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Youthful Haven

Child care center · 3814 EVANS GROVE LN, Katy, TX 77494-1175 · License 1812028

0Compliance score
Poor

Capacity 14. 9-17

Violation history (236)

SeverityDateStandard / narrativeCorrected
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Upon review of the child's Admission's Assessment it was discovered the Admission's Assessment was missing several components noted in the standards. The operation provided a draft of bullet points and did not utilize their previously approved Admission's Assessment template.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
In a review of the suicide policies, it was determined that it did not meet the criteria outlined in 748.124.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Three of the three admission assessments were incomplete, missing several components of the assessment, such as 1217(8),(12),(13), (16) and (c)(3),(4),(5),(9),(12), and (14)
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Three of the three files reviewed were missing several components of what is to be documented at admissions 1205(1-6) and (10-12).
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection, I observed one of four employee records lacked the Form 2912 affidavit.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the inspection, I observed the EBI training certificates for two of two caregivers, and two of two employee files show the staff received 16 hours of EBI training in one day, and staff interviewed stated the training lasted 6 hours total.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two of the three initial services plans were completed late.
2 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Two of the three child Initial Service Plan reviewed were incomplete and were missing goals.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
During the inspection, I observed three of four employee records reviewed lacked completed reference checks.
3 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
One of the three child records did not complete a suicide screening on a child during the required every 30 days after admission.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
While reviewing personnel records, it was discovered 1 of the 2 records reviewed did not include two reference checks.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Upon review of the child's Preliminary Service Plan it was discovered the plan did not include (b)(3),(4),(5).
4 748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
During the inspection, I observed two of two caregivers files to lack acceptible CPR/First Aid training documentation.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, I observed two of two caregiver records did not include instructor-led psychotropic medication training.
3 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Upon review of one child's medication log it was found that the medication log did not have the reason for medication listed on the log.
4 748.153(3)(A) - Notification - Change in child-care administrator
The operation failed to notify RCCR in the allotted timeframe the operation's administrator position became vacant.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
The operation did not have a preliminary service plan for the child.
3 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
Upon review of the child's folder it was determined the operation failed to present documentation indicating the chid had been notified and provided a written copy of the child's rights.
2 748.565(1) - Professional level service provider-must review/approve admission assessment or other evaluation; sign and date to indicate approval
The operation did not have a completed admission assessment for the child.
4 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The child was hospitalized 2/5, but the intake was received 2/7. The intake was called in late.
3 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the investigation, staff members were let go, however their background checks were not inactivated under the operation's people list.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
One of the three child records reviewed did not complete the suicide screening for the child at admissions.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing child records, it was determined one of the three Preliminary Service Plans had a name and age of another child documented several times throughout the plan.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Three of the three child records reviewed had incomplete Preliminary Service Plans, that did not meet Minimum Standards.
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.
During the inspection, I observed three of four staff records reviewed lacked completed employment history checks.
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.
During the inspection, I observed three of four staff records reviewed lacked completed employment history checks.
2 748.565(1) - Professional level service provider-must review/approve admission assessment or other evaluation; sign and date to indicate approval
The operation did not have a completed admission assessment for the child.
2 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Two of the three child Initial Service Plan reviewed were incomplete and were missing goals.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Upon review of the child's Admission's Assessment it was discovered the Admission's Assessment was missing several components noted in the standards. The operation provided a draft of bullet points and did not utilize their previously approved Admission's Assessment template.
4 748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
During the inspection, I observed two of two caregivers files to lack acceptible CPR/First Aid training documentation.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
The operation did not have a preliminary service plan for the child.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing child records, it was determined one of the three Preliminary Service Plans had a name and age of another child documented several times throughout the plan.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
While reviewing personnel records, it was discovered 1 of the 2 records reviewed did not include two reference checks.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
One of the three child records reviewed did not complete the suicide screening for the child at admissions.
3 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the investigation, staff members were let go, however their background checks were not inactivated under the operation's people list.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, I observed two of two caregiver records did not include instructor-led psychotropic medication training.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Three of the three admission assessments were incomplete, missing several components of the assessment, such as 1217(8),(12),(13), (16) and (c)(3),(4),(5),(9),(12), and (14)
4 748.153(3)(A) - Notification - Change in child-care administrator
The operation failed to notify RCCR in the allotted timeframe the operation's administrator position became vacant.
3 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
Upon review of the child's folder it was determined the operation failed to present documentation indicating the chid had been notified and provided a written copy of the child's rights.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the inspection, I observed the EBI training certificates for two of two caregivers, and two of two employee files show the staff received 16 hours of EBI training in one day, and staff interviewed stated the training lasted 6 hours total.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two of the three initial services plans were completed late.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Three of the three files reviewed were missing several components of what is to be documented at admissions 1205(1-6) and (10-12).
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
In a review of the suicide policies, it was determined that it did not meet the criteria outlined in 748.124.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Three of the three child records reviewed had incomplete Preliminary Service Plans, that did not meet Minimum Standards.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection, I observed one of four employee records lacked the Form 2912 affidavit.
3 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Upon review of one child's medication log it was found that the medication log did not have the reason for medication listed on the log.
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
During the inspection, I observed three of four employee records reviewed lacked completed reference checks.
4 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The child was hospitalized 2/5, but the intake was received 2/7. The intake was called in late.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Upon review of the child's Preliminary Service Plan it was discovered the plan did not include (b)(3),(4),(5).
3 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
One of the three child records did not complete a suicide screening on a child during the required every 30 days after admission.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection, I observed one of four employee records lacked the Form 2912 affidavit.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
Two of the four employee files reviewed were missing their pre-employment affidavits.
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has not completed any severe weather drills since they received their initial permit.
4 748.153(3)(A) - Notification - Change in child-care administrator
The operation failed to notify RCCR in the allotted timeframe the operation's administrator position became vacant.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
In a review of the suicide policies, it was determined that it did not meet the criteria outlined in 748.124.
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.
During the inspection, I observed three of four staff records reviewed lacked completed employment history checks.
3 748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One of the four employee files reviewed was missing the required notarized employment affidavit.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
One of the three child records reviewed did not complete the suicide screening for the child at admissions.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Upon review of the child's Preliminary Service Plan it was discovered the plan did not include (b)(3),(4),(5).
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
The operation did not have a preliminary service plan for the child.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Three of the three child records reviewed had incomplete Preliminary Service Plans, that did not meet Minimum Standards.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
During the inspection, I observed the EBI training certificates for two of two caregivers, and two of two employee files show the staff received 16 hours of EBI training in one day, and staff interviewed stated the training lasted 6 hours total.
4 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The child was hospitalized 2/5, but the intake was received 2/7. The intake was called in late.
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.
Two of the four employee files reviewed did not include employee verifications prior to the staff's hire dates, and one employee file did not contain any documentation of prior employer contacts.
3 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Upon review of one child's medication log it was found that the medication log did not have the reason for medication listed on the log.
2 748.565(1) - Professional level service provider-must review/approve admission assessment or other evaluation; sign and date to indicate approval
The operation did not have a completed admission assessment for the child.
2 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two of the three initial services plans were completed late.
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
One of the four employee files reviewed did not include suicide training.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
While reviewing personnel records, it was discovered 1 of the 2 records reviewed did not include two reference checks.
3 748.363(4) - Personnel records-Personnel records-Include current job description.
One of the four employee files reviewed did not contain a job description for the employee.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Three of the three files reviewed were missing several components of what is to be documented at admissions 1205(1-6) and (10-12).
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing child records, it was determined one of the three Preliminary Service Plans had a name and age of another child documented several times throughout the plan.
3 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
One of the three child records did not complete a suicide screening on a child during the required every 30 days after admission.
4 748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
During the inspection, I observed two of two caregivers files to lack acceptible CPR/First Aid training documentation.
3 748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
Three of the three admission assessments were incomplete, missing several components of the assessment, such as 1217(8),(12),(13), (16) and (c)(3),(4),(5),(9),(12), and (14)
4 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
During the inspection, I observed three of four employee records reviewed lacked completed reference checks.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Upon review of the child's Admission's Assessment it was discovered the Admission's Assessment was missing several components noted in the standards. The operation provided a draft of bullet points and did not utilize their previously approved Admission's Assessment template.
2 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Two of the three child Initial Service Plan reviewed were incomplete and were missing goals.
3 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the investigation, staff members were let go, however their background checks were not inactivated under the operation's people list.
3 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
Upon review of the child's folder it was determined the operation failed to present documentation indicating the chid had been notified and provided a written copy of the child's rights.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, I observed two of two caregiver records did not include instructor-led psychotropic medication training.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing child records, it was determined one of the three Preliminary Service Plans had a name and age of another child documented several times throughout the plan.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Upon review of the child's Admission's Assessment it was discovered the Admission's Assessment was missing several components noted in the standards. The operation provided a draft of bullet points and did not utilize their previously approved Admission's Assessment template.
3 748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
While reviewing personnel records, it was discovered 1 of the 2 records reviewed did not include two reference checks.
2 748.565(1) - Professional level service provider-must review/approve admission assessment or other evaluation; sign and date to indicate approval
The operation did not have a completed admission assessment for the child.
3 748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
One of the three child records did not complete a suicide screening on a child during the required every 30 days after admission.
4 748.153(3)(A) - Notification - Change in child-care administrator
The operation failed to notify RCCR in the allotted timeframe the operation's administrator position became vacant.
3 748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
One of the four employee files reviewed was missing the required notarized employment affidavit.
2 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
Three of the three files reviewed were missing several components of what is to be documented at admissions 1205(1-6) and (10-12).
3 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has not completed any severe weather drills since they received their initial permit.
3 748.363(4) - Personnel records-Personnel records-Include current job description.
One of the four employee files reviewed did not contain a job description for the employee.
4 748.103(b)(14) - Policies and procedures to submit - A suicide prevention, intervention, and postvention policy consistent with ?748.124 of this division.
In a review of the suicide policies, it was determined that it did not meet the criteria outlined in 748.124.
3 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Upon review of one child's medication log it was found that the medication log did not have the reason for medication listed on the log.
4 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The child was hospitalized 2/5, but the intake was received 2/7. The intake was called in late.
4 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, I observed two of two caregiver records did not include instructor-led psychotropic medication training.
5 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
One of the four employee files reviewed did not include suicide training.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
Two of the four employee files reviewed were missing their pre-employment affidavits.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
One of the three child records reviewed did not complete the suicide screening for the child at admissions.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
The operation did not have a preliminary service plan for the child.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Three of the three child records reviewed had incomplete Preliminary Service Plans, that did not meet Minimum Standards.

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

Inspections (46)

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

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