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Alafia Haven

Child care center · 3542 N MERCURY AVE, Odessa, TX 79764-1125 · License 1793529

0Compliance score
Poor

Capacity 13. 3-17

Violation history (104)

SeverityDateStandard / narrativeCorrected
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
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
1 out of 2 children's file is missing the results of TB testing.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
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
1 out of 2 children's file is missing the results of TB testing.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
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
1 out of 2 children's file is missing the results of TB testing.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
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
1 out of 2 children's file is missing the results of TB testing.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
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
1 out of 2 children's file is missing the results of TB testing.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
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
1 out of 2 children's file is missing the results of TB testing.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
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.
During the inspection, 4 employee files did not have documentation of verification of employment made by the operation. Some documentation regarding verification of employment was incomplete or there was some partial information listed.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has children in care but hasn't conducted a severe weather drill.
4 748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation
During the inspection, 1 staff member did not have the pre-service mandatory reporting training on file and has been employed as of October 2024.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, 1 staff member was found to not have the instructor led medication training.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
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
1 out of 2 children's file is missing the results of TB testing.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
1 748.1205(a)(6) - Admission Documentation-Includes medication the child is taking
In a review of documentation provided, one child in care's initial admission assessment did not have documentation of her medications. It was documented that the child is diagnosed with a medical health condition and would take her medications as prescribed, but her medications were not documented on the assessment.
1 748.1205(a)(5) - Admission Documentation-Includes date of admission
In a review of admission assessment's, 1 child in cares date of admission was not documented on the admission assessment.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
1 out of 2 children rights reviewed were missing signatures.
Yes
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, there was not a staff member on site who could provide records for immediate review. Licensing representatives waited approximately 45 minutes for a staff member to arrive on site for assistance. Licensing representatives then had to wait an additional 45 minutes for records to start being provided, upon the staff member arriving to the operation and having a scheduled interview with a potential employee. There was not another staff member who could provide records.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
2 out of 2 children's files evaluated did not have contraindications to the use of restraint listed on the admission documentation.
3 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
During the inspection, 2 staff did not have documentation of a TB test. 1 staff has been having contact with children in care for over 2 months and another staff for over 5 months.
3 748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of documentation provided, one child in care's serious incident report did not have documentation of the parent/managing conservator being notified, along with no date/time for the notification. Additionally, the incident report did not have documentation of the date/time for the notification to law enforcement.
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
1 out of 2 children's file is missing the results of TB testing.
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.
During the inspection, 4 employee records did not have documentation of references contacted or there was incomplete or partial information listed.

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

Inspections (40)

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

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