Texas › Richmond › SAVING HOME RTC LLC

SAVING HOME RTC LLC

Child care center · 21234 RUSH HOLLOW CT, Richmond, TX 77407-2486 · License 1803493

0Compliance score
Poor

Capacity 14. 6-17

Violation history (176)

Severity	Date	Standard / narrative	Corrected
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child in care service plan was not completed within the 45 day timeframe.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children The operation staff have failed to maintain the ratio due to one staff member being assigned to a group of three children, including two children who require 1:1 supervision.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver was observed using his personal phone while caring for children, preventing him from providing supervision. One of the children in the ratio was supposed to be under one-to-one supervision.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Computer documentation indicates that medications are being prepared more than one hour prior to time being dispensed.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park. During a follow-up inspection, two children in care were supervised 1:1, and one child was observed to be unsupervised.	—
5	—	748.3931(a)(1) - Weapons- Handguns are not permitted at an operation or during any type of activity. Two children in care admitted to storing a handgun under their dresser during the operation.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for six children in care was not accurate.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two children in care preliminary service plans were not completed within-in 72 hours.	—
4	—	748.505(a) - Minimum qualifications for employees-Behavior or health does not present a danger to children in care Multiple staff records lacked a licensed operational affidavit.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A child in care whose service plan states that the child should be 1:1 during awake hours was seen unsupervised while CCI staff were present at the operation.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling Multiple staff records lacked information about their education.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. The operation failed to complete a suicide risk screening or assessment by a mental health professional after a child exhibited self-harming behaviors.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The designated administrator reported that he is not on duty every day at the operation.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for two children in care was not accurate.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. During an investigation, it was determined the operation reported a child's arrest past the 24 hours maximum required by the minimum standards	—
3	—	748.531(a)(3) - Child-care administrator-Is full-time employee of the operation The designated Administrator for the operation reported working less than 30 hours per week at the operation.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident The operation submitted an incident report that did not contain the date and time.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Two children in care eloped from the operation while staff were asleep and returned with stolen weapons	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. One staff member was missing sucide prevention training.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Six children's in care medications were stored in a weekly container without the proper prescription information.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Staff failed to appropraitely document medication given to a child in care.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park.	—
5	—	748.3931(a)(1) - Weapons- Handguns are not permitted at an operation or during any type of activity. Two children in care admitted to storing a handgun under their dresser during the operation.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for six children in care was not accurate.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children The operation staff have failed to maintain the ratio due to one staff member being assigned to a group of three children, including two children who require 1:1 supervision.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park. During a follow-up inspection, two children in care were supervised 1:1, and one child was observed to be unsupervised.	—
3	—	748.531(a)(3) - Child-care administrator-Is full-time employee of the operation The designated Administrator for the operation reported working less than 30 hours per week at the operation.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two children in care preliminary service plans were not completed within-in 72 hours.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for two children in care was not accurate.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child in care service plan was not completed within the 45 day timeframe.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The designated administrator reported that he is not on duty every day at the operation.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. One staff member was missing sucide prevention training.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident The operation submitted an incident report that did not contain the date and time.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Staff failed to appropraitely document medication given to a child in care.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A child in care whose service plan states that the child should be 1:1 during awake hours was seen unsupervised while CCI staff were present at the operation.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. During an investigation, it was determined the operation reported a child's arrest past the 24 hours maximum required by the minimum standards	—
4	—	748.505(a) - Minimum qualifications for employees-Behavior or health does not present a danger to children in care Multiple staff records lacked a licensed operational affidavit.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Six children's in care medications were stored in a weekly container without the proper prescription information.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Two children in care eloped from the operation while staff were asleep and returned with stolen weapons	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver was observed using his personal phone while caring for children, preventing him from providing supervision. One of the children in the ratio was supposed to be under one-to-one supervision.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling Multiple staff records lacked information about their education.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. The operation failed to complete a suicide risk screening or assessment by a mental health professional after a child exhibited self-harming behaviors.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Computer documentation indicates that medications are being prepared more than one hour prior to time being dispensed.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. During an investigation, it was determined the operation reported a child's arrest past the 24 hours maximum required by the minimum standards	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park. During a follow-up inspection, two children in care were supervised 1:1, and one child was observed to be unsupervised.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Computer documentation indicates that medications are being prepared more than one hour prior to time being dispensed.	—
4	—	748.505(a) - Minimum qualifications for employees-Behavior or health does not present a danger to children in care Multiple staff records lacked a licensed operational affidavit.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Six children's in care medications were stored in a weekly container without the proper prescription information.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. The operation failed to complete a suicide risk screening or assessment by a mental health professional after a child exhibited self-harming behaviors.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for six children in care was not accurate.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident The operation submitted an incident report that did not contain the date and time.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Two children in care eloped from the operation while staff were asleep and returned with stolen weapons	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two children in care preliminary service plans were not completed within-in 72 hours.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The designated administrator reported that he is not on duty every day at the operation.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Staff failed to appropraitely document medication given to a child in care.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children The operation staff have failed to maintain the ratio due to one staff member being assigned to a group of three children, including two children who require 1:1 supervision.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for two children in care was not accurate.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A child in care whose service plan states that the child should be 1:1 during awake hours was seen unsupervised while CCI staff were present at the operation.	—
5	—	748.3931(a)(1) - Weapons- Handguns are not permitted at an operation or during any type of activity. Two children in care admitted to storing a handgun under their dresser during the operation.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. One staff member was missing sucide prevention training.	—
3	—	748.531(a)(3) - Child-care administrator-Is full-time employee of the operation The designated Administrator for the operation reported working less than 30 hours per week at the operation.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child in care service plan was not completed within the 45 day timeframe.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver was observed using his personal phone while caring for children, preventing him from providing supervision. One of the children in the ratio was supposed to be under one-to-one supervision.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling Multiple staff records lacked information about their education.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children The operation staff have failed to maintain the ratio due to one staff member being assigned to a group of three children, including two children who require 1:1 supervision.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park. During a follow-up inspection, two children in care were supervised 1:1, and one child was observed to be unsupervised.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Children in care have specific supervision needs for one-on-one supervision during waking hours, both within the facility and outside. The operation has failed to staff the facility appropriately, ensuring that staff can meet each child's supervision needs. Additionally, on multiple occasions, a group of children, including one child with 1:1 supervision needs, were left unsupervised at a local park.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling Multiple staff records lacked information about their education.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. During an investigation, it was determined the operation reported a child's arrest past the 24 hours maximum required by the minimum standards	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A child in care whose service plan states that the child should be 1:1 during awake hours was seen unsupervised while CCI staff were present at the operation.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Two children in care eloped from the operation while staff were asleep and returned with stolen weapons	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two children in care preliminary service plans were not completed within-in 72 hours.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation The designated administrator reported that he is not on duty every day at the operation.	—
3	—	748.531(a)(3) - Child-care administrator-Is full-time employee of the operation The designated Administrator for the operation reported working less than 30 hours per week at the operation.	—
5	—	748.3931(a)(1) - Weapons- Handguns are not permitted at an operation or during any type of activity. Two children in care admitted to storing a handgun under their dresser during the operation.	—
4	—	748.505(a) - Minimum qualifications for employees-Behavior or health does not present a danger to children in care Multiple staff records lacked a licensed operational affidavit.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. The operation failed to complete a suicide risk screening or assessment by a mental health professional after a child exhibited self-harming behaviors.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver was observed using his personal phone while caring for children, preventing him from providing supervision. One of the children in the ratio was supposed to be under one-to-one supervision.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. One staff member was missing sucide prevention training.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for six children in care was not accurate.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Staff failed to appropraitely document medication given to a child in care.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Computer documentation indicates that medications are being prepared more than one hour prior to time being dispensed.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child in care service plan was not completed within the 45 day timeframe.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident The operation submitted an incident report that did not contain the date and time.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for two children in care was not accurate.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Six children's in care medications were stored in a weekly container without the proper prescription information.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. The operation failed to complete a suicide risk screening or assessment by a mental health professional after a child exhibited self-harming behaviors.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission One child in care service plan was not completed within the 45 day timeframe.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required A child in care whose service plan states that the child should be 1:1 during awake hours was seen unsupervised while CCI staff were present at the operation.	—
3	—	748.531(a)(3) - Child-care administrator-Is full-time employee of the operation The designated Administrator for the operation reported working less than 30 hours per week at the operation.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two children in care preliminary service plans were not completed within-in 72 hours.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. One staff member was missing sucide prevention training.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for two children in care was not accurate.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children The operation staff have failed to maintain the ratio due to one staff member being assigned to a group of three children, including two children who require 1:1 supervision.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Computer documentation indicates that medications are being prepared more than one hour prior to time being dispensed.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident The operation submitted an incident report that did not contain the date and time.	—
4	—	748.505(a) - Minimum qualifications for employees-Behavior or health does not present a danger to children in care Multiple staff records lacked a licensed operational affidavit.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication count for six children in care was not accurate.	—

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

Inspections (96)

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

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