Capacity 21. 8-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
It was found that a restraint was conducted in order have a child comply in returning to the operation as the child was attempting to leave the facility. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
2 out of 3 EBI reports did not inform the managing conservator of the restraint within 72 hours. |
— |
| 5 | — |
748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
A child was in a prone position during a restraint. The restraint lasted for about 6-10 minutes. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Investigation by DFPS found that a child in care was exploited by a staff member to obtain and distribute illegal drugs. |
— |
| 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 DFPS ANE investigation, this standard was found to be deficient. A staff member used physical force on two children in care. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
2 beds in the Big House did not have mattress covers. Staff put the mattress covers on the beds and corrected it during the inspection. |
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 member admitted to "losing their cool" when interacting with children, and ultimately caused harm to two children in care. The staff was engaging with the children on the basketball court, but the incident escalated and the staff did not use prudent judgement or self-control during the incident. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver was rough housing with a child in care that one at least one occasion resulted in the child falling |
— |
| 4 | — |
748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
4 employee files were reviewed for annual training. 2 employee's annual training on psychotropic medication was not provided by a health care official. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough of House A, packages of flour, sugar and rice were stored in open containers in the kitchen cabinets, and shredded cheese, a package of lunchmeat, and a jar of peppers were stored uncovered in the refrigerator. |
Yes |
| 3 | — |
748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
On two occasions the operation did not report that law enforcement came out to the operation to the parent of the child charges were bring pressed against until the next morning |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Several children and staff interviewed mentioned behaviors they have witnessed regarding Mr. Limon during the course of his duties, including yelling and "horseplay" including wrestling with children in care. |
— |
| 3 | — |
748.1337(b)(1)(D)(viii) - Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
Two service plans reviewed had missing or incorrect medication information. One service plan omitted a non-psychotropic medication that a child is currently prescribed; a second service plan contained a note that a medication dosage had been changed but the change had not been updated in the detailed table of psychotropic medications. |
Yes |
| 3 | — |
748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
In a review of the incident report, the names of the children who were also present in the vehicle when the incident occurred were not documented as part of the identifying witnesses to the incident. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
1 staff member who was on duty consumed an alcoholic beverage. 2 other staff members who were volunteering their time, but still around children in care, also consumed an alcoholic beverage. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A staff was recorded on video pushing a child forward. |
— |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
4 out of 4 children reviewed had a 135 day gap between suicide risk screenings. |
— |
| 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 used a personal cell phone over the course of several months to communicate with a child in care to discuss inappropriate matters and arrange illegal activities. |
— |
| 4 | — |
748.535(2) - Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Multiple children in care interviewed were yelled at by 2 caregivers. A staff also cursed at a child in care while yelling. |
— |
| 3 | — |
748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
In a review of the incident report, the names of the children who were also present in the vehicle when the incident occurred were not documented as part of the identifying witnesses to 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
Investigation by DFPS found that a child in care was exploited by a staff member to obtain and distribute illegal drugs. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Multiple children in care interviewed were yelled at by 2 caregivers. A staff also cursed at a child in care while yelling. |
— |
| 4 | — |
748.535(2) - Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver was rough housing with a child in care that one at least one occasion resulted in the child falling |
— |
| 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 admitted to "losing their cool" when interacting with children, and ultimately caused harm to two children in care. The staff was engaging with the children on the basketball court, but the incident escalated and the staff did not use prudent judgement or self-control during the incident. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
2 beds in the Big House did not have mattress covers. Staff put the mattress covers on the beds and corrected it during the inspection. |
Yes |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
4 out of 4 children reviewed had a 135 day gap between suicide risk screenings. |
— |
| 3 | — |
748.1337(b)(1)(D)(viii) - Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
Two service plans reviewed had missing or incorrect medication information. One service plan omitted a non-psychotropic medication that a child is currently prescribed; a second service plan contained a note that a medication dosage had been changed but the change had not been updated in the detailed table of psychotropic medications. |
Yes |
| 5 | — |
748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
A child was in a prone position during a restraint. The restraint lasted for about 6-10 minutes. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
2 out of 3 EBI reports did not inform the managing conservator of the restraint within 72 hours. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
It was found that a restraint was conducted in order have a child comply in returning to the operation as the child was attempting to leave the facility. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
1 staff member who was on duty consumed an alcoholic beverage. 2 other staff members who were volunteering their time, but still around children in care, also consumed an alcoholic beverage. |
— |
| 4 | — |
748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
4 employee files were reviewed for annual training. 2 employee's annual training on psychotropic medication was not provided by a health care official. |
— |
| 3 | — |
748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
On two occasions the operation did not report that law enforcement came out to the operation to the parent of the child charges were bring pressed against until the next morning |
— |
| 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 used a personal cell phone over the course of several months to communicate with a child in care to discuss inappropriate matters and arrange illegal activities. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A staff was recorded on video pushing a child forward. |
— |
| 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 DFPS ANE investigation, this standard was found to be deficient. A staff member used physical force on two children in care. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Several children and staff interviewed mentioned behaviors they have witnessed regarding Mr. Limon during the course of his duties, including yelling and "horseplay" including wrestling with children in care. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough of House A, packages of flour, sugar and rice were stored in open containers in the kitchen cabinets, and shredded cheese, a package of lunchmeat, and a jar of peppers were stored uncovered in the refrigerator. |
Yes |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough of House A, packages of flour, sugar and rice were stored in open containers in the kitchen cabinets, and shredded cheese, a package of lunchmeat, and a jar of peppers were stored uncovered in the refrigerator. |
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 member admitted to "losing their cool" when interacting with children, and ultimately caused harm to two children in care. The staff was engaging with the children on the basketball court, but the incident escalated and the staff did not use prudent judgement or self-control during the incident. |
— |
| 3 | — |
748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
In a review of the incident report, the names of the children who were also present in the vehicle when the incident occurred were not documented as part of the identifying witnesses to 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
During the DFPS ANE investigation, this standard was found to be deficient. A staff member used physical force on two children in care. |
— |
| 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 used a personal cell phone over the course of several months to communicate with a child in care to discuss inappropriate matters and arrange illegal activities. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver was rough housing with a child in care that one at least one occasion resulted in the child falling |
— |
| 3 | — |
748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
On two occasions the operation did not report that law enforcement came out to the operation to the parent of the child charges were bring pressed against until the next morning |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
2 beds in the Big House did not have mattress covers. Staff put the mattress covers on the beds and corrected it during the inspection. |
Yes |
| 4 | — |
748.535(2) - Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 3 | — |
748.1337(b)(1)(D)(viii) - Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
Two service plans reviewed had missing or incorrect medication information. One service plan omitted a non-psychotropic medication that a child is currently prescribed; a second service plan contained a note that a medication dosage had been changed but the change had not been updated in the detailed table of psychotropic medications. |
Yes |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Investigation by DFPS found that a child in care was exploited by a staff member to obtain and distribute illegal drugs. |
— |
| 4 | — |
748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
4 employee files were reviewed for annual training. 2 employee's annual training on psychotropic medication was not provided by a health care official. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A staff was recorded on video pushing a child forward. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
It was found that a restraint was conducted in order have a child comply in returning to the operation as the child was attempting to leave the facility. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Several children and staff interviewed mentioned behaviors they have witnessed regarding Mr. Limon during the course of his duties, including yelling and "horseplay" including wrestling with children in care. |
— |
| 5 | — |
748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
A child was in a prone position during a restraint. The restraint lasted for about 6-10 minutes. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Multiple children in care interviewed were yelled at by 2 caregivers. A staff also cursed at a child in care while yelling. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
1 staff member who was on duty consumed an alcoholic beverage. 2 other staff members who were volunteering their time, but still around children in care, also consumed an alcoholic beverage. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
2 out of 3 EBI reports did not inform the managing conservator of the restraint within 72 hours. |
— |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
4 out of 4 children reviewed had a 135 day gap between suicide risk screenings. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
2 beds in the Big House did not have mattress covers. Staff put the mattress covers on the beds and corrected it during the inspection. |
Yes |
| 3 | — |
748.1337(b)(1)(D)(viii) - Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
Two service plans reviewed had missing or incorrect medication information. One service plan omitted a non-psychotropic medication that a child is currently prescribed; a second service plan contained a note that a medication dosage had been changed but the change had not been updated in the detailed table of psychotropic medications. |
Yes |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough of House A, packages of flour, sugar and rice were stored in open containers in the kitchen cabinets, and shredded cheese, a package of lunchmeat, and a jar of peppers were stored uncovered in the refrigerator. |
Yes |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
4 out of 4 children reviewed had a 135 day gap between suicide risk screenings. |
— |
| 4 | — |
748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
4 employee files were reviewed for annual training. 2 employee's annual training on psychotropic medication was not provided by a health care official. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Several children and staff interviewed mentioned behaviors they have witnessed regarding Mr. Limon during the course of his duties, including yelling and "horseplay" including wrestling with children in care. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A staff was recorded on video pushing a child forward. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
1 staff member who was on duty consumed an alcoholic beverage. 2 other staff members who were volunteering their time, but still around children in care, also consumed an alcoholic beverage. |
— |
| 4 | — |
748.535(2) - Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 5 | — |
748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
A child was in a prone position during a restraint. The restraint lasted for about 6-10 minutes. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Multiple children in care interviewed were yelled at by 2 caregivers. A staff also cursed at a child in care while yelling. |
— |
| 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 DFPS ANE investigation, this standard was found to be deficient. A staff member used physical force on two children in care. |
— |
| 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 admitted to "losing their cool" when interacting with children, and ultimately caused harm to two children in care. The staff was engaging with the children on the basketball court, but the incident escalated and the staff did not use prudent judgement or self-control during 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
Investigation by DFPS found that a child in care was exploited by a staff member to obtain and distribute illegal drugs. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver was rough housing with a child in care that one at least one occasion resulted in the child falling |
— |
| 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 used a personal cell phone over the course of several months to communicate with a child in care to discuss inappropriate matters and arrange illegal activities. |
— |
| 3 | — |
748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
On two occasions the operation did not report that law enforcement came out to the operation to the parent of the child charges were bring pressed against until the next morning |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
2 out of 3 EBI reports did not inform the managing conservator of the restraint within 72 hours. |
— |
| 3 | — |
748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
In a review of the incident report, the names of the children who were also present in the vehicle when the incident occurred were not documented as part of the identifying witnesses to the incident. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
It was found that a restraint was conducted in order have a child comply in returning to the operation as the child was attempting to leave the facility. |
— |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
4 out of 4 children reviewed had a 135 day gap between suicide risk screenings. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A staff was recorded on video pushing a child forward. |
— |
| 3 | — |
748.1337(b)(1)(D)(viii) - Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
Two service plans reviewed had missing or incorrect medication information. One service plan omitted a non-psychotropic medication that a child is currently prescribed; a second service plan contained a note that a medication dosage had been changed but the change had not been updated in the detailed table of psychotropic medications. |
Yes |
| 4 | — |
748.941(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
4 employee files were reviewed for annual training. 2 employee's annual training on psychotropic medication was not provided by a health care official. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Investigation by DFPS found that a child in care was exploited by a staff member to obtain and distribute illegal drugs. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
1 staff member who was on duty consumed an alcoholic beverage. 2 other staff members who were volunteering their time, but still around children in care, also consumed an alcoholic beverage. |
— |
| 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 used a personal cell phone over the course of several months to communicate with a child in care to discuss inappropriate matters and arrange illegal activities. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Several children and staff interviewed mentioned behaviors they have witnessed regarding Mr. Limon during the course of his duties, including yelling and "horseplay" including wrestling with children in care. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
2 out of 3 EBI reports did not inform the managing conservator of the restraint within 72 hours. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
It was found that a restraint was conducted in order have a child comply in returning to the operation as the child was attempting to leave the facility. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Multiple children in care interviewed were yelled at by 2 caregivers. A staff also cursed at a child in care while yelling. |
— |
| 4 | — |
748.535(2) - Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 3 | — |
748.311(5) - Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
In a review of the incident report, the names of the children who were also present in the vehicle when the incident occurred were not documented as part of the identifying witnesses to the incident. |
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| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver was rough housing with a child in care that one at least one occasion resulted in the child falling |
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| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough of House A, packages of flour, sugar and rice were stored in open containers in the kitchen cabinets, and shredded cheese, a package of lunchmeat, and a jar of peppers were stored uncovered in the refrigerator. |
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 member admitted to "losing their cool" when interacting with children, and ultimately caused harm to two children in care. The staff was engaging with the children on the basketball court, but the incident escalated and the staff did not use prudent judgement or self-control during the incident. |
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| 5 | — |
748.2605(b)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
A child was in a prone position during a restraint. The restraint lasted for about 6-10 minutes. |
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| 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 DFPS ANE investigation, this standard was found to be deficient. A staff member used physical force on two children in care. |
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| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
2 beds in the Big House did not have mattress covers. Staff put the mattress covers on the beds and corrected it during the inspection. |
Yes |
| 3 | — |
748.303(a)(6)(B) - Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
On two occasions the operation did not report that law enforcement came out to the operation to the parent of the child charges were bring pressed against until the next morning |
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126 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.