Capacity 36. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223 A child in care did not receive annual medical appointment within the required timeframe according to minimum standards. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 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 Two of four youth did not have a documented TB test and results on file. One of four youth did not have a documented hearing test completed. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223 A child in care did not receive annual medical appointment within the required timeframe according to minimum standards. |
— |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 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 Two of four youth did not have a documented TB test and results on file. One of four youth did not have a documented hearing test completed. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 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 Two of four youth did not have a documented TB test and results on file. One of four youth did not have a documented hearing test completed. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223 A child in care did not receive annual medical appointment within the required timeframe according to minimum standards. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 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 Two of four youth did not have a documented TB test and results on file. One of four youth did not have a documented hearing test completed. |
— |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223 A child in care did not receive annual medical appointment within the required timeframe according to minimum standards. |
— |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 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 Two of four youth did not have a documented TB test and results on file. One of four youth did not have a documented hearing test completed. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 4 | — |
748.1531(a)(1) - Medical care-A child in care must receive medical care initially according to the requirements in 748.1223 A child in care did not receive annual medical appointment within the required timeframe according to minimum standards. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A COVID positive child in care was reported two days after results came in which is not within the 24 hour required timeframe. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Three severe weather drills were reviewed, the last drill conducted was on 3/7/2022. The operation has now exceeded the six month time frame for the most recent drill. |
— |
| 2 | — |
748.1337(b)(1)(A)(i) - Initial Service Plan-Include medical needs, including scheduled medical exams and plans for recommended follow-up treatment While reviewing the child's initial service plan it was found to not include medical diagnosis in the health section. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection, observation of the boys bathroom revealed a broken tile off the wall at the bottom outside of the shower |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed One youth continued to receive medication for 14 days after doctor had discontinued medication. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Dryer vent was observed to be cut and lint was observed to have accumulated on the walls and behind the appliances in the laundry room. In addition, clothing items was observed to be stockpiled behind the appliances in the laundry and laying against the water heater. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. It was observed that laundry detergent as well as Lysol and Clorox cleaning supplies were observed to be accessible to youth receiving transitional living and emergency services as they were unattended in a hallway and in one of the laundry rooms. |
Yes |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator - As Inspector looked into the freezer it was noticed that a bag of meat was open. The facility staff quickly removed the bag. |
Yes |
| 5 | — |
748.1553 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. A witness indicated the staff waited "45 minutes to an hour" before calling 911. The care giver wasn't sure when the care giver called 911. A medical collateral indicated the care giver should've called right away in such a circumstance. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A staff documented on a supervision log that a child was present at the operation, but video footage showed the child was not present for two hours. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease During the inspection, it was discussed that six children in care contracted covid-19. Three of the covid positive cases were not reported to licensing. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Several areas of the fence were found to be in disrepair and multiple discarded office, furniture, and other miscellaneous objects were observed throughout the property. |
— |
| 2 | — |
748.1021(d) - Transitional living program supervision-Document supervision evaluation & approval in child's record; review/update during service planning meetings Supervision evaluations were not available on any of the 10 records reviewed. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drills have not been completed at the operation within the last 12 months. |
— |
| 3 | — |
748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented Documentation of monthly checks of smoke detectors were requested, there was no documentation that these checks occurred within the last 12 months. |
— |
112 inspection record(s) on file from TX-HHSC.