Capacity 7. 4-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
745.4151(c)(6)(A) - Discipline-An applicant or employee's consent to submit to drug testing is required as a condition of employment
The employee records do not contain the required consent for drug testing. |
— |
| 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 inspection, it was observed that the psychotropic medication cabinet was not double locked. It was corrected at inspection due to the staff locking the medication cabinet. The over-the-counter medications are in the same room, but they are unlocked in a cabinet. |
Yes |
| 4 | — |
748.151(4) - Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
Operation was present when inspector arrived and didn't have a posting. Operation didn't make proper notification. |
— |
| 3 | — |
748.363(4) - Personnel records-Personnel records-Include current job description.
The childcare administrator job description did not indicate the duties and responsibilities for which the employee was hired. The employee signed and dated a job description that didn?t reflect the roles, duties, responsibilities, nor requirements of a Licensed Child Care Administrator. |
— |
| 5 | — |
745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone
In the review of background checks, there were multiple active peoples and their roles are unknown at the operation. |
— |
| 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.
Child in care was found to be high risk for suicide following a risk assessment and a mental health professional was not contacted or notified. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Child's service plan addressed a high-risk behavior for suicide and operation did not follow the plan that was implemented to ensure that sharp items, including razors, were distributed only by staff and collected immediately after use. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Child had access to staff?s personal keys and drove off in staff?s vehicle. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection, there were multiple cooked food items in Tupperware containers, which were not labeled with the cooked date nor the expiration date. There was also an expired peanut butter and almond butter in the pantry. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
5 out of 5 children interviewed stated that they have been to the owner's home on more than one occasion. Two legal guardians gave permission, while one was not asked for permission, and another was unaware of the visits. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Multiple records were observed to have missing, incomplete, or inaccurate information. |
— |
| 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.
An unannounced follow up inspection was completed on 8/5/25. Staff reported the children are not left alone, and there are 2 staff present at all times. They stated they have 1 night staff present at nighttime and this was recent increased to 2 staff. They reported they review supervision based on a list of children and the level of supervision needed. It was reported they completed a suicide risk assessment training on 7/31/25. However, staff interviewed did was not able to confirm they attended a training. Children were interviewed during inspection and reported not having any protocol or people talk to them about suicide or high-risk behaviors in case they exhibit suicidal ideation warnings signs. They did report having a therapist that provides therapy virtually. Staff reported they don't complete assessments, but they follow protocol by calling their higher ups when a child shows high risk/Suicide risk behaviors. Owner reported they complete assessments once they take the children to the hospital for assessment, and/or have the Treatment Director come to the operation and assess the children. If it is determined the child will not be hospitalized, they reported to increase close supervision. However, a paper/computer screening was not reported to be completed. |
— |
| 3 | — |
748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
Evening medication was prepared in advance. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Documentation of monthly fire extinguisher inspections were not observed on to be signed and dated on the inspection tag nor was documentation available for review indicating that a monthly inspection of the fire extinguishers has been conducted. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was discovered during interviews with the children and staff that a child in care slept over at a staff member's home without the case workers knowledge. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
The current nor discharged children records included documentation of an admission assessment. |
— |
| 4 | — |
748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
An employee file contained an expired CPR/FA certification, and it was confirmed that the staff hasn't retaken it. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation was scheduled under the incorrect fire inspection type and requires an inspection from Harris County. The operation has been notified multiple times. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The operation provided conflicting information regarding the administrator's work schedule. Additionally, information provided indicates that the administrator isn't adhering to a full-time schedule. |
— |
| 4 | — |
748.709(b)(1) - Designated person making decisions on childhood activities must work at same location where child resides
The name of the designated person who works at the operation is missing from the children's face sheets, only the case worker's name is listed. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The Child Care Administrator was observed to not be present at the operation since the application inspection. Additionally, the Child Care Administrator is not listed on the work schedules provided by the operation, further confirming the LCCA's absence. It was relayed by the operation that the Child Care Administrator is a student and checks online for updates regarding the operation. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the review of background checks, a staff who never started working is still active on the operation's people list, and it is past the 7 day requirement. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Child in care was not adequately supervised after exhibiting dangerous self-harming behaviors which resulted in child engaging in additional self-harming behaviors. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Active employee file included an affidavit that was prefilled, but it wasn't notarized. |
Yes |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
During the inspection, it was observed that the administrators' biological children are at the home and have been counted in the ratio with the children in care, which poses a risk to the safety of the all the children. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The operation provided conflicting information regarding the administrator's work schedule. Additionally, information provided indicates that the administrator isn't adhering to a full-time schedule. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The Child Care Administrator was observed to not be present at the operation since the application inspection. Additionally, the Child Care Administrator is not listed on the work schedules provided by the operation, further confirming the LCCA's absence. It was relayed by the operation that the Child Care Administrator is a student and checks online for updates regarding the operation. |
— |
| 3 | — |
748.363(4) - Personnel records-Personnel records-Include current job description.
The childcare administrator job description did not indicate the duties and responsibilities for which the employee was hired. The employee signed and dated a job description that didn?t reflect the roles, duties, responsibilities, nor requirements of a Licensed Child Care Administrator. |
— |
| 4 | — |
748.709(b)(1) - Designated person making decisions on childhood activities must work at same location where child resides
The name of the designated person who works at the operation is missing from the children's face sheets, only the case worker's name is listed. |
— |
| 4 | — |
748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
An employee file contained an expired CPR/FA certification, and it was confirmed that the staff hasn't retaken it. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Child had access to staff?s personal keys and drove off in staff?s vehicle. |
— |
| 4 | — |
748.151(4) - Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
Operation was present when inspector arrived and didn't have a posting. Operation didn't make proper notification. |
— |
| 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 inspection, it was observed that the psychotropic medication cabinet was not double locked. It was corrected at inspection due to the staff locking the medication cabinet. The over-the-counter medications are in the same room, but they are unlocked in a cabinet. |
Yes |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
During the inspection, it was observed that the administrators' biological children are at the home and have been counted in the ratio with the children in care, which poses a risk to the safety of the all the children. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Child's service plan addressed a high-risk behavior for suicide and operation did not follow the plan that was implemented to ensure that sharp items, including razors, were distributed only by staff and collected immediately after use. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the review of background checks, a staff who never started working is still active on the operation's people list, and it is past the 7 day requirement. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection, there were multiple cooked food items in Tupperware containers, which were not labeled with the cooked date nor the expiration date. There was also an expired peanut butter and almond butter in the pantry. |
— |
| 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.
Child in care was found to be high risk for suicide following a risk assessment and a mental health professional was not contacted or notified. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Documentation of monthly fire extinguisher inspections were not observed on to be signed and dated on the inspection tag nor was documentation available for review indicating that a monthly inspection of the fire extinguishers has been conducted. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Multiple records were observed to have missing, incomplete, or inaccurate information. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation was scheduled under the incorrect fire inspection type and requires an inspection from Harris County. The operation has been notified multiple times. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Child in care was not adequately supervised after exhibiting dangerous self-harming behaviors which resulted in child engaging in additional self-harming behaviors. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
5 out of 5 children interviewed stated that they have been to the owner's home on more than one occasion. Two legal guardians gave permission, while one was not asked for permission, and another was unaware of the visits. |
— |
| 3 | — |
748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
Evening medication was prepared in advance. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was discovered during interviews with the children and staff that a child in care slept over at a staff member's home without the case workers knowledge. |
— |
| 5 | — |
745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone
In the review of background checks, there were multiple active peoples and their roles are unknown at the operation. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
The current nor discharged children records included documentation of an admission assessment. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Active employee file included an affidavit that was prefilled, but it wasn't notarized. |
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.
An unannounced follow up inspection was completed on 8/5/25. Staff reported the children are not left alone, and there are 2 staff present at all times. They stated they have 1 night staff present at nighttime and this was recent increased to 2 staff. They reported they review supervision based on a list of children and the level of supervision needed. It was reported they completed a suicide risk assessment training on 7/31/25. However, staff interviewed did was not able to confirm they attended a training. Children were interviewed during inspection and reported not having any protocol or people talk to them about suicide or high-risk behaviors in case they exhibit suicidal ideation warnings signs. They did report having a therapist that provides therapy virtually. Staff reported they don't complete assessments, but they follow protocol by calling their higher ups when a child shows high risk/Suicide risk behaviors. Owner reported they complete assessments once they take the children to the hospital for assessment, and/or have the Treatment Director come to the operation and assess the children. If it is determined the child will not be hospitalized, they reported to increase close supervision. However, a paper/computer screening was not reported to be completed. |
— |
| 5 | — |
745.4151(c)(6)(A) - Discipline-An applicant or employee's consent to submit to drug testing is required as a condition of employment
The employee records do not contain the required consent for drug testing. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was discovered during interviews with the children and staff that a child in care slept over at a staff member's home without the case workers knowledge. |
— |
| 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 inspection, it was observed that the psychotropic medication cabinet was not double locked. It was corrected at inspection due to the staff locking the medication cabinet. The over-the-counter medications are in the same room, but they are unlocked in a cabinet. |
Yes |
| 5 | — |
745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone
In the review of background checks, there were multiple active peoples and their roles are unknown at the operation. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection, there were multiple cooked food items in Tupperware containers, which were not labeled with the cooked date nor the expiration date. There was also an expired peanut butter and almond butter in the pantry. |
— |
| 4 | — |
748.151(4) - Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
Operation was present when inspector arrived and didn't have a posting. Operation didn't make proper notification. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
The current nor discharged children records included documentation of an admission assessment. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Active employee file included an affidavit that was prefilled, but it wasn't notarized. |
Yes |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the review of background checks, a staff who never started working is still active on the operation's people list, and it is past the 7 day requirement. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
5 out of 5 children interviewed stated that they have been to the owner's home on more than one occasion. Two legal guardians gave permission, while one was not asked for permission, and another was unaware of the visits. |
— |
| 3 | — |
748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
Evening medication was prepared in advance. |
— |
| 3 | — |
748.363(4) - Personnel records-Personnel records-Include current job description.
The childcare administrator job description did not indicate the duties and responsibilities for which the employee was hired. The employee signed and dated a job description that didn?t reflect the roles, duties, responsibilities, nor requirements of a Licensed Child Care Administrator. |
— |
| 4 | — |
748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
An employee file contained an expired CPR/FA certification, and it was confirmed that the staff hasn't retaken it. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The operation provided conflicting information regarding the administrator's work schedule. Additionally, information provided indicates that the administrator isn't adhering to a full-time schedule. |
— |
| 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.
An unannounced follow up inspection was completed on 8/5/25. Staff reported the children are not left alone, and there are 2 staff present at all times. They stated they have 1 night staff present at nighttime and this was recent increased to 2 staff. They reported they review supervision based on a list of children and the level of supervision needed. It was reported they completed a suicide risk assessment training on 7/31/25. However, staff interviewed did was not able to confirm they attended a training. Children were interviewed during inspection and reported not having any protocol or people talk to them about suicide or high-risk behaviors in case they exhibit suicidal ideation warnings signs. They did report having a therapist that provides therapy virtually. Staff reported they don't complete assessments, but they follow protocol by calling their higher ups when a child shows high risk/Suicide risk behaviors. Owner reported they complete assessments once they take the children to the hospital for assessment, and/or have the Treatment Director come to the operation and assess the children. If it is determined the child will not be hospitalized, they reported to increase close supervision. However, a paper/computer screening was not reported to be completed. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
During the inspection, it was observed that the administrators' biological children are at the home and have been counted in the ratio with the children in care, which poses a risk to the safety of the all the children. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Multiple records were observed to have missing, incomplete, or inaccurate information. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Documentation of monthly fire extinguisher inspections were not observed on to be signed and dated on the inspection tag nor was documentation available for review indicating that a monthly inspection of the fire extinguishers has been conducted. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Child's service plan addressed a high-risk behavior for suicide and operation did not follow the plan that was implemented to ensure that sharp items, including razors, were distributed only by staff and collected immediately after use. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation was scheduled under the incorrect fire inspection type and requires an inspection from Harris County. The operation has been notified multiple times. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The Child Care Administrator was observed to not be present at the operation since the application inspection. Additionally, the Child Care Administrator is not listed on the work schedules provided by the operation, further confirming the LCCA's absence. It was relayed by the operation that the Child Care Administrator is a student and checks online for updates regarding the operation. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Child in care was not adequately supervised after exhibiting dangerous self-harming behaviors which resulted in child engaging in additional self-harming behaviors. |
— |
| 4 | — |
748.709(b)(1) - Designated person making decisions on childhood activities must work at same location where child resides
The name of the designated person who works at the operation is missing from the children's face sheets, only the case worker's name is listed. |
— |
| 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.
Child in care was found to be high risk for suicide following a risk assessment and a mental health professional was not contacted or notified. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Child had access to staff?s personal keys and drove off in staff?s vehicle. |
— |
| 5 | — |
745.4151(c)(6)(A) - Discipline-An applicant or employee's consent to submit to drug testing is required as a condition of employment
The employee records do not contain the required consent for drug testing. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation was scheduled under the incorrect fire inspection type and requires an inspection from Harris County. The operation has been notified multiple times. |
— |
| 5 | — |
745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone
In the review of background checks, there were multiple active peoples and their roles are unknown at the operation. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
During the inspection, it was observed that the administrators' biological children are at the home and have been counted in the ratio with the children in care, which poses a risk to the safety of the all the children. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Child had access to staff?s personal keys and drove off in staff?s vehicle. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the review of background checks, a staff who never started working is still active on the operation's people list, and it is past the 7 day requirement. |
— |
| 3 | — |
748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
Evening medication was prepared in advance. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was discovered during interviews with the children and staff that a child in care slept over at a staff member's home without the case workers knowledge. |
— |
| 5 | — |
745.4151(c)(6)(A) - Discipline-An applicant or employee's consent to submit to drug testing is required as a condition of employment
The employee records do not contain the required consent for drug testing. |
— |
| 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.
An unannounced follow up inspection was completed on 8/5/25. Staff reported the children are not left alone, and there are 2 staff present at all times. They stated they have 1 night staff present at nighttime and this was recent increased to 2 staff. They reported they review supervision based on a list of children and the level of supervision needed. It was reported they completed a suicide risk assessment training on 7/31/25. However, staff interviewed did was not able to confirm they attended a training. Children were interviewed during inspection and reported not having any protocol or people talk to them about suicide or high-risk behaviors in case they exhibit suicidal ideation warnings signs. They did report having a therapist that provides therapy virtually. Staff reported they don't complete assessments, but they follow protocol by calling their higher ups when a child shows high risk/Suicide risk behaviors. Owner reported they complete assessments once they take the children to the hospital for assessment, and/or have the Treatment Director come to the operation and assess the children. If it is determined the child will not be hospitalized, they reported to increase close supervision. However, a paper/computer screening was not reported to be completed. |
— |
| 4 | — |
748.709(b)(1) - Designated person making decisions on childhood activities must work at same location where child resides
The name of the designated person who works at the operation is missing from the children's face sheets, only the case worker's name is listed. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The Child Care Administrator was observed to not be present at the operation since the application inspection. Additionally, the Child Care Administrator is not listed on the work schedules provided by the operation, further confirming the LCCA's absence. It was relayed by the operation that the Child Care Administrator is a student and checks online for updates regarding the operation. |
— |
| 3 | — |
748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Active employee file included an affidavit that was prefilled, but it wasn't notarized. |
Yes |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
The current nor discharged children records included documentation of an admission assessment. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Multiple records were observed to have missing, incomplete, or inaccurate information. |
— |
| 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.
Child in care was found to be high risk for suicide following a risk assessment and a mental health professional was not contacted or notified. |
— |
| 3 | — |
748.363(4) - Personnel records-Personnel records-Include current job description.
The childcare administrator job description did not indicate the duties and responsibilities for which the employee was hired. The employee signed and dated a job description that didn?t reflect the roles, duties, responsibilities, nor requirements of a Licensed Child Care Administrator. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
5 out of 5 children interviewed stated that they have been to the owner's home on more than one occasion. Two legal guardians gave permission, while one was not asked for permission, and another was unaware of the visits. |
— |
| 4 | — |
748.151(4) - Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
Operation was present when inspector arrived and didn't have a posting. Operation didn't make proper notification. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Documentation of monthly fire extinguisher inspections were not observed on to be signed and dated on the inspection tag nor was documentation available for review indicating that a monthly inspection of the fire extinguishers has been conducted. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection, there were multiple cooked food items in Tupperware containers, which were not labeled with the cooked date nor the expiration date. There was also an expired peanut butter and almond butter in the pantry. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Child's service plan addressed a high-risk behavior for suicide and operation did not follow the plan that was implemented to ensure that sharp items, including razors, were distributed only by staff and collected immediately after use. |
— |
| 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 inspection, it was observed that the psychotropic medication cabinet was not double locked. It was corrected at inspection due to the staff locking the medication cabinet. The over-the-counter medications are in the same room, but they are unlocked in a cabinet. |
Yes |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Child in care was not adequately supervised after exhibiting dangerous self-harming behaviors which resulted in child engaging in additional self-harming behaviors. |
— |
| 3 | — |
748.531(a)(3) - Child-care administrator-Is full-time employee of the operation
The operation provided conflicting information regarding the administrator's work schedule. Additionally, information provided indicates that the administrator isn't adhering to a full-time schedule. |
— |
| 4 | — |
748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
An employee file contained an expired CPR/FA certification, and it was confirmed that the staff hasn't retaken it. |
— |
104 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.