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Cal Farley's Boys Ranch

Child care center · 8 JULIAN BIVINS BLVD, Boys Ranch, TX 79010-9999 · License 1639

0Compliance score
Poor

Capacity 437. 0-17

Violation history (400)

Severity	Date	Standard / narrative	Corrected
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A caregiver utilized inappropriate language in the presence of children in care.	—
1	—	748.1433(d) - Discharge-If child not receiving tx svcs, tell him of non-emergency discharge/transfer 4 days in advance, unless LCCA or PLSP justifies not doing so A child was notified of his discharge the day before he was discharged. The discharged documentation did not have the justification for the child not being informed four days in advance of the non-emergency discharge.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Four medications were observed to not be in original packaging.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill Thirteen out of seventeen homes have not had a fire drill or severe weather drill within the past six months.	—
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 an incident in a timely manner.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Bleach was observed in the dish room of the facility and accessible to children in care.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers were not providing supervision to children in care as required by the child's service plan. The service plan indicates that children in care must be checked on every 15 minutes and caregivers indicate that they often check on residents one time per hour.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Two child's medications were not given as prescriA child was prescribed Cipro/Dexa to be given every 12 hours for 7 days. The medication was only given for 5 days. Another child was prescribed Clindamy/Ben Gel to be applied to the area twice daily inthe morning and evening for acne and on 9/30 and 10/1 the medication was only given once.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures An operation caregiver failed to follow operation procedures when children in care were left unsupervised in a vehicle.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. One out of eleven child records did not have suicide screening completed at intake.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. An electrical fan was located in the pool area near the water.	Yes
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Caregivers failed to provide a safe environment and proper supervision resulting in a child in care using the hot tip of a candle lighter to burn another child in care.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container Medication was observed to be unsecured in three out of seventeen homes.	—
3	—	748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures Children in care were given an early bedtime for setting off bedroom alarms in emergency or non-emergency situation, which is not permitted in operation policies.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Overnight caregivers failed to follow operational policies regarding supervision during sleeping hours.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers failed to provide appropriate supervision during overnight hours by not providing routine bedroom checks when safety plans were in place and ensuring that alarms in the home were appropriately turned on and functioning.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Caregivers failed to provide appropriate supervision when youth in care entered each other's bedrooms for approximately 45 minutes without staff's knowledge.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse A caregiver used sarcastic comments in order to manage a child in care's behavior.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver yelled and slammed a door in the presence of children in care.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Three children in care, ages 17, 16, and 15, were left unsupervised for 2 and a half days.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A caregiver used profane language in attempt to get children in care to comply with a request.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Seven of nine children in care report caregivers utilizing profane language in the home.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers failed to follow the supervision instructions for a child in care which resulted in a child being injured during a physical altercation.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers A caregiver left a vape in the pocket of his jacket and accessible to children in care.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free One bathroom was observed with a shower light hanging with electrical wiring exposed.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Caregivers failed to ensure that all cleaning supplies were properly secured following use by children in care.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. Two staff members out of 11 did not have normalcy training as required by Minimum Standar requirements.	—
3	—	748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC. Two out of eleven records reviewed did not have the suicide screening completed within 90 days of prior screening.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child Caregiver encouraged and engaged in embarrassing behavior when she and another resident hung undergarment in a child's door.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required 8 child records reviewed did not include information specific to the discipline techniques utilized by the operation.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders One prescribed medication for daily administration has not been administered since 3/9/26.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Caregivers failed to provide appropriate supervision when children in care left the home during overnight hours and did not respond to alarms in the home and were aware of children in care going between bedrooms during overnight hours and disabling window alarms.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free Seventeen homes were observed at the operation. Concerns included numerous bedrooms having open food items, lighting needing to be replaced, sinks that did not properly drain, and mold in the showers.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds One home had expired over the counter medication observed with current medications.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver failed to use prudent judgement when he allowed a female resident to enter the male community	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver failed to demonstrate self-control and good judgement when he poked a child in care and did not maintain appropriate personal boundaries.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed The operation failed to ensure a medication was refilled in a timely manner which consequently resulted in the child not being given a psychotropic medication.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof One home out of nineteen did not have appropriate mattress covers.	—
5	—	748.2551(b)(3) - EBI Implementation-The caregiver must consider the potential risk of harm in using EBI versus the risk of not using EBI A caregiver failed to reduce the risk to a child in care when a child was restrained without the presence of a second staff. The other children in care were present and continued to ridicule the child and kick the child during the containment without redirection from the caregiver. The caregiver failed to release the child from the containment when it was determined that he was not doing a proper hold until he was instructed to do so my administrative staff.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers failed to ensure that children in care were being supervised according to service plan requirements.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Overnight staff failed to use prudent judgment by leaving children at home without ensuring relief staff had arrived. Staff authorized to provide respite care failed to follow-up when children did not arrive at the respite cottage.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver observed horseplay between youth and staff and did not intervene.	—
4	—	748.2553(2)(C) - EBI Release-Child released from personal restraint as soon as child is not a danger to self or others A caregiver did not release a child after the child was calm and no longer a danger to himself or others. The child reported to the caregiver that he was in pain during the restraint and the caregiver also failed to release him in a timely and appropriate manner.	—
4	—	748.3021 - Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate The storage closet utilized for recreational supplies was found to be not appropriately secured and allowed unsupervised access to children in care.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Eight of nine children report that supervision on the home is not being conducted per service plan requirements.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver failed to appropriately intervene when children in care were engaging in horseplay behavior, which resulted in injury.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver used inappropriate physical discipline with a child in care when the child was grabbed by the arms and forcefully pushed down onto the couch.	—
4	—	748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model One child medication record reviewed did not show documentation of the medication being dispensed on 10/6/24 and 10/7/24.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver humiliated and ridiculed a child when he was unsuccessful completing a task. This occurred in front of other children in care.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff members chased a child in care who had taken a vehicle belonging to the operation without permission. Speeds were between 40 mph to 80 mph. The child knew he was being followed and could have been involved in a car accident where he could have been seriously injured.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers A caregiver left a vape in the pocket of his jacket and accessible to children in care.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Three children in care, ages 17, 16, and 15, were left unsupervised for 2 and a half days.	—
4	—	748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds One home had expired over the counter medication observed with current medications.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Eight of nine children report that supervision on the home is not being conducted per service plan requirements.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Overnight caregivers failed to follow operational policies regarding supervision during sleeping hours.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Overnight staff failed to use prudent judgment by leaving children at home without ensuring relief staff had arrived. Staff authorized to provide respite care failed to follow-up when children did not arrive at the respite cottage.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures An operation caregiver failed to follow operation procedures when children in care were left unsupervised in a vehicle.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container Medication was observed to be unsecured in three out of seventeen homes.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver humiliated and ridiculed a child when he was unsuccessful completing a task. This occurred in front of other children in care.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A caregiver utilized inappropriate language in the presence of children in care.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free Seventeen homes were observed at the operation. Concerns included numerous bedrooms having open food items, lighting needing to be replaced, sinks that did not properly drain, and mold in the showers.	—
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 an incident in a timely manner.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff members chased a child in care who had taken a vehicle belonging to the operation without permission. Speeds were between 40 mph to 80 mph. The child knew he was being followed and could have been involved in a car accident where he could have been seriously injured.	—
3	—	748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures Children in care were given an early bedtime for setting off bedroom alarms in emergency or non-emergency situation, which is not permitted in operation policies.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof One home out of nineteen did not have appropriate mattress covers.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free One bathroom was observed with a shower light hanging with electrical wiring exposed.	—
4	—	748.2553(2)(C) - EBI Release-Child released from personal restraint as soon as child is not a danger to self or others A caregiver did not release a child after the child was calm and no longer a danger to himself or others. The child reported to the caregiver that he was in pain during the restraint and the caregiver also failed to release him in a timely and appropriate manner.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Seven of nine children in care report caregivers utilizing profane language in the home.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver observed horseplay between youth and staff and did not intervene.	—
4	—	748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Four medications were observed to not be in original packaging.	—
4	—	748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training. Two staff members out of 11 did not have normalcy training as required by Minimum Standar requirements.	—
5	—	748.3301(a)(3) - Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes. An electrical fan was located in the pool area near the water.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Caregivers failed to provide appropriate supervision when youth in care entered each other's bedrooms for approximately 45 minutes without staff's knowledge.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required 8 child records reviewed did not include information specific to the discipline techniques utilized by the operation.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed The operation failed to ensure a medication was refilled in a timely manner which consequently resulted in the child not being given a psychotropic medication.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety A caregiver failed to appropriately intervene when children in care were engaging in horseplay behavior, which resulted in injury.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver failed to use prudent judgement when he allowed a female resident to enter the male community	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders One prescribed medication for daily administration has not been administered since 3/9/26.	—
3	—	748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC. Two out of eleven records reviewed did not have the suicide screening completed within 90 days of prior screening.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill Thirteen out of seventeen homes have not had a fire drill or severe weather drill within the past six months.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers failed to ensure that children in care were being supervised according to service plan requirements.	—
4	—	748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child Caregiver encouraged and engaged in embarrassing behavior when she and another resident hung undergarment in a child's door.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver failed to demonstrate self-control and good judgement when he poked a child in care and did not maintain appropriate personal boundaries.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language A caregiver used profane language in attempt to get children in care to comply with a request.	—
4	—	748.3021 - Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate The storage closet utilized for recreational supplies was found to be not appropriately secured and allowed unsupervised access to children in care.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver yelled and slammed a door in the presence of children in care.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers failed to follow the supervision instructions for a child in care which resulted in a child being injured during a physical altercation.	—
1	—	748.1433(d) - Discharge-If child not receiving tx svcs, tell him of non-emergency discharge/transfer 4 days in advance, unless LCCA or PLSP justifies not doing so A child was notified of his discharge the day before he was discharged. The discharged documentation did not have the justification for the child not being informed four days in advance of the non-emergency discharge.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Caregivers failed to provide a safe environment and proper supervision resulting in a child in care using the hot tip of a candle lighter to burn another child in care.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. One out of eleven child records did not have suicide screening completed at intake.	—
5	—	748.2551(b)(3) - EBI Implementation-The caregiver must consider the potential risk of harm in using EBI versus the risk of not using EBI A caregiver failed to reduce the risk to a child in care when a child was restrained without the presence of a second staff. The other children in care were present and continued to ridicule the child and kick the child during the containment without redirection from the caregiver. The caregiver failed to release the child from the containment when it was determined that he was not doing a proper hold until he was instructed to do so my administrative staff.	—
4	—	748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse A caregiver used sarcastic comments in order to manage a child in care's behavior.	—
4	—	748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required Caregivers were not providing supervision to children in care as required by the child's service plan. The service plan indicates that children in care must be checked on every 15 minutes and caregivers indicate that they often check on residents one time per hour.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver used inappropriate physical discipline with a child in care when the child was grabbed by the arms and forcefully pushed down onto the couch.	—
4	—	748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model One child medication record reviewed did not show documentation of the medication being dispensed on 10/6/24 and 10/7/24.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Caregivers failed to ensure that all cleaning supplies were properly secured following use by children in care.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Bleach was observed in the dish room of the facility and accessible to children in care.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Two child's medications were not given as prescriA child was prescribed Cipro/Dexa to be given every 12 hours for 7 days. The medication was only given for 5 days. Another child was prescribed Clindamy/Ben Gel to be applied to the area twice daily inthe morning and evening for acne and on 9/30 and 10/1 the medication was only given once.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Caregivers failed to provide appropriate supervision when children in care left the home during overnight hours and did not respond to alarms in the home and were aware of children in care going between bedrooms during overnight hours and disabling window alarms.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety Caregivers failed to provide appropriate supervision during overnight hours by not providing routine bedroom checks when safety plans were in place and ensuring that alarms in the home were appropriately turned on and functioning.	—

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

Inspections (256)

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

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