Capacity 10. 7-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During a unnanounced initial inspection a staff drug test record was found to be incorrectly completed. |
Yes |
| 3 | — |
748.63(1) - Types of services-Operation must only provide services listed on permit
Several documents evaluated confirms that a child in care has a diagnosis for which the operation is not licensed to provide services. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
The child's input and/or staff documentation is blank for preferred de-escalation techniques that caregivers can use to assist the child in the de-escalation process. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
An Incident Report provided by the operation was not documented as an SIR and an SIR provided by the operation failed to include the required information. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Several of the daily progress notes are missing information and another operation's name is on the progress notes. |
— |
| 5 | — |
748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
Two of two charts reviewed determined both children had severe high risk behaviors, but these were not addressed and a plan was not put in place to help ensure a child did not act on their behaviors and harm themselves or others. |
— |
| 4 | — |
748.1217(b)(8) - Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
The Admission Assessment provided by the operation failed to document the required information. |
— |
32 inspection record(s) on file from TX-HHSC.