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High Sky Children's Ranch

Child care center · , TX · License 847985

0Compliance score
Poor

Capacity 40. 0-17

Violation history (120)

SeverityDateStandard / narrativeCorrected
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the inspection a fire extinguisher door cover located in the shelter side of the operation, was observed to have a broken glass and the glass door covering was not secured properly.		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
3— 748.2951(a)(1) - Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
The operation does not have an overall operation evaluation for Emergency Behavior Intervention.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care sustained multiple accidental injuries in a short time span. Multiple staff were unable to explain how and when the injuries are occurring		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver failed to supervise children resulting in children engaging in inappropriate sexual behavior.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Three children, two collateral staff members, and one professional collateral reported similar concerns of a staff member making a child uncomfortable when waking them up, calling a child a disappointment, and speaking to children about wanting to adopt them.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
A child's medication log did not have the time for two different medications.		 —
1— 748.4207(a)(2) - Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
A couple of children stayed at the emergency shelter past 90 days. A variance for a placement extension was requested until 8/31/2022.		 —
5— 748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
A child in care was not assessed by a medical professional after receiving multiple injuries.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care had multiple injuries where staff were unaware of how the injuries were obtained. The child in care continued to be injured showing a lack of prevention and steps taken to ensure safety.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member struggled, and continued to participate, in an incident with a child in care.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Medication logs for a couple of children did not have the time when the medication was administered on 7/03/2022.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
When a child in care presented with difficult behaviors, an employee covered the mouth of a child and pushed them away.		 —
4— 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver made inappropriate comments towards a child in care stating that by the child's 18th birthday the child would ended up in jail due to the child's previous arrest.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profanity towards a child in care such as "cunt", "bitch" and "little bitch".		 —
1— 748.4213(a) - Emergency Care Discharge Plan-if child in care for more than 15 days, must have a written discharge plan for child from person responsible for child
Three children in care did not have a discharge plan from the emergency shelter.		 —

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

Inspections (96)

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

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