Texas › Houston › Beacon Of Light Residential Treatment Center LLC

Beacon Of Light Residential Treatment Center LLC

Child care center · 4215 DAWSON LN, Houston, TX 77051-3337 · License 1795211

0Compliance score
Poor

Capacity 11. 6-17

Violation history (64)

Severity	Date	Standard / narrative	Corrected
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current 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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current 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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
5	—	748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs Child records reviewed indicate Suicide Screenings not completed at admission.	—
4	—	748.153(3)(C) - Notification - Remove controlling person Operation did not notify Licensing when an individual ceased to be a controlling person with their operation whom they confirmed was no longer in their role as of 8/12/24. This individual was not removed until 08/22/24, when confirmation was received via email.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction The child's service plan, suicide screening assessment, and medical documentation was provided to licensing for review.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care requested to identify their gender by using gender specific clothing and was denied access to the requested gender specific clothing.	—
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 Documentation provided by the operation includes two individuals with effective termination dates of March 5, 2025, but their background checks are still active as of April 14, 2025.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone One staff was identified as not having a background check run under the current operation.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child No serious incident reported was provided to licensing for review.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Serious incident report does not identify the gender of the child in care.	—

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

Inspections (48)

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

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