Child care center ·
120 BERT BROWN ST, San Marcos, TX 78666-5803 ·
License 827335
Capacity 265. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
During an investigation it was determined a staff member failed to review each hygiene box to assure all hygiene items are accounted for, and verify the absence of contraband. Due to this oversight a child was able to use a toothbrush to make a weapon. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
While reviewing the operations background checks, it was observed that a Psychatrist has an inactive background check as of 03/17/20. This Psychatrist is currently employed with this operation. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the review of the documents provided in this investigation there were several documents that were not filled out completely. |
— |
| 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
An x-ray concluded that a child in care had a fractured finger, and the injury was not reported to the hotline until after the required timeframe. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was determined a child was on 5 minute checks and staff did not check on the child timely allowing the child to self harm. |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to enter the restroom and shower with another child. The staff did not see or know two children were in the shower together for duration of 12 minutes which is when checks are to be conducted by staff. One child admitted to seeing and touching of their private parts while in the shower. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
A child in care was allowed to attend school and be off unit due to a miscommunication from nursing staff to Direct Care staff regarding the child's Safety Plan. This allowed the child to be exposed to contraband and swallowed 2 magnets while off unit. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member?s actions were noted to have escalated a situation, which ultimately resulted in at least one child in care being inappropriately restrained. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was determined through interviews with 4 staff and 3 children that a staff would threaten children with restraints and corporal punishment. |
— |
| 3 | — |
748.2907(1) - Triggered Reviews-Must include the same items that must be included and documented in an initial service plan
A child in care was restrained five times in a six day period. The triggered review documentation associated with these incidents did not include all elements of an initial service plan, or a review of the records/orders associated with the emergency behavior interventions. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
In interviews with 4 staff and 3 children, it was determined that a staff member would curse at and threaten children in care. |
— |
| 4 | — |
748.1005 - Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
It was observed during the walk through of the Unit One staff with 7 children and another staff with 3 children. |
— |
| 4 | — |
748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Staff did not demonstrate continuity of care with a child that was displaying multiple physical symptoms. The child went to the emergency room on 8/2/21. Multiple staff that worked with the child in the week following their emergency room visit were not informed of how to monitor the child or what the ER discharge paperwork reported would prompt a need for immediate medical attention. In a week the child continued to lose weight and medical issues progressively worsened. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Through interviews it was found that a staff member was left to supervise 11 residents for an hour during awake hours. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the course the investigation, it was determined a caregiver failed to intervene timely during an altercation which resulted in minor injuries to a child in care. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
After the review of video footage, it was observed in the common room that there were 12 children to 2 staff members. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
4 children interviewed mentioned that during the incident one staff member directed profane language toward a child in care. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff has been working at the operation without an active background check. This staff's background check was inactivated as of 6/16/22. [The operation was recently cited for background check results on 3/17/22]. |
— |
| 5 | — |
748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
A staff member was noted to have placed a limb (hand and arm) around a child?s neck. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
When reviewing training records, 5 out of 10 files reviewed did not have normalcy training completed annually and trauma informed training was missing 1/2 an hour annually. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly
Hand sanitizer was left accessible to a child in care who then ingested the hand sanitizer. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to obtain staff's prescription medication from a staff member's personal backpack while at the operation. |
— |
| 2 | — |
748.1225(b) - Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
1 child's file documented the child had a dental exam 7 months prior to being placed, however, the operation did not have documentation to prove this exam took place. |
— |
| 5 | — |
748.2003(a) - Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
A child in care was injected with Medroxyprogesterone 150MG on 1.31.22 without consent from their medical consenter. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care as needed for an injury when the child had an incident on 1/8/22 of punching walls and did not have an X ray of his hand until 1/11/22, where it was discovered the child had a fractured finger. Following X-rays the child did not see a doctor for their fractured finger until 1/25/22. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Staff was not properly informed of supervision levels regarding children in care. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
A child in care tested positive for a communicable disease and it was not reported to the hotline until after the required timeframe. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the investigation, it was found that seven out of seven children reported that different staff have used profane language/multiple curse words towards the children in care in a derogatory way and/or have said inappropriate derogatory comments towards and around children in care. Other collaterals reported staff may use profane language out of reflex or by accident around children in care, but usually not near or away from the children in care. |
— |
| 3 | — |
748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
2 out of 3 affidavits for employment were completed after the date of hire. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing staff files it was found that staff are only taking 1 hour of Trauma Informed Care annually. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 3 | — |
748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
One of three staff files reviewed did not have a signed/dated statement indicating the employee is responsible for reporting suspected child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline, and to the operation?s administrator or administrator?s designee. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Physician Progress Notes completed for 4 weeks did not have the correct medications for the client being treated. The medications were from a previous client and were not deleted when the template was used for the next client. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the review of this investigation, interviews reported that a staff member slapped a child in care during a restraint. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
When reviewing training records, 5 out of 10 files reviewed did not have normalcy training completed annually and trauma informed training was missing 1/2 an hour annually. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Through interviews it was found that a staff member was left to supervise 11 residents for an hour during awake hours. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff has been working at the operation without an active background check. This staff's background check was inactivated as of 6/16/22. [The operation was recently cited for background check results on 3/17/22]. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member?s actions were noted to have escalated a situation, which ultimately resulted in at least one child in care being inappropriately restrained. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the course the investigation, it was determined a caregiver failed to intervene timely during an altercation which resulted in minor injuries to a child in care. |
— |
| 5 | — |
748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
A staff member was noted to have placed a limb (hand and arm) around a child?s neck. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly
Hand sanitizer was left accessible to a child in care who then ingested the hand sanitizer. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing staff files it was found that staff are only taking 1 hour of Trauma Informed Care annually. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the review of this investigation, interviews reported that a staff member slapped a child in care during a restraint. |
— |
| 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
An x-ray concluded that a child in care had a fractured finger, and the injury was not reported to the hotline until after the required timeframe. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was determined a child was on 5 minute checks and staff did not check on the child timely allowing the child to self harm. |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to enter the restroom and shower with another child. The staff did not see or know two children were in the shower together for duration of 12 minutes which is when checks are to be conducted by staff. One child admitted to seeing and touching of their private parts while in the shower. |
— |
| 4 | — |
748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Staff did not demonstrate continuity of care with a child that was displaying multiple physical symptoms. The child went to the emergency room on 8/2/21. Multiple staff that worked with the child in the week following their emergency room visit were not informed of how to monitor the child or what the ER discharge paperwork reported would prompt a need for immediate medical attention. In a week the child continued to lose weight and medical issues progressively worsened. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
A child in care tested positive for a communicable disease and it was not reported to the hotline until after the required timeframe. |
— |
| 3 | — |
748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
One of three staff files reviewed did not have a signed/dated statement indicating the employee is responsible for reporting suspected child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline, and to the operation?s administrator or administrator?s designee. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
While reviewing the operations background checks, it was observed that a Psychatrist has an inactive background check as of 03/17/20. This Psychatrist is currently employed with this operation. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Staff was not properly informed of supervision levels regarding children in care. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the investigation, it was found that seven out of seven children reported that different staff have used profane language/multiple curse words towards the children in care in a derogatory way and/or have said inappropriate derogatory comments towards and around children in care. Other collaterals reported staff may use profane language out of reflex or by accident around children in care, but usually not near or away from the children in care. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
4 children interviewed mentioned that during the incident one staff member directed profane language toward a child in care. |
— |
| 4 | — |
748.1005 - Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
It was observed during the walk through of the Unit One staff with 7 children and another staff with 3 children. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was determined through interviews with 4 staff and 3 children that a staff would threaten children with restraints and corporal punishment. |
— |
| 3 | — |
748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
During an investigation it was determined a staff member failed to review each hygiene box to assure all hygiene items are accounted for, and verify the absence of contraband. Due to this oversight a child was able to use a toothbrush to make a weapon. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to obtain staff's prescription medication from a staff member's personal backpack while at the operation. |
— |
| 3 | — |
748.2907(1) - Triggered Reviews-Must include the same items that must be included and documented in an initial service plan
A child in care was restrained five times in a six day period. The triggered review documentation associated with these incidents did not include all elements of an initial service plan, or a review of the records/orders associated with the emergency behavior interventions. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care as needed for an injury when the child had an incident on 1/8/22 of punching walls and did not have an X ray of his hand until 1/11/22, where it was discovered the child had a fractured finger. Following X-rays the child did not see a doctor for their fractured finger until 1/25/22. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
A child in care was allowed to attend school and be off unit due to a miscommunication from nursing staff to Direct Care staff regarding the child's Safety Plan. This allowed the child to be exposed to contraband and swallowed 2 magnets while off unit. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
After the review of video footage, it was observed in the common room that there were 12 children to 2 staff members. |
— |
| 5 | — |
748.2003(a) - Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
A child in care was injected with Medroxyprogesterone 150MG on 1.31.22 without consent from their medical consenter. |
— |
| 3 | — |
748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
2 out of 3 affidavits for employment were completed after the date of hire. |
— |
| 2 | — |
748.1225(b) - Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
1 child's file documented the child had a dental exam 7 months prior to being placed, however, the operation did not have documentation to prove this exam took place. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Physician Progress Notes completed for 4 weeks did not have the correct medications for the client being treated. The medications were from a previous client and were not deleted when the template was used for the next client. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the review of the documents provided in this investigation there were several documents that were not filled out completely. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
In interviews with 4 staff and 3 children, it was determined that a staff member would curse at and threaten children in care. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing staff files it was found that staff are only taking 1 hour of Trauma Informed Care annually. |
— |
| 3 | — |
748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
2 out of 3 affidavits for employment were completed after the date of hire. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
4 children interviewed mentioned that during the incident one staff member directed profane language toward a child in care. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly
Hand sanitizer was left accessible to a child in care who then ingested the hand sanitizer. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
In interviews with 4 staff and 3 children, it was determined that a staff member would curse at and threaten children in care. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
A child in care was allowed to attend school and be off unit due to a miscommunication from nursing staff to Direct Care staff regarding the child's Safety Plan. This allowed the child to be exposed to contraband and swallowed 2 magnets while off unit. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
After the review of video footage, it was observed in the common room that there were 12 children to 2 staff members. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was determined a child was on 5 minute checks and staff did not check on the child timely allowing the child to self harm. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Physician Progress Notes completed for 4 weeks did not have the correct medications for the client being treated. The medications were from a previous client and were not deleted when the template was used for the next client. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
While reviewing the operations background checks, it was observed that a Psychatrist has an inactive background check as of 03/17/20. This Psychatrist is currently employed with this operation. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member?s actions were noted to have escalated a situation, which ultimately resulted in at least one child in care being inappropriately restrained. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the review of the documents provided in this investigation there were several documents that were not filled out completely. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the review of this investigation, interviews reported that a staff member slapped a child in care during a restraint. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the investigation, it was found that seven out of seven children reported that different staff have used profane language/multiple curse words towards the children in care in a derogatory way and/or have said inappropriate derogatory comments towards and around children in care. Other collaterals reported staff may use profane language out of reflex or by accident around children in care, but usually not near or away from the children in care. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 4 | — |
748.685(c)(5) - Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
Staff did not demonstrate continuity of care with a child that was displaying multiple physical symptoms. The child went to the emergency room on 8/2/21. Multiple staff that worked with the child in the week following their emergency room visit were not informed of how to monitor the child or what the ER discharge paperwork reported would prompt a need for immediate medical attention. In a week the child continued to lose weight and medical issues progressively worsened. |
— |
| 5 | — |
748.2003(a) - Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
A child in care was injected with Medroxyprogesterone 150MG on 1.31.22 without consent from their medical consenter. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was able to obtain staff's prescription medication from a staff member's personal backpack while at the operation. |
— |
| 3 | — |
748.2907(1) - Triggered Reviews-Must include the same items that must be included and documented in an initial service plan
A child in care was restrained five times in a six day period. The triggered review documentation associated with these incidents did not include all elements of an initial service plan, or a review of the records/orders associated with the emergency behavior interventions. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Through interviews it was found that a staff member was left to supervise 11 residents for an hour during awake hours. |
— |
| 4 | — |
748.1005 - Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
It was observed during the walk through of the Unit One staff with 7 children and another staff with 3 children. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was determined through interviews with 4 staff and 3 children that a staff would threaten children with restraints and corporal punishment. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
A child in care tested positive for a communicable disease and it was not reported to the hotline until after the required timeframe. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Staff was not properly informed of supervision levels regarding children in care. |
— |
| 3 | — |
748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
One of three staff files reviewed did not have a signed/dated statement indicating the employee is responsible for reporting suspected child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline, and to the operation?s administrator or administrator?s designee. |
— |
| 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
An x-ray concluded that a child in care had a fractured finger, and the injury was not reported to the hotline until after the required timeframe. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the course the investigation, it was determined a caregiver failed to intervene timely during an altercation which resulted in minor injuries to a child in care. |
— |
| 2 | — |
748.1225(b) - Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
1 child's file documented the child had a dental exam 7 months prior to being placed, however, the operation did not have documentation to prove this exam took place. |
— |
| 3 | — |
748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
During an investigation it was determined a staff member failed to review each hygiene box to assure all hygiene items are accounted for, and verify the absence of contraband. Due to this oversight a child was able to use a toothbrush to make a weapon. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
A child in care did not receive medical care as needed for an injury when the child had an incident on 1/8/22 of punching walls and did not have an X ray of his hand until 1/11/22, where it was discovered the child had a fractured finger. Following X-rays the child did not see a doctor for their fractured finger until 1/25/22. |
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| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
When reviewing training records, 5 out of 10 files reviewed did not have normalcy training completed annually and trauma informed training was missing 1/2 an hour annually. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A direct care staff has been working at the operation without an active background check. This staff's background check was inactivated as of 6/16/22. [The operation was recently cited for background check results on 3/17/22]. |
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224 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.