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The Children's Home

Child care center · 3400 BOWIE ST, Amarillo, TX 79109-4997 · License 5599

0Compliance score
Poor

Capacity 72. 0-17

Violation history (280)

Severity	Date	Standard / narrative	Corrected
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers A case manager signed a service plan for the caregivers. Signatures of participants validate their participation in the development and implementation of the service plan.	—
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. A suicide screening for a child in care was not completed within 90 days.	—
3	—	748.1101(b)(2) - Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest A child in care was permitted to participate in an unsupervised visit without approval from the caseworker.	—
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. A child in care did not receive a suicide risk screening at the time of admission	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered All medications logs in 4 cottages did not reflect the time medication was given to the child.	—
5	—	748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide. A child in care was not referred to a mental health professional after being identified for high risk for suicide.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Caregiver did not complete Normalcy training with in the 12 months of the previous training.	—
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 have his dental exam completed.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission A child was placed at the operation on 12/26/24 and a preliminary service plan was not completed until 12/31/24.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing A caregiver placed his hand over the child's mouth while conducting a short personal restraint.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given Non prescription medication was not documented in the child's record.	—
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 in care did not received his medication as prescribed on multiple dates.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A caregiver failed to supervise a child in care resulting in the child engaging in inappropriate behavior.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status 3 out of 4 child admission records reviewed were not completed prior to the child's admission/placement.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer Two of the two discharge records reviewed did not have the date and circumstances of the discharge.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Cottage toilet was leaking water.	Yes
5	—	748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child A caregiver attempted to gain leverage by holding on to a child's hair resulting in the child hair being pulled.	—
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 utilize prudent judgement when she allowed a child in care to have access to vehicle keys knowing that the child did not have a valid driver's license or vehicle insurance.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements two of five childrne were missing the TB test.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety On multiple occasions an overnight caregiver was engaged in other activities that disrupted routine supervision and job duties as the sole caregiver counted in ratio.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A child in care made statements of self-harm and the operation failed to appropriately conduct a suicide screening.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A caregiver did not complete annual normalcy training for the current year.	—
4	—	748.125(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. The operation failed to ensure that weekly screenings were completed following a child being discharged for a behavioral health hospital. The child was discharged on 1/8/25 and suicide screenings were completed on 1/14/25 and 2/5/25.	—
4	—	748.2101(7) - Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access During an afterhours inspection one cottage had several expired medications dates were 10/2021, 4/2022,5/2022.	Yes
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Staff and caregivers did not update the active record for multiple children.	—
4	—	748.3475(b)(1) - Safety Requirements-Ensure that hazards or defects identified during the playground inspection are removed or repaired promptly During an afterhours inspection a railroad tie on the playground was split and cracked about 2 1/2 inches.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication prescribed for a child in care was not administered in accordance with the medical instructions provided.	—
2	—	748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training Staff record had a written note as proof of training credentials.	—
4	—	748.1531(a)(3) - Medical care-A child in care must receive medical care as needed for ongoing maintenance of medical health A child in care did not have his annual medical exam completed in time.	—
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. The operation did not complete suicide screenings for a resident every 90 days.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A caregiver failed to use de-escalation skills prior conducting a short personal restraint on a child.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Caregivers failed to document a child's refusal to accept medication.	—
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. 3 of 5 child records suicide screening were not completed on time.	—
3	—	748.2301(b)(3) - Disciplinary Measures-must be individualized to meet each child's needs Disciplinary action was imposed on an entire cottage.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks The caregiver failed to demonstrate competency, judgement, and self-control when provoking a child to an escalated state when threatening to reset the child's phone to default settings.	—
3	—	748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements two of five childrne were missing the TB test.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given Non prescription medication was not documented in the child's record.	—
5	—	748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide. A child in care was not referred to a mental health professional after being identified for high risk for suicide.	—
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 utilize prudent judgement when she allowed a child in care to have access to vehicle keys knowing that the child did not have a valid driver's license or vehicle insurance.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication prescribed for a child in care was not administered in accordance with the medical instructions provided.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Caregivers failed to document a child's refusal to accept medication.	—
4	—	748.1531(a)(3) - Medical care-A child in care must receive medical care as needed for ongoing maintenance of medical health A child in care did not have his annual medical exam completed in time.	—
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 in care did not received his medication as prescribed on multiple dates.	—
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. The operation did not complete suicide screenings for a resident every 90 days.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety On multiple occasions an overnight caregiver was engaged in other activities that disrupted routine supervision and job duties as the sole caregiver counted in ratio.	—
4	—	748.2101(7) - Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access During an afterhours inspection one cottage had several expired medications dates were 10/2021, 4/2022,5/2022.	Yes
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered All medications logs in 4 cottages did not reflect the time medication was given to the child.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A caregiver did not complete annual normalcy training for the current year.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A caregiver failed to supervise a child in care resulting in the child engaging in inappropriate behavior.	—
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. A child in care did not receive a suicide risk screening at the time of admission	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers A case manager signed a service plan for the caregivers. Signatures of participants validate their participation in the development and implementation of the service plan.	—
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 have his dental exam completed.	—
5	—	748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child A caregiver attempted to gain leverage by holding on to a child's hair resulting in the child hair being pulled.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status 3 out of 4 child admission records reviewed were not completed prior to the child's admission/placement.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks The caregiver failed to demonstrate competency, judgement, and self-control when provoking a child to an escalated state when threatening to reset the child's phone to default settings.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Staff and caregivers did not update the active record for multiple children.	—
4	—	748.125(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. The operation failed to ensure that weekly screenings were completed following a child being discharged for a behavioral health hospital. The child was discharged on 1/8/25 and suicide screenings were completed on 1/14/25 and 2/5/25.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing A caregiver placed his hand over the child's mouth while conducting a short personal restraint.	—
3	—	748.2301(b)(3) - Disciplinary Measures-must be individualized to meet each child's needs Disciplinary action was imposed on an entire cottage.	—
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. 3 of 5 child records suicide screening were not completed on time.	—
4	—	748.3475(b)(1) - Safety Requirements-Ensure that hazards or defects identified during the playground inspection are removed or repaired promptly During an afterhours inspection a railroad tie on the playground was split and cracked about 2 1/2 inches.	—
2	—	748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training Staff record had a written note as proof of training credentials.	—
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. A suicide screening for a child in care was not completed within 90 days.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer Two of the two discharge records reviewed did not have the date and circumstances of the discharge.	—
3	—	748.1101(b)(2) - Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest A child in care was permitted to participate in an unsupervised visit without approval from the caseworker.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A child in care made statements of self-harm and the operation failed to appropriately conduct a suicide screening.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A caregiver failed to use de-escalation skills prior conducting a short personal restraint on a child.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Cottage toilet was leaking water.	Yes
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission A child was placed at the operation on 12/26/24 and a preliminary service plan was not completed until 12/31/24.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Caregiver did not complete Normalcy training with in the 12 months of the previous training.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Staff and caregivers did not update the active record for multiple children.	—
4	—	748.3475(b)(1) - Safety Requirements-Ensure that hazards or defects identified during the playground inspection are removed or repaired promptly During an afterhours inspection a railroad tie on the playground was split and cracked about 2 1/2 inches.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety On multiple occasions an overnight caregiver was engaged in other activities that disrupted routine supervision and job duties as the sole caregiver counted in ratio.	—
4	—	748.125(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. The operation failed to ensure that weekly screenings were completed following a child being discharged for a behavioral health hospital. The child was discharged on 1/8/25 and suicide screenings were completed on 1/14/25 and 2/5/25.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Caregivers failed to document a child's refusal to accept medication.	—
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 have his dental exam completed.	—
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. A child in care did not receive a suicide risk screening at the time of admission	—
2	—	748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training Staff record had a written note as proof of training credentials.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Cottage toilet was leaking water.	Yes
3	—	748.1101(b)(2) - Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest A child in care was permitted to participate in an unsupervised visit without approval from the caseworker.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks The caregiver failed to demonstrate competency, judgement, and self-control when provoking a child to an escalated state when threatening to reset the child's phone to default settings.	—
3	—	748.2301(b)(3) - Disciplinary Measures-must be individualized to meet each child's needs Disciplinary action was imposed on an entire cottage.	—
5	—	748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide. A child in care was not referred to a mental health professional after being identified for high risk for suicide.	—
4	—	748.1531(a)(3) - Medical care-A child in care must receive medical care as needed for ongoing maintenance of medical health A child in care did not have his annual medical exam completed in time.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A caregiver did not complete annual normalcy training for the current year.	—
5	—	748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child A caregiver attempted to gain leverage by holding on to a child's hair resulting in the child hair being pulled.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given Non prescription medication was not documented in the child's record.	—
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 in care did not received his medication as prescribed on multiple dates.	—
4	—	748.2101(7) - Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access During an afterhours inspection one cottage had several expired medications dates were 10/2021, 4/2022,5/2022.	Yes
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing A caregiver placed his hand over the child's mouth while conducting a short personal restraint.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Caregiver did not complete Normalcy training with in the 12 months of the previous training.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered All medications logs in 4 cottages did not reflect the time medication was given to the child.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status 3 out of 4 child admission records reviewed were not completed prior to the child's admission/placement.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A child in care made statements of self-harm and the operation failed to appropriately conduct a suicide screening.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication prescribed for a child in care was not administered in accordance with the medical instructions provided.	—
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. 3 of 5 child records suicide screening were not completed on time.	—
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. The operation did not complete suicide screenings for a resident every 90 days.	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers A case manager signed a service plan for the caregivers. Signatures of participants validate their participation in the development and implementation of the service plan.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A caregiver failed to use de-escalation skills prior conducting a short personal restraint on a child.	—
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 utilize prudent judgement when she allowed a child in care to have access to vehicle keys knowing that the child did not have a valid driver's license or vehicle insurance.	—

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

Inspections (160)

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

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