Capacity 9. 10-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 1 | — |
748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.
During a review of records, a youth in care had high risk behaviors listed in their admission assessment which necessitated a screening to be conducted. The results were not included in the youth's file. |
— |
| 2 | — |
748.4083(b) - Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
During an inspection, it was found that a youth was transported in a non-agency vehicle that did not display a current registration sticker. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A staff member's personnel file contained a job description requiring the employee to be 21 or older. The employee was under 21 years of age, and the job description listed the position as Youth Care worker rather than Administrative Assistant. |
Yes |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Four employees' files reviewed did not contain the Form 2912, Pre-Employment Affidavit. |
— |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The unauthorized absence log was missing the following information: the age, gender, and date of admission of the child who was absent, the time the unauthorized absence was discovered, how long the child was gone or if the child did not return, the name of the caregiver responsible for the child at the time the child?s absence was discovered, the intake report number, if a report was made to Licensing or the Department of Family and Protective Services and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Two youth's files were reviewed and were missing required elements such as circumstances that led to the child's referral, child's behavior, level of care, legal status, type of admission. |
— |
| 5 | — |
748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
During a review of a youth in care's emergency admission assessment. It was noted that the documentation did not include any of the required information listed. |
Yes |
| 3 | — |
748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
An employee's file that was reviewed and hired on October 1st. Did not include any details that the employee's prior employers were contacted. |
— |
32 inspection record(s) on file from TX-HHSC.