Child care center ·
17202 GARDEN CREEK DR, Spring, TX 77379-3899 ·
License 892238
Capacity 13. 7-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver at the operation has engaged in inappropriate behavior by pinching, punching, and pushing children in care. The same caregiver has intervened in behavioral intervention when it was not necessary as the situation was already being handled by another caregiver. |
— |
| 4 | — |
748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Operation was out of ratio at art time transitioning into lunch. it was one staff with 6 children. The operation devided the children to meet ratio requirements. |
Yes |
| 5 | — |
748.2551(b)(3) - EBI Implementation-The caregiver must consider the potential risk of harm in using EBI versus the risk of not using EBI
It was found during the investigation that a child was restrained near the stairs, which creates an increased risk of harm. Additionally, the child was rubbing their head on the carpet as a means of self-harm, which posed less risk than the actual restraint. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 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 original 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 was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 22, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation met compliance on October 7, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 3 | — |
748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Of the four records reviewed, one was missing the required notarized affidavit for employment. |
— |
| 3 | — |
748.311(2) - Serious Incident Documentation-Includes time and date of incident
Several serious incident reports reviewed in two children's files did not include the date or start time the incidents occurred. The serious incident report documentation doesn't include the operation's contact information. The incident reports do not include surrounding circumstances of the incident that occurred. |
— |
| 3 | — |
748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
It's confirmed that a physical restraint took place; the operation was unable to produce the necessary documentation following the intervention. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
It was found during the investigation that a child in care received significant bruising to their shoulder after a short personal restraint. |
— |
| 3 | — |
748.393(b)(4) - Active child record - Ensure record is locked and kept in a safe location or locations
The medication log was observed on a shelf in the common area. |
Yes |
| 2 | — |
748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
Two of four child files reviewed did not include the required orientation documentation such as policies on mail or gifts. |
— |
| 4 | — |
748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
In reviewing the case documentation, it was discerned a staff member restrained a child without first exhausting less restrictive behavior interventions. |
— |
| 3 | — |
748.363(9) - Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
Of the four records reviewed, one was missing a statement signed and dated by the employee documenting that the employee has read a copy of the operational policies. |
— |
| 1 | — |
748.1339(b) - Initial Service Plan-For treatment services, service planning team must include two professionals
The child's Intial Service Plan did not have all signatures required. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
There is sufficient evidence to show that staff have been yelling at the children. |
— |
| 3 | — |
748.505(b)(3) - Minimum qualifications for employees-Physically, mentally, emotionally capable of performing assigned tasks; has the necessary skills
An employee of the operation has demonstrated an unstable mental capacity by making concerning comments to others. |
— |
| 4 | — |
748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
In reviewing the case documentation, it is evident staff utilized an unapproved restraint procedure in picking a child up by the waist to carry the child to the van. |
— |
| 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.
The administrator reported becoming aware of the child's absence around 4pm of 05/19/23; the report was made to SWI at 1:24am on 05/20/23. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One child medication log recorded the incorrect dosage compared to the actual prescription. The employee list has the incorrect name of an employee compared to the background check system and employee file. |
— |
| 3 | — |
748.1103(b)(1) - Informing child of rights-Child rights must be written in simple, non-technical terms
One of four child files did not contain a child rights document. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on September 30, 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. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a High-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation has not met compliance. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During the inspection, I observed one of four child medication records reflected an inaccurate count of 17 pills on the med sheet and 16.5 pills in the blister pack. |
— |
| 2 | — |
748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Two of four child files reviewed does not contain the managing conservator's contact information. |
— |
| 4 | — |
748.2307(11) - Other Prohibited Punishments-requiring child to be silent or inactive for inappropriate periods of time for child's age
During the course of the investigation it was determined that children in care has time out for up to 2 hours. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The operation's evacuation diagrams does not have a designated "shelter in place" location. |
— |
| 3 | — |
748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an annual summary log to review. |
— |
| 4 | — |
748.2553(1)(B) - EBI Release-Child released from short personal restraint within 1 minute, or sooner if danger is over or disruptive behavior is de-escalated
A staff member conducted a personal restraint on a child in care for a minute and a half. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Several medication records did not align with the medication count. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Staff was not able to intervene fast enough due to the fact she was driving when the altercation started and the children in care where able to punch one another in the face. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
During the inspection, I observed one of four children's records reviewed contained a medication log lacking the reason for the prescription. |
— |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
It was observed in the child's file reviewed, that the admission assessment was completed a day after the child was placed at operation. |
— |
| 3 | — |
748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
Upon viewing child's file, there was no documentation of TB test for child. |
— |
| 3 | — |
748.941(a)(3) - Training Criteria- Must include an evaluation tool to determine whether the person obtained the information necessary to meet the stated objectives
Three of three staff files reviewed did not contain an evaluation or assessment tool. |
— |
| 4 | — |
748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Four records were reviewed and all were missing personal reference checks. |
— |
| 3 | — |
748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
One child file reviewed was found that the medical annual check up was due in May 2022 however it was completed today July 11, 2022. |
Yes |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the inspection, I observed the thermometer in the refrigerator read 60 degrees and was loose in its housing. The thermometer housing for the freezer contained the gradient grid but not the thermometer itself. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
In reviewing the investigation documentation, it is evident the staff utilized restraint as a method of getting the child to comply with exiting to the van. |
— |
| 4 | — |
748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
A staff member referenced to a child in care by an unnecessary name when the child was escalated. |
— |
| 2 | — |
748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
Two of two discharged children's file reviewed does not contain the required discharge documentation such as the discussion with the child about being discharged or the medication the child was prescribed. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The most recent severe weather drill was completed in April 2025 and not within the last 6 months. |
— |
| 4 | — |
748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
The operation did not report to licensing when a child ran away for three hours. |
— |
| 3 | — |
748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the monitoring inspection, four records were reviewed and all four records were missing the pre-employment affidavit for applicants for employment. |
— |
| 4 | — |
748.4653(a)(2) - Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
Upon viewing staff file, 4 hours of EBI was missing. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
In reviewing the investigation, it is evident the child?s refusal to exit the building did not constitute an emergent situation requiring restraint. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The fire inspection has not been completed within the required timeframe. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Three of thirteen children medication inventory proved to be inaccurate. The pill count did not match the documented pills remaining. |
— |
| 3 | — |
748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The operation's Serious Incident Report forms did not include the child's age, gender, or date of admission as required by Minimum Standards. |
Yes |
| 3 | — |
748.393(b)(4) - Active child record - Ensure record is locked and kept in a safe location or locations
The medication log was observed on a shelf in the common area. |
Yes |
| 3 | — |
748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
It was observed in the child's file reviewed, that the admission assessment was completed a day after the child was placed at operation. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During the inspection, I observed one of four child medication records reflected an inaccurate count of 17 pills on the med sheet and 16.5 pills in the blister pack. |
— |
| 2 | — |
748.1205(a)(2) - Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
Two of four child files reviewed does not contain the managing conservator's contact information. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
It was found during the investigation that a child in care received significant bruising to their shoulder after a short personal restraint. |
— |
| 2 | — |
748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
Two of two discharged children's file reviewed does not contain the required discharge documentation such as the discussion with the child about being discharged or the medication the child was prescribed. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The operation's evacuation diagrams does not have a designated "shelter in place" location. |
— |
| 4 | — |
748.2553(1)(B) - EBI Release-Child released from short personal restraint within 1 minute, or sooner if danger is over or disruptive behavior is de-escalated
A staff member conducted a personal restraint on a child in care for a minute and a half. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
There is sufficient evidence to show that staff have been yelling at the children. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Several medication records did not align with the medication count. |
— |
| 3 | — |
748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Of the four records reviewed, one was missing the required notarized affidavit for employment. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on September 30, 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. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a High-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation has not met compliance. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
— |
| 3 | — |
748.363(9) - Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
Of the four records reviewed, one was missing a statement signed and dated by the employee documenting that the employee has read a copy of the operational policies. |
— |
| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The fire inspection has not been completed within the required timeframe. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver at the operation has engaged in inappropriate behavior by pinching, punching, and pushing children in care. The same caregiver has intervened in behavioral intervention when it was not necessary as the situation was already being handled by another caregiver. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
During the inspection, I observed one of four children's records reviewed contained a medication log lacking the reason for the prescription. |
— |
| 3 | — |
748.1223(a) - Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
One child file reviewed was found that the medical annual check up was due in May 2022 however it was completed today July 11, 2022. |
Yes |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Three of thirteen children medication inventory proved to be inaccurate. The pill count did not match the documented pills remaining. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
In reviewing the investigation documentation, it is evident the staff utilized restraint as a method of getting the child to comply with exiting to the van. |
— |
| 4 | — |
748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
In reviewing the case documentation, it was discerned a staff member restrained a child without first exhausting less restrictive behavior interventions. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the inspection, I observed the thermometer in the refrigerator read 60 degrees and was loose in its housing. The thermometer housing for the freezer contained the gradient grid but not the thermometer itself. |
— |
| 2 | — |
748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
Two of four child files reviewed did not include the required orientation documentation such as policies on mail or gifts. |
— |
| 4 | — |
748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Four records were reviewed and all were missing personal reference checks. |
— |
| 4 | — |
748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
In reviewing the case documentation, it is evident staff utilized an unapproved restraint procedure in picking a child up by the waist to carry the child to the van. |
— |
| 5 | — |
748.2551(b)(3) - EBI Implementation-The caregiver must consider the potential risk of harm in using EBI versus the risk of not using EBI
It was found during the investigation that a child was restrained near the stairs, which creates an increased risk of harm. Additionally, the child was rubbing their head on the carpet as a means of self-harm, which posed less risk than the actual restraint. |
— |
| 3 | — |
748.505(b)(3) - Minimum qualifications for employees-Physically, mentally, emotionally capable of performing assigned tasks; has the necessary skills
An employee of the operation has demonstrated an unstable mental capacity by making concerning comments to others. |
— |
| 4 | — |
748.2307(11) - Other Prohibited Punishments-requiring child to be silent or inactive for inappropriate periods of time for child's age
During the course of the investigation it was determined that children in care has time out for up to 2 hours. |
— |
| 4 | — |
748.4653(a)(2) - Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
Upon viewing staff file, 4 hours of EBI was missing. |
— |
| 4 | — |
748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
A staff member referenced to a child in care by an unnecessary name when the child was escalated. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 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 original 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 was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 22, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation met compliance on October 7, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 3 | — |
748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
It's confirmed that a physical restraint took place; the operation was unable to produce the necessary documentation following the intervention. |
— |
| 3 | — |
748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
Upon viewing child's file, there was no documentation of TB test for child. |
— |
| 3 | — |
748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an annual summary log to review. |
— |
| 3 | — |
748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the monitoring inspection, four records were reviewed and all four records were missing the pre-employment affidavit for applicants for employment. |
— |
| 3 | — |
748.311(2) - Serious Incident Documentation-Includes time and date of incident
Several serious incident reports reviewed in two children's files did not include the date or start time the incidents occurred. The serious incident report documentation doesn't include the operation's contact information. The incident reports do not include surrounding circumstances of the incident that occurred. |
— |
| 1 | — |
748.1339(b) - Initial Service Plan-For treatment services, service planning team must include two professionals
The child's Intial Service Plan did not have all signatures required. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Staff was not able to intervene fast enough due to the fact she was driving when the altercation started and the children in care where able to punch one another in the face. |
— |
| 3 | — |
748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
The operation's Serious Incident Report forms did not include the child's age, gender, or date of admission as required by Minimum Standards. |
Yes |
| 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.
The administrator reported becoming aware of the child's absence around 4pm of 05/19/23; the report was made to SWI at 1:24am on 05/20/23. |
— |
| 4 | — |
748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
The operation did not report to licensing when a child ran away for three hours. |
— |
| 3 | — |
748.1103(b)(1) - Informing child of rights-Child rights must be written in simple, non-technical terms
One of four child files did not contain a child rights document. |
— |
| 3 | — |
748.941(a)(3) - Training Criteria- Must include an evaluation tool to determine whether the person obtained the information necessary to meet the stated objectives
Three of three staff files reviewed did not contain an evaluation or assessment tool. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One child medication log recorded the incorrect dosage compared to the actual prescription. The employee list has the incorrect name of an employee compared to the background check system and employee file. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
In reviewing the investigation, it is evident the child?s refusal to exit the building did not constitute an emergent situation requiring restraint. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The most recent severe weather drill was completed in April 2025 and not within the last 6 months. |
— |
| 3 | — |
748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an annual summary log to review. |
— |
| 4 | — |
748.2307(11) - Other Prohibited Punishments-requiring child to be silent or inactive for inappropriate periods of time for child's age
During the course of the investigation it was determined that children in care has time out for up to 2 hours. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the inspection, I observed the thermometer in the refrigerator read 60 degrees and was loose in its housing. The thermometer housing for the freezer contained the gradient grid but not the thermometer itself. |
— |
| 3 | — |
748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
Of the four records reviewed, one was missing the required notarized affidavit for employment. |
— |
| 4 | — |
748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
Four records were reviewed and all were missing personal reference checks. |
— |
| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
In reviewing the investigation documentation, it is evident the staff utilized restraint as a method of getting the child to comply with exiting to the van. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
It was found during the investigation that a child in care received significant bruising to their shoulder after a short personal restraint. |
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| 3 | — |
748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
It's confirmed that a physical restraint took place; the operation was unable to produce the necessary documentation following the intervention. |
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| 3 | — |
748.941(a)(3) - Training Criteria- Must include an evaluation tool to determine whether the person obtained the information necessary to meet the stated objectives
Three of three staff files reviewed did not contain an evaluation or assessment tool. |
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169 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.