Texas › Conroe › Peaceful Meadows DBA

Peaceful Meadows DBA

Child care center · 15012 MEADOW GLN N, Conroe, TX 77306-5382 · License 1820682

0Compliance score
Poor

Capacity 10. 5-17

Violation history (240)

Severity	Date	Standard / narrative	Corrected
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medical and dental visit documentation was observed to be missing caregiver signatures in the designated areas	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of a child's immunization record indicated that required immunizations were delinquent.	—
3	—	748.4601 - Treatment director- must be a psychiatrist or psychologist and meet educational and work experience requirements related to human trafficking. A review of the Treatment Director's qualifications revealed that he does not meet professional or educational requirements.	—
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. A review of an employee's pre-employment screening revealed that contact with at least two references was not documented.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Several attempts have been made to contact the LCCA to no avail. Additionally, it has been found through interviews that there is a lack of consistent in person presence of the LCCA at the operation. Children in care and some staff reported having no knowledge of who the administrator is.	—
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 It was observed that a background check remains active for an individual who is no longer employed at the operation.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation There is conflicting information regarding the administrator's presence at the operation. The administrator was not present during either inspection, also children in care and some staff have reported having no knowledge of who the administrator is.	—
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. A review of an employee's pre-employment screening revealed that results of contact with previous employers were not documented.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A review of records showed that employees began employment before background check results were received.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation The operation was unable to produce a personnel record for an active employee.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. There was no running water observed at the facility.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record It was observed that the permit holder/owner signed admissions assessments for a child in care.	—
4	—	748.153(3)(A) - Notification - Change in child-care administrator The operation failed to provide notification regarding the resignation of the designated administrator effective 12/17/25 and the subsequent hiring of a new designated administrator on 12/30/25.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission It was observed that the Preliminary Service Plans for children in care were completed beyond the 72-hour requirement and lacked required information.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The employee census provided included an individual who is no longer affiliated with the operation. Additionally, the hire dates listed on the census were inconsistent with the hire dates documented in the employee files that were reviewed.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. It was observed that an employee hired on 12/08/25 completed the pre-employment affidavit on 12/09/25, after the date of hire.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The operation's Treatment Director reported coming to the facility once per week for eight hours and work the remaining hours remotely.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event A review of records revealed that a child admitted on 03/18/26 did not have a completed admissions assessment in his file.	—
2	—	748.431(b) - Record Retention-Maintain personnel records for a year after last day of employment or until investigation involving employee is resolved Personnel records for an individual whose employment status recently became inactive were not available for review.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Documentation related to fire and emergency evacuation drills could not be produced upon request.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A review of records showed that Preliminary Service Plans were not developed or signed by a Treatment Director or PLSP, as required.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Multiple documents requested were not provided to Licensing.	—
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. Pre-employment screenings were not documented in the employee files that were reviewed.	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Records review show concerns with the operation not having the current funds to operate as they are still in their initial permit period.	—
3	—	748.161(a)(1) - Fiscal requirements - pay employees timely Records show employees were not paid timely.	—
1	—	748.365 - Personnel records-Background check results must be kept confidential and protected from unauthorized access or release Background checks results were not observed in two staff files that were reviewed.	—
2	—	748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth It was observed that an admission assessment was not completed for a child in care admitted into care on 12/30/25.	—
4	—	748.861(b) - Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs A review of a previous employee's file did not have documentation of having the required 40 hours of experience or observation. This employee was observed to be working alone with the children in care during the last inspection.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Contact information provided on the employee census report was not accurate.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of the children's files showed that immunization records were not present for either child.	—
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 It was observed that a background check remains active for an individual who is no longer employed at the operation.	—
1	—	748.365 - Personnel records-Background check results must be kept confidential and protected from unauthorized access or release Background checks results were not observed in two staff files that were reviewed.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. It was observed that an employee hired on 12/08/25 completed the pre-employment affidavit on 12/09/25, after the date of hire.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The employee census provided included an individual who is no longer affiliated with the operation. Additionally, the hire dates listed on the census were inconsistent with the hire dates documented in the employee files that were reviewed.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A review of records showed that Preliminary Service Plans were not developed or signed by a Treatment Director or PLSP, as required.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Documentation related to fire and emergency evacuation drills could not be produced upon request.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation There is conflicting information regarding the administrator's presence at the operation. The administrator was not present during either inspection, also children in care and some staff have reported having no knowledge of who the administrator is.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Contact information provided on the employee census report was not accurate.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medical and dental visit documentation was observed to be missing caregiver signatures in the designated areas	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record It was observed that the permit holder/owner signed admissions assessments for a child in care.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A review of records showed that employees began employment before background check results were received.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of the children's files showed that immunization records were not present for either child.	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Records review show concerns with the operation not having the current funds to operate as they are still in their initial permit period.	—
4	—	748.153(3)(A) - Notification - Change in child-care administrator The operation failed to provide notification regarding the resignation of the designated administrator effective 12/17/25 and the subsequent hiring of a new designated administrator on 12/30/25.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. There was no running water observed at the facility.	—
2	—	748.431(b) - Record Retention-Maintain personnel records for a year after last day of employment or until investigation involving employee is resolved Personnel records for an individual whose employment status recently became inactive were not available for review.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of a child's immunization record indicated that required immunizations were delinquent.	—
3	—	748.161(a)(1) - Fiscal requirements - pay employees timely Records show employees were not paid timely.	—
2	—	748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth It was observed that an admission assessment was not completed for a child in care admitted into care on 12/30/25.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event A review of records revealed that a child admitted on 03/18/26 did not have a completed admissions assessment in his file.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The operation's Treatment Director reported coming to the facility once per week for eight hours and work the remaining hours remotely.	—
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. Pre-employment screenings were not documented in the employee files that were reviewed.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Several attempts have been made to contact the LCCA to no avail. Additionally, it has been found through interviews that there is a lack of consistent in person presence of the LCCA at the operation. Children in care and some staff reported having no knowledge of who the administrator is.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission It was observed that the Preliminary Service Plans for children in care were completed beyond the 72-hour requirement and lacked required information.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation The operation was unable to produce a personnel record for an active employee.	—
3	—	748.4601 - Treatment director- must be a psychiatrist or psychologist and meet educational and work experience requirements related to human trafficking. A review of the Treatment Director's qualifications revealed that he does not meet professional or educational requirements.	—
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. A review of an employee's pre-employment screening revealed that contact with at least two references was not documented.	—
4	—	748.861(b) - Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs A review of a previous employee's file did not have documentation of having the required 40 hours of experience or observation. This employee was observed to be working alone with the children in care during the last inspection.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Multiple documents requested were not provided to Licensing.	—
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. A review of an employee's pre-employment screening revealed that results of contact with previous employers were not documented.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Contact information provided on the employee census report was not accurate.	—
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. Pre-employment screenings were not documented in the employee files that were reviewed.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Several attempts have been made to contact the LCCA to no avail. Additionally, it has been found through interviews that there is a lack of consistent in person presence of the LCCA at the operation. Children in care and some staff reported having no knowledge of who the administrator is.	—
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 It was observed that a background check remains active for an individual who is no longer employed at the operation.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medical and dental visit documentation was observed to be missing caregiver signatures in the designated areas	—
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. A review of an employee's pre-employment screening revealed that results of contact with previous employers were not documented.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event A review of records revealed that a child admitted on 03/18/26 did not have a completed admissions assessment in his file.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation There is conflicting information regarding the administrator's presence at the operation. The administrator was not present during either inspection, also children in care and some staff have reported having no knowledge of who the administrator is.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation The operation was unable to produce a personnel record for an active employee.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of the children's files showed that immunization records were not present for either child.	—
4	—	748.861(b) - Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs A review of a previous employee's file did not have documentation of having the required 40 hours of experience or observation. This employee was observed to be working alone with the children in care during the last inspection.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. There was no running water observed at the facility.	—
1	—	748.365 - Personnel records-Background check results must be kept confidential and protected from unauthorized access or release Background checks results were not observed in two staff files that were reviewed.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A review of records showed that Preliminary Service Plans were not developed or signed by a Treatment Director or PLSP, as required.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record It was observed that the permit holder/owner signed admissions assessments for a child in care.	—
2	—	748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth It was observed that an admission assessment was not completed for a child in care admitted into care on 12/30/25.	—
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. A review of an employee's pre-employment screening revealed that contact with at least two references was not documented.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission It was observed that the Preliminary Service Plans for children in care were completed beyond the 72-hour requirement and lacked required information.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The operation's Treatment Director reported coming to the facility once per week for eight hours and work the remaining hours remotely.	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Records review show concerns with the operation not having the current funds to operate as they are still in their initial permit period.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A review of records showed that employees began employment before background check results were received.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Multiple documents requested were not provided to Licensing.	—
3	—	748.161(a)(1) - Fiscal requirements - pay employees timely Records show employees were not paid timely.	—
3	—	748.4601 - Treatment director- must be a psychiatrist or psychologist and meet educational and work experience requirements related to human trafficking. A review of the Treatment Director's qualifications revealed that he does not meet professional or educational requirements.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Documentation related to fire and emergency evacuation drills could not be produced upon request.	—
4	—	748.153(3)(A) - Notification - Change in child-care administrator The operation failed to provide notification regarding the resignation of the designated administrator effective 12/17/25 and the subsequent hiring of a new designated administrator on 12/30/25.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The employee census provided included an individual who is no longer affiliated with the operation. Additionally, the hire dates listed on the census were inconsistent with the hire dates documented in the employee files that were reviewed.	—
2	—	748.431(b) - Record Retention-Maintain personnel records for a year after last day of employment or until investigation involving employee is resolved Personnel records for an individual whose employment status recently became inactive were not available for review.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. It was observed that an employee hired on 12/08/25 completed the pre-employment affidavit on 12/09/25, after the date of hire.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of a child's immunization record indicated that required immunizations were delinquent.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medical and dental visit documentation was observed to be missing caregiver signatures in the designated areas	—
3	—	748.4601 - Treatment director- must be a psychiatrist or psychologist and meet educational and work experience requirements related to human trafficking. A review of the Treatment Director's qualifications revealed that he does not meet professional or educational requirements.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A review of records showed that Preliminary Service Plans were not developed or signed by a Treatment Director or PLSP, as required.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions A review of the children's files showed that immunization records were not present for either child.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission It was observed that the Preliminary Service Plans for children in care were completed beyond the 72-hour requirement and lacked required information.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The employee census provided included an individual who is no longer affiliated with the operation. Additionally, the hire dates listed on the census were inconsistent with the hire dates documented in the employee files that were reviewed.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Documentation related to fire and emergency evacuation drills could not be produced upon request.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. There was no running water observed at the facility.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The operation's Treatment Director reported coming to the facility once per week for eight hours and work the remaining hours remotely.	—
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. Pre-employment screenings were not documented in the employee files that were reviewed.	—

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

Inspections (24)

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

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