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Jonathan's Place GRO

Child care center · , TX · License 538034

0Compliance score
Poor

Capacity 45. 0-17

Violation history (304)

SeverityDateStandard / narrativeCorrected
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medication (Sertraline) was stored in an unlock storage box. Corrected during inspection. Pictures were taken.		 Yes
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
5 of 6 medication logs did not display the reason the medication was prescribed.		 —
3— 748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
The operation will to retrain staff memebers on debreifing with children.		 —
3— 748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
1 of 2 staff files did not have the Licensed Affidavit notarized.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care pierced another child's nose and ears, with a personal earring, while in the view of a caregiver.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver admitted to using profane language in the presence of the children in care. The caregiver was also yelling at a child in care. The operation's management staff provided the caregiver with verbal counseling on 8/2/2022 and a written final warning for using inappropriate language in the presence of children.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Documentation of severe weather drill was not produced during the inspection.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
5 of 6 medication logs did not have health-care professionals name.		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
1 child file reviewed did not include the date the child was notified of the discharge.		 —
4— 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Caregivers did not follow a child's safety plan requirements. Requirements state the child will remain within line of sight during waking hours and staff will ensure no other residents are down the hall when the child is goes to the bathroom.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
1 of 2 files did not have education provided to support the employee meets the qualifications.		 —
2— 748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours
2 of 2 CPR training documents did not have length of training in hours.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
On 7/31/22 after staff was made aware of the first self harming incident, the child was left unattended and self harmed again with objects in the environment.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child in care did not recieve their prescribed medication as directed.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through, a hole was seen behind a door.		 —
3— 748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
Three out of four freezers did not have a thermostate. One freezer with food stored inside was observed unplugged in the kitchen area.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
During the investigation, it was discovered that the operation does not report any unauthorized absences of children who are private placements.		 —
3— 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
2 of 2 refrigerators did not have a thermometer		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
3— 748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
1 of 2 child files reviewed did not have a debrief with child following a unauthorized absence.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
1 of 2 files did not have education provided to support the employee meets the qualifications. The file is also missing documentation to support minimum experience with children.		 —
5— 748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child was not allowed access to a phone to call the Ombudsman number.		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
A child file was reviewed and did not have the reason of why the child was placed in emergency care. The file was also missing the child's understanding or need for placement and child feels about crisis situation/operation.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A caregiver did not follow the operation's procedures when they took six children in care on an outing after being told they could only take three. The operation's management staff provided the caregiver with verbal counseling on 8/2/2022 and a written final warning for not following directions of the management staff and placing children at risk.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not use self-control when she snatched a phone out of child's hand, causing the child to escalate grab a fire extinguisher and set it off inside the cottage house.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Two employee files did not have pre-employment affidavit form 2912 documentation.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child with a history of cutting self harmed 7/16/22 and on 7/31/22. This was after a safety plan was implemented on 7/6/22.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During an outing, four of six children were separated and out of sight of the caregiver which resulted in two children being caught shoplifting and law enforcement being called.		 —
2— 748.1501(b) - Dental care-The child's record must include a written record of each dental examination
4 out of 6 child files reviewed did not have a dental examination record.		 Yes
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In the GTP cottage 3 bathrooms were out of use due to plumbing issues. One bathroom observed had a leaking faucet in the shower.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
A child's service plan was not signed by the child or any members of the service planning team.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
2 out of 6 child files reviewed did not have a medical examination record.		 Yes
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
1 of 2 staff files did not have tuberculosis screening results documented.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver slept while counted in the child care ratio.		 —
3— 748.1337(b)(1)(D) - Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
Of the three initial service plans reviewed, none of the plans state specific supervision requirements based on the child's age, behaviors, and level of care. The information in all three service plans appear to be copied and pasted. All three service plans are missing signatures from the service plan team and only contain the signatures of the children.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
a file that was reviewed did not have an employee s high school diploma or any verification that they completed high school.		 —
4— 748.1209(c)(1) - Child Orientation - Include information on how to make complaints to outside agencies
2 of 2 files did not provide the child with information on making reports to outside agencies.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver was not paying attention to a child in care, allowing the child to gain access to a fire extinguisher, sit it on the table, figure out how to engage the fire extinguisher and then use it to spray another caregiver without warning.		 —
4— 748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Caregivers did not follow a child's safety plan requirements. Requirements state the child will remain within line of sight during waking hours and staff will ensure no other residents are down the hall when the child is goes to the bathroom.		 —
3— 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
2 of 2 refrigerators did not have a thermometer		 —
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
1 of 2 staff files did not have tuberculosis screening results documented.		 —
2— 748.1501(b) - Dental care-The child's record must include a written record of each dental examination
4 out of 6 child files reviewed did not have a dental examination record.		 Yes
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During an outing, four of six children were separated and out of sight of the caregiver which resulted in two children being caught shoplifting and law enforcement being called.		 —
2— 748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours
2 of 2 CPR training documents did not have length of training in hours.		 —
3— 748.363(7) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
1 of 2 staff files did not have the Licensed Affidavit notarized.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
2 out of 6 child files reviewed did not have a medical examination record.		 Yes
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child in care did not recieve their prescribed medication as directed.		 —
5— 748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child was not allowed access to a phone to call the Ombudsman number.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
5 of 6 medication logs did not display the reason the medication was prescribed.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
1 of 2 files did not have education provided to support the employee meets the qualifications.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
5 of 6 medication logs did not have health-care professionals name.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver admitted to using profane language in the presence of the children in care. The caregiver was also yelling at a child in care. The operation's management staff provided the caregiver with verbal counseling on 8/2/2022 and a written final warning for using inappropriate language in the presence of children.		 —
3— 748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
The operation will to retrain staff memebers on debreifing with children.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
On 7/31/22 after staff was made aware of the first self harming incident, the child was left unattended and self harmed again with objects in the environment.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver slept while counted in the child care ratio.		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
A child's service plan was not signed by the child or any members of the service planning team.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
a file that was reviewed did not have an employee s high school diploma or any verification that they completed high school.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not use self-control when she snatched a phone out of child's hand, causing the child to escalate grab a fire extinguisher and set it off inside the cottage house.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child with a history of cutting self harmed 7/16/22 and on 7/31/22. This was after a safety plan was implemented on 7/6/22.		 —
3— 748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
1 of 2 child files reviewed did not have a debrief with child following a unauthorized absence.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Two employee files did not have pre-employment affidavit form 2912 documentation.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through, a hole was seen behind a door.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In the GTP cottage 3 bathrooms were out of use due to plumbing issues. One bathroom observed had a leaking faucet in the shower.		 —
1— 748.4231(a)(5)(A) - Admission assessment for emergency and respite care services-must include reason for emergency placement
A child file was reviewed and did not have the reason of why the child was placed in emergency care. The file was also missing the child's understanding or need for placement and child feels about crisis situation/operation.		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
1 child file reviewed did not include the date the child was notified of the discharge.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A caregiver did not follow the operation's procedures when they took six children in care on an outing after being told they could only take three. The operation's management staff provided the caregiver with verbal counseling on 8/2/2022 and a written final warning for not following directions of the management staff and placing children at risk.		 Yes
4— 748.1209(c)(1) - Child Orientation - Include information on how to make complaints to outside agencies
2 of 2 files did not provide the child with information on making reports to outside agencies.		 —
3— 748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
Three out of four freezers did not have a thermostate. One freezer with food stored inside was observed unplugged in the kitchen area.		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medication (Sertraline) was stored in an unlock storage box. Corrected during inspection. Pictures were taken.		 Yes
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
1 of 2 files did not have education provided to support the employee meets the qualifications. The file is also missing documentation to support minimum experience with children.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
During the investigation, it was discovered that the operation does not report any unauthorized absences of children who are private placements.		 —
3— 748.1337(b)(1)(D) - Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
Of the three initial service plans reviewed, none of the plans state specific supervision requirements based on the child's age, behaviors, and level of care. The information in all three service plans appear to be copied and pasted. All three service plans are missing signatures from the service plan team and only contain the signatures of the children.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver was not paying attention to a child in care, allowing the child to gain access to a fire extinguisher, sit it on the table, figure out how to engage the fire extinguisher and then use it to spray another caregiver without warning.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Documentation of severe weather drill was not produced during the inspection.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care pierced another child's nose and ears, with a personal earring, while in the view of a caregiver.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver slept while counted in the child care ratio.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child with a history of cutting self harmed 7/16/22 and on 7/31/22. This was after a safety plan was implemented on 7/6/22.		 —
3— 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
2 of 2 refrigerators did not have a thermometer		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver was not paying attention to a child in care, allowing the child to gain access to a fire extinguisher, sit it on the table, figure out how to engage the fire extinguisher and then use it to spray another caregiver without warning.		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
During the investigation, it was discovered that the operation does not report any unauthorized absences of children who are private placements.		 —
1— 748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
A child's service plan was not signed by the child or any members of the service planning team.		 —
3— 748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
Three out of four freezers did not have a thermostate. One freezer with food stored inside was observed unplugged in the kitchen area.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
a file that was reviewed did not have an employee s high school diploma or any verification that they completed high school.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
On 7/31/22 after staff was made aware of the first self harming incident, the child was left unattended and self harmed again with objects in the environment.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Documentation of severe weather drill was not produced during the inspection.		 —
3— 748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
1 of 2 staff files did not have tuberculosis screening results documented.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
A caregiver did not follow the operation's procedures when they took six children in care on an outing after being told they could only take three. The operation's management staff provided the caregiver with verbal counseling on 8/2/2022 and a written final warning for not following directions of the management staff and placing children at risk.		 Yes
2— 748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours
2 of 2 CPR training documents did not have length of training in hours.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
5 of 6 medication logs did not display the reason the medication was prescribed.		 —
3— 748.455(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
1 of 2 child files reviewed did not have a debrief with child following a unauthorized absence.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child in care did not recieve their prescribed medication as directed.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
1 of 2 files did not have education provided to support the employee meets the qualifications.		 —
3— 748.1337(b)(1)(D) - Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
Of the three initial service plans reviewed, none of the plans state specific supervision requirements based on the child's age, behaviors, and level of care. The information in all three service plans appear to be copied and pasted. All three service plans are missing signatures from the service plan team and only contain the signatures of the children.		 —
2— 748.1501(b) - Dental care-The child's record must include a written record of each dental examination
4 out of 6 child files reviewed did not have a dental examination record.		 Yes
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care pierced another child's nose and ears, with a personal earring, while in the view of a caregiver.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not use self-control when she snatched a phone out of child's hand, causing the child to escalate grab a fire extinguisher and set it off inside the cottage house.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
5 of 6 medication logs did not have health-care professionals name.		 —
3— 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Two employee files did not have pre-employment affidavit form 2912 documentation.		 —

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

Inspections (152)

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

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