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New Beginnings Children's Home at Canaan Land Ranch, Inc

Child care center · 400 COUNTY ROAD 3821, San Antonio, TX 78253-6914 · License 1145426

0Compliance score
Poor

Capacity 16. 5-17

Violation history (216)

SeverityDateStandard / narrativeCorrected
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire extinguishers in Promise dorm had not been inspected since 2024.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.		 —
4— 748.931(b)(2) - Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.
During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.		 —
3— 748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
The operation did not have antiseptic solution or wipes in both dorms. There were also no tweezers in one dorm first aid kit.		 —
3— 748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips
During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.		 —
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.
As of 01-17-2023 the data for restraints between October and December 2022 has not yet been reported to Licensing.		 —
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
Two child service plans were not dated nor signed by PLSP.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
Two of four staff files reviewed did not have CPR or First Aid training certificates. One of the two staff had been hired 90 days prior to 08/10/2021.		 —
2— 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
1 of 2 admission assessment were missing the name and date of birth of the child.		 —
4— 748.2255(3) - Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided
Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Licensing observed and photographed cracked window panes in the Hope and Valor houses.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children in care were outside and were not supervised when they ran away from the facility.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.		 —
4— 748.3301(h) - Physical Site-The building must be free of rodents and insects
Licensing observed and photographed hornets nests on the grounds.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough, medications were observed to be not locked appropriately.		 Yes
3— 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the planned interventions outlined in a child's service plan when managing the child's behavior. Instead, the caregiver exhibited trigger behaviors for the child.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Two of two service plans and two of two serious incident reports included incomplete, inaccurate, or unclear documentation.		 —
4— 748.1501(a)(4) - Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health
A child in care did not a maintenance dental care appointment on record.		 Yes
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Emergency evacuation plans in all 3 dorms did not have severe weather information.		 —
5— 748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.		 —
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.
As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.		 —
3— 748.313(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation
Incident reports didn't document the time when children returned to the facility.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.		 —
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.
As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.		 —
4— 748.3301(h) - Physical Site-The building must be free of rodents and insects
Licensing observed and photographed hornets nests on the grounds.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
Two of four staff files reviewed did not have CPR or First Aid training certificates. One of the two staff had been hired 90 days prior to 08/10/2021.		 —
2— 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
1 of 2 admission assessment were missing the name and date of birth of the child.		 —
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
Two child service plans were not dated nor signed by PLSP.		 —
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire extinguishers in Promise dorm had not been inspected since 2024.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.		 —
3— 748.313(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation
Incident reports didn't document the time when children returned to the facility.		 —
4— 748.1501(a)(4) - Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health
A child in care did not a maintenance dental care appointment on record.		 Yes
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.		 —
4— 748.931(b)(2) - Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.
During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Emergency evacuation plans in all 3 dorms did not have severe weather information.		 —
4— 748.2255(3) - Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided
Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough, medications were observed to be not locked appropriately.		 Yes
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Licensing observed and photographed cracked window panes in the Hope and Valor houses.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.		 —
3— 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the planned interventions outlined in a child's service plan when managing the child's behavior. Instead, the caregiver exhibited trigger behaviors for the child.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Two of two service plans and two of two serious incident reports included incomplete, inaccurate, or unclear documentation.		 —
3— 748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips
During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.		 —
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.
As of 01-17-2023 the data for restraints between October and December 2022 has not yet been reported to Licensing.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.		 —
3— 748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
The operation did not have antiseptic solution or wipes in both dorms. There were also no tweezers in one dorm first aid kit.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children in care were outside and were not supervised when they ran away from the facility.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.		 —
5— 748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.		 —
3— 748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips
During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Licensing observed and photographed cracked window panes in the Hope and Valor houses.		 —
4— 748.3301(h) - Physical Site-The building must be free of rodents and insects
Licensing observed and photographed hornets nests on the grounds.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children in care were outside and were not supervised when they ran away from the facility.		 —
4— 748.2255(3) - Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided
Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.		 —
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire extinguishers in Promise dorm had not been inspected since 2024.		 —
5— 748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.		 —
4— 748.1501(a)(4) - Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health
A child in care did not a maintenance dental care appointment on record.		 Yes
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.
As of 01-17-2023 the data for restraints between October and December 2022 has not yet been reported to Licensing.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.		 —
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.
As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.		 —
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
Two child service plans were not dated nor signed by PLSP.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough, medications were observed to be not locked appropriately.		 Yes
3— 748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
The operation did not have antiseptic solution or wipes in both dorms. There were also no tweezers in one dorm first aid kit.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
Two of four staff files reviewed did not have CPR or First Aid training certificates. One of the two staff had been hired 90 days prior to 08/10/2021.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Two of two service plans and two of two serious incident reports included incomplete, inaccurate, or unclear documentation.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Emergency evacuation plans in all 3 dorms did not have severe weather information.		 —
4— 748.931(b)(2) - Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.
During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.		 —
2— 748.1205(a)(1) - Admission Documentation-Includes child's name, gender, race, religion, date of birth
1 of 2 admission assessment were missing the name and date of birth of the child.		 —
3— 748.685(c)(6) - Implement and follow the children's service plans.
A caregiver did not adhere to the planned interventions outlined in a child's service plan when managing the child's behavior. Instead, the caregiver exhibited trigger behaviors for the child.		 —
3— 748.313(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation
Incident reports didn't document the time when children returned to the facility.		 —
4— 748.3307(b)(2) - Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.		 —
4— 748.931(b)(2) - Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.
During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.		 —
4— 748.2255(3) - Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided
Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
Emergency evacuation plans in all 3 dorms did not have severe weather information.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
During the walkthrough, medications were observed to be not locked appropriately.		 Yes
3— 748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips
During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.		 —
1— 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.		 —
4— 748.1501(a)(4) - Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health
A child in care did not a maintenance dental care appointment on record.		 Yes
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children in care were outside and were not supervised when they ran away from the facility.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.		 —
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.
As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.		 —
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire extinguishers in Promise dorm had not been inspected since 2024.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
Two of four staff files reviewed did not have CPR or First Aid training certificates. One of the two staff had been hired 90 days prior to 08/10/2021.		 —
4— 748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.		 —
5— 748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.		 —
3— 748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
The operation did not have antiseptic solution or wipes in both dorms. There were also no tweezers in one dorm first aid kit.		 —

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

Inspections (120)

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

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