Texas › Spring › Turning Point Children's Social Service

Turning Point Children's Social Service

Child care center · 2950 SPRING CREEK DR, Spring, TX 77373-6144 · License 1063806

0Compliance score
Poor

Capacity 16. 5-17

Violation history (384)

Severity	Date	Standard / narrative	Corrected
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 One of three staff records reviewed employment affidavit was not notorized.	—
1	—	748.1339(c) - Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities Review of one child record found youth did not participate in the service plan meeting, and there was no documentation of justification for no participation.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication 3 of 3 children medication logs were missing the reason medication is prescribed.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Multiple food items were expired and not properly stored, as frozen foods were open and freezer burn was present.	Yes
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Multiple drawers were observed to be broken. A drawer was broken in one of the downstairs bathrooms. A hole was observed in the therapy room. A bunk bed was observed to be broken and missing a ladder. Broken blinds were observed in the downstairs bathroom.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One out of three employee files reviewed contained an outdated CPR training verification to suggest the training has not been renewed timely.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The child's service plan is not being followed pertaining to supervision.	—
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 The operation failed to report to licensing within the required timeframe.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the monitoring inspection: The name on the staff list was incorrect. The contract staff binder contained information from another operation other than Turning Point.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Investigator reported several unsuccessful attempts to make contact with Administrator.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A child in care was slapped by a caregiver in the face which caused a bruise.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A caregiver responsible for one to one supervision of a child failed to notice when the child entered another child's room on two separate occasions.	—
5	—	748.2151(f) - Medication record-must include identification or prohibited prescription medication, non-prescription medication, or supplements for the child It was found on child medication logs no information regarding contraindications or side effects.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair Dark colored growth was found on a ceiling of a child's bathroom.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera Observed during walkthrough a camera in children bedroom.	Yes
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregivers failed to ensure that the supervision level in a child's service plan was followed.	—
4	—	748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment. One out of three employee files reviewed did not take their required CPR/First Aid training within 90 days of their hire date.	—
3	—	748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner It was found during the inspection that there was trash and broken furniture in the backyard accessible to children in care.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old It was found during inspection that the operation did not have an accepted physical or electronic cumulative medication log record and the name of the person and signature administering the medication or if the child refused. There was also a repetitive time for each of the dosages.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving It was found that a staff was not inactivated that is no longer working at the facility.	—
5	—	HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range) The operation has a child in care that requires treatment services that the operation is not permitted to provide. The operation is providing treatment services not authorized by the permit.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection It was observed that fire inspection expired on 11/01/24.	—
5	—	745.8641 - Requirements during probation Condition #1: MET Conditions #2: MET Conditions #3: MET Condition #4: NOT MET - Audit tool required for this condition was due on 3/20/2026 but was not submitted to Licensing until 3/30/2026, 10 days late. Conditions #5: MET	—
1	—	748.3701(b) - Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided The operations Recreational Calendar does not contain daily indoor and outdoor activities.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Agency has not reported the EBI data for third quarter of 2024 as of assessment date.	—
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	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Multiple youth reported they were forced to hold a physical position while in timeout as a form of discipline.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction A serious incident report requested from the operation was not provided for an investigation.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. A child's Individual Service Plan was not being following as directed, with regards to Supervision.	—
4	—	748.2705(4) - Mechanical Restraints Prohibited-Long ties, such as leashes The operation used a harness as a mechanical restraint on a child in care with runaway behaviors. The use of mechanical restraint is not listed as approved for use on the operation permit.	—
4	—	748.2151(c)(1) - Medication record - must include child's full name It was found that a medication log was missing a child's name .	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Per conversation with the administrator, the agency does not maintain financial records for 2023 that comply with Generally Accepted Accounting Principles.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. Review of two staff records revealed that the caregivers did not receive the required 4 hours of EBI training every 6 months.	—
4	—	748.2101(7) - Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access Medication which expired July 2024 was not discarded on or before expiration date.	—
1	—	748.3351(4) - Interior Space-provide bedrooms with at least one window with outside exposure to natural light One bedroom occupied by a youth in care does not have a window.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location It was observed that 3 out of 4 child records reviewed the child's allergy and chronic conditions or "no known allergies" was not listed on the exterior of the record.	—
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	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 A volunteer to the operation does not have a background check completed by the operation.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection of the operations vehicle, the windshield was observed to be cracked across the passenger side to the driver side.	—
1	—	748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it Review of 2 children records found PLSP did not date the prliminary service plan; initial service plan; and/or service plan review.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A staff member put their hand around a child's neck as a means to get the child to comply, obstructing the child's breathing and resulting in injury.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication 3 of 3 children medication logs were missing the name and signature of staff administering medication.	—
5	—	748.3471 - Safety Requirements-Outdoor equipment & supplies at the operation must be safe for the children A broken bench was observed in the backyard. Still water was observed in a kitty pool and in a pot in the backyard.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care developed several medical conditions while in care.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Agency has not reported the EBI data for third quarter of 2024 as of inspection date.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record There was no documentation that child's rights were explained to child within 7 days of placement in two of the children records.	—
2	—	748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children One of the bathrooms does not have sufficient water pressure.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One out of three employee files reviewed contained an outdated CPR training verification to suggest the training has not been renewed timely.	—
1	—	748.1339(c) - Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities Review of one child record found youth did not participate in the service plan meeting, and there was no documentation of justification for no participation.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A caregiver responsible for one to one supervision of a child failed to notice when the child entered another child's room on two separate occasions.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record There was no documentation that child's rights were explained to child within 7 days of placement in two of the children records.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregivers failed to ensure that the supervision level in a child's service plan was followed.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Agency has not reported the EBI data for third quarter of 2024 as of assessment date.	—
2	—	748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera Observed during walkthrough a camera in children bedroom.	Yes
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction A serious incident report requested from the operation was not provided for an investigation.	—
5	—	748.3471 - Safety Requirements-Outdoor equipment & supplies at the operation must be safe for the children A broken bench was observed in the backyard. Still water was observed in a kitty pool and in a pot in the backyard.	—
4	—	748.2151(c)(1) - Medication record - must include child's full name It was found that a medication log was missing a child's name .	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 A volunteer to the operation does not have a background check completed by 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 This standard was found deficient as part of a DFPS Investigation.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. Review of two staff records revealed that the caregivers did not receive the required 4 hours of EBI training every 6 months.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication 3 of 3 children medication logs were missing the reason medication is prescribed.	—
2	—	748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children One of the bathrooms does not have sufficient water pressure.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Multiple food items were expired and not properly stored, as frozen foods were open and freezer burn was present.	Yes
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A child in care was slapped by a caregiver in the face which caused a bruise.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. A child's Individual Service Plan was not being following as directed, with regards to Supervision.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection of the operations vehicle, the windshield was observed to be cracked across the passenger side to the driver side.	—
2	—	748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting The child's service plan is not being followed pertaining to supervision.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible A child in care developed several medical conditions while in care.	—
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 One of three staff records reviewed employment affidavit was not notorized.	—
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.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location It was observed that 3 out of 4 child records reviewed the child's allergy and chronic conditions or "no known allergies" was not listed on the exterior of the record.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter. Agency has not reported the EBI data for third quarter of 2024 as of inspection date.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Multiple drawers were observed to be broken. A drawer was broken in one of the downstairs bathrooms. A hole was observed in the therapy room. A bunk bed was observed to be broken and missing a ladder. Broken blinds were observed in the downstairs bathroom.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair Dark colored growth was found on a ceiling of a child's bathroom.	—
4	—	748.2705(4) - Mechanical Restraints Prohibited-Long ties, such as leashes The operation used a harness as a mechanical restraint on a child in care with runaway behaviors. The use of mechanical restraint is not listed as approved for use on the operation permit.	—
5	—	748.2151(f) - Medication record-must include identification or prohibited prescription medication, non-prescription medication, or supplements for the child It was found on child medication logs no information regarding contraindications or side effects.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the monitoring inspection: The name on the staff list was incorrect. The contract staff binder contained information from another operation other than Turning Point.	—
5	—	HRC42.048(b) - AP Restrictions on the License (Type of Children, Age Range) The operation has a child in care that requires treatment services that the operation is not permitted to provide. The operation is providing treatment services not authorized by the permit.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old It was found during inspection that the operation did not have an accepted physical or electronic cumulative medication log record and the name of the person and signature administering the medication or if the child refused. There was also a repetitive time for each of the dosages.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A staff member put their hand around a child's neck as a means to get the child to comply, obstructing the child's breathing and resulting in injury.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One out of three employee files reviewed contained an outdated CPR training verification to suggest the training has not been renewed timely.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving It was found that a staff was not inactivated that is no longer working at the facility.	—
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 The operation failed to report to licensing within the required timeframe.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Investigator reported several unsuccessful attempts to make contact with Administrator.	—
3	—	748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner It was found during the inspection that there was trash and broken furniture in the backyard accessible to children in care.	—
1	—	748.3351(4) - Interior Space-provide bedrooms with at least one window with outside exposure to natural light One bedroom occupied by a youth in care does not have a window.	—
1	—	748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it Review of 2 children records found PLSP did not date the prliminary service plan; initial service plan; and/or service plan review.	—
4	—	748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment. One out of three employee files reviewed did not take their required CPR/First Aid training within 90 days of their hire date.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication 3 of 3 children medication logs were missing the name and signature of staff administering medication.	—
5	—	745.8641 - Requirements during probation Condition #1: MET Conditions #2: MET Conditions #3: MET Condition #4: NOT MET - Audit tool required for this condition was due on 3/20/2026 but was not submitted to Licensing until 3/30/2026, 10 days late. Conditions #5: MET	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection It was observed that fire inspection expired on 11/01/24.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Multiple youth reported they were forced to hold a physical position while in timeout as a form of discipline.	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Per conversation with the administrator, the agency does not maintain financial records for 2023 that comply with Generally Accepted Accounting Principles.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One out of three employee files reviewed contained an outdated CPR training verification to suggest the training has not been renewed timely.	—
4	—	748.2101(7) - Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access Medication which expired July 2024 was not discarded on or before expiration date.	—
1	—	748.3701(b) - Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided The operations Recreational Calendar does not contain daily indoor and outdoor activities.	—
4	—	748.2151(c)(1) - Medication record - must include child's full name It was found that a medication log was missing a child's name .	—
2	—	748.161(b) - Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles Per conversation with the administrator, the agency does not maintain financial records for 2023 that comply with Generally Accepted Accounting Principles.	—
1	—	748.3701(b) - Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided The operations Recreational Calendar does not contain daily indoor and outdoor activities.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation Investigator reported several unsuccessful attempts to make contact with Administrator.	—

Severity 5 = most serious. Source: official state record.

Inspections (208)

208 inspection record(s) on file from TX-HHSC.

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