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TexasRichmond › Royal Heritage RTC, LLC

Royal Heritage RTC, LLC

Child care center · 18234 BONHAM OAKS CT, Richmond, TX 77407-2298 · License 1804766

0Compliance score
Poor

Capacity 9. 7-17

Violation history (200)

SeverityDateStandard / narrativeCorrected
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
A bedroom had to cross an "activity room" in order to access a bathroom.
4 748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
Psychotropic medication trainings were not provided by a health-care professional.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Three employee files reviewed did not have Form 2912 completed.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Youth in care admitted to possession and use of a tobacco e-cigarette at the operation.
3 748.2051(2) - Medication Self-Administration-Self-medication program must be in the child's service plan & include requirements for caregiver supervision
Child was allowed to self-administer medication by staff. Childs service plan did not state child was allowed to self-administer medications.
3 748.861(b)(3) - Pre-Service Training - Supervised experience must be documented in personnel record
The training logs for two staff members were received and reviewed. Both training logs reviewed stated that the employees did not require 40 hours of supervision prior to being counted in ratio. Documentation of this supervised child-care experience was not provided.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
748.125 (c)(1)(B)(i-iv)-748.125(c)(1)(C)(i-iii): The operation?s policy indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning (748.125 (c)(1)(B)(i-iv) and screening for risk (748.125(c)(1)(C)(i-iii). Training on these specific curriculum requirements will have to be tailored for each operation as training will have to based on an operation?s own safety planning practices and the specific screening tool the operation will use to screen for risk. The operation will need to include training to address these two areas, the AS+K Gatekeeper training does not provide for these areas within the training. 748.125(c)(2): The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate. Will volunteers and non-employees be required to complete training, if yes or no the operation should include it within the policy. 748.125(d)(5): The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy. Where will the screening take place? In a private area/office where the child being screened can not be heard.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child on 1:1 did not have a staff present at all times.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
Policies submitted for review did not include a drug testing policy.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff members at Royal Heritage RTC failed to adequately supervise a child in care while the child was on the roof of the operation, in addition the child was left alone on the roof.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Youth care worker transported children in care with a Provisional background. Conditions stated worker was not allowed to transport children in care.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers failed to provide adequate supervision resulting in inappropriate behaviors amongst youth in care.
5 748.103(b)(12) - Policies and procedures to submit - Weapons, firearms, explosive materials and projectiles
There were no policies regarding weapons, firearms, explosive materials and projectiles.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Fire inspection was not completed by the expiration date.
2 748.123(6) - Vaccine preventable policy - prohibit discrimination or retaliatory action against exempt employee, except use of protective
There is no statement in vaccine preventable policy prohibiting discrimination or retaliatory action against exempt employee.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two child files did not have completed service plans within the 45 day time frame.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
2/2 child files reviewed did not have documentation that orientation was provided.
3 748.1101(b)(3)(A) - Children's rights-communicate in language or other means understandable to child; have at least one person at all times who can communicate with child
The operation did not have a staff on duty that could communicate in the child's preferred language. The operation was using "google translator" to communicate with the child in care.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
There is no procedures included in the policies regarding how the operation would screen applicants to determine suitability for work.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was able to utilize an e-cigarette at operation and staff was unaware.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff file reviewed did not have all the required documentation in the required time frame.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Operation did not submit staff trainings for investigation purposes.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care was not administered medication timely, for a duration of time.
4 748.103(b)(6) - Policies and procedures to submit - Emergency behavior intervention
EBI policies are not complete and must be more detailed in order to meet compliance.
4 748.869(d)(1) - Pre-service Training- EBI training must be instructor led, instructor must be certified in recognized method of EBI.
The owner of the operation was listed as an instructor of EBI training for a staff member. The owner failed to provide documentation on how he meets the requirements to train this subject matter.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
2/2 child files reviewed did not have documentation that orientation was provided.
2 748.123(6) - Vaccine preventable policy - prohibit discrimination or retaliatory action against exempt employee, except use of protective
There is no statement in vaccine preventable policy prohibiting discrimination or retaliatory action against exempt employee.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers failed to provide adequate supervision resulting in inappropriate behaviors amongst youth in care.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Youth in care admitted to possession and use of a tobacco e-cigarette at the operation.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Youth care worker transported children in care with a Provisional background. Conditions stated worker was not allowed to transport children in care.
5 748.103(b)(12) - Policies and procedures to submit - Weapons, firearms, explosive materials and projectiles
There were no policies regarding weapons, firearms, explosive materials and projectiles.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Fire inspection was not completed by the expiration date.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff file reviewed did not have all the required documentation in the required time frame.
3 748.1101(b)(3)(A) - Children's rights-communicate in language or other means understandable to child; have at least one person at all times who can communicate with child
The operation did not have a staff on duty that could communicate in the child's preferred language. The operation was using "google translator" to communicate with the child in care.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child on 1:1 did not have a staff present at all times.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was able to utilize an e-cigarette at operation and staff was unaware.
3 748.861(b)(3) - Pre-Service Training - Supervised experience must be documented in personnel record
The training logs for two staff members were received and reviewed. Both training logs reviewed stated that the employees did not require 40 hours of supervision prior to being counted in ratio. Documentation of this supervised child-care experience was not provided.
4 748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
Psychotropic medication trainings were not provided by a health-care professional.
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
A bedroom had to cross an "activity room" in order to access a bathroom.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two child files did not have completed service plans within the 45 day time frame.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care was not administered medication timely, for a duration of time.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
There is no procedures included in the policies regarding how the operation would screen applicants to determine suitability for work.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Three employee files reviewed did not have Form 2912 completed.
4 748.103(b)(6) - Policies and procedures to submit - Emergency behavior intervention
EBI policies are not complete and must be more detailed in order to meet compliance.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff members at Royal Heritage RTC failed to adequately supervise a child in care while the child was on the roof of the operation, in addition the child was left alone on the roof.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
Policies submitted for review did not include a drug testing policy.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Operation did not submit staff trainings for investigation purposes.
3 748.2051(2) - Medication Self-Administration-Self-medication program must be in the child's service plan & include requirements for caregiver supervision
Child was allowed to self-administer medication by staff. Childs service plan did not state child was allowed to self-administer medications.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
748.125 (c)(1)(B)(i-iv)-748.125(c)(1)(C)(i-iii): The operation?s policy indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning (748.125 (c)(1)(B)(i-iv) and screening for risk (748.125(c)(1)(C)(i-iii). Training on these specific curriculum requirements will have to be tailored for each operation as training will have to based on an operation?s own safety planning practices and the specific screening tool the operation will use to screen for risk. The operation will need to include training to address these two areas, the AS+K Gatekeeper training does not provide for these areas within the training. 748.125(c)(2): The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate. Will volunteers and non-employees be required to complete training, if yes or no the operation should include it within the policy. 748.125(d)(5): The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy. Where will the screening take place? In a private area/office where the child being screened can not be heard.
4 748.869(d)(1) - Pre-service Training- EBI training must be instructor led, instructor must be certified in recognized method of EBI.
The owner of the operation was listed as an instructor of EBI training for a staff member. The owner failed to provide documentation on how he meets the requirements to train this subject matter.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
Policies submitted for review did not include a drug testing policy.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
2/2 child files reviewed did not have documentation that orientation was provided.
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
A bedroom had to cross an "activity room" in order to access a bathroom.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two child files did not have completed service plans within the 45 day time frame.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care was not administered medication timely, for a duration of time.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child on 1:1 did not have a staff present at all times.
3 748.861(b)(3) - Pre-Service Training - Supervised experience must be documented in personnel record
The training logs for two staff members were received and reviewed. Both training logs reviewed stated that the employees did not require 40 hours of supervision prior to being counted in ratio. Documentation of this supervised child-care experience was not provided.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
748.125 (c)(1)(B)(i-iv)-748.125(c)(1)(C)(i-iii): The operation?s policy indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning (748.125 (c)(1)(B)(i-iv) and screening for risk (748.125(c)(1)(C)(i-iii). Training on these specific curriculum requirements will have to be tailored for each operation as training will have to based on an operation?s own safety planning practices and the specific screening tool the operation will use to screen for risk. The operation will need to include training to address these two areas, the AS+K Gatekeeper training does not provide for these areas within the training. 748.125(c)(2): The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate. Will volunteers and non-employees be required to complete training, if yes or no the operation should include it within the policy. 748.125(d)(5): The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy. Where will the screening take place? In a private area/office where the child being screened can not be heard.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Operation did not submit staff trainings for investigation purposes.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff members at Royal Heritage RTC failed to adequately supervise a child in care while the child was on the roof of the operation, in addition the child was left alone on the roof.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was able to utilize an e-cigarette at operation and staff was unaware.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff file reviewed did not have all the required documentation in the required time frame.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Three employee files reviewed did not have Form 2912 completed.
4 748.103(b)(6) - Policies and procedures to submit - Emergency behavior intervention
EBI policies are not complete and must be more detailed in order to meet compliance.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
There is no procedures included in the policies regarding how the operation would screen applicants to determine suitability for work.
2 748.123(6) - Vaccine preventable policy - prohibit discrimination or retaliatory action against exempt employee, except use of protective
There is no statement in vaccine preventable policy prohibiting discrimination or retaliatory action against exempt employee.
3 748.1101(b)(3)(A) - Children's rights-communicate in language or other means understandable to child; have at least one person at all times who can communicate with child
The operation did not have a staff on duty that could communicate in the child's preferred language. The operation was using "google translator" to communicate with the child in care.
5 748.103(b)(12) - Policies and procedures to submit - Weapons, firearms, explosive materials and projectiles
There were no policies regarding weapons, firearms, explosive materials and projectiles.
4 748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
Psychotropic medication trainings were not provided by a health-care professional.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Youth in care admitted to possession and use of a tobacco e-cigarette at the operation.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Youth care worker transported children in care with a Provisional background. Conditions stated worker was not allowed to transport children in care.
4 748.869(d)(1) - Pre-service Training- EBI training must be instructor led, instructor must be certified in recognized method of EBI.
The owner of the operation was listed as an instructor of EBI training for a staff member. The owner failed to provide documentation on how he meets the requirements to train this subject matter.
3 748.2051(2) - Medication Self-Administration-Self-medication program must be in the child's service plan & include requirements for caregiver supervision
Child was allowed to self-administer medication by staff. Childs service plan did not state child was allowed to self-administer medications.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers failed to provide adequate supervision resulting in inappropriate behaviors amongst youth in care.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Fire inspection was not completed by the expiration date.
3 748.1101(b)(3)(A) - Children's rights-communicate in language or other means understandable to child; have at least one person at all times who can communicate with child
The operation did not have a staff on duty that could communicate in the child's preferred language. The operation was using "google translator" to communicate with the child in care.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregivers failed to provide adequate supervision resulting in inappropriate behaviors amongst youth in care.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff members at Royal Heritage RTC failed to adequately supervise a child in care while the child was on the roof of the operation, in addition the child was left alone on the roof.
3 748.105(3) - Personnel Policies - Include procedures for screening applicants to determine suitability.
There is no procedures included in the policies regarding how the operation would screen applicants to determine suitability for work.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child on 1:1 did not have a staff present at all times.
3 748.2051(2) - Medication Self-Administration-Self-medication program must be in the child's service plan & include requirements for caregiver supervision
Child was allowed to self-administer medication by staff. Childs service plan did not state child was allowed to self-administer medications.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Youth care worker transported children in care with a Provisional background. Conditions stated worker was not allowed to transport children in care.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
748.125 (c)(1)(B)(i-iv)-748.125(c)(1)(C)(i-iii): The operation?s policy indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning (748.125 (c)(1)(B)(i-iv) and screening for risk (748.125(c)(1)(C)(i-iii). Training on these specific curriculum requirements will have to be tailored for each operation as training will have to based on an operation?s own safety planning practices and the specific screening tool the operation will use to screen for risk. The operation will need to include training to address these two areas, the AS+K Gatekeeper training does not provide for these areas within the training. 748.125(c)(2): The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate. Will volunteers and non-employees be required to complete training, if yes or no the operation should include it within the policy. 748.125(d)(5): The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy. Where will the screening take place? In a private area/office where the child being screened can not be heard.
3 748.861(b)(3) - Pre-Service Training - Supervised experience must be documented in personnel record
The training logs for two staff members were received and reviewed. Both training logs reviewed stated that the employees did not require 40 hours of supervision prior to being counted in ratio. Documentation of this supervised child-care experience was not provided.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was able to utilize an e-cigarette at operation and staff was unaware.
2 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
2/2 child files reviewed did not have documentation that orientation was provided.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Youth in care admitted to possession and use of a tobacco e-cigarette at the operation.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff file reviewed did not have all the required documentation in the required time frame.
4 748.105(10) - Personnel Policies- Must include either the model drug testing policy or a written policy that meets or exceeds the criteria in the model policy.
Policies submitted for review did not include a drug testing policy.
1 748.3391(c) - Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
A bedroom had to cross an "activity room" in order to access a bathroom.
4 748.869(d)(1) - Pre-service Training- EBI training must be instructor led, instructor must be certified in recognized method of EBI.
The owner of the operation was listed as an instructor of EBI training for a staff member. The owner failed to provide documentation on how he meets the requirements to train this subject matter.
4 748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
Psychotropic medication trainings were not provided by a health-care professional.
2 748.123(6) - Vaccine preventable policy - prohibit discrimination or retaliatory action against exempt employee, except use of protective
There is no statement in vaccine preventable policy prohibiting discrimination or retaliatory action against exempt employee.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Fire inspection was not completed by the expiration date.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Three employee files reviewed did not have Form 2912 completed.
4 748.103(b)(6) - Policies and procedures to submit - Emergency behavior intervention
EBI policies are not complete and must be more detailed in order to meet compliance.
5 748.103(b)(12) - Policies and procedures to submit - Weapons, firearms, explosive materials and projectiles
There were no policies regarding weapons, firearms, explosive materials and projectiles.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care was not administered medication timely, for a duration of time.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Operation did not submit staff trainings for investigation purposes.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two child files did not have completed service plans within the 45 day time frame.

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

Inspections (104)

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

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