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Emerging Grace Ministries

Child care center · , TX · License 1793844

0Compliance score
Poor

Capacity 8. 12-17

Violation history (186)

SeverityDateStandard / narrativeCorrected
5— 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
During the staff record review, it was noted that the pre-employment drug test results were received on 3/6/25, after staff had already begun working with residents.		 —
5— 745.4151(a) - Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy
The operation's drug test policy doesn't include a list of the drugs that the operation screens for and the drug test report doesn't include all the drugs tests based on Texas Administrative Code (TAC).		 —
3— 748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
The preliminary service plan is not signed by the Treatment Director or PLSP.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Residents are made to wait outside the facility upon return of an unauthorized absence until local law enforcement arrives to conduct a search prior to being allowed access to re-enter the facility, leaving residents outside in the elements for a substantial amount of time.		 —
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
The child's rights document was observed not to be signed by the child.		 —
4— 748.1437(6) - Discharge/Transfer Documentation-Must include copy of any treatment for a physical condition that is in progress and requires follow-up
A child's record did not have a copy of any treatment provided.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
During the monitoring inspection, it was observed that one employee file did not have the Affidavit for Applicants For employment (form 2985) notarized.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) No physical address of phone # on report, 3) No age or gender on the form, 8) Interventions made during and after visit, 9) the treating healthcare professional's name, findings, and treatment, and 10) the resolution of the incident.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had inappropriate boundaries with child in care. Staff was calling a child in care names. Staff was twerking and touching a child inappropriately.		 —
3— 748.561(2) - Responsibilities of Professional level service provider-Developing, reviewing, and updating of service plans for a child in care
Upon review of the victim child's service plan, it was noted various sections were missing, which need to be addressed per Minimum Standards.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Staff was asleep on the other side of the house.		 —
3— 748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
The unauthorized absence debriefs did not include prevention strategies for staff and child in care.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff failed to implement and follow supervision requirements in accordance with children's service plans.		 —
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
When reviewing child right's rights two forms were missing the signatures and dates.		 —
2— 748.1223(d) - Admission-Report and findings of medical exam must be documented in child's record
Two child files reviewed are missing medical exam.		 —
4— 748.3001(a) - Sanitation Inspection-State or local sanitation official must conduct a sanitation inspection
Annual health inspection has expired.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The direct care staff left a child in car in a vehicle unsupervised while going inside of the gas station to pay for gas.		 —
3— 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
During the staff record review, it was noted that staff had been working with residents without a TB screening.		 —
2— 748.751(b)(1) - Pre-Employment Screening-You must document the applicant's employment history in the personnel file.
Two staff files reviewed didn't indicate that operation contacted previous employers due to there being no results of this information.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Incident was reported by operation and no serious incident report was created.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) telephone # on report, 2) No time was written on the report 9) the treating healthcare professional's name.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the staff record review, it was noted that staff received EBI training after working with residents alone at night.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the staff record review, it was noted that staff received EBI training after working with residents alone at night.		 —
3— 748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
The preliminary service plan is not signed by the Treatment Director or PLSP.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The direct care staff left a child in car in a vehicle unsupervised while going inside of the gas station to pay for gas.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
During the monitoring inspection, it was observed that one employee file did not have the Affidavit for Applicants For employment (form 2985) notarized.		 —
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
When reviewing child right's rights two forms were missing the signatures and dates.		 —
3— 748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
The unauthorized absence debriefs did not include prevention strategies for staff and child in care.		 —
2— 748.751(b)(1) - Pre-Employment Screening-You must document the applicant's employment history in the personnel file.
Two staff files reviewed didn't indicate that operation contacted previous employers due to there being no results of this information.		 —
4— 748.1437(6) - Discharge/Transfer Documentation-Must include copy of any treatment for a physical condition that is in progress and requires follow-up
A child's record did not have a copy of any treatment provided.		 —
4— 748.3001(a) - Sanitation Inspection-State or local sanitation official must conduct a sanitation inspection
Annual health inspection has expired.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) No physical address of phone # on report, 3) No age or gender on the form, 8) Interventions made during and after visit, 9) the treating healthcare professional's name, findings, and treatment, and 10) the resolution of the incident.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Residents are made to wait outside the facility upon return of an unauthorized absence until local law enforcement arrives to conduct a search prior to being allowed access to re-enter the facility, leaving residents outside in the elements for a substantial amount of time.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Staff was asleep on the other side of the house.		 —
5— 745.4151(a) - Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy
The operation's drug test policy doesn't include a list of the drugs that the operation screens for and the drug test report doesn't include all the drugs tests based on Texas Administrative Code (TAC).		 —
3— 748.561(2) - Responsibilities of Professional level service provider-Developing, reviewing, and updating of service plans for a child in care
Upon review of the victim child's service plan, it was noted various sections were missing, which need to be addressed per Minimum Standards.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had inappropriate boundaries with child in care. Staff was calling a child in care names. Staff was twerking and touching a child inappropriately.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Incident was reported by operation and no serious incident report was created.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) telephone # on report, 2) No time was written on the report 9) the treating healthcare professional's name.		 —
3— 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
During the staff record review, it was noted that staff had been working with residents without a TB screening.		 —
2— 748.1223(d) - Admission-Report and findings of medical exam must be documented in child's record
Two child files reviewed are missing medical exam.		 —
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
The child's rights document was observed not to be signed by the child.		 —
5— 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
During the staff record review, it was noted that the pre-employment drug test results were received on 3/6/25, after staff had already begun working with residents.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff failed to implement and follow supervision requirements in accordance with children's service plans.		 —
3— 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
During the staff record review, it was noted that staff had been working with residents without a TB screening.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) No physical address of phone # on report, 3) No age or gender on the form, 8) Interventions made during and after visit, 9) the treating healthcare professional's name, findings, and treatment, and 10) the resolution of the incident.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) telephone # on report, 2) No time was written on the report 9) the treating healthcare professional's name.		 —
5— 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
During the staff record review, it was noted that the pre-employment drug test results were received on 3/6/25, after staff had already begun working with residents.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Incident was reported by operation and no serious incident report was created.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Residents are made to wait outside the facility upon return of an unauthorized absence until local law enforcement arrives to conduct a search prior to being allowed access to re-enter the facility, leaving residents outside in the elements for a substantial amount of time.		 —
2— 748.751(b)(1) - Pre-Employment Screening-You must document the applicant's employment history in the personnel file.
Two staff files reviewed didn't indicate that operation contacted previous employers due to there being no results of this information.		 —
5— 745.4151(a) - Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy
The operation's drug test policy doesn't include a list of the drugs that the operation screens for and the drug test report doesn't include all the drugs tests based on Texas Administrative Code (TAC).		 —
4— 748.1437(6) - Discharge/Transfer Documentation-Must include copy of any treatment for a physical condition that is in progress and requires follow-up
A child's record did not have a copy of any treatment provided.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the staff record review, it was noted that staff received EBI training after working with residents alone at night.		 —
4— 748.3001(a) - Sanitation Inspection-State or local sanitation official must conduct a sanitation inspection
Annual health inspection has expired.		 —
3— 748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
The unauthorized absence debriefs did not include prevention strategies for staff and child in care.		 —
2— 748.1223(d) - Admission-Report and findings of medical exam must be documented in child's record
Two child files reviewed are missing medical exam.		 —
3— 748.561(2) - Responsibilities of Professional level service provider-Developing, reviewing, and updating of service plans for a child in care
Upon review of the victim child's service plan, it was noted various sections were missing, which need to be addressed per Minimum Standards.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The direct care staff left a child in car in a vehicle unsupervised while going inside of the gas station to pay for gas.		 —
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
The child's rights document was observed not to be signed by the child.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff failed to implement and follow supervision requirements in accordance with children's service plans.		 —
3— 748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
The preliminary service plan is not signed by the Treatment Director or PLSP.		 —
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
When reviewing child right's rights two forms were missing the signatures and dates.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
During the monitoring inspection, it was observed that one employee file did not have the Affidavit for Applicants For employment (form 2985) notarized.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had inappropriate boundaries with child in care. Staff was calling a child in care names. Staff was twerking and touching a child inappropriately.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Staff was asleep on the other side of the house.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the staff record review, it was noted that staff received EBI training after working with residents alone at night.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Incident was reported by operation and no serious incident report was created.		 —
3— 748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
The preliminary service plan is not signed by the Treatment Director or PLSP.		 —
2— 748.1223(d) - Admission-Report and findings of medical exam must be documented in child's record
Two child files reviewed are missing medical exam.		 —
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
When reviewing child right's rights two forms were missing the signatures and dates.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff failed to implement and follow supervision requirements in accordance with children's service plans.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
During the monitoring inspection, it was observed that one employee file did not have the Affidavit for Applicants For employment (form 2985) notarized.		 —
2— 748.751(b)(1) - Pre-Employment Screening-You must document the applicant's employment history in the personnel file.
Two staff files reviewed didn't indicate that operation contacted previous employers due to there being no results of this information.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) telephone # on report, 2) No time was written on the report 9) the treating healthcare professional's name.		 —
5— 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
During the staff record review, it was noted that the pre-employment drug test results were received on 3/6/25, after staff had already begun working with residents.		 —
4— 748.3001(a) - Sanitation Inspection-State or local sanitation official must conduct a sanitation inspection
Annual health inspection has expired.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff did not conduct the proper bed checks that needed to be conducted every 15 minutes resulting in children in care eloping from operation.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had inappropriate boundaries with child in care. Staff was calling a child in care names. Staff was twerking and touching a child inappropriately.		 —
3— 748.455(a)(2) - Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
The unauthorized absence debriefs did not include prevention strategies for staff and child in care.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Residents are made to wait outside the facility upon return of an unauthorized absence until local law enforcement arrives to conduct a search prior to being allowed access to re-enter the facility, leaving residents outside in the elements for a substantial amount of time.		 —
5— 745.4151(a) - Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy
The operation's drug test policy doesn't include a list of the drugs that the operation screens for and the drug test report doesn't include all the drugs tests based on Texas Administrative Code (TAC).		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Staff was asleep on the other side of the house.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) No physical address of phone # on report, 3) No age or gender on the form, 8) Interventions made during and after visit, 9) the treating healthcare professional's name, findings, and treatment, and 10) the resolution of the incident.		 —
3— 748.561(2) - Responsibilities of Professional level service provider-Developing, reviewing, and updating of service plans for a child in care
Upon review of the victim child's service plan, it was noted various sections were missing, which need to be addressed per Minimum Standards.		 —
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
The child's rights document was observed not to be signed by the child.		 —
3— 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
During the staff record review, it was noted that staff had been working with residents without a TB screening.		 —
3— 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
Child was knowingly left in a hotel room alone even though the child had high-risk behaviors.		 —
4— 748.1437(6) - Discharge/Transfer Documentation-Must include copy of any treatment for a physical condition that is in progress and requires follow-up
A child's record did not have a copy of any treatment provided.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The direct care staff left a child in car in a vehicle unsupervised while going inside of the gas station to pay for gas.		 —
3— 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
During the staff record review, it was noted that staff had been working with residents without a TB screening.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) telephone # on report, 2) No time was written on the report 9) the treating healthcare professional's name.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff did not conduct the proper bed checks that needed to be conducted every 15 minutes resulting in children in care eloping from operation.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The serious incident report completed was missing several sections, including: 1) No physical address of phone # on report, 3) No age or gender on the form, 8) Interventions made during and after visit, 9) the treating healthcare professional's name, findings, and treatment, and 10) the resolution of the incident.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Incident was reported by operation and no serious incident report was created.		 —
4— 748.1437(6) - Discharge/Transfer Documentation-Must include copy of any treatment for a physical condition that is in progress and requires follow-up
A child's record did not have a copy of any treatment provided.		 —
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
The child's rights document was observed not to be signed by the child.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff failed to implement and follow supervision requirements in accordance with children's service plans.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
Residents are made to wait outside the facility upon return of an unauthorized absence until local law enforcement arrives to conduct a search prior to being allowed access to re-enter the facility, leaving residents outside in the elements for a substantial amount of time.		 —
4— 748.3001(a) - Sanitation Inspection-State or local sanitation official must conduct a sanitation inspection
Annual health inspection has expired.		 —

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

Inspections (109)

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

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