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Davidson Respite House

Child care center · , TX · License 531665

0Compliance score
Poor

Capacity 30. 0-17

Violation history (360)

SeverityDateStandard / narrativeCorrected
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the investigation it was determined that caregivers used prohibited punishment when they yelled at children in care.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Medical ca/treatment for a child was delayed, allowing the condition to worsen and cause pain to the child.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
No documentation of an updated fire inspection was provided during the monitoring inspection. Documentation provided by staff was to an expired inspection.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was unsupervised and left behind at the aquarium during a field trip. Staff did not realize child was missing until they returned to the operation.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A direct-care staff left two children unattended in their highchairs for about 30 seconds before another direct-care staff member entered the room to supervise the children. Although an adult was in the room while the children were unattended, that adult was a therapist not counted in child/caregiver ratio.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
Victim child was able to walk at least 20 feet away from the splash pad and was unsupervised for approximately three minutes. The child was known to wander off and required one on one supervision according to the child?s Service Plan.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member used inappropriate redirection technique towards a child in care.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
A bottle of ibuprofen was found in a child's drawer.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
The operation staff were not aware a resident had not returned to the operation until it was bought to their attention.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The preliminary service does not show immediate needs listed.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Video footage confirms a child in care was redirected physically in an inappropriate manner by a staff member, while sweeping. Video footage also shows the inappropriate redirection which caused discomfort to the child.		 —
3— 748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Fire extinguishers are not being conducted monthly and reported to be done every three months.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
Child had access to chemicals, and it was unknown to staff these items were being stored in the child's room.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
During the investigation it was determined that children were subjected to corporal punishment when staff members pulled them by their arms.		 —
5— 748.1763(c) - Infant sleep requirements-Infant may not sleep in prone position with a sleeping adult at any time, including in adult's bed, on a couch, etc
Staff was sleeping while holding a infant in care in their arms, in a chair.		 —
4— 748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Appropriate staff was no informed of relevant information of children in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child had access to chemicals on more than one occasion and unknown if child was ingesting.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care was left unattended on a changing table, which resulted in the child falling of the changing table to the ground.		 —
4— 748.507(2) - Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
Two of the three employee files did not include required reporting abuse, neglect, and exploitation document.		 —
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
A prior employee was not inactivated with the operation within the required timeframe.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Due to the child's previous high-risk behaviors towards other children in care the staff did not minimize the risk according to service plan. Although the staff were present in the room the video surveillance shows the staff were not positioned so that they can see the children in their care and react immediately.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Three medication records in the provided logs were missing the strength of the prescribed medications.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Caregiver fell asleep while caring for children in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was not appropriately supervised leading to the child leaving the residence and walking into a second building behind the residence.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's preliminary service plan did not include her immediate needs.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the after-hours inspection, it was observed at the Najim house that a child's medication had not been distributed and was kept in the medication cart. The staff member could not determine that the medication dose was administered in a proper time frame.		 —
3— 748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
The Follow Up section of the provided Form K-905-2403 for the Clinic Visit on 1/28/2025 was not completed.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Although staff was present with the child, the staff appears distracted by reaching for item from the drawer and was not aware the child had moved to roll over and fall onto the mat on the floor.		 —
2— 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
Three child files did not include proof of orientation completed or documents verifying orientation was completed within the required time frame.		 —
5— 748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Staff member was observed physically holding a child inappropriately.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member entered the bathroom while child was showering.		 —
4— 748.3271(3) - First Aid Kits-Each one must be in good condition and not have expired medications or supplies
First aid ointment inside the vehicle and first aid kit was expired.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report the following items were missing from the incident report operation's physical address, telephone number, child's age, gender and date of admission.		 —
3— 748.115(1) - Discipline policy - Guide caregivers and employees in the methods used for discipline of children
A caregiver used inappropriate discipline for a child in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver was asleep while caring for a child.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The address, and relationship of person is missing on the discharge summary of one of the child's file. The medication list, dosage, frequency and reason required information is missing from the documentation. The entire discharge requirement format is missing from a child's file evaluated.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff member was sleeping on duty.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Although staff was present in the room with the children, the staff did not provide adequate supervision as required therefore the children were able to engage in inappropriate touching.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Multiple staff were aware a child had medication in their room and did not confiscate it.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver was asleep while caring for two children.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Two of the three files reviewed were missing Pre-employment affidavit document in staff personnel file.		 —
4— 748.1017(a) - Child/caregiver ratio-Child/caregiver ratio applies to activities conducted by the operation, that occur away from the operation
Staff left assigned children with another staff resulting in staff being out of ratio.		 —
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
During the inspection it was found the operation does not have a treatment director, the operation provides treatment services to almost all children in their care.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's record did not contain daily count for three medications.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member entered the bathroom while child was showering.		 —
4— 748.3271(3) - First Aid Kits-Each one must be in good condition and not have expired medications or supplies
First aid ointment inside the vehicle and first aid kit was expired.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Although staff was present in the room with the children, the staff did not provide adequate supervision as required therefore the children were able to engage in inappropriate touching.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
The operation staff were not aware a resident had not returned to the operation until it was bought to their attention.		 —
4— 748.1017(a) - Child/caregiver ratio-Child/caregiver ratio applies to activities conducted by the operation, that occur away from the operation
Staff left assigned children with another staff resulting in staff being out of ratio.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was unsupervised and left behind at the aquarium during a field trip. Staff did not realize child was missing until they returned to the operation.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the investigation it was determined that caregivers used prohibited punishment when they yelled at children in care.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report the following items were missing from the incident report operation's physical address, telephone number, child's age, gender and date of admission.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
3— 748.115(1) - Discipline policy - Guide caregivers and employees in the methods used for discipline of children
A caregiver used inappropriate discipline for a child in care.		 —
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
During the inspection it was found the operation does not have a treatment director, the operation provides treatment services to almost all children in their care.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
Child had access to chemicals, and it was unknown to staff these items were being stored in the child's room.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The preliminary service does not show immediate needs listed.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Caregiver fell asleep while caring for children in care.		 —
2— 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
The address, and relationship of person is missing on the discharge summary of one of the child's file. The medication list, dosage, frequency and reason required information is missing from the documentation. The entire discharge requirement format is missing from a child's file evaluated.		 —
3— 748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Fire extinguishers are not being conducted monthly and reported to be done every three months.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's preliminary service plan did not include her immediate needs.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member used inappropriate redirection technique towards a child in care.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Three medication records in the provided logs were missing the strength of the prescribed medications.		 —
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
A prior employee was not inactivated with the operation within the required timeframe.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the after-hours inspection, it was observed at the Najim house that a child's medication had not been distributed and was kept in the medication cart. The staff member could not determine that the medication dose was administered in a proper time frame.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's record did not contain daily count for three medications.		 —
3— 748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
The Follow Up section of the provided Form K-905-2403 for the Clinic Visit on 1/28/2025 was not completed.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver was asleep while caring for two children.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Medical ca/treatment for a child was delayed, allowing the condition to worsen and cause pain to the child.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Multiple staff were aware a child had medication in their room and did not confiscate it.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
Victim child was able to walk at least 20 feet away from the splash pad and was unsupervised for approximately three minutes. The child was known to wander off and required one on one supervision according to the child?s Service Plan.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
During the investigation it was determined that children were subjected to corporal punishment when staff members pulled them by their arms.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A direct-care staff left two children unattended in their highchairs for about 30 seconds before another direct-care staff member entered the room to supervise the children. Although an adult was in the room while the children were unattended, that adult was a therapist not counted in child/caregiver ratio.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
No documentation of an updated fire inspection was provided during the monitoring inspection. Documentation provided by staff was to an expired inspection.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff member was sleeping on duty.		 —
5— 748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Staff member was observed physically holding a child inappropriately.		 Yes
4— 748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Appropriate staff was no informed of relevant information of children in care.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Video footage confirms a child in care was redirected physically in an inappropriate manner by a staff member, while sweeping. Video footage also shows the inappropriate redirection which caused discomfort to the child.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Although staff was present with the child, the staff appears distracted by reaching for item from the drawer and was not aware the child had moved to roll over and fall onto the mat on the floor.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child had access to chemicals on more than one occasion and unknown if child was ingesting.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver was asleep while caring for a child.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was not appropriately supervised leading to the child leaving the residence and walking into a second building behind the residence.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care was left unattended on a changing table, which resulted in the child falling of the changing table to the ground.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
A bottle of ibuprofen was found in a child's drawer.		 —
5— 748.1763(c) - Infant sleep requirements-Infant may not sleep in prone position with a sleeping adult at any time, including in adult's bed, on a couch, etc
Staff was sleeping while holding a infant in care in their arms, in a chair.		 —
4— 748.507(2) - Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
Two of the three employee files did not include required reporting abuse, neglect, and exploitation document.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Two of the three files reviewed were missing Pre-employment affidavit document in staff personnel file.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Due to the child's previous high-risk behaviors towards other children in care the staff did not minimize the risk according to service plan. Although the staff were present in the room the video surveillance shows the staff were not positioned so that they can see the children in their care and react immediately.		 —
2— 748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
Three child files did not include proof of orientation completed or documents verifying orientation was completed within the required time frame.		 —
4— 748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Appropriate staff was no informed of relevant information of children in care.		 —
5— 748.1763(c) - Infant sleep requirements-Infant may not sleep in prone position with a sleeping adult at any time, including in adult's bed, on a couch, etc
Staff was sleeping while holding a infant in care in their arms, in a chair.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The preliminary service does not show immediate needs listed.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver was asleep while caring for a child.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
Three medication records in the provided logs were missing the strength of the prescribed medications.		 —
5— 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
During the investigation it was determined that children were subjected to corporal punishment when staff members pulled them by their arms.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the after-hours inspection, it was observed at the Najim house that a child's medication had not been distributed and was kept in the medication cart. The staff member could not determine that the medication dose was administered in a proper time frame.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Caregiver was asleep while caring for two children.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child was unsupervised and left behind at the aquarium during a field trip. Staff did not realize child was missing until they returned to the operation.		 —
5— 748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
Caregiver fell asleep while caring for children in care.		 —

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

Inspections (232)

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

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