Capacity 7. 10-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 4 | — |
748.3301(h) - Physical Site-The building must be free of rodents and insects
During the walkthrough of the operation, there was a dead cockroach, dead mouse, and a lizard by a bedroom and hallway. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
Two of two staff files requiring this training failed to document this requiring this training and the operation able not able to provide verification. |
— |
| 3 | — |
748.363(1) - Personnel records-Include date of employment
3 out of 3 files did not have the date of employment and current job description. The operation was able to provide a copy of the date of employment for each person and a reference check. |
Yes |
| 2 | — |
748.915(a) - Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
One of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three of three staff files reviewed did not have a drug test nor was the operation able to provide verification of it having been completed. Such staff had access to a child previously in care. |
— |
| 3 | — |
748.864(a)(1) - Administrative and prof. staff must have 2hrs normalcy w/in 90 days of employment or before making decisions about childhood activities.
Two of two staff files requiring this training failed to document this requiring this training nor was the operation able to provide verification. |
— |
| 4 | — |
748.869(d)(1)(D) - EBI instructor certified in recognized method of EBI or able to document knowledge of methods for evaluating/assessing participant knowledge.
Two of two staff files requiring this training failed to document this requirement and the operation able not able to provide verification. |
— |
| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Three of three staff files had multiple training certificates without having the required information such as training hours, trainer qualifications or their signature. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
Three of three staff files failed to document Orientation completion. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the backyard fence was not in good repair. Nails were exposed, and the board was hanging. |
— |
16 inspection record(s) on file from TX-HHSC.