Child care center ·
5309 TEXAS LONE STAR TRL, Maxwell, TX 78656-3610 ·
License 1247466
Capacity 26. 6-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
The operation had a fire inspection in July, the fire marshal marked deficiencies. The operation has not followed up with the fire marshal. The operation still needs one building that was under construction in July to be inspected by the fire marshal. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Based on the review of the information gathered during the investigation, there is sufficient evidence to find that neglectful supervision of children in care occurred. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care saw two staff sleeping while in ratio on their assigned overnight shift. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The assigned caregiver did not provide the level of supervision specified in the service plan; subsequently, resulting in the child sustaining an injury requiring medical attention. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver did not deny when questioned and was overheard by multiple individuals informing a child in care that they would force the child to throw up their food if the child did not comply. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
Through interviews with children and staff, a child in care obtained a nosebleed during a restraint. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found during the investigation that neglectful supervision occurred. A staff member violated a safety plan by not maintaining 1:1 supervision of a child which exposed the child to substantial risk of physical or mental harm. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
After conducting the investigation, it was reported that a staff person utilized an inappropriate and unnecessary prohibited punishment by bending a child's fingers backwards towards the child's wrist and squeezing the child's knuckles together both causing the child pain. It was reported this same staff yelled at this child while doing this. |
— |
| 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 able to take part in inappropriate behaviors because staff failed to supervise them appropriately. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
There are concerns with children in care getting injured due to lack of supervision. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
Through interviews with children in care and staff, it was determined that a staff used an improper restraint on a child in care during a non-emergency situation. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver?s actions were noted to have escalated a situation which ultimately led to a child being placed in an inappropriate restraint. |
— |
| 5 | — |
748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
A caregiver was noted to have applied pressure to a child?s chest area, which was noted to have caused the child difficulty breathing. The information gathered during the investigation also establishes a reasonable likelihood to conclude that this action by the caregiver caused injury to the child?s person. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 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 did not notify Licensing about the second injury the child sustained five days after the first injury. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the investigation, it was determined a caregiver utilized inappropriate discipline that was demeaning, unnecessary, and contributed to negatively impacting children in care. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
It was confirmed that a staff member used profanity towards a child in care. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained in a non-emergency situation. The child refused to shower and had their homework taken away as a result. The child went to their room upset. The shadowing staff followed the child and began taking the child's clothes off. The child reacted and grabbed the staff's wrists, not attacking the staff but keeping the staff from taking their clothes off. The staff responded by completing a restraint on the child. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff member was recorded sleeping on duty, which the administrator acknowledged during interview. Additionally, the staff member admitted to possibly dozing off in the past. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
It was confirmed all facilities incidents are not being reported in a timely matter. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Through interviews and documentation it was determined that staff did not follow the 1:1 supervision requirement noted in the service plan. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the investigation, it was determined a caregiver utilized inappropriate discipline that was demeaning, unnecessary, and contributed to negatively impacting children in care. |
— |
| 4 | — |
748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
The operation had a fire inspection in July, the fire marshal marked deficiencies. The operation has not followed up with the fire marshal. The operation still needs one building that was under construction in July to be inspected by the fire marshal. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
Through interviews with children in care and staff, it was determined that a staff used an improper restraint on a child in care during a non-emergency situation. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Through interviews and documentation it was determined that staff did not follow the 1:1 supervision requirement noted in the service plan. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The assigned caregiver did not provide the level of supervision specified in the service plan; subsequently, resulting in the child sustaining an injury requiring medical attention. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
Through interviews with children and staff, a child in care obtained a nosebleed during a restraint. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Based on the review of the information gathered during the investigation, there is sufficient evidence to find that neglectful supervision of children in care occurred. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
It was confirmed all facilities incidents are not being reported in a timely matter. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care saw two staff sleeping while in ratio on their assigned overnight shift. |
— |
| 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 did not notify Licensing about the second injury the child sustained five days after the first injury. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver did not deny when questioned and was overheard by multiple individuals informing a child in care that they would force the child to throw up their food if the child did not comply. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found during the investigation that neglectful supervision occurred. A staff member violated a safety plan by not maintaining 1:1 supervision of a child which exposed the child to substantial risk of physical or mental harm. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained in a non-emergency situation. The child refused to shower and had their homework taken away as a result. The child went to their room upset. The shadowing staff followed the child and began taking the child's clothes off. The child reacted and grabbed the staff's wrists, not attacking the staff but keeping the staff from taking their clothes off. The staff responded by completing a restraint on the child. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
After conducting the investigation, it was reported that a staff person utilized an inappropriate and unnecessary prohibited punishment by bending a child's fingers backwards towards the child's wrist and squeezing the child's knuckles together both causing the child pain. It was reported this same staff yelled at this child while doing this. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver?s actions were noted to have escalated a situation which ultimately led to a child being placed in an inappropriate restraint. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
It was confirmed that a staff member used profanity towards a child in care. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff member was recorded sleeping on duty, which the administrator acknowledged during interview. Additionally, the staff member admitted to possibly dozing off in the past. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
There are concerns with children in care getting injured due to lack of supervision. |
— |
| 5 | — |
748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
A caregiver was noted to have applied pressure to a child?s chest area, which was noted to have caused the child difficulty breathing. The information gathered during the investigation also establishes a reasonable likelihood to conclude that this action by the caregiver caused injury to the child?s person. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child. |
— |
| 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 able to take part in inappropriate behaviors because staff failed to supervise them appropriately. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
Through interviews with children in care and staff, it was determined that a staff used an improper restraint on a child in care during a non-emergency situation. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care saw two staff sleeping while in ratio on their assigned overnight shift. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained in a non-emergency situation. The child refused to shower and had their homework taken away as a result. The child went to their room upset. The shadowing staff followed the child and began taking the child's clothes off. The child reacted and grabbed the staff's wrists, not attacking the staff but keeping the staff from taking their clothes off. The staff responded by completing a restraint on the child. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
It was confirmed all facilities incidents are not being reported in a timely matter. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
Through interviews with children and staff, a child in care obtained a nosebleed during a restraint. |
— |
| 5 | — |
748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
A caregiver was noted to have applied pressure to a child?s chest area, which was noted to have caused the child difficulty breathing. The information gathered during the investigation also establishes a reasonable likelihood to conclude that this action by the caregiver caused injury to the child?s person. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The assigned caregiver did not provide the level of supervision specified in the service plan; subsequently, resulting in the child sustaining an injury requiring medical attention. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver?s actions were noted to have escalated a situation which ultimately led to a child being placed in an inappropriate restraint. |
— |
| 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 able to take part in inappropriate behaviors because staff failed to supervise them appropriately. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
There are concerns with children in care getting injured due to lack of supervision. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
It was confirmed that a staff member used profanity towards a child in care. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver did not deny when questioned and was overheard by multiple individuals informing a child in care that they would force the child to throw up their food if the child did not comply. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff member was recorded sleeping on duty, which the administrator acknowledged during interview. Additionally, the staff member admitted to possibly dozing off in the past. |
— |
| 4 | — |
748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
The operation had a fire inspection in July, the fire marshal marked deficiencies. The operation has not followed up with the fire marshal. The operation still needs one building that was under construction in July to be inspected by the fire marshal. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the investigation, it was determined a caregiver utilized inappropriate discipline that was demeaning, unnecessary, and contributed to negatively impacting children in care. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Through interviews and documentation it was determined that staff did not follow the 1:1 supervision requirement noted in the service plan. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
After conducting the investigation, it was reported that a staff person utilized an inappropriate and unnecessary prohibited punishment by bending a child's fingers backwards towards the child's wrist and squeezing the child's knuckles together both causing the child pain. It was reported this same staff yelled at this child while doing this. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Based on the review of the information gathered during the investigation, there is sufficient evidence to find that neglectful supervision of children in care occurred. |
— |
| 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 did not notify Licensing about the second injury the child sustained five days after the first injury. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found during the investigation that neglectful supervision occurred. A staff member violated a safety plan by not maintaining 1:1 supervision of a child which exposed the child to substantial risk of physical or mental harm. |
— |
| 4 | — |
748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
It was confirmed that a staff member used profanity towards a 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
The assigned caregiver did not provide the level of supervision specified in the service plan; subsequently, resulting in the child sustaining an injury requiring medical attention. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
Through interviews with children in care and staff, it was determined that a staff used an improper restraint on a child in care during a non-emergency situation. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the investigation, it was determined a caregiver utilized inappropriate discipline that was demeaning, unnecessary, and contributed to negatively impacting children in care. |
— |
| 5 | — |
748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
A caregiver was noted to have applied pressure to a child?s chest area, which was noted to have caused the child difficulty breathing. The information gathered during the investigation also establishes a reasonable likelihood to conclude that this action by the caregiver caused injury to the child?s person. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Through interviews and documentation it was determined that staff did not follow the 1:1 supervision requirement noted in the service plan. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found during the investigation that neglectful supervision occurred. A staff member violated a safety plan by not maintaining 1:1 supervision of a child which exposed the child to substantial risk of physical or mental harm. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver?s actions were noted to have escalated a situation which ultimately led to a child being placed in an inappropriate restraint. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
After conducting the investigation, it was reported that a staff person utilized an inappropriate and unnecessary prohibited punishment by bending a child's fingers backwards towards the child's wrist and squeezing the child's knuckles together both causing the child pain. It was reported this same staff yelled at this child while doing this. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Based on the review of the information gathered during the investigation, there is sufficient evidence to find that neglectful supervision of children in care occurred. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained in a non-emergency situation. The child refused to shower and had their homework taken away as a result. The child went to their room upset. The shadowing staff followed the child and began taking the child's clothes off. The child reacted and grabbed the staff's wrists, not attacking the staff but keeping the staff from taking their clothes off. The staff responded by completing a restraint on the child. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
It was confirmed all facilities incidents are not being reported in a timely matter. |
— |
| 4 | — |
748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
The operation had a fire inspection in July, the fire marshal marked deficiencies. The operation has not followed up with the fire marshal. The operation still needs one building that was under construction in July to be inspected by the fire marshal. |
— |
| 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 able to take part in inappropriate behaviors because staff failed to supervise them appropriately. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff member was recorded sleeping on duty, which the administrator acknowledged during interview. Additionally, the staff member admitted to possibly dozing off in the past. |
— |
| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
Through interviews with children and staff, a child in care obtained a nosebleed during a restraint. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care saw two staff sleeping while in ratio on their assigned overnight shift. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child. |
— |
| 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 did not notify Licensing about the second injury the child sustained five days after the first injury. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
There are concerns with children in care getting injured due to lack of supervision. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver did not deny when questioned and was overheard by multiple individuals informing a child in care that they would force the child to throw up their food if the child did not comply. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Through interviews and documentation it was determined that staff did not follow the 1:1 supervision requirement noted in the service plan. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Based on the review of the information gathered during the investigation, there is sufficient evidence to find that neglectful supervision of children in care occurred. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
Staff member was recorded sleeping on duty, which the administrator acknowledged during interview. Additionally, the staff member admitted to possibly dozing off in the past. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
It was confirmed all facilities incidents are not being reported in a timely matter. |
— |
| 5 | — |
748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force
Through interviews with staff and children in care, it was determined that a staff member slammed a child in care to the ground when performing a restraint on the child. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found during the investigation that neglectful supervision occurred. A staff member violated a safety plan by not maintaining 1:1 supervision of a child which exposed the child to substantial risk of physical or mental harm. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child in care was restrained in a non-emergency situation. The child refused to shower and had their homework taken away as a result. The child went to their room upset. The shadowing staff followed the child and began taking the child's clothes off. The child reacted and grabbed the staff's wrists, not attacking the staff but keeping the staff from taking their clothes off. The staff responded by completing a restraint on the child. |
— |
| 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 did not notify Licensing about the second injury the child sustained five days after the first injury. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
Through interviews with children in care and staff, it was determined that a staff used an improper restraint on a child in care during a non-emergency situation. |
— |
| 5 | — |
748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
A caregiver was noted to have applied pressure to a child?s chest area, which was noted to have caused the child difficulty breathing. The information gathered during the investigation also establishes a reasonable likelihood to conclude that this action by the caregiver caused injury to the child?s person. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver did not deny when questioned and was overheard by multiple individuals informing a child in care that they would force the child to throw up their food if the child did not comply. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
The assigned caregiver did not provide the level of supervision specified in the service plan; subsequently, resulting in the child sustaining an injury requiring medical attention. |
— |
136 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.