Capacity 32. 10-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 2 | — |
748.1303(8) - Education-Know what is in the child's IEP and support the schools efforts to implement the IEP, if applicable. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care ran from the operation twice in one day. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the course of the investigation, it was determined a caregiver used inappropriate discipline that could have caused harm to a child in care. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The administrator failed to provide oversight to staff for a child in pain resulting in the child's medical needs going unmet. |
— |
| 3 | — |
748.311(10) - Serious Incident Documentation-Includes resolution of the incident
A child in care's name was not documented on the SIR form. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
A shattered glass door was seen by the med room in house one. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, there were no holes, graffiti seen on the children room. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
During the follow-up inspection, in House 1 Room 4. There were two holes not seen in the bathroom door. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver was slapping and threatening to slap children in care. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation. |
— |
| 5 | — |
745.4151(c)(8)(B) - Documentation-Drug test results must be kept for one year after employee's last work day or until any investigation involving person is resolved
Two employees did not have their drug test in their file. One employee is no longer employed at the operation. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 14-year-old child was grabbed by the neck by a caregiver. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Two children went from a verbal altercation to a physical altercation. One child sustained a black eye. |
— |
| 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.
Operational staff failed to follow the policy and procedures of the operation by failing to render cardiopulmonary resuscitation and failed to notify emergency medical services for several minutes after discovering that a child in care was unresponsive. |
— |
| 2 | — |
748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child was sleeping in the common area over a week. |
— |
| 2 | — |
748.3351(2) - Interior Space-Provide personal storage space in the child's bedroom for each child's clothing and belongings
Children's clothing and personal items are being stored in trash bags and on the floor throughout the operation. There are multiple empty suitcases in closets. Clothes are scattered across the floor in every room. Some closets do not have a place to organize or store clothing. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In the back of house 1 there was a picture taken of screen torn. During the inspection the administrator replace the screen door. In House 2 upstairs the word pen was seen written on the wall in blue ink. In House 2 the word pen was painted over during the inspection. In House 2 Room 4 in the bathroom the cabinet door was missing. In House 2 Room 4 in the bathroom the cabinet door was replaced during the inspection. In House 2 upstairs two small holes were seen in the wall. In house 2 room 3 there was a broken light fixture. |
Yes |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's medication instructions stated to "Take one (melatonin) by mouth at bedtime." This medication was given to the child at 7:09pm and the child was then taken to the movies. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through the homes, several walls had hole, broken furniture and window blinds, several of the window were missing screening, electric outlet were uncovered. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
A child was showing signs of being lethargic during an outing, and two operational staff members responded by forcibly pulling the child up from the floor by his arms in response. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
A service plan states that a child must be kept in line-of-sight supervision during wake hours. This plan was not followed. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In House 2, there were 6 blinds in six different rooms that were broken. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Three youth in care indicated staff use inappropriate language when redirecting them. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child received a cut under his eye as a result of an altercation with another child. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
An interior door in House #2 was observed with a hole. No work order or incident report was available at the time of inspection. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A child received a cut under his eye as a result of an altercation with another child. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
A caregiver was physically aggressive and used inappropriate discipline with a child in care. |
— |
| 4 | — |
748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
All the service plans reviewed had the same information and wording used for the supervision section. This was not specific to each child and that child's needs. |
— |
| 1 | — |
748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
The daily meal menus for December 2022 and January 2023 were not provided for review upon request. The operation was not able to produce December 2022 and January 2023 menus. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Two kids got into an altercation without staff supervision. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
Food was seen house 2 refrigerator un-cover. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A caregiver engaged in a physical altercation with a 17 year old child in care. The staff actions placed the child at risk for significant harm. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
In House 1 multiple showers were seen unclean. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
During the investigation the supervision and the provision of child-care services needed to supervise children in care was not met. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One child did not have a preliminary service plan in his file. |
— |
| 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.
Three youth in care expressed feeling unsafe due to the mistreatment by staff members. |
— |
| 2 | — |
748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
Two kid files did not have their medication logs in file. |
— |
| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
The operation refused to provide additional records upon request during the investigation. |
— |
| 2 | — |
748.3701(e)(2)(B) - Recreation responsibility-Child receiving treatment services-Ensure that children receiving treatment services has individualized recreation plan
Children in care were not participating in extracurricular activities, as required in the service plans and psychological evaluations. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
During the follow up inspection in House 2 Room 2 there were no graffiti seen in the closet. |
— |
| 5 | — |
748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
There was a punch mark in the wall that occurred one month ago and two missing outlet covers. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In House 2 room 2 a hole was seen in the wall. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation, it was determined a caregiver yelled and cursed at a child in care. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the walk through it was observed that there was no thermometer in the 2 refrigerators and 1 freezer. The administrator corrected this at the inspection by placing thermometers inside the refrigerators and freezer. |
Yes |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In House 2 Room 2 a hole was seen in the wall. In House 2 a hole was seen in the hallway. |
— |
| 5 | — |
748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
In House 1, there was a dirty ceiling fan filled with dust and a broken window blind in the front room. In House 2 there was a bathroom with a broken door, a bedroom with a broken door frame, a room had a hole in the wall and a broken outlet. Also the game room had a broken light switch. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff failed to intervene in an altercation between two children that resulted in a child being injured. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
The operation did not conduct a debriefing with the child in care. |
— |
| 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.
Clorox bleach spray was sitting on the counter in two children's rooms. |
— |
| 3 | — |
748.3443(a)(1) - Food Preparation-Food items must be covered & stored off the floor
During the walk through in the kitchen, several food items were uncovered in refrigator. There were several food items observed on the floor. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A child in care urinated on himself during an outing and the operational staff that were present failed to address or properly intervene in this incident for approximately 2 hours. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Several interviews with children and staff indicated that a child was "screaming" in pain, complaining of a stomachache, lethargic, and tired. No medical treatment was sought for the child regarding these concerns. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 1 at the bottom of the stairways were seen loose. In the living areas blinds were broken. In House 1 room 2 the bathroom cabinet was seen broken. In House 1 room 3 there were holes seen in the wall and broken blind. In House 2 there were broken blinds seen in the common area and game room. In House 2 the bathroom door will not close. In House 2 in the living area there was paint seen chip on the wall. In House 2 room 2 there was graffitti seen on the outside of the bathroom door. In House 2 room 4 there were broken blinds seen in the room. In House 2 room 4 there was a broken cabinet seen in the bathroom. |
— |
| 4 | — |
748.1101(b)(4)(A)(v) - Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
A caregiver was name calling children in care. |
— |
| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation, it was determined that a caregiver curse and yelled at children in care. |
— |
| 2 | — |
748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
House 2 in one of the bedroom blinds were seen torn. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection inspectors observed several holes in the walls, graffiti written in the bedrooms and water damage on the ceilings. Inspectors observed both houses to have damage. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
Incident reports did not contain all required information. such as witnesses, time, nature of incident, intervention and resolution of the incident as required by Minimum Standards. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A staff member's background check is showing inactive. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
The operation did not follow child's service plan. The child's is to remain within eyesight of staff. |
— |
| 4 | — |
748.2101(5) - Medication Storage - keep medication storage area(s) clean and orderly
The medication storage, had several pills left out, and thrown in the bottom of the medication cabinet. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
During the investigation, it was discovered that staff did not adhere to the restricttons placed by CBCU. |
— |
| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Operation staff failed to provide proper care, supervision, and safety when multiple staff failed to respond to child's need for medical treatment and intervention and did not properly intervene when the child displayed the loss of motor skills. |
— |
| 5 | — |
748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
There was a punch mark in the wall that occurred one month ago and two missing outlet covers. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child was not properly supervised and was able to leave the facility without staff awareness, according to the child assessment. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that several beds did not have mattress protectors. The administrator corrected this at the inspection by putting mattress protectors on the beds. |
Yes |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Several bathroom vanities, cabinet doors, countertops, beds, and couches were seen damaged during the walk though. This included one vanity that had nails sticking out. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 2 Room 1 in the bathroom wires was exposed. In House 2 Room 2 the exit sign is missing and wires were exposed. In House 2 Room 3 a hole was seen in the closet. In House 2 Room 3 light fixutre is missing a cover. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Inspectors observed four bedroom doors and one bathroom door damaged. The damage included holes and broken pieces. One door was missing completely. |
— |
| 2 | — |
748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child was sleeping in a main living area for months. This space was between the medication distribution, supervisor's office and living room and did not allow privacy. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through in house 1 there was a hole seen upstairs. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 1, there was a hole in room 1. In House 2, there was a hole in the day room and broken blinds in room 1 and in the table room. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 2 in the living area there was paint chip seen on the wall. In House 2 Room 1 there is a hole seen in the bathroom door. |
— |
| 5 | — |
745.4151(c)(4)(B) - Mandatory Drug Testing-All Employees are Subject to Random, Unannounced Drug Testing
The operation has not done any random drug test at this time. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
The operation had a hole in the wall, a damaged door, multiple broken blinds, soiled bathrooms, and various broken base boards. |
— |
| 3 | — |
748.2101(8) - Medication Storage & Destruction-remove medication of discharged/deceased child immediately & destroy in way that ensures children do not have access
Inspectors observed medication bottles from a child who had been discharged on September 19, 2023. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
A child had a laceration on their head that was noted by a medical professional to be deep enough to require stitches and was already in the stages of healing, without proper treatment. This was not reported to child care regulation and no serious incident report exists. |
— |
| 2 | — |
748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
During the follow up inspection the child stated that is no longer sleeping in the common area. |
— |
| 1 | — |
748.1301(a) - Education-Arrange an appropriate education for each child
The operation is working in conjunction with Lone Oak ISD to make sure that all of youth's educational needs are met. Thompson's Residential will provide school supplies and assist as needed with schoolwork, homework and school projects. To ensure the youth does not fall behind in school. Thompson's Residential Treatment Center will coordinate with teachers and/or counselor to make sure each child is encouraged to attend the Advisory Period which allows time for work to be caught up on during the school day. Thompson's Residential Treatment Center will also assist in scheduling tutorial time and providing transportation to and from as needed. Youth will be encouraged to communicate with their teachers and staff at Thompson's Residential Treatment Center. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
One of three transportation vans used to transport children in care had a plastic covered, broken window, damaged weatherstripping, and tire iron and broom inside the cab of the vehicle. |
— |
| 2 | — |
748.1303(8) - Education-Know what is in the child's IEP and support the schools efforts to implement the IEP, if applicable. |
— |
| 5 | — |
745.4151(c)(4)(B) - Mandatory Drug Testing-All Employees are Subject to Random, Unannounced Drug Testing
The operation has not done any random drug test at this time. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
During the investigation the supervision and the provision of child-care services needed to supervise children in care was not met. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 1, there was a hole in room 1. In House 2, there was a hole in the day room and broken blinds in room 1 and in the table room. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's medication instructions stated to "Take one (melatonin) by mouth at bedtime." This medication was given to the child at 7:09pm and the child was then taken to the movies. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child was not properly supervised and was able to leave the facility without staff awareness, according to the child assessment. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 2 in the living area there was paint chip seen on the wall. In House 2 Room 1 there is a hole seen in the bathroom door. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, there were no holes, graffiti seen on the children room. |
— |
| 1 | — |
748.1301(a) - Education-Arrange an appropriate education for each child
The operation is working in conjunction with Lone Oak ISD to make sure that all of youth's educational needs are met. Thompson's Residential will provide school supplies and assist as needed with schoolwork, homework and school projects. To ensure the youth does not fall behind in school. Thompson's Residential Treatment Center will coordinate with teachers and/or counselor to make sure each child is encouraged to attend the Advisory Period which allows time for work to be caught up on during the school day. Thompson's Residential Treatment Center will also assist in scheduling tutorial time and providing transportation to and from as needed. Youth will be encouraged to communicate with their teachers and staff at Thompson's Residential Treatment Center. |
— |
| 4 | — |
748.1101(b)(4)(A)(v) - Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
A caregiver was name calling children in care. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 2 Room 1 in the bathroom wires was exposed. In House 2 Room 2 the exit sign is missing and wires were exposed. In House 2 Room 3 a hole was seen in the closet. In House 2 Room 3 light fixutre is missing a cover. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A child in care urinated on himself during an outing and the operational staff that were present failed to address or properly intervene in this incident for approximately 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 walk through it was observed that there was no thermometer in the 2 refrigerators and 1 freezer. The administrator corrected this at the inspection by placing thermometers inside the refrigerators and freezer. |
Yes |
| 2 | — |
748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child was sleeping in a main living area for months. This space was between the medication distribution, supervisor's office and living room and did not allow privacy. |
— |
| 2 | — |
748.3351(5) - Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
House 2 in one of the bedroom blinds were seen torn. |
— |
| 4 | — |
748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
Food was seen house 2 refrigerator un-cover. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
The operation did not conduct a debriefing with the child in care. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care ran from the operation twice in one day. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
In House 1 at the bottom of the stairways were seen loose. In the living areas blinds were broken. In House 1 room 2 the bathroom cabinet was seen broken. In House 1 room 3 there were holes seen in the wall and broken blind. In House 2 there were broken blinds seen in the common area and game room. In House 2 the bathroom door will not close. In House 2 in the living area there was paint seen chip on the wall. In House 2 room 2 there was graffitti seen on the outside of the bathroom door. In House 2 room 4 there were broken blinds seen in the room. In House 2 room 4 there was a broken cabinet seen in the bathroom. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In House 2, there were 6 blinds in six different rooms that were broken. |
— |
272 inspection record(s) on file from TX-HHSC.