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Bridgeway Home-Montgomery County Youth Services

Child care center · , TX · License 851881

0Compliance score
Poor

Capacity 30. 10-17

Violation history (216)

SeverityDateStandard / narrativeCorrected
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child medication log reviewed showed a child received same medication twice for 3 days.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive his prescribed medication on 04/10/2023.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the investigation it was sufficient evidence to find abuse occurred in the operation.		 —
2— 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The operation did not have the required posting Licensing notice Keeping Children Safe or their permit in a publicly visible place.		 Yes
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive a prescribed daily dosage of medication on 12/25/2022.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Two children have been in care for over 105 without a placement extension being requested with one still currently placed.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care received the wrong dose of medication.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff was heard cussing and antagonizing a child in care which led to the child being assaulted by staff.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child's medication was not taken as prescribed.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
During the inspection there were medical errors found on the medication logs that were on 7/13 and 7/15. Staff self corrected the dosage and failed to reported to management until 7/17.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the course of the investigation there was an overdose of a psychotropic medication given to a child in care.		 —
3— 748.4231(a) - Admission assessment for emergency and respite care services-must include an initial evaluation of appropriate placement of the child
3 of 3 files looked at did not have completed admission assessments.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that 6 residents were taken to Dollar General unsupervised inside and were able to steal pills while staff waited in the vehicle. The residents returned to the facility and shared pills amongst each other and several residents were rushed to the hospital due to ingestion.		 —
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
During the investigation, the medication error was caught by Staff on 7/17 after the 2nd over dosage was given. Incident reported to licensing until 7/19. The over dosage was left unreported and child did not receive medical treatment until 7/20.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation failed to report the communicable disease to the Texas Abuse and Neglect Hotline more than 24 hours after becoming aware of the positive test results.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care received less medication than prescribed. The perception calls for two pills twice a day, and that child receive one pill, twice a day.		 —
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 failed to demonstrate prudent judgement and self control when she engaged in a verbal altercation with a child in care.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the inspection, Victim child was aware of being was overdosed on two separate occasions and vocalized this concern during his interview.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff were not following protocol when administering medication to children in care resulting in a child in care hiding pills and taking them back to the bedroom.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
In review of medication log, One child's medication log did not documents the child received the medication. On 6-21-2021 the log did not contain a medication count, dose given, or staff signature.		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Two of the four requested files were not immediately available and not all information was able to be reviewed.		 —
5— 748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
Four out of the four child files reviewed did not contain any admission documentation in the file regarding known contraindications to the use of restraints.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
During the inspection of documents it was found in the medical documentation that a child did not receive medical attention until 5 days after the incident and 3 days after a medical error was found.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child in care was verbally and physically assaulted other children in care while staff watched.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
Based on the interviews during the investigation the child in care did not receive medical attention after being administered medication improperly.		 —
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
A child in care had a self harm incident on 4/10/22 that lead to the operation calling EMS to give medical attention to the child. The operation failed to report the incident to Licensing until 4/13/22		 —
4— 748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
Staff records reviewed indicated Psychotropic medication training had expired.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the inspection, Victim child was aware of being was overdosed on two separate occasions and vocalized this concern during his interview.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the course of the investigation there was an overdose of a psychotropic medication given to a child in care.		 —
4— 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
A child in care had a self harm incident on 4/10/22 that lead to the operation calling EMS to give medical attention to the child. The operation failed to report the incident to Licensing until 4/13/22		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care received the wrong dose of medication.		 Yes
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
In review of medication log, One child's medication log did not documents the child received the medication. On 6-21-2021 the log did not contain a medication count, dose given, or staff signature.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff was heard cussing and antagonizing a child in care which led to the child being assaulted by staff.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive his prescribed medication on 04/10/2023.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation failed to report the communicable disease to the Texas Abuse and Neglect Hotline more than 24 hours after becoming aware of the positive test results.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
Based on the interviews during the investigation the child in care did not receive medical attention after being administered medication improperly.		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Two of the four requested files were not immediately available and not all information was able to be reviewed.		 —
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 failed to demonstrate prudent judgement and self control when she engaged in a verbal altercation with a child in care.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
During the inspection there were medical errors found on the medication logs that were on 7/13 and 7/15. Staff self corrected the dosage and failed to reported to management until 7/17.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
During the inspection of documents it was found in the medical documentation that a child did not receive medical attention until 5 days after the incident and 3 days after a medical error was found.		 —
5— 748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
Four out of the four child files reviewed did not contain any admission documentation in the file regarding known contraindications to the use of restraints.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff were not following protocol when administering medication to children in care resulting in a child in care hiding pills and taking them back to the bedroom.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Two children have been in care for over 105 without a placement extension being requested with one still currently placed.		 —
3— 748.4231(a) - Admission assessment for emergency and respite care services-must include an initial evaluation of appropriate placement of the child
3 of 3 files looked at did not have completed admission assessments.		 —
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
During the investigation, the medication error was caught by Staff on 7/17 after the 2nd over dosage was given. Incident reported to licensing until 7/19. The over dosage was left unreported and child did not receive medical treatment until 7/20.		 —
4— 748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
Staff records reviewed indicated Psychotropic medication training had expired.		 —
2— 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The operation did not have the required posting Licensing notice Keeping Children Safe or their permit in a publicly visible place.		 Yes
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child in care was verbally and physically assaulted other children in care while staff watched.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care received less medication than prescribed. The perception calls for two pills twice a day, and that child receive one pill, twice a day.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that 6 residents were taken to Dollar General unsupervised inside and were able to steal pills while staff waited in the vehicle. The residents returned to the facility and shared pills amongst each other and several residents were rushed to the hospital due to ingestion.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the investigation it was sufficient evidence to find abuse occurred in the operation.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child medication log reviewed showed a child received same medication twice for 3 days.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive a prescribed daily dosage of medication on 12/25/2022.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child's medication was not taken as prescribed.		 —
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
During the investigation, the medication error was caught by Staff on 7/17 after the 2nd over dosage was given. Incident reported to licensing until 7/19. The over dosage was left unreported and child did not receive medical treatment until 7/20.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
During the inspection of documents it was found in the medical documentation that a child did not receive medical attention until 5 days after the incident and 3 days after a medical error was found.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child in care was verbally and physically assaulted other children in care while staff watched.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff was heard cussing and antagonizing a child in care which led to the child being assaulted by staff.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the course of the investigation there was an overdose of a psychotropic medication given to a child in care.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care received less medication than prescribed. The perception calls for two pills twice a day, and that child receive one pill, twice a day.		 —
3— 748.4231(a) - Admission assessment for emergency and respite care services-must include an initial evaluation of appropriate placement of the child
3 of 3 files looked at did not have completed admission assessments.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the investigation it was sufficient evidence to find abuse occurred in the operation.		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Two of the four requested files were not immediately available and not all information was able to be reviewed.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
In review of medication log, One child's medication log did not documents the child received the medication. On 6-21-2021 the log did not contain a medication count, dose given, or staff signature.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child medication log reviewed showed a child received same medication twice for 3 days.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
Based on the interviews during the investigation the child in care did not receive medical attention after being administered medication improperly.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the investigation it was found that 6 residents were taken to Dollar General unsupervised inside and were able to steal pills while staff waited in the vehicle. The residents returned to the facility and shared pills amongst each other and several residents were rushed to the hospital due to ingestion.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care received the wrong dose of medication.		 Yes
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the inspection, Victim child was aware of being was overdosed on two separate occasions and vocalized this concern during his interview.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation failed to report the communicable disease to the Texas Abuse and Neglect Hotline more than 24 hours after becoming aware of the positive test results.		 —
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 failed to demonstrate prudent judgement and self control when she engaged in a verbal altercation with a child in care.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive his prescribed medication on 04/10/2023.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff were not following protocol when administering medication to children in care resulting in a child in care hiding pills and taking them back to the bedroom.		 —
2— 748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
The operation did not have the required posting Licensing notice Keeping Children Safe or their permit in a publicly visible place.		 Yes
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive a prescribed daily dosage of medication on 12/25/2022.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child's medication was not taken as prescribed.		 —
5— 748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
Four out of the four child files reviewed did not contain any admission documentation in the file regarding known contraindications to the use of restraints.		 —
4— 748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
Staff records reviewed indicated Psychotropic medication training had expired.		 —
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
A child in care had a self harm incident on 4/10/22 that lead to the operation calling EMS to give medical attention to the child. The operation failed to report the incident to Licensing until 4/13/22		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Two children have been in care for over 105 without a placement extension being requested with one still currently placed.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
During the inspection there were medical errors found on the medication logs that were on 7/13 and 7/15. Staff self corrected the dosage and failed to reported to management until 7/17.		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the inspection, Victim child was aware of being was overdosed on two separate occasions and vocalized this concern during his interview.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff were not following protocol when administering medication to children in care resulting in a child in care hiding pills and taking them back to the bedroom.		 —
5— 748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child in care was verbally and physically assaulted other children in care while staff watched.		 —
5— 748.1271(5) - Emergency Admission Documentation-Include known contraindications to the use of restraint
Four out of the four child files reviewed did not contain any admission documentation in the file regarding known contraindications to the use of restraints.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
In review of medication log, One child's medication log did not documents the child received the medication. On 6-21-2021 the log did not contain a medication count, dose given, or staff signature.		 —
1— 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
Two children have been in care for over 105 without a placement extension being requested with one still currently placed.		 —
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
A child in care had a self harm incident on 4/10/22 that lead to the operation calling EMS to give medical attention to the child. The operation failed to report the incident to Licensing until 4/13/22		 —
4— 748.1101(b)(6)(B) - Children's rights-The right to be free of unnecessary or excessive medication
During the course of the investigation there was an overdose of a psychotropic medication given to a child in care.		 —
3— 748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation failed to report the communicable disease to the Texas Abuse and Neglect Hotline more than 24 hours after becoming aware of the positive test results.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive his prescribed medication on 04/10/2023.		 —
4— 748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
Based on the interviews during the investigation the child in care did not receive medical attention after being administered medication improperly.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care received the wrong dose of medication.		 Yes
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not receive a prescribed daily dosage of medication on 12/25/2022.		 —
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
During the investigation, the medication error was caught by Staff on 7/17 after the 2nd over dosage was given. Incident reported to licensing until 7/19. The over dosage was left unreported and child did not receive medical treatment until 7/20.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff was heard cussing and antagonizing a child in care which led to the child being assaulted by staff.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child medication log reviewed showed a child received same medication twice for 3 days.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care received less medication than prescribed. The perception calls for two pills twice a day, and that child receive one pill, twice a day.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the investigation it was sufficient evidence to find abuse occurred in the operation.		 —
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 failed to demonstrate prudent judgement and self control when she engaged in a verbal altercation with a child in care.		 —

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

Inspections (152)

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

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