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Embracing Destiny Foundation GRO

Child care center · , TX · License 1244326

0Compliance score
Poor

Capacity 13. 7-17

Violation history (152)

SeverityDateStandard / narrativeCorrected
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
5— 748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The restraint conducted was taken to the ground.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator .		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.		 —
2— 748.1101(b)(3)(L) - Children's rights-Based on child's age/maturity seek employment, keep own money/bank acct, paid for work done at op except for chores as discipline
While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were no staff initials documented in the Medication Administration Record.		 —
4— 748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation does not currently have a summary log for unauthorized absences.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.		 —
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes
2— 748.1101(b)(3)(L) - Children's rights-Based on child's age/maturity seek employment, keep own money/bank acct, paid for work done at op except for chores as discipline
While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.		 —
4— 748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation does not currently have a summary log for unauthorized absences.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were no staff initials documented in the Medication Administration Record.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
5— 748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The restraint conducted was taken to the ground.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator .		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation does not currently have a summary log for unauthorized absences.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes
2— 748.1101(b)(3)(L) - Children's rights-Based on child's age/maturity seek employment, keep own money/bank acct, paid for work done at op except for chores as discipline
While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
4— 748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were no staff initials documented in the Medication Administration Record.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.		 —
5— 748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The restraint conducted was taken to the ground.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator .		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
2— 748.1101(b)(3)(L) - Children's rights-Based on child's age/maturity seek employment, keep own money/bank acct, paid for work done at op except for chores as discipline
While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation does not currently have a summary log for unauthorized absences.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.		 —
5— 748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The restraint conducted was taken to the ground.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were no staff initials documented in the Medication Administration Record.		 —
3— 748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.		 —
4— 748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator .		 —
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
3— 748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.		 —
4— 748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
3— 748.363(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were no staff initials documented in the Medication Administration Record.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
2— 748.1101(b)(3)(L) - Children's rights-Based on child's age/maturity seek employment, keep own money/bank acct, paid for work done at op except for chores as discipline
While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.		 —
3— 748.393(b)(3) - Active child record - Ensure record is kept accurate and current
6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.		 —
5— 748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The restraint conducted was taken to the ground.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
3— 748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
The operation does not currently have a summary log for unauthorized absences.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
3— 748.311(1) - Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator.		 —
3— 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation currently does not have a full-time child care administrator .		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.		 —
2— 748.1337(b)(1)(A)(iii) - Initial Service Plan-Include intellectual functioning, including any testing and plans for recommended follow-up
Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.		 —
3— 748.1101(b)(3)(F) - Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.		 —
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 resident was not administered his prescribed medicine on time (AM medicine).		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Two children medication logs were missing signature and documentation that medication was administered.		 Yes

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

Inspections (88)

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

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