Texas › Fresno › Clairefontaine Care Center LLC

Clairefontaine Care Center LLC

Child care center · 2403 INLET CT, Fresno, TX 77545-8868 · License 1804296

0Compliance score
Poor

Capacity 10. 7-17

Violation history (248)

Severity	Date	Standard / narrative	Corrected
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards The locks on the front door and back did not lock properly.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the inspection, it was observed that the medication was not double locked, as the cabinet was unlocked. The keys for the medication cabinet were found	Yes
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The designated location outside the operation was not included in the diagram. The diagram was updated at the time of the inspection as the correction.	Yes
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Two service plans do not have a caregiver's signature.	—
4	—	748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours Staff member admitted to sleeping during his shift.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to follow child's supervision plan for 1:1 supervision.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Three service plans reviewed did not contain specific instructions related to high-risk behavior and special instructions or supervision requirements for caregivers.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff made inappropriate comments to a child in care in the presence of other children, demonstrating a failure to exercise prudent judgment.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication logs for 4 youth were reviewed. Log noted dates the medication was not administered as prescribed.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The personal file had some required documents. Missing document included the Job description, Orientation, the Notarized Licensing Affidavit for Application for Employment, the statement signed and dated by the employee regarding reporting suspected child abuse/neglect. and documentation showing the date of emplyment.	—
3	—	748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why Unauthorization log did not include the de- briefing documentation	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders An administrative penalty will be recommended as a result of this citation, per HRC ?42.078 and technical assistance will be provided to the operation. Upon review of two medication administration logs, it was determined that medications were not dispensed in accordance with the documented instructions,	—
4	—	748.3233(b)(4)(E) - Evacuation-Emergency evacuation & relocation diagram includes 2 exit routes that are not doors or windows that require key to open from inside The front door and back door use a key lock dead bolt and require a key to unlock the doors from the inside.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair A bunk bed in one of the bedrooms is broken with sharp wood exposed.	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. Policy does not indicate how suicide prevention training for non-employees will be promoted.	—
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 The operation failed to meet the children's basic needs due to nonpayment of utility services.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Operation did not submit all requested documentation for licensing review within the timeframes given.	—
1	—	748.3397(d)(1) - Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children It was determined during the investigation inspection that the operation does not have running hot water due to non-payment of the gas bill,	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Staff failed to follow 1:1 supervision requirement of a child in care as outlined in their supervision plan.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies Administrator failed to have system in place ensuring staff was available at the operation.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication log for two youth had no documentation regarding the medication error.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse It was alleged that the therapist/administrator was making inappropriate remarks to a child in care.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Several requested documents were not provided by the operation.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Child service plans related to an investigation were requested multiple times.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to intervene when youth were involved in a physical altercation.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair During the walk through the operation, in the downstairs bedroom was a hole in the wall, in the upstairs bedroom the light in the bedroom was not working and there a hole in the wall of the other bedroom.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. The two staff files were missing the reference verification.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given There was no medication log for over the counter medication. Child indicated that he is given Benadryl for allergies.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The two staff files that were reviewed were incomplete and has some of the required documents missing. Missing documents included; application, drug tests, operations policy acknowledgments.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return There is no documentation to support that the required debriefings were conducted when child returned to the facility.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. The two employee files reviewed had no employment verification documentation.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies Administrator failed to have system in place ensuring staff was available at the operation.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication log for two youth had no documentation regarding the medication error.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to intervene when youth were involved in a physical altercation.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the inspection, it was observed that the medication was not double locked, as the cabinet was unlocked. The keys for the medication cabinet were found	Yes
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return There is no documentation to support that the required debriefings were conducted when child returned to the facility.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair During the walk through the operation, in the downstairs bedroom was a hole in the wall, in the upstairs bedroom the light in the bedroom was not working and there a hole in the wall of the other bedroom.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The two staff files that were reviewed were incomplete and has some of the required documents missing. Missing documents included; application, drug tests, operations policy acknowledgments.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Staff failed to follow 1:1 supervision requirement of a child in care as outlined in their supervision plan.	—
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 The operation failed to meet the children's basic needs due to nonpayment of utility services.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Child service plans related to an investigation were requested multiple times.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Several requested documents were not provided by the operation.	—
4	—	748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours Staff member admitted to sleeping during his shift.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Operation did not submit all requested documentation for licensing review within the timeframes given.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards The locks on the front door and back did not lock properly.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Three service plans reviewed did not contain specific instructions related to high-risk behavior and special instructions or supervision requirements for caregivers.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The personal file had some required documents. Missing document included the Job description, Orientation, the Notarized Licensing Affidavit for Application for Employment, the statement signed and dated by the employee regarding reporting suspected child abuse/neglect. and documentation showing the date of emplyment.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders An administrative penalty will be recommended as a result of this citation, per HRC ?42.078 and technical assistance will be provided to the operation. Upon review of two medication administration logs, it was determined that medications were not dispensed in accordance with the documented instructions,	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given There was no medication log for over the counter medication. Child indicated that he is given Benadryl for allergies.	—
1	—	748.3397(d)(1) - Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children It was determined during the investigation inspection that the operation does not have running hot water due to non-payment of the gas bill,	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse It was alleged that the therapist/administrator was making inappropriate remarks to a child in care.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The designated location outside the operation was not included in the diagram. The diagram was updated at the time of the inspection as the correction.	Yes
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. Policy does not indicate how suicide prevention training for non-employees will be promoted.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication logs for 4 youth were reviewed. Log noted dates the medication was not administered as prescribed.	—
4	—	748.3233(b)(4)(E) - Evacuation-Emergency evacuation & relocation diagram includes 2 exit routes that are not doors or windows that require key to open from inside The front door and back door use a key lock dead bolt and require a key to unlock the doors from the inside.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to follow child's supervision plan for 1:1 supervision.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. The two employee files reviewed had no employment verification documentation.	—
3	—	748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why Unauthorization log did not include the de- briefing documentation	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Two service plans do not have a caregiver's signature.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff made inappropriate comments to a child in care in the presence of other children, demonstrating a failure to exercise prudent judgment.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair A bunk bed in one of the bedrooms is broken with sharp wood exposed.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. The two staff files were missing the reference verification.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair A bunk bed in one of the bedrooms is broken with sharp wood exposed.	—
4	—	748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours Staff member admitted to sleeping during his shift.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders An administrative penalty will be recommended as a result of this citation, per HRC ?42.078 and technical assistance will be provided to the operation. Upon review of two medication administration logs, it was determined that medications were not dispensed in accordance with the documented instructions,	—
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 The operation failed to meet the children's basic needs due to nonpayment of utility services.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The personal file had some required documents. Missing document included the Job description, Orientation, the Notarized Licensing Affidavit for Application for Employment, the statement signed and dated by the employee regarding reporting suspected child abuse/neglect. and documentation showing the date of emplyment.	—
1	—	748.3397(d)(1) - Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children It was determined during the investigation inspection that the operation does not have running hot water due to non-payment of the gas bill,	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. The two staff files were missing the reference verification.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Child service plans related to an investigation were requested multiple times.	—
4	—	748.3233(b)(4)(E) - Evacuation-Emergency evacuation & relocation diagram includes 2 exit routes that are not doors or windows that require key to open from inside The front door and back door use a key lock dead bolt and require a key to unlock the doors from the inside.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff made inappropriate comments to a child in care in the presence of other children, demonstrating a failure to exercise prudent judgment.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During the inspection, it was observed that the medication was not double locked, as the cabinet was unlocked. The keys for the medication cabinet were found	Yes
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to follow child's supervision plan for 1:1 supervision.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication log for two youth had no documentation regarding the medication error.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication logs for 4 youth were reviewed. Log noted dates the medication was not administered as prescribed.	—
3	—	748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why Unauthorization log did not include the de- briefing documentation	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Several requested documents were not provided by the operation.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to intervene when youth were involved in a physical altercation.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards The locks on the front door and back did not lock properly.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Staff failed to follow 1:1 supervision requirement of a child in care as outlined in their supervision plan.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The two staff files that were reviewed were incomplete and has some of the required documents missing. Missing documents included; application, drug tests, operations policy acknowledgments.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse It was alleged that the therapist/administrator was making inappropriate remarks to a child in care.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. The two employee files reviewed had no employment verification documentation.	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Two service plans do not have a caregiver's signature.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair During the walk through the operation, in the downstairs bedroom was a hole in the wall, in the upstairs bedroom the light in the bedroom was not working and there a hole in the wall of the other bedroom.	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. Policy does not indicate how suicide prevention training for non-employees will be promoted.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Operation did not submit all requested documentation for licensing review within the timeframes given.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Three service plans reviewed did not contain specific instructions related to high-risk behavior and special instructions or supervision requirements for caregivers.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given There was no medication log for over the counter medication. Child indicated that he is given Benadryl for allergies.	—
3	—	748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies Administrator failed to have system in place ensuring staff was available at the operation.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return There is no documentation to support that the required debriefings were conducted when child returned to the facility.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet The designated location outside the operation was not included in the diagram. The diagram was updated at the time of the inspection as the correction.	Yes
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication log for two youth had no documentation regarding the medication error.	—
1	—	748.125(c)(2) - Suicide Training-You must promote suicide prevention training for non-employees, as appropriate. Policy does not indicate how suicide prevention training for non-employees will be promoted.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return There is no documentation to support that the required debriefings were conducted when child returned to the facility.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders An administrative penalty will be recommended as a result of this citation, per HRC ?42.078 and technical assistance will be provided to the operation. Upon review of two medication administration logs, it was determined that medications were not dispensed in accordance with the documented instructions,	—
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 The operation failed to meet the children's basic needs due to nonpayment of utility services.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse It was alleged that the therapist/administrator was making inappropriate remarks to a child in care.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Staff failed to follow child's supervision plan for 1:1 supervision.	—

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

Inspections (144)

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

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