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TexasRosenberg › Amazing Touch Care Home

Amazing Touch Care Home

Child care center · 2911 DOGWOOD KNOLL TRL, Rosenberg, TX 77471-3291 · License 1794219

0Compliance score
Poor

Capacity 17. 5-17

Violation history (168)

SeverityDateStandard / narrativeCorrected
3 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The second level of the home was observed with wasps nests outside of the home.
5 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The back yard fence had multiple board that need to be replaced. The stairs railing is loose.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
All medication logs had an inaccurate daily count due to incorrect subtraction from the starting count.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual who does not have an active background check for the operation has been having access to youth in care at the operation, during transports, and away from the operation.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Inspector reviewed morning and evening medications logs for all children in care, randomly selected medication to count, and reviewed the training roster and medication administration-documentation training certificates. Three medication logs were reflecting a discrepancy with the remaining medication count by 1-2 pills. Inspector conversed with the permit holder regarding the operation's plan to ensure compliane with medication documentation.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
All medication logs were evaluated, and on some logs, medications were observed to be administered as required with staff names and signature, but date and time weren't documented.
2 748.2853(1) - EBI Documentation-Date and time the caregiver offered the post discussion to the child
There was no documentation available for review related to the post-discussion required with child.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
Staff used an unsafe method to wake a resident by flipping their mattress, causing the resident to fall from the bed.
4 748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A restraint report dated February 22, 2025 at 11:15 AM was not reviewed within the 72-hour timeframe which should've been by February 25, 2025 at 11:15 AM. The supervisor date and time was blank.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Staff put child's medication in a sippy cup and placed child on the school bus with medication still in the cup, not knowing if medication was consumed.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Staff member pre-documented the administration of evening medication, which resulted in discrepancies in the daily medication count on multiple medication records.
3 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the supervision requirements outlined in the child's service plan by leaving a child on 1:1 supervision unattended for approximately 40 minutes.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
During the course of the investigation, documentary and testimonial evidence indicates that the principals and collateral witnesses were briefed and prepared to respond to interview questions.
4 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
The operation placed a child who was younger than the victim in the same room, against the victim's Safety Plan which clearly noted the victim should not share a room with any child younger than them.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Employee files contain the names of the references and indicate that the individuals were contacted, but the pre-employment screening doesn't include the documentation of the conversations.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
Medication logs include the signature and a cell for staff initials. The documentation doesn't include the name of the person who administered the medication, and several dates doesn't have an initial to match the person who administered the medication.
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 didn't include a notarized affidavit..
3 748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
There were no documents available for review regarding the length of time for EBI conducted.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers failed to maintain self-control and engaged in inappropriate behavior towards each other in front of the children in their care.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
All medication logs were evaluated, and some were observed to be missing the information required to identify the staff who administered the medication.
3 748.311 - Serious Incident Documentation-Documented in written report
Several incident reports were observed to be incomplete and/or missing required information.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Staff put child's medication in a sippy cup and placed child on the school bus with medication still in the cup, not knowing if medication was consumed.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Inspector reviewed morning and evening medications logs for all children in care, randomly selected medication to count, and reviewed the training roster and medication administration-documentation training certificates. Three medication logs were reflecting a discrepancy with the remaining medication count by 1-2 pills. Inspector conversed with the permit holder regarding the operation's plan to ensure compliane with medication documentation.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual who does not have an active background check for the operation has been having access to youth in care at the operation, during transports, and away from the operation.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
During the course of the investigation, documentary and testimonial evidence indicates that the principals and collateral witnesses were briefed and prepared to respond to interview questions.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Employee files contain the names of the references and indicate that the individuals were contacted, but the pre-employment screening doesn't include the documentation of the conversations.
3 748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
There were no documents available for review regarding the length of time for EBI conducted.
5 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The back yard fence had multiple board that need to be replaced. The stairs railing is loose.
3 748.311 - Serious Incident Documentation-Documented in written report
Several incident reports were observed to be incomplete and/or missing required information.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Staff member pre-documented the administration of evening medication, which resulted in discrepancies in the daily medication count on multiple medication records.
4 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
The operation placed a child who was younger than the victim in the same room, against the victim's Safety Plan which clearly noted the victim should not share a room with any child younger than them.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
Staff used an unsafe method to wake a resident by flipping their mattress, causing the resident to fall from the bed.
3 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The second level of the home was observed with wasps nests outside of the home.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
All medication logs had an inaccurate daily count due to incorrect subtraction from the starting count.
4 748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A restraint report dated February 22, 2025 at 11:15 AM was not reviewed within the 72-hour timeframe which should've been by February 25, 2025 at 11:15 AM. The supervisor date and time was blank.
3 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the supervision requirements outlined in the child's service plan by leaving a child on 1:1 supervision unattended for approximately 40 minutes.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
Medication logs include the signature and a cell for staff initials. The documentation doesn't include the name of the person who administered the medication, and several dates doesn't have an initial to match the person who administered the medication.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
All medication logs were evaluated, and on some logs, medications were observed to be administered as required with staff names and signature, but date and time weren't documented.
2 748.2853(1) - EBI Documentation-Date and time the caregiver offered the post discussion to the child
There was no documentation available for review related to the post-discussion required with child.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers failed to maintain self-control and engaged in inappropriate behavior towards each other in front of the children in their care.
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 didn't include a notarized affidavit..
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
All medication logs were evaluated, and some were observed to be missing the information required to identify the staff who administered the medication.
3 748.311 - Serious Incident Documentation-Documented in written report
Several incident reports were observed to be incomplete and/or missing required information.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
All medication logs were evaluated, and some were observed to be missing the information required to identify the staff who administered the medication.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
All medication logs had an inaccurate daily count due to incorrect subtraction from the starting count.
5 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The back yard fence had multiple board that need to be replaced. The stairs railing is loose.
3 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the supervision requirements outlined in the child's service plan by leaving a child on 1:1 supervision unattended for approximately 40 minutes.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
Staff used an unsafe method to wake a resident by flipping their mattress, causing the resident to fall from the bed.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
Medication logs include the signature and a cell for staff initials. The documentation doesn't include the name of the person who administered the medication, and several dates doesn't have an initial to match the person who administered the medication.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Inspector reviewed morning and evening medications logs for all children in care, randomly selected medication to count, and reviewed the training roster and medication administration-documentation training certificates. Three medication logs were reflecting a discrepancy with the remaining medication count by 1-2 pills. Inspector conversed with the permit holder regarding the operation's plan to ensure compliane with medication documentation.
3 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The second level of the home was observed with wasps nests outside of the home.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Staff member pre-documented the administration of evening medication, which resulted in discrepancies in the daily medication count on multiple medication records.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Staff put child's medication in a sippy cup and placed child on the school bus with medication still in the cup, not knowing if medication was consumed.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
During the course of the investigation, documentary and testimonial evidence indicates that the principals and collateral witnesses were briefed and prepared to respond to interview questions.
3 748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
There were no documents available for review regarding the length of time for EBI conducted.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Employee files contain the names of the references and indicate that the individuals were contacted, but the pre-employment screening doesn't include the documentation of the conversations.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers failed to maintain self-control and engaged in inappropriate behavior towards each other in front of the children in their care.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
All medication logs were evaluated, and on some logs, medications were observed to be administered as required with staff names and signature, but date and time weren't documented.
2 748.2853(1) - EBI Documentation-Date and time the caregiver offered the post discussion to the child
There was no documentation available for review related to the post-discussion required with child.
4 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
The operation placed a child who was younger than the victim in the same room, against the victim's Safety Plan which clearly noted the victim should not share a room with any child younger than them.
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 didn't include a notarized affidavit..
4 748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A restraint report dated February 22, 2025 at 11:15 AM was not reviewed within the 72-hour timeframe which should've been by February 25, 2025 at 11:15 AM. The supervisor date and time was blank.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual who does not have an active background check for the operation has been having access to youth in care at the operation, during transports, and away from 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 didn't include a notarized affidavit..
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
All medication logs had an inaccurate daily count due to incorrect subtraction from the starting count.
2 748.2853(1) - EBI Documentation-Date and time the caregiver offered the post discussion to the child
There was no documentation available for review related to the post-discussion required with child.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Inspector reviewed morning and evening medications logs for all children in care, randomly selected medication to count, and reviewed the training roster and medication administration-documentation training certificates. Three medication logs were reflecting a discrepancy with the remaining medication count by 1-2 pills. Inspector conversed with the permit holder regarding the operation's plan to ensure compliane with medication documentation.
3 748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
There were no documents available for review regarding the length of time for EBI conducted.
3 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The second level of the home was observed with wasps nests outside of the home.
3 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the supervision requirements outlined in the child's service plan by leaving a child on 1:1 supervision unattended for approximately 40 minutes.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Staff put child's medication in a sippy cup and placed child on the school bus with medication still in the cup, not knowing if medication was consumed.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
All medication logs were evaluated, and on some logs, medications were observed to be administered as required with staff names and signature, but date and time weren't documented.
4 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
The operation placed a child who was younger than the victim in the same room, against the victim's Safety Plan which clearly noted the victim should not share a room with any child younger than them.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers failed to maintain self-control and engaged in inappropriate behavior towards each other in front of the children in their care.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
Medication logs include the signature and a cell for staff initials. The documentation doesn't include the name of the person who administered the medication, and several dates doesn't have an initial to match the person who administered the medication.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
During the course of the investigation, documentary and testimonial evidence indicates that the principals and collateral witnesses were briefed and prepared to respond to interview questions.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
All medication logs were evaluated, and some were observed to be missing the information required to identify the staff who administered the medication.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Staff member pre-documented the administration of evening medication, which resulted in discrepancies in the daily medication count on multiple medication records.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Employee files contain the names of the references and indicate that the individuals were contacted, but the pre-employment screening doesn't include the documentation of the conversations.
3 748.311 - Serious Incident Documentation-Documented in written report
Several incident reports were observed to be incomplete and/or missing required information.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual who does not have an active background check for the operation has been having access to youth in care at the operation, during transports, and away from the operation.
4 748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A restraint report dated February 22, 2025 at 11:15 AM was not reviewed within the 72-hour timeframe which should've been by February 25, 2025 at 11:15 AM. The supervisor date and time was blank.
5 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The back yard fence had multiple board that need to be replaced. The stairs railing is loose.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
Staff used an unsafe method to wake a resident by flipping their mattress, causing the resident to fall from the bed.
4 748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A restraint report dated February 22, 2025 at 11:15 AM was not reviewed within the 72-hour timeframe which should've been by February 25, 2025 at 11:15 AM. The supervisor date and time was blank.
3 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The second level of the home was observed with wasps nests outside of the home.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Employee files contain the names of the references and indicate that the individuals were contacted, but the pre-employment screening doesn't include the documentation of the conversations.
3 748.311 - Serious Incident Documentation-Documented in written report
Several incident reports were observed to be incomplete and/or missing required information.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers failed to maintain self-control and engaged in inappropriate behavior towards each other in front of the children in their care.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
Staff used an unsafe method to wake a resident by flipping their mattress, causing the resident to fall from the bed.
3 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the supervision requirements outlined in the child's service plan by leaving a child on 1:1 supervision unattended for approximately 40 minutes.
4 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
The operation placed a child who was younger than the victim in the same room, against the victim's Safety Plan which clearly noted the victim should not share a room with any child younger than them.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
All medication logs were evaluated, and some were observed to be missing the information required to identify the staff who administered the medication.
5 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The back yard fence had multiple board that need to be replaced. The stairs railing is loose.
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 didn't include a notarized affidavit..
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Staff put child's medication in a sippy cup and placed child on the school bus with medication still in the cup, not knowing if medication was consumed.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
Medication logs include the signature and a cell for staff initials. The documentation doesn't include the name of the person who administered the medication, and several dates doesn't have an initial to match the person who administered the medication.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
All medication logs had an inaccurate daily count due to incorrect subtraction from the starting count.
3 748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
There were no documents available for review regarding the length of time for EBI conducted.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
All medication logs were evaluated, and on some logs, medications were observed to be administered as required with staff names and signature, but date and time weren't documented.

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

Inspections (104)

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

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