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Resolution Ranch

Child care center · 2274 C R 203 LOOP, Cameron, TX 76520 · License 840381

0Compliance score
Poor

Capacity 50. 13-17

Violation history (108)

SeverityDateStandard / narrativeCorrected
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the review of the case, it was noted that 3 children that were interviewed stated they have seen the same staff member fall asleep during night shift.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the review of the case, it was noted that 3 children that were interviewed stated they have seen the same staff member fall asleep during night shift.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the review of the case, it was noted that 3 children that were interviewed stated they have seen the same staff member fall asleep during night shift.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
3— 748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
During the record review one staff record was missing the minimum age requirement. Another staff file was missing the qualifications for the job, and the job description.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walkthrough of the facility an electrical outlet was observed without an outlet cover and the outlet was exposed. In the bathroom a urinal was overflowing and a broken tile was observed on the shower floor.		 Yes
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was noted that in multiple interviews a staff did not follow protocol for restraints and things escalated. While the child in care was not injured, alternative methods should have been used.		 —
4— 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A serious incident report provided by the operation indicates a child in care attempted suicide and licensing was not notified of the incident.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
2— 748.949(a) - Annual Training Documentation-Keep documentation verifying completion of training in the personnel record
During the record review 4 out of 4 staff records did not have certification copies of personnel training. The records did indicate credit hours and the completion of all the trainings completed. The operation has never kept copies of their staff trainings and was unaware they had to do so.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough of the operation medication belonging to a staff member was observed unsecured in a weekly pill container inside the staff courters room. The room does have locking door knob but the medications are not schedule 2 according to the staff member.		 —
3— 748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
A serious incident report provided by the operation indicates law enforcement had responded to an incident and licensing was not notified of the incident.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was noted that two children in care had inappropriate contact when interviewed while at the operation.		 —
3— 748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
During the inspection 2 out of 4 children records did not have the 30-day medical exam documented.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
During the record review 3 out of 4 childrens records indicated the children had their TB test over the 30 day period.		 —
3— 748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
While reviewing personnel records it was found that a staff had not had a TB test.		 —
4— 748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
The chemicla storage locker was unlocked. It was corrected at inspection.		 Yes
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
During the record review 4 out of 4 children's records did not include the chronic conditions on the exterior of the records or in a clearly visible location.		 —

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

Inspections (44)

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

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