Texas › Mountain Home › Pathways 3H Youth Ranch

Pathways 3H Youth Ranch

Child care center · I-10 3H YOUTH RANCH CIR NW, Mountain Home, TX 78058 · License 823154

0Compliance score
Poor

Capacity 60. 11-17

Violation history (168)

Severity	Date	Standard / narrative	Corrected
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Posted evacuation plans did not have required gathering information for severe weather.	—
4	—	748.1661(b) - Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids Staff was smoking a nicotine vape pen on campus in staff restroom.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One staff did not receive their emergency behavior training within the 180-day timeframe.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication Staff should not use EBI for getting a child to comply with them.	—
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 Staff smacked the glasses off the face of a child in care.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization Serious incident report was not reported in a timely manner. It was called in 2 days after incident.	—
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.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Caregiver did not use proper EBI method, child in care was pulled inappropriately this was confirmed by other residents in care.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication It was confirmed by staff and children that EBI has been used for situations that are not an emergency. It was confirmed that staff have used EBI on children because they are walking away from staff or not complying with staff direction.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child It was confirmed by staff and children that some staff will yell in a child's face to make them comply.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings Evacuation plan must be posted in all buildings. The recreation room was missing one.	Yes
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child Child was not following staff directives and was put into a short personal restraint. While doing so the child put their weight down and the staff released the child causing the child to fall. Child sustained a right distal radius fracture as a result.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The normalcy training and trauma informed care training found in the employee file were over two months late.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints. Children state that staff will grab their arms with enough force that it causes them pain.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Child confirmed staff held child around the neck.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Incident report was not consistent with interviews conducted.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff member pushed and yelled at a child in care.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Food was being thawed in the kitchen sink of the cafeteria.	—
4	—	748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit Two fre extinguishers in the cabins did not have operating pressure.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Four children in care indicated a staff member uses profane language with the children in care. A second staff member indicated profane language just slips out sometimes. The staff member who allegedly uses profane language claims to have not done so since being investigated by Licensing (Spring 2021), however three of the four children in care claiming profane language usage were admitted to the operation after Spring 2021 and the staff who admitted there's profane language her was hired in Spring 2022.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was confirmed by staff and children that some staff will get in children's faces and speak to them in a way that will instigate or anger them. It was also confirmed that staff will use curse words in the presence of children.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One staff did not receive their emergency behavior training within the 180-day timeframe.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings Evacuation plan must be posted in all buildings. The recreation room was missing one.	Yes
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The normalcy training and trauma informed care training found in the employee file were over two months late.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints. Children state that staff will grab their arms with enough force that it causes them pain.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Food was being thawed in the kitchen sink of the cafeteria.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization Serious incident report was not reported in a timely manner. It was called in 2 days after incident.	—
4	—	748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit Two fre extinguishers in the cabins did not have operating pressure.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication It was confirmed by staff and children that EBI has been used for situations that are not an emergency. It was confirmed that staff have used EBI on children because they are walking away from staff or not complying with staff direction.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was confirmed by staff and children that some staff will get in children's faces and speak to them in a way that will instigate or anger them. It was also confirmed that staff will use curse words in the presence of children.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child Child was not following staff directives and was put into a short personal restraint. While doing so the child put their weight down and the staff released the child causing the child to fall. Child sustained a right distal radius fracture as a result.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Caregiver did not use proper EBI method, child in care was pulled inappropriately this was confirmed by other residents in care.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff member pushed and yelled at a child in care.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child It was confirmed by staff and children that some staff will yell in a child's face to make them comply.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Posted evacuation plans did not have required gathering information for severe weather.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication Staff should not use EBI for getting a child to comply with them.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Four children in care indicated a staff member uses profane language with the children in care. A second staff member indicated profane language just slips out sometimes. The staff member who allegedly uses profane language claims to have not done so since being investigated by Licensing (Spring 2021), however three of the four children in care claiming profane language usage were admitted to the operation after Spring 2021 and the staff who admitted there's profane language her was hired in Spring 2022.	—
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 Staff smacked the glasses off the face of a child in care.	—
4	—	748.1661(b) - Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids Staff was smoking a nicotine vape pen on campus in staff restroom.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Incident report was not consistent with interviews conducted.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Child confirmed staff held child around the neck.	—
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.	—
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.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Posted evacuation plans did not have required gathering information for severe weather.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child It was confirmed by staff and children that some staff will yell in a child's face to make them comply.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Incident report was not consistent with interviews conducted.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was confirmed by staff and children that some staff will get in children's faces and speak to them in a way that will instigate or anger them. It was also confirmed that staff will use curse words in the presence of children.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication It was confirmed by staff and children that EBI has been used for situations that are not an emergency. It was confirmed that staff have used EBI on children because they are walking away from staff or not complying with staff direction.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization Serious incident report was not reported in a timely manner. It was called in 2 days after incident.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings Evacuation plan must be posted in all buildings. The recreation room was missing one.	Yes
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The normalcy training and trauma informed care training found in the employee file were over two months late.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Caregiver did not use proper EBI method, child in care was pulled inappropriately this was confirmed by other residents in care.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One staff did not receive their emergency behavior training within the 180-day timeframe.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints. Children state that staff will grab their arms with enough force that it causes them pain.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff member pushed and yelled at a child in care.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Food was being thawed in the kitchen sink of the cafeteria.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Child confirmed staff held child around the neck.	—
4	—	748.1661(b) - Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids Staff was smoking a nicotine vape pen on campus in staff restroom.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Four children in care indicated a staff member uses profane language with the children in care. A second staff member indicated profane language just slips out sometimes. The staff member who allegedly uses profane language claims to have not done so since being investigated by Licensing (Spring 2021), however three of the four children in care claiming profane language usage were admitted to the operation after Spring 2021 and the staff who admitted there's profane language her was hired in Spring 2022.	—
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 Staff smacked the glasses off the face of a child in care.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication Staff should not use EBI for getting a child to comply with them.	—
4	—	748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit Two fre extinguishers in the cabins did not have operating pressure.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child Child was not following staff directives and was put into a short personal restraint. While doing so the child put their weight down and the staff released the child causing the child to fall. Child sustained a right distal radius fracture as a result.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Incident report was not consistent with interviews conducted.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication It was confirmed by staff and children that EBI has been used for situations that are not an emergency. It was confirmed that staff have used EBI on children because they are walking away from staff or not complying with staff direction.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Caregiver did not use proper EBI method, child in care was pulled inappropriately this was confirmed by other residents in care.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff member pushed and yelled at a child in care.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child It was confirmed by staff and children that some staff will yell in a child's face to make them comply.	—
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 Staff smacked the glasses off the face of a child in care.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was confirmed by staff and children that some staff will get in children's faces and speak to them in a way that will instigate or anger them. It was also confirmed that staff will use curse words in the presence of children.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints. Children state that staff will grab their arms with enough force that it causes them pain.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Posted evacuation plans did not have required gathering information for severe weather.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Child confirmed staff held child around the neck.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Food was being thawed in the kitchen sink of the cafeteria.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The normalcy training and trauma informed care training found in the employee file were over two months late.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization Serious incident report was not reported in a timely manner. It was called in 2 days after incident.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child Child was not following staff directives and was put into a short personal restraint. While doing so the child put their weight down and the staff released the child causing the child to fall. Child sustained a right distal radius fracture as a result.	—
4	—	748.1661(b) - Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids Staff was smoking a nicotine vape pen on campus in staff restroom.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One staff did not receive their emergency behavior training within the 180-day timeframe.	—
4	—	748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit Two fre extinguishers in the cabins did not have operating pressure.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication Staff should not use EBI for getting a child to comply with them.	—
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.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Four children in care indicated a staff member uses profane language with the children in care. A second staff member indicated profane language just slips out sometimes. The staff member who allegedly uses profane language claims to have not done so since being investigated by Licensing (Spring 2021), however three of the four children in care claiming profane language usage were admitted to the operation after Spring 2021 and the staff who admitted there's profane language her was hired in Spring 2022.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings Evacuation plan must be posted in all buildings. The recreation room was missing one.	Yes
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Posted evacuation plans did not have required gathering information for severe weather.	—
4	—	748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings Evacuation plan must be posted in all buildings. The recreation room was missing one.	Yes
4	—	748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit Two fre extinguishers in the cabins did not have operating pressure.	—
4	—	748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication It was confirmed by staff and children that EBI has been used for situations that are not an emergency. It was confirmed that staff have used EBI on children because they are walking away from staff or not complying with staff direction.	—
5	—	748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child Child was not following staff directives and was put into a short personal restraint. While doing so the child put their weight down and the staff released the child causing the child to fall. Child sustained a right distal radius fracture as a result.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force Caregiver did not use proper EBI method, child in care was pulled inappropriately this was confirmed by other residents in care.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Incident report was not consistent with interviews conducted.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Four children in care indicated a staff member uses profane language with the children in care. A second staff member indicated profane language just slips out sometimes. The staff member who allegedly uses profane language claims to have not done so since being investigated by Licensing (Spring 2021), however three of the four children in care claiming profane language usage were admitted to the operation after Spring 2021 and the staff who admitted there's profane language her was hired in Spring 2022.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child It was confirmed by staff and children that some staff will yell in a child's face to make them comply.	—
5	—	748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force It was confirmed by staff and children that staff will use excessive force while implementing EBI restraints. Children state that staff will grab their arms with enough force that it causes them pain.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was confirmed by staff and children that some staff will get in children's faces and speak to them in a way that will instigate or anger them. It was also confirmed that staff will use curse words in the presence of children.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Food was being thawed in the kitchen sink of the cafeteria.	—
4	—	748.1661(b) - Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids Staff was smoking a nicotine vape pen on campus in staff restroom.	—
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.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff member pushed and yelled at a child in care.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI One staff did not receive their emergency behavior training within the 180-day timeframe.	—

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

Inspections (112)

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

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