Capacity 40. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A staff slapped a child in care. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
If staff was properly supervising child while vacuuming van, child would not have gained access to first aid kit and ingest excessive medication requiring medical attention. |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child was restrained for more than 30 minutes. Three children and three staff involved said it was about 35-40 minutes, and the incident report states 38 minutes. |
— |
| 3 | — |
748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of the incident report, there are concerns with the times of the runaway notification not being documented to the guardian and to law enforcement. Additionally, the date is not listed for the notification to law enforcement, only the name of the person who was spoken to and the case number are documented. The name of the guardian who was notified is also missing. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A child in care was grabbed by the arm to comply. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was left unsupervised with an unlocked medication cabinet, resulting in the child ingesting a significant amount of medication in a suicide attempt. |
— |
| 5 | — |
748.2801(2)(B) - EBI Time Limits-Prone or supine personal restraint hold may not exceed one minute.
It was found that a child in care was in a prone restraint for longer than 1 minute. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
One staff admitted calling a child a liar and in a separate incident a different staff admitted making a comment to a child in care stating they should cut down on eating cookies and mashed potatoes, making an implication to weight. |
— |
| 4 | — |
748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A medication log stated that a pill was borrowed from another child in care. The campus nurse confirmed that this did occur based on her medical knowledge and approval. |
— |
| 2 | — |
748.3273(6) - First Aid Kits-Each one must contain scissors
Four first aid kits reviewed did not have all the required supplies needed. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were two documented instances in the same month of medication records showing that a dose of medication was missing from the containers. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation it was determined that staff failed to confirm address and coordinate with relative that resulted in child in care being dropped off in unapproved location. Staff also failed to provide medication to adult relative which resulted in child gaining direct access to the medication. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the DFPS ANE investigation, this standard was found to be deficient. A child in care was slapped by a staff member. |
— |
| 1 | — |
748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers
One child's service plan did not have a caregiver participant/signature when reviewed. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Three children in care put cleaning supplies into another child's shampoo and on their deodorant. Staff were present during the time of children cleaning; however, the children were still able to obtain and create these mixtures without staff noticing. |
— |
| 3 | — |
748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
Three run away incident reports were reviewed. Two of the reports did not include law enforcement notification date and time- One of those two also did not include the name of person notified. The other run-away incident report did not include name of person spoken to. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
One staff admitted to pushing a child onto their bed as well as three children reported that same staff gets into the children's faces and uses intimidation as a scare tactic. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child eloped at night from the operation and staff was not aware that the child was gone. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Missing dosages were not administered or partial dosages were administered according to the medication logs for more than one medication. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
3 children and one staff all consistently described another staff calling a child an elephant, referring to their weight. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A staff member admitted to cursing at a child during an interaction with the child. Witnesses, including staff and children, corroborated this incident. |
— |
| 5 | — |
748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
A child was held in a supine hold for about 28 minutes, as stated in the incident report. It is noted that staff involved stated they gave the child opportunities to transition out of the hold but the child was fighting back. |
— |
| 3 | — |
748.705(b)(3) - Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity
A staff member provided razors to children in care with a history of self-harm. Although using razors for shaving is a part of normalcy for teenage children, it seems the staff did not ensure the razors were taken back from the children. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A child in care had a medication error not reported. |
— |
| 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
A personal restraint occurred on 2/13/24, but was not documented until 3 days later, 2/16/24. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A child did not receive a medication due to arrest and runaway. Documentation for the missed dosages were not noted on the medication log/medication error. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling at children, and/or being loud and in their faces. Two staff reported they have seen staff yell or raise their voice when they could have handled the situation better. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
While reviewing the medication logs for Clonidine 0.1mg, Concerta 36mg, Focalin (Dexmethylphenidate) 10mg and Focalin 40mg it was found that there were no medication error reports for missing dosages. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Several children mixed and drank almond and mint extracts during lunch at the operation. Staff were present during lunch, however the children were still able to obtain and ingest these mixtures without staff noticing. As a direct result, one child who drank the mixture later had an allergic reaction that required medical treatment. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The Clinical Director admitted to cussing when children in care were present. Six other individuals confirmed hearing Clinical Director cuss on several occasions while children in care were present, during therapy sessions or in professional settings. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
A child in care had unsupervised access to the medication cabinet that a staff member left unlocked. As a result of this, the child in care ingested a significant amount of medication in a suicide attempt. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member admitted to playing games on their cell phone when directly supervising children in care. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member admitted to yelling at a child during their interview. Other staff members, who were 50 yards away, then responded after hearing the yelling. |
— |
| 3 | — |
748.2855(c) - EBI Documentation-If personal restraint, must include specific restraint techniques used, including prone/supine restraint used as transitional hold
The incident report did not state the specific restraint that was used. It states "held on the ground as safely as possible," which references a supine hold. Several staff involved were interviewed to confirm the child was in a supine hold. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
The child's case worker was not notified of the restraint within 72 hours. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A staff member made demeaning, crude, inappropriate comments and threats to children in care. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Cleaning supplies were found in an unlocked cabinet under the sink in a bathroom that is assessible to children in care. |
Yes |
| 4 | — |
748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
5 out of 7 children interviewed stated a night staff was asleep while working. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During a walk through cleaning supplies were observed under a the bathroom's cabinet. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There was conflicting information in the serious incident report including referring to a prone restraint instead of a supine restraint. Also, the times of the total restraint were inaccurate and information about a staff being present when the staff had stepped out of the room during the incident. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were discrepancies on the medication count on three medication logs that were reviewed. No documentation of the purpose of remaining medication for each medication. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple staff and children in care stated an employee cussed at children in care. |
— |
| 2 | — |
748.3273(6) - First Aid Kits-Each one must contain scissors
Four first aid kits reviewed did not have all the required supplies needed. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the DFPS ANE investigation, this standard was found to be deficient. A child in care was slapped by a staff member. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member admitted to yelling at a child during their interview. Other staff members, who were 50 yards away, then responded after hearing the yelling. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A staff member made demeaning, crude, inappropriate comments and threats to children in care. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During a walk through cleaning supplies were observed under a the bathroom's cabinet. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple staff and children in care stated an employee cussed at children in care. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
The child's case worker was not notified of the restraint within 72 hours. |
— |
| 1 | — |
748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers
One child's service plan did not have a caregiver participant/signature when reviewed. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Several children mixed and drank almond and mint extracts during lunch at the operation. Staff were present during lunch, however the children were still able to obtain and ingest these mixtures without staff noticing. As a direct result, one child who drank the mixture later had an allergic reaction that required medical treatment. |
— |
| 3 | — |
748.2855(c) - EBI Documentation-If personal restraint, must include specific restraint techniques used, including prone/supine restraint used as transitional hold
The incident report did not state the specific restraint that was used. It states "held on the ground as safely as possible," which references a supine hold. Several staff involved were interviewed to confirm the child was in a supine hold. |
— |
| 5 | — |
748.2801(2)(B) - EBI Time Limits-Prone or supine personal restraint hold may not exceed one minute.
It was found that a child in care was in a prone restraint for longer than 1 minute. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
One staff admitted calling a child a liar and in a separate incident a different staff admitted making a comment to a child in care stating they should cut down on eating cookies and mashed potatoes, making an implication to weight. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
While reviewing the medication logs for Clonidine 0.1mg, Concerta 36mg, Focalin (Dexmethylphenidate) 10mg and Focalin 40mg it was found that there were no medication error reports for missing dosages. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Three children in care put cleaning supplies into another child's shampoo and on their deodorant. Staff were present during the time of children cleaning; however, the children were still able to obtain and create these mixtures without staff noticing. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
If staff was properly supervising child while vacuuming van, child would not have gained access to first aid kit and ingest excessive medication requiring medical attention. |
— |
| 3 | — |
748.705(b)(3) - Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity
A staff member provided razors to children in care with a history of self-harm. Although using razors for shaving is a part of normalcy for teenage children, it seems the staff did not ensure the razors were taken back from the children. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Missing dosages were not administered or partial dosages were administered according to the medication logs for more than one medication. |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child was restrained for more than 30 minutes. Three children and three staff involved said it was about 35-40 minutes, and the incident report states 38 minutes. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
Cleaning supplies were found in an unlocked cabinet under the sink in a bathroom that is assessible to children in care. |
Yes |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
3 children and one staff all consistently described another staff calling a child an elephant, referring to their weight. |
— |
| 4 | — |
748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
5 out of 7 children interviewed stated a night staff was asleep while working. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation it was determined that staff failed to confirm address and coordinate with relative that resulted in child in care being dropped off in unapproved location. Staff also failed to provide medication to adult relative which resulted in child gaining direct access to the medication. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A staff member admitted to cursing at a child during an interaction with the child. Witnesses, including staff and children, corroborated this incident. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child eloped at night from the operation and staff was not aware that the child was gone. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A child did not receive a medication due to arrest and runaway. Documentation for the missed dosages were not noted on the medication log/medication error. |
— |
| 5 | — |
748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
A child was held in a supine hold for about 28 minutes, as stated in the incident report. It is noted that staff involved stated they gave the child opportunities to transition out of the hold but the child was fighting back. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A child in care had a medication error not reported. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The Clinical Director admitted to cussing when children in care were present. Six other individuals confirmed hearing Clinical Director cuss on several occasions while children in care were present, during therapy sessions or in professional settings. |
— |
| 3 | — |
748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
Three run away incident reports were reviewed. Two of the reports did not include law enforcement notification date and time- One of those two also did not include the name of person notified. The other run-away incident report did not include name of person spoken to. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling at children, and/or being loud and in their faces. Two staff reported they have seen staff yell or raise their voice when they could have handled the situation better. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There was conflicting information in the serious incident report including referring to a prone restraint instead of a supine restraint. Also, the times of the total restraint were inaccurate and information about a staff being present when the staff had stepped out of the room during the incident. |
— |
| 3 | — |
748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
In a review of the incident report, there are concerns with the times of the runaway notification not being documented to the guardian and to law enforcement. Additionally, the date is not listed for the notification to law enforcement, only the name of the person who was spoken to and the case number are documented. The name of the guardian who was notified is also missing. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member admitted to playing games on their cell phone when directly supervising children in care. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A staff slapped a child in care. |
— |
| 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
A personal restraint occurred on 2/13/24, but was not documented until 3 days later, 2/16/24. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
A child in care was grabbed by the arm to comply. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was left unsupervised with an unlocked medication cabinet, resulting in the child ingesting a significant amount of medication in a suicide attempt. |
— |
| 5 | — |
748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
A child in care had unsupervised access to the medication cabinet that a staff member left unlocked. As a result of this, the child in care ingested a significant amount of medication in a suicide attempt. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were discrepancies on the medication count on three medication logs that were reviewed. No documentation of the purpose of remaining medication for each medication. |
— |
| 4 | — |
748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A medication log stated that a pill was borrowed from another child in care. The campus nurse confirmed that this did occur based on her medical knowledge and approval. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were two documented instances in the same month of medication records showing that a dose of medication was missing from the containers. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
One staff admitted to pushing a child onto their bed as well as three children reported that same staff gets into the children's faces and uses intimidation as a scare tactic. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
One staff admitted calling a child a liar and in a separate incident a different staff admitted making a comment to a child in care stating they should cut down on eating cookies and mashed potatoes, making an implication to weight. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation it was determined that staff failed to confirm address and coordinate with relative that resulted in child in care being dropped off in unapproved location. Staff also failed to provide medication to adult relative which resulted in child gaining direct access to the medication. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were two documented instances in the same month of medication records showing that a dose of medication was missing from the containers. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
3 children and one staff all consistently described another staff calling a child an elephant, referring to their weight. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
While reviewing the medication logs for Clonidine 0.1mg, Concerta 36mg, Focalin (Dexmethylphenidate) 10mg and Focalin 40mg it was found that there were no medication error reports for missing dosages. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member admitted to playing games on their cell phone when directly supervising children in care. |
— |
| 5 | — |
748.2553(2)(B) - EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
A child was held in a supine hold for about 28 minutes, as stated in the incident report. It is noted that staff involved stated they gave the child opportunities to transition out of the hold but the child was fighting back. |
— |
| 5 | — |
748.2801(2)(B) - EBI Time Limits-Prone or supine personal restraint hold may not exceed one minute.
It was found that a child in care was in a prone restraint for longer than 1 minute. |
— |
| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
The child's case worker was not notified of the restraint within 72 hours. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
One staff admitted to pushing a child onto their bed as well as three children reported that same staff gets into the children's faces and uses intimidation as a scare tactic. |
— |
| 3 | — |
748.313(3)(B) - Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
Three run away incident reports were reviewed. Two of the reports did not include law enforcement notification date and time- One of those two also did not include the name of person notified. The other run-away incident report did not include name of person spoken to. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Several children mixed and drank almond and mint extracts during lunch at the operation. Staff were present during lunch, however the children were still able to obtain and ingest these mixtures without staff noticing. As a direct result, one child who drank the mixture later had an allergic reaction that required medical treatment. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A child did not receive a medication due to arrest and runaway. Documentation for the missed dosages were not noted on the medication log/medication error. |
— |
| 1 | — |
748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers
One child's service plan did not have a caregiver participant/signature when reviewed. |
— |
| 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
A personal restraint occurred on 2/13/24, but was not documented until 3 days later, 2/16/24. |
— |
| 4 | — |
748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A medication log stated that a pill was borrowed from another child in care. The campus nurse confirmed that this did occur based on her medical knowledge and approval. |
— |
256 inspection record(s) on file from TX-HHSC.