Capacity 20. 0-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.685(d)(1) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must know where child will be
Children are being allowed to leave the facility and are unaware of where the children are at or are going. Children are remaining gone for hours at a time without a check in with staff or staff checking on them. |
— |
| 3 | — |
748.313(3)(E) - Serious Incident -Unauthorized absence of a child ?if child returns to op after 24 hrs document as addendum to report documenting child?s return
It was found that there was no communication log for the child/victim for after this child left the facility on 7/2/23 at 10:00 pm. There was no update on whether the child returned to the facility. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
After reviewing documentation, it was determined that the operation reported to the hotline 2 days after the UA occurred. |
— |
| 3 | — |
748.453(a)(4) - Unauthorized Absence?Annual summary log must include name of caregiver responsible for child at time absence discovered
The unauthorized absence log documented the staff who reported the incident to the hotline instead of the staff responsible for the child at the time of the incident. |
— |
| 3 | — |
748.303(a)(9)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older
The unauthorized absence of a youth in care at the operation was reported outside of the required timeframe to licensing. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
Six Unauthorized Absences debriefings were not completed and/or documented. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the inspection of girls bathroom, the hot water handle on the 1st sink to the left did not turn on water. There is a potential leak under the sink area as there was water on the floor under sink extending to the first two toilets in girl's bathroom. |
— |
| 3 | — |
748.461(2) - Unauthorized Absence-Triggered Review must include a review of service plan elements in 749.1309(b)(1)(D)&(H) & as applicable 749.1309(b)(2)&(3)
One triggered review document did not have the required information. |
— |
| 3 | — |
748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
During the course of the investigation, it was found that several serious incidents were not reported to the A/N Hotline or were reported late according to minimum standards required timeframes. |
— |
| 3 | — |
748.393(b)(1) - Active child record-Includes child's full name and another method of identifying the child, such as a client number
During the inspection, it was found that two child files were missing another method of identifying the child. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
It was disclosed that staff did not intervene during a physical altercation, citing lack of experience in managing such incidents and the absence of supervisory guidance to direct them appropriately. |
— |
| 4 | — |
748.2311 - Discipline-person in care must not discipline or punish another person in care
During the course of this investigation, it was disclosed that staff allowed multiple children in care restrain other children. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the inspection, there were staff who were inactivated past the 7 day required timeframe of being terminated/resigned. There were 9 out of 13 staff that were inactivated past this timeframe and there were 2 staff that were reported to be terminated who had not been inactivated. |
— |
| 2 | — |
748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists
It was reported that the operation was not doing adequate searches upon children returning to the operation from off campus and/or in the children's rooms when the operation already had suspicion and concerns regarding residents shoplifting/stealing, bringing, and using contraband such as alcohol/illegal substances and/or other items onto campus. It was reported searches were not documented by staff unless they actually found contraband. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During the inspection, it was found that two children were not administered their prescription medication(s) on 9/24/22 and 9/25/22 and one of the two children also wasn't given their prescription medication on 9/27. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, two staff records were requested, however licensing was unable to thoroughly evaluate these records as the personnel files were not immediately available. |
— |
| 4 | — |
748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity
Staff failed to arrange and confirm transportation back to the operation for a child in care who called for assistance after traveling 50 miles away on their bicycle. |
— |
| 1 | — |
748.1349(c) - Initial Service Plan-If plan or summary not shared with child, document justification in the child's record
Three of five child service plans did not have the required information as to date provided and/or justification whether or not a copy was provided. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Through documentation and interviews it was determined that staff was aware that residents liked to collect items from the community and bring them back into the operation. Items considered contraband were found in a resident's room. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was found that the background check for the operation's current CEO as of July 1, 2024, has been inactive and their former CEO's background check was also inactive prior to 7/1/24. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that the psychotropic medication training for one staff file was not led by a qualified health care professional. |
— |
| 4 | — |
748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
In reviewing the Service Plans for both children a general statement was given and not specific details for each child. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of the investigation, it was reported that multiple residents have brought contraband and used contraband on campus. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operation provided two EBI debriefings dated the same day as the alleged incident after being informed by staff that they had not been completed. |
— |
| 5 | — |
748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
Through the course of the investigation, it was discovered that a child in care performed a restraint on a peer. Staff verbally tried to stop the restraint that started in a physical fight but did not physically try to stop the restraint that lasted approximately a minute. |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
It was found that during a search conducted by staff in a child's room at the operation on 11/5/24, two THC pens, a vape pen, one lighter, and four empty boxes of THC related products were discovered. Staff also found a razor, one pair of scissors, and Tylenol as well. |
— |
| 3 | — |
748.311(10) - Serious Incident Documentation-Includes resolution of the incident
After reviewing 5 out of 5 incident reports, it was observed that there was no documented resolution or follow up of the incident. |
— |
| 3 | — |
748.705(b)(8) - Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate
A child was dropped off at an unknown person's home by staff. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Through interviews and documentation, it was determined that a primary caregiver could not physically intervene and stop in altercation. |
— |
| 4 | — |
748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
It was found that on 6/24/23, the operation received a screenshot of an inappropriate text message sexual in nature sent to them by a minor resident at the facility that had received the message from a young adult resident there, however the operation didn't see the screenshot until 6/30/23 and then called this into the A/N hotline upon discovery. It is unknown if the text message was sent to the minor resident on or off campus. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During this inspection, it was found that one bedroom (#7) had clutter and lot of other belongings thrown around the room to which could pose a safety hazard. There was also a ceiling fixture in bedroom #2 that needed repair and a towel rack in the bathroom of bedroom #5 that also needed repair. |
— |
| 3 | — |
748.453(a)(2) - Unauthorized Absence - Annual summary log must include time and date absence was discovered
A child's unauthorized absence was not recorded on the Annual Summary Log. |
— |
| 3 | — |
748.1337(b)(1)(A)(vi)(I) - Initial Service Plan - Normalcy - Include plans for social, extracurricular, recreation, and leisure activities
After reviewing 1 child file, it was found that the recreation section in the service plan was missing. |
— |
| 5 | — |
748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
It was found that operation staff had suspicion of several residents shoplifting/stealing from different stores in the community and bringing a variety of contraband back onto to campus, to include alcohol/illegal substances and other items, for some time, however the operation failed to create safety plans for the children to address these concerns. |
— |
| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The triggered review did not have details about the previous 4 unauthorized absences and did not explain prior debriefings with the child. |
— |
| 3 | — |
748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
A child in care left the operation and a report was made almost 3 hours after required timeframes. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection, children's medication records count were observed to not match the number of actual tablets/pills left. |
— |
| 4 | — |
748.2311 - Discipline-person in care must not discipline or punish another person in care
During the course of this investigation, it was determined that staff allowed a child in care to restrain another child. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
When reviewing documentation, it was determined that two children in care left the facility and the operation reported it 7 hours after the children in care left. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walkthrough of the operation an uncovered bowl of cheese was observed in a refrigerator. [ |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
On 6/14/24, during the walkthrough, a nail clipper (considered as contraband), was in a child's room. This has been cited two other times in less than 3 months. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
During the follow up inspection, a broken cylindrical glass tube was observed by licensing on the floor of a child's room that had not been discarded. Staff had not been aware of this. This was corrected at inspection. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Citation: The child did not return to the van at 9:45PM when planned with staff. This report was not made to the hotline until 1:34AM, roughly 3.5 hours after the incident occurred. With the child's sex trafficking history the incident should have been reported immediately. |
— |
| 3 | — |
748.363(5) - Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position.
During the inspection, it was found there was documentation missing for the staff's qualifications. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the Walkthrough of bedroom #9, a whole in the wall was present. In another room, the vent is partially coming from ceiling. |
— |
| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The triggered reviews for 3 children did not have details about the unauthorized absences which triggered the review and did not explain prior debriefings with the child. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Four of four Preliminary Service Plan documentation reviewed failed to the required information. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A unauthorized absence of a child in care was reported 4 hours after the required timeframe to Licensing. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, the TB test results, driver's license record, Affidavit for application of employment, and drug tests results were not available for review for two of two staff files. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, the TB test results, driver's license record, Affidavit for application of employment, and drug tests results were not available for review for two of two staff files. |
— |
| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The triggered review did not have details about the previous 4 unauthorized absences and did not explain prior debriefings with the child. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
During the follow up inspection, a broken cylindrical glass tube was observed by licensing on the floor of a child's room that had not been discarded. Staff had not been aware of this. This was corrected at inspection. |
— |
| 5 | — |
748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
It was found that operation staff had suspicion of several residents shoplifting/stealing from different stores in the community and bringing a variety of contraband back onto to campus, to include alcohol/illegal substances and other items, for some time, however the operation failed to create safety plans for the children to address these concerns. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
When reviewing documentation, it was determined that two children in care left the facility and the operation reported it 7 hours after the children in care left. |
— |
| 4 | — |
748.2311 - Discipline-person in care must not discipline or punish another person in care
During the course of this investigation, it was disclosed that staff allowed multiple children in care restrain other children. |
— |
| 3 | — |
748.311(10) - Serious Incident Documentation-Includes resolution of the incident
After reviewing 5 out of 5 incident reports, it was observed that there was no documented resolution or follow up of the incident. |
— |
| 3 | — |
748.453(a)(4) - Unauthorized Absence?Annual summary log must include name of caregiver responsible for child at time absence discovered
The unauthorized absence log documented the staff who reported the incident to the hotline instead of the staff responsible for the child at the time of the incident. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During this inspection, it was found that one bedroom (#7) had clutter and lot of other belongings thrown around the room to which could pose a safety hazard. There was also a ceiling fixture in bedroom #2 that needed repair and a towel rack in the bathroom of bedroom #5 that also needed repair. |
— |
| 3 | — |
748.461(2) - Unauthorized Absence-Triggered Review must include a review of service plan elements in 749.1309(b)(1)(D)&(H) & as applicable 749.1309(b)(2)&(3)
One triggered review document did not have the required information. |
— |
| 4 | — |
748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity
Staff failed to arrange and confirm transportation back to the operation for a child in care who called for assistance after traveling 50 miles away on their bicycle. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
On 6/14/24, during the walkthrough, a nail clipper (considered as contraband), was in a child's room. This has been cited two other times in less than 3 months. |
— |
| 3 | — |
748.393(b)(1) - Active child record-Includes child's full name and another method of identifying the child, such as a client number
During the inspection, it was found that two child files were missing another method of identifying the child. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A unauthorized absence of a child in care was reported 4 hours after the required timeframe to Licensing. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operation provided two EBI debriefings dated the same day as the alleged incident after being informed by staff that they had not been completed. |
— |
| 4 | — |
748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that the psychotropic medication training for one staff file was not led by a qualified health care professional. |
— |
| 4 | — |
748.685(d)(1) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must know where child will be
Children are being allowed to leave the facility and are unaware of where the children are at or are going. Children are remaining gone for hours at a time without a check in with staff or staff checking on them. |
— |
| 3 | — |
748.303(a)(9)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older
The unauthorized absence of a youth in care at the operation was reported outside of the required timeframe to licensing. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection, children's medication records count were observed to not match the number of actual tablets/pills left. |
— |
| 3 | — |
748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
A child in care left the operation and a report was made almost 3 hours after required timeframes. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
It was disclosed that staff did not intervene during a physical altercation, citing lack of experience in managing such incidents and the absence of supervisory guidance to direct them appropriately. |
— |
| 3 | — |
748.705(b)(8) - Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate
A child was dropped off at an unknown person's home by staff. |
— |
| 4 | — |
748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
In reviewing the Service Plans for both children a general statement was given and not specific details for each child. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During the inspection, it was found that two children were not administered their prescription medication(s) on 9/24/22 and 9/25/22 and one of the two children also wasn't given their prescription medication on 9/27. |
— |
| 3 | — |
748.453(a)(2) - Unauthorized Absence - Annual summary log must include time and date absence was discovered
A child's unauthorized absence was not recorded on the Annual Summary Log. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the Walkthrough of bedroom #9, a whole in the wall was present. In another room, the vent is partially coming from ceiling. |
— |
| 4 | — |
748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
It was found that on 6/24/23, the operation received a screenshot of an inappropriate text message sexual in nature sent to them by a minor resident at the facility that had received the message from a young adult resident there, however the operation didn't see the screenshot until 6/30/23 and then called this into the A/N hotline upon discovery. It is unknown if the text message was sent to the minor resident on or off campus. |
— |
| 3 | — |
748.1337(b)(1)(A)(vi)(I) - Initial Service Plan - Normalcy - Include plans for social, extracurricular, recreation, and leisure activities
After reviewing 1 child file, it was found that the recreation section in the service plan was missing. |
— |
| 2 | — |
748.1113(b) - Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists
It was reported that the operation was not doing adequate searches upon children returning to the operation from off campus and/or in the children's rooms when the operation already had suspicion and concerns regarding residents shoplifting/stealing, bringing, and using contraband such as alcohol/illegal substances and/or other items onto campus. It was reported searches were not documented by staff unless they actually found contraband. |
— |
| 3 | — |
748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
During the course of the investigation, it was found that several serious incidents were not reported to the A/N Hotline or were reported late according to minimum standards required timeframes. |
— |
| 5 | — |
748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
Through the course of the investigation, it was discovered that a child in care performed a restraint on a peer. Staff verbally tried to stop the restraint that started in a physical fight but did not physically try to stop the restraint that lasted approximately a minute. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Through interviews and documentation, it was determined that a primary caregiver could not physically intervene and stop in altercation. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the inspection of girls bathroom, the hot water handle on the 1st sink to the left did not turn on water. There is a potential leak under the sink area as there was water on the floor under sink extending to the first two toilets in girl's bathroom. |
— |
| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The triggered reviews for 3 children did not have details about the unauthorized absences which triggered the review and did not explain prior debriefings with the child. |
— |
| 1 | — |
748.1349(c) - Initial Service Plan-If plan or summary not shared with child, document justification in the child's record
Three of five child service plans did not have the required information as to date provided and/or justification whether or not a copy was provided. |
— |
| 3 | — |
748.363(5) - Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position.
During the inspection, it was found there was documentation missing for the staff's qualifications. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of the investigation, it was reported that multiple residents have brought contraband and used contraband on campus. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Through documentation and interviews it was determined that staff was aware that residents liked to collect items from the community and bring them back into the operation. Items considered contraband were found in a resident's room. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
Six Unauthorized Absences debriefings were not completed and/or documented. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
After reviewing documentation, it was determined that the operation reported to the hotline 2 days after the UA occurred. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
During the inspection, there were staff who were inactivated past the 7 day required timeframe of being terminated/resigned. There were 9 out of 13 staff that were inactivated past this timeframe and there were 2 staff that were reported to be terminated who had not been inactivated. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During the inspection, two staff records were requested, however licensing was unable to thoroughly evaluate these records as the personnel files were not immediately available. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Four of four Preliminary Service Plan documentation reviewed failed to the required information. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Citation: The child did not return to the van at 9:45PM when planned with staff. This report was not made to the hotline until 1:34AM, roughly 3.5 hours after the incident occurred. With the child's sex trafficking history the incident should have been reported immediately. |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
It was found that during a search conducted by staff in a child's room at the operation on 11/5/24, two THC pens, a vape pen, one lighter, and four empty boxes of THC related products were discovered. Staff also found a razor, one pair of scissors, and Tylenol as well. |
— |
| 3 | — |
748.313(3)(E) - Serious Incident -Unauthorized absence of a child ?if child returns to op after 24 hrs document as addendum to report documenting child?s return
It was found that there was no communication log for the child/victim for after this child left the facility on 7/2/23 at 10:00 pm. There was no update on whether the child returned to the facility. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walkthrough of the operation an uncovered bowl of cheese was observed in a refrigerator. [ |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was found that the background check for the operation's current CEO as of July 1, 2024, has been inactive and their former CEO's background check was also inactive prior to 7/1/24. |
— |
| 4 | — |
748.2311 - Discipline-person in care must not discipline or punish another person in care
During the course of this investigation, it was determined that staff allowed a child in care to restrain another child. |
— |
| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The triggered reviews for 3 children did not have details about the unauthorized absences which triggered the review and did not explain prior debriefings with the child. |
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| 3 | — |
748.1337(b)(1)(A)(vi)(I) - Initial Service Plan - Normalcy - Include plans for social, extracurricular, recreation, and leisure activities
After reviewing 1 child file, it was found that the recreation section in the service plan was missing. |
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248 inspection record(s) on file from TX-HHSC.