregiver.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver failed to perform after hours supervision checks as required in the child service plan.
4 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Bottle of brake fluid found in transportation vehicle accessible to children.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Bruises to child were not documented in an incident report.
5 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
Prone restraint lasted more than one minute.
5 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
Caregiver placed child?s arm behind back during a restraint.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Child was admitted to the emergency room due to a non-critical illness. Due to child?s age and vulnerability, a serious incident report should have been completed.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
A new hire file is missing reference checks.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Topical medications (vicks vapor rub and arnica gel) located on table in the main common area accessible to children in care.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
Health inspection is expired.
1 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no weekly updates on the discharge plan after the first month for a child in placement for 5 months.
1 748.4211(b) - Placement Extension-child's record must include documentation of additional continuations every 30 days after initial documentation by 16th day
Only 2 of the 4 continuations were documented for a child in emergency placement for five months. T
3 748.2851(c)(1) - EBI Follow-Up-Caregivers involved in EBI must debrief with each other about incident as soon as possible after situation has stabilized
Caregivers did not debrief with each other or with child who witness restraint after incident.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
Staff did not obtain consent from child?s medical consenter to administer prescribed medication.
3 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
First aid kits in transportation vehicles and operations were missing items.
4 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Medication administered to child did not have include all required medication documentation.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Severe weather drills are not being conducted as required per minimum standards.
5 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
Prone restraint lasted more than one minute.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Severe weather drills are not being conducted as required per minimum standards.
4 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Bottle of brake fluid found in transportation vehicle accessible to children.
1 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no weekly updates on the discharge plan after the first month for a child in placement for 5 months.
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
Initial service plan did not include signatures of all members involved in the development of the service plan. Signatures missing included the child in care as well as the service provider.
4 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Medication administered to child did not have include all required medication documentation.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Bruises to child were not documented in an incident report.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver failed to perform after hours supervision checks as required in the child service plan.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
Staff did not obtain consent from child?s medical consenter to administer prescribed medication.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Child was admitted to the emergency room due to a non-critical illness. Due to child?s age and vulnerability, a serious incident report should have been completed.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
Health inspection is expired.
3 748.2851(c)(1) - EBI Follow-Up-Caregivers involved in EBI must debrief with each other about incident as soon as possible after situation has stabilized
Caregivers did not debrief with each other or with child who witness restraint after incident.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Topical medications (vicks vapor rub and arnica gel) located on table in the main common area accessible to children in care.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
EBI quarterly report not submitted within required time frame.
4 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation did not report suicide attempt of a child to licensing.
5 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
Caregiver placed child?s arm behind back during a restraint.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Four employee files did not contain suicide prevention annual training and one employee file had incomplete annual training records.
1 748.4211(b) - Placement Extension-child's record must include documentation of additional continuations every 30 days after initial documentation by 16th day
Only 2 of the 4 continuations were documented for a child in emergency placement for five months. T
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
One employee file did not have the require two references.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
A new hire file is missing reference checks.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
16 year old and 17 year old youths in care engaged in sexual activity due to lack of supervision by caregiver.
3 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
First aid kits in transportation vehicles and operations were missing items.
3 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
First aid kits in transportation vehicles and operations were missing items.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
16 year old and 17 year old youths in care engaged in sexual activity due to lack of supervision by caregiver.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Child was admitted to the emergency room due to a non-critical illness. Due to child?s age and vulnerability, a serious incident report should have been completed.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Bruises to child were not documented in an incident report.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
A new hire file is missing reference checks.
3 748.2851(c)(1) - EBI Follow-Up-Caregivers involved in EBI must debrief with each other about incident as soon as possible after situation has stabilized
Caregivers did not debrief with each other or with child who witness restraint after incident.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
One employee file did not have the require two references.
5 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
Caregiver placed child?s arm behind back during a restraint.
4 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Medication administered to child did not have include all required medication documentation.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Severe weather drills are not being conducted as required per minimum standards.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
Staff did not obtain consent from child?s medical consenter to administer prescribed medication.
4 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Bottle of brake fluid found in transportation vehicle accessible to children.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Topical medications (vicks vapor rub and arnica gel) located on table in the main common area accessible to children in care.
1 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no weekly updates on the discharge plan after the first month for a child in placement for 5 months.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Four employee files did not contain suicide prevention annual training and one employee file had incomplete annual training records.
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
Initial service plan did not include signatures of all members involved in the development of the service plan. Signatures missing included the child in care as well as the service provider.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
EBI quarterly report not submitted within required time frame.
1 748.4211(b) - Placement Extension-child's record must include documentation of additional continuations every 30 days after initial documentation by 16th day
Only 2 of the 4 continuations were documented for a child in emergency placement for five months. T
5 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
Prone restraint lasted more than one minute.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
Health inspection is expired.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver failed to perform after hours supervision checks as required in the child service plan.
4 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation did not report suicide attempt of a child to licensing.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
One employee file did not have the require two references.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
Staff did not obtain consent from child?s medical consenter to administer prescribed medication.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver failed to perform after hours supervision checks as required in the child service plan.
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
Initial service plan did not include signatures of all members involved in the development of the service plan. Signatures missing included the child in care as well as the service provider.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Severe weather drills are not being conducted as required per minimum standards.
4 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation did not report suicide attempt of a child to licensing.
3 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
First aid kits in transportation vehicles and operations were missing items.
4 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Bottle of brake fluid found in transportation vehicle accessible to children.
1 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no weekly updates on the discharge plan after the first month for a child in placement for 5 months.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
EBI quarterly report not submitted within required time frame.
3 748.2851(c)(1) - EBI Follow-Up-Caregivers involved in EBI must debrief with each other about incident as soon as possible after situation has stabilized
Caregivers did not debrief with each other or with child who witness restraint after incident.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Child was admitted to the emergency room due to a non-critical illness. Due to child?s age and vulnerability, a serious incident report should have been completed.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Four employee files did not contain suicide prevention annual training and one employee file had incomplete annual training records.
3 748.303(b) - Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
Bruises to child were not documented in an incident report.
5 748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
Prone restraint lasted more than one minute.
4 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Medication administered to child did not have include all required medication documentation.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
Health inspection is expired.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
16 year old and 17 year old youths in care engaged in sexual activity due to lack of supervision by caregiver.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Topical medications (vicks vapor rub and arnica gel) located on table in the main common area accessible to children in care.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
A new hire file is missing reference checks.
1 748.4211(b) - Placement Extension-child's record must include documentation of additional continuations every 30 days after initial documentation by 16th day
Only 2 of the 4 continuations were documented for a child in emergency placement for five months. T
5 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
Caregiver placed child?s arm behind back during a restraint.
4 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Bottle of brake fluid found in transportation vehicle accessible to children.
4 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
Health inspection is expired.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
A new hire file is missing reference checks.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Four employee files did not contain suicide prevention annual training and one employee file had incomplete annual training records.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Severe weather drills are not being conducted as required per minimum standards.
1 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no weekly updates on the discharge plan after the first month for a child in placement for 5 months.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
One employee file did not have the require two references.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
16 year old and 17 year old youths in care engaged in sexual activity due to lack of supervision by caregiver.
5 748.2605(a)(5) - Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
Caregiver placed child?s arm behind back during a restraint.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Topical medications (vicks vapor rub and arnica gel) located on table in the main common area accessible to children in care.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
Staff did not obtain consent from child?s medical consenter to administer prescribed medication.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver failed to perform after hours supervision checks as required in the child service plan.

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

Inspections (64)

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

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