Capacity 13. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 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
It was found that an employee was terminated on 6/08/21 and shows as active as associated with the organization as of 6/23/21, 15 days after being terminated. |
Yes |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that a child in care was given a dose of Vyvanse in the afternoon when they were supposed to receive a dose of Clonidine which caused an adverse side effect. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that a child in care was given a dose of Vyvanse in the afternoon when they were supposed to receive a dose of Clonidine which caused an adverse side effect. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 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
It was found that an employee was terminated on 6/08/21 and shows as active as associated with the organization as of 6/23/21, 15 days after being terminated. |
Yes |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that a child in care was given a dose of Vyvanse in the afternoon when they were supposed to receive a dose of Clonidine which caused an adverse side effect. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 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
It was found that an employee was terminated on 6/08/21 and shows as active as associated with the organization as of 6/23/21, 15 days after being terminated. |
Yes |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 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
It was found that an employee was terminated on 6/08/21 and shows as active as associated with the organization as of 6/23/21, 15 days after being terminated. |
Yes |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that a child in care was given a dose of Vyvanse in the afternoon when they were supposed to receive a dose of Clonidine which caused an adverse side effect. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
One child's medication log had 4 missed dosages that did not have medication errors completed. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Medication logs for four children did not document the reason the medication was prescribed. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
In a review of the preliminary service plan, it was noted that the service plan was completed 5 days after the child's admission date. |
— |
| 3 | — |
748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Agency management staff failed to ensure that caregiver was following safety plan as caregiver was allowed to transport child and be within close proximity to the child. Caregiver did not follow the safety plan restricting direct contact with a child, who was displaying inappropriate relationship with the caregiver. Caregiver was placed on disciplinary action prior to this incident where it was noted that any more incidents would result in immediate termination. Although the caregiver violated the plan after the disciplinary action, caregiver was not terminated. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Five children reported a staff member ran a red light and had to slam on the breaks to not be hit by another vehicle, with children in the car. Three children reported they had been left in the car by the same staff. A staff member made an inappropriate comment to a child in care about their beliefs. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
During the inspection walk-through, the cabinet that the psychotropic medication (was not double locked), all other medications, knives, and multiple other objects was found defective as the handle was locked, but the kick plate was not holding the door shut. The handle itself was locked, but the door was able to be pulled open. The van keys were also stored in this closet, allowing access to the child, when they overheard the door was broken. Three staff were aware of the broken door prior to the incident. |
— |
52 inspection record(s) on file from TX-HHSC.