Capacity 30. 9-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.3365(a) - Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
During the walk-through, a child was observed lying on his mattress that was located on the floor in his room. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, a hole was located behind the door in the unisex shower bathroom. The operation did not have a work order for this damage. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection child records were requested; however, a child service plan was requested at the beginning of the inspection, 9:30 am, however, it wasn't received until 11:45 am. Although, the child's folder was provided at the beginning of the inspection, the service plan was not included. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
During the initial inspection, one of five child records reviewed was missing the reason medication was prescribed. |
— |
| 4 | — |
748.125(d)(2) - Suicide Screening- Suicide risk screening tools must be supported by evidence-based research.
The suicide policy did not indicated which screening tool the operation would be utilizing. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Two of the four child records reviewed failed to indicate the reason for the placement on the Placement Agreement. |
— |
| 3 | — |
748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
During the walk-through, the freezer thermometer indicated the freezer was ten degrees Fahrenheit. The thermometer log on the outside of the freezer indicated the temperatures on several days was not in range. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A child's medication record for a prescription medication indicated the dosage was increased to 2 pills every night beginning on 2/12/2025. The child was only administered 2 pills on that evening. The following days from 2/12/2025 to 2/24/2025, the child was administered 1 pill despite the documented medication changes. |
— |
| 2 | — |
748.1439(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
The mock discharge summary was missing the following information required for 1439(b)(1)(A)-(F). (1) A written discharge summary, which must include]: (A) Services provided to the child while in your care; (B) Accomplishments of the child while in your care; (C) An assessment of the child?s remaining needs (D) Recommendations about the services to meet the child?s remaining needs; (E) Support resources for the child, including telephone numbers and addresses; and (F) Aftercare plans and recommendations for the child, including medical, psychiatric, psychological, dental, educational, and social appointments |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
The tobacco products and E-Cigarettes policy prohibits the use of drugs, alcohol, and tobacco; however, it does not prohibit the possession of these products. |
— |
| 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.
Two of the three records reviewed failed to have reference checks completed by unrelated individuals. Both records included two reference checks completed by relatives. |
— |
| 3 | — |
748.111(15) - Child-care policy - Routine health care relating to pregnancy and childbirth, if you admit or care for a pregnant child
The child care policy does not indicate whether the operation admits or cares for a pregnant child. |
— |
| 4 | — |
748.121(3) - Abuse and neglect policy - Methods for increasing employee awareness of prevention techniques for child abuse and neglect
The abuse and neglect policy does not include methods for increasing employee awareness of prevention techniques for child abuse and neglect. |
— |
| 3 | — |
748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
One of the four child records reviewed did not include a TB test exam or results for a child in care. |
— |
| 3 | — |
748.125(d)(1) - Your policy must describe the suicide risk screening tool that you will use and the process for implementing the screenings.
The operation did not indicate which suicide screening tool the operation will utilize in the policy. |
— |
| 3 | — |
748.3239(a)(3) - Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes
The review of the fire drill revealed that there was no designated meeting place established for the drill. |
— |
| 3 | — |
748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Out of the five child records reviewed, three did not have the necessary suicide screenings documented. |
— |
| 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 does not have a formal policy regarding drug testing. The operation provided a drug and alcohol testing consent form. |
— |
| 3 | — |
748.105(9) - Personnel Policies - Must require those with access to information about a child be informed of their responsibility to maintain confidentiality.
There is a form included in the policies for the specified individuals to sign stating they will not disclose any information regarding children in care, however, the document does not include an explanation any form of explanation that the children's confidentiality is protected by law, and it is their obligation to maintain and protect that privacy. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
Two of the four staff folders reviewed had the Pre-Employment Screening Template that indicated names of former employers with their prospective telephone numbers and titles. There was no indication that these individuals have been contacted and due to no results of the contacts. |
— |
| 2 | — |
748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
While reviewing employee records, one of the four records reviewed indicated three attempts were made to contact a previous employer during the same time frame each day. Documentation in the file indicated an email would be sent to the previous employer to request a reference; however, there was no documentation that an email had been sent. |
— |
| 3 | — |
748.107(2) - Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
The policy failed to state that the majority of members of the governing body must consist of persons who do not have a conflict of interest. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the investigation, a staff member admitted to assisting the victim child in exiting the operation without verifying the child was under continued supervision, resulting in the child with known running behaviors leaving the grounds and running away. |
— |
| 3 | — |
748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
Upon reviewing the children's records, it was found that four out of five children did not have a tuberculosis (TB) test on file. |
— |
| 3 | — |
748.123(7) - Vaccine preventable policy - outline how you will maintain written or electronic records of employee compliance with policy
The operation requires the forms; however, they do not indicate how they will maintain the records. |
— |
| 2 | — |
748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
During the monitoring inspection, it was noted that three of five records reviewed were missing immunization records. |
— |
| 3 | — |
748.113(5)(A)(ix) - EBI policy - for orientation, explain and document the process for making written comments after an EBI
The policy did not include the process for a child to make written comments after an EBI. |
— |
| 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.
During the walk-through, a closet containing several chemicals was observed unlocked and accessible to children in the laundry room. |
Yes |
| 3 | — |
748.1207(b) - Placement agreement - Must be signed by parent
One of the four child records reviewed was missing a parent signature on the placement agreement. |
— |
| 3 | — |
748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
During the inspection, I observed a child in care was arrested on 2/8/25, and the operation failed to report this incident to the hotline. |
— |
| 3 | — |
748.363(9) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
Two staff folders did not have a signed and dated form indicating that an employee must immediately report any suspected incident of child abuse, neglect and exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or designee. |
— |
| 1 | — |
748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
Four of the four records reviewed did not include documentation that invites to service plan meetings were sent to the child's parent. |
— |
| 3 | — |
748.107(1) - Conflict of interest policies - Code of conduct on the relationship between owners, employees, contractors, children, & families
There is a policy related to code of conduct, however, it does not include the parameters for entering into financial relationships or transactions. |
— |
| 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.
All staff folders reviewed included the name of references with their prospective telephone numbers and titles. There was no indication that these individuals have been contacted and due to no results of the contacts. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Upon reviewing the records of children, it was found that none of the five records had a preliminary service plan completed within 72 hours of placement. |
— |
| 4 | — |
748.121(4) - Abuse and neglect policy - Strategies for coordination between the operation and appropriate community organizations
The abuse and neglect policy did not include strategies for coordinating between the operation and appropriate community organizations. |
— |
| 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.
The operation failed to report the quarterly EBI data timely. |
— |
| 3 | — |
748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
Upon inspection of the two first aid kits, it was found that one kit lacked a guide for the emergency contents. |
Yes |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
During the standard by standard it was observed there was no mock preliminarily service plan. |
— |
| 3 | — |
748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
During the inspection, I observed all fire extinguishers mounted for emergency use were due for maintenance in January 2025, All extinguishers were 12 days overdue for maintenance. |
— |
| 1 | — |
748.3351(4) - Interior Space-provide bedrooms with at least one window with outside exposure to natural light
During the inspection one of the bedrooms windows had a window that was painted and did not provide natural lighting. |
— |
| 4 | — |
748.113(8) - EBI policy - Training for emergency behavior intervention
The EBI policy states that the operation uses CPI, however, they do not include a descriptor of the curriculum for the system. |
— |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
A child's prescription medications were not stored in the original medication bottle. The child was discharged on 2/24/2025 from the operation, then temporarily re-admitted to the operation. During the discharge, all medication bottles were returned to the CVS worker. When the child was re-admitted, the operation staff accepted medications provided in a pill reminder box and not the original packaging. |
— |
| 4 | — |
748.113(3) - EBI policy - the qualifications for caregivers who assume the responsibility for EBI implementation
The EBI policy did not include the qualifications for caregivers who assume the responsibility for EBI implementation. |
— |
| 3 | — |
748.125(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The operation created a Postvention Team, written action plan and protocols, however, they did not indicate the specific job titles of each individual included on the postvention team. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223
Upon reviewing children's records, one out of five records did not have a current medical appointment. |
— |
| 3 | — |
748.113(5)(A)(viii) - EBI policy - for orientation, explain and document to a child the way to provide voluntary comments during or after an EBI
The policy failed to include how the operation will explain and document to a child the way to provide voluntary comments during or after an EBI. |
— |
| 3 | — |
748.363(8) - Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
Two of the four staff folders reviewed did not have a statement dated and signed indicating the individual has read a copy of the operational policies. |
— |
| 2 | — |
748.111(8) - Child-care policy - Any religious program or activity you offer, including whether children must participate
The child care policy does not indicate whether the operation offers any religious programs or activities, or whether children must participate. |
— |
| 4 | — |
748.113(6) - EBI Policy - Post EBIs permitted at your operation viewable to children/clients and provide them with a personal copy of EBI policies
The EBI policy did not include that Post EBIs permitted at the operation would be viewable to children/clients and will provide them with a personal copy of EBI policies. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One of the four staff folders reviewed had a notarized Affidavit for Applicants for Employment, but the form did not indicate the individual?s name that the form was being notarized for. Another of the four staff folders reviewed did not have an Affidavit on file. |
— |
| 2 | — |
748.753(c)(2) - Pre-Employment Screening-You must document your diligent efforts to contact the reference, which must include more than one attempt to contact.
One of the three records reviewed failed to document diligent efforts to contact an employment reference. The document indicates that three attempts were made dated for the same date not indicating times to verify attempts made. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough at the standard by standards inspection, I observed the two roaches in the administration room at the facility. One of the two roaches were alive. |
— |
| 2 | — |
748.1337(a) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
During the standard by standard it was observed the mock children's file did not have an initial service plan. |
Yes |
| 2 | — |
748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
During the initial inspection, it was discovered while reviewing the recreation binder that 6 of the 6 children currently placed in the operation does not have a daily indoor/outdoor recreational activity scheduled. The recreation binder included the month of February recreation. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
During the initial inspection, four of five child medication records were reviewed and observed to be missing name and signature of person who administered the medication. |
— |
| 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 initial inspection, the door to the medication closet was unlocked, making all medications (including schedule II) located inside the locked cabinet only single locked. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Two of the four children interviewed reported that a staff member used profane language towards a child in care. Both children reported the same staff and child in their report of the incident. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Upon reviewing the records of five children, it was found that none included an admission assessment. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the initial inspection, while reviewing the operation's recreation documents it was discovered two children in care recreation sheets had incorrect placement dates. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the walk-through, three of the four child medications and medication records were reviewed and indicated the pill counts were not accurate. One child s record stated 19 pills, however, the count indicated there were 18. Another child s medication record said there were 19 pills, but there were 20 pills. A third child s medication record indicated there were 44 pills and there were 46 pills. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the initial inspection, five child records were reviewed. One child's record had an inaccurate medication count. The record reflected the child had 13 pills, however the medication bottle had only 11 pills. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During the initial inspection, child records were reviewed, and it was observed three of five children had missed doses of prescription medication. One child did not receive daily allergy medication for 4 days, another child did not receive vitamin D3 and prescription iron supplements for 4 days, and a third child was allowed to take half the dose of his prescription medication. |
— |
| 4 | — |
748.113(7) - EBI policy - requirements that caregivers must attempt less restrictive and less intrusive EBI as preventive measures & de-escalating interventions
The policy did not include a statement indicating that restraints should be used as preventive measures and de-escalating interventions to avoid EBI. |
— |
| 3 | — |
748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The policy included a flow chart that shows a straight-line declination of positions, however, it does not specify the lines of responsibility and to whom each report. The written staffing pattern doesn't indicate this information either. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
A child s medication record for a prescription medication did not match the medication count. The medication record indicated there were 44 pills remaining while the bottle only contained 12 pills. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
In reviewing documentation, I observed a child's Initial Service Plan was completed on day 57 after admission to the operation. |
— |
| 3 | — |
748.1205(a)(12) - Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
Upon reviewing the children's records, it was noted that four out of five did not indicate whether the child exhibited any high-risk behaviors. |
— |
| 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 initial inspection, the door to the medication closet was unlocked, making all medications (including schedule II) located inside the locked cabinet only single locked. |
— |
| 4 | — |
748.113(8) - EBI policy - Training for emergency behavior intervention
The EBI policy states that the operation uses CPI, however, they do not include a descriptor of the curriculum for the system. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Upon reviewing the records of five children, it was found that none included an admission assessment. |
— |
| 4 | — |
748.113(3) - EBI policy - the qualifications for caregivers who assume the responsibility for EBI implementation
The EBI policy did not include the qualifications for caregivers who assume the responsibility for EBI implementation. |
— |
| 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.
Two of the three records reviewed failed to have reference checks completed by unrelated individuals. Both records included two reference checks completed by relatives. |
— |
| 3 | — |
748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
During the inspection, I observed all fire extinguishers mounted for emergency use were due for maintenance in January 2025, All extinguishers were 12 days overdue for maintenance. |
— |
| 2 | — |
748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
During the monitoring inspection, it was noted that three of five records reviewed were missing immunization records. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the walk-through, three of the four child medications and medication records were reviewed and indicated the pill counts were not accurate. One child s record stated 19 pills, however, the count indicated there were 18. Another child s medication record said there were 19 pills, but there were 20 pills. A third child s medication record indicated there were 44 pills and there were 46 pills. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One of the four staff folders reviewed had a notarized Affidavit for Applicants for Employment, but the form did not indicate the individual?s name that the form was being notarized for. Another of the four staff folders reviewed did not have an Affidavit on file. |
— |
| 2 | — |
748.1439(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
The mock discharge summary was missing the following information required for 1439(b)(1)(A)-(F). (1) A written discharge summary, which must include]: (A) Services provided to the child while in your care; (B) Accomplishments of the child while in your care; (C) An assessment of the child?s remaining needs (D) Recommendations about the services to meet the child?s remaining needs; (E) Support resources for the child, including telephone numbers and addresses; and (F) Aftercare plans and recommendations for the child, including medical, psychiatric, psychological, dental, educational, and social appointments |
— |
| 3 | — |
748.123(7) - Vaccine preventable policy - outline how you will maintain written or electronic records of employee compliance with policy
The operation requires the forms; however, they do not indicate how they will maintain the records. |
— |
| 4 | — |
748.121(3) - Abuse and neglect policy - Methods for increasing employee awareness of prevention techniques for child abuse and neglect
The abuse and neglect policy does not include methods for increasing employee awareness of prevention techniques for child abuse and neglect. |
— |
| 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.
The operation failed to report the quarterly EBI data timely. |
— |
| 1 | — |
748.3351(4) - Interior Space-provide bedrooms with at least one window with outside exposure to natural light
During the inspection one of the bedrooms windows had a window that was painted and did not provide natural lighting. |
— |
| 3 | — |
748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
Upon reviewing the children's records, it was found that four out of five children did not have a tuberculosis (TB) test on file. |
— |
| 3 | — |
748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
During the inspection, I observed a child in care was arrested on 2/8/25, and the operation failed to report this incident to the hotline. |
— |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
A child's prescription medications were not stored in the original medication bottle. The child was discharged on 2/24/2025 from the operation, then temporarily re-admitted to the operation. During the discharge, all medication bottles were returned to the CVS worker. When the child was re-admitted, the operation staff accepted medications provided in a pill reminder box and not the original packaging. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
A child s medication record for a prescription medication did not match the medication count. The medication record indicated there were 44 pills remaining while the bottle only contained 12 pills. |
— |
| 3 | — |
748.363(9) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
Two staff folders did not have a signed and dated form indicating that an employee must immediately report any suspected incident of child abuse, neglect and exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or designee. |
— |
| 3 | — |
748.113(5)(A)(ix) - EBI policy - for orientation, explain and document the process for making written comments after an EBI
The policy did not include the process for a child to make written comments after an EBI. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
During the initial inspection, four of five child medication records were reviewed and observed to be missing name and signature of person who administered the medication. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, a hole was located behind the door in the unisex shower bathroom. The operation did not have a work order for this damage. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection child records were requested; however, a child service plan was requested at the beginning of the inspection, 9:30 am, however, it wasn't received until 11:45 am. Although, the child's folder was provided at the beginning of the inspection, the service plan was not included. |
— |
| 3 | — |
748.105(1) - Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
The policy included a flow chart that shows a straight-line declination of positions, however, it does not specify the lines of responsibility and to whom each report. The written staffing pattern doesn't indicate this information either. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the investigation, a staff member admitted to assisting the victim child in exiting the operation without verifying the child was under continued supervision, resulting in the child with known running behaviors leaving the grounds and running away. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Two of the four children interviewed reported that a staff member used profane language towards a child in care. Both children reported the same staff and child in their report of the incident. |
— |
| 3 | — |
748.1207(b) - Placement agreement - Must be signed by parent
One of the four child records reviewed was missing a parent signature on the placement agreement. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the initial inspection, while reviewing the operation's recreation documents it was discovered two children in care recreation sheets had incorrect placement dates. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
During the initial inspection, one of five child records reviewed was missing the reason medication was 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
The child care policy does not indicate whether the operation admits or cares for a pregnant child. |
— |
| 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.
All staff folders reviewed included the name of references with their prospective telephone numbers and titles. There was no indication that these individuals have been contacted and due to no results of the contacts. |
— |
| 4 | — |
748.121(4) - Abuse and neglect policy - Strategies for coordination between the operation and appropriate community organizations
The abuse and neglect policy did not include strategies for coordinating between the operation and appropriate community organizations. |
— |
88 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.