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The Childrens Home of Lubbock

Child care center · 4404 IDALOU RD, Lubbock, TX 79403-9554 · License 5914

0Compliance score
Poor

Capacity 90. 0-17

Violation history (317)

Severity	Date	Standard / narrative	Corrected
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A house parent's disparaging comments and looks make a child in care feel excluded and isolated from the others residing in the cottage.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Medication labeled to be administered for the afternoon and evening were dispensed in the morning. The medication was stored unsecured in small cups that were not labeled. The medication logs were pre-filled prior to medications being administered to the child is was prescribed to.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission One out of four active childrens records did not include a preliminary serviec plan.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care A volunteer at the operation did not have a TB screening in his operational record.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer Four of four child records reviewed did not include details in the transfer summaries for the circumstances of the transfer or the date the child was informed of the transfer.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver used yelling, demeaning remarks and abrasive tone towards children in care.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Caregiver struck a 14 year old child with a shoe.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof A matttress cover was not intact and exposed the internal composition of the mattress.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission 5 of 5 preliminary service plan did not have a date when it was completed.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child The operational staff were notified of an abuse allegation and did not properly report the allegations of abuse within the required time frame as noted in Minimum Standards.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child Child in care was subjected to inappropriate punishment in a form of yelling.	—
3	—	748.723(b) - Volunteers and Contractors-Personnel record documents how volunteer requirements are met if person performs an employee function The operation did not have written documentation on how the volunteer met the requirement to performed employee functions.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.	—
2	—	748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers The operation's volunteer policy does not document job descriptions, and/or responsibilities for the volunteers, qualifications, screening, selection procedures, orientation training programs, or the documentation of the contact with children.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Six of six fire drills reviewed did not include appropriate documentation to reflect the evacuation was completed within 3 minutes.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record A child record was missing a signed and dated child's rights form.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Children's records were no documented accurately and were contradicting.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain The operation failed to provide a child in care medical care when he exhibits signs of ringworm.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects One of the cottages was observed to have bed bugs and extended amount of bed bug feces on the furniture.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Caregivers are using demeaning language while speaking to the children in care.	—
3	—	748.725(b)(2) - Must get written approval from the parent for a volunteer or a volunteer?s family to take a child in care for a visit. The operation did not obtain prior written approval and consent from a child in care's managing conservator prior to the child being permitted to leave the operation with a volunteer.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication records were not documented cumulative to show if the child was administers his PRN medication.	—
4	—	748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children The operational administrator failed to schedule a continuous and 24-hour staffing pattern that affected the supervision of 6 children in care.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication logs did not document the reason, date, time or the phone call to the pharmasist upon discovering the medication error.	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Multiple incident reports reviewed did not specify what (if any) interventions were made to reduce risk to children involved in the incident.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A child in care received medication prescribed to another child and the error was not documented.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation did not have appropriate documents in the volunteer's file as required in their operational policy. The operational volunteer file did not have the sponsor packet information, sponsor orientation, and training.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drill werer not completed every six months.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident Multiple incident reports reviewed did not include a clear resolution to incidents involving concerns for infant care, supervision, medication, and unauthorized absences.	—
4	—	748.2003(b)(6) - Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication A caregiver allowed third party to administer medication without proper training.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Per 748.1215(a) a completed and signed admission assessment must be in the childs record prior to admission. One out of four active records did not have admission assessment.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Medication logs reviewed had missing dates for when the prescription was administion.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A child in care was placed on punishment for 2 months.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being An overnight caregiver left the facility after completing her scheduled shift leaving six children unattended and unsupervised.	—
4	—	748.729(3) - Day or overnight visit - prior to visit receive same information as required for respite care as specified in 748.4265 The operation did not give a volunteer required information such as emergency contact information prior. to allowing the child to complete visitation with the volunteer.	—
3	—	748.535(3)(E) - Child-care administrator responsibilities-Administering and managing the operation according to your policies. The administrator failed to ensure compliance with the policies and procedures that are related to volunteers, contracted, and subcontracted individuals which caused harm to child in care.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission One out of four active childrens records did not include a preliminary serviec plan.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Caregivers are using demeaning language while speaking to the children in care.	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Multiple incident reports reviewed did not specify what (if any) interventions were made to reduce risk to children involved in the incident.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication records were not documented cumulative to show if the child was administers his PRN medication.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Children's records were no documented accurately and were contradicting.	—
2	—	748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation Six of six fire drills reviewed did not include appropriate documentation to reflect the evacuation was completed within 3 minutes.	—
4	—	748.729(3) - Day or overnight visit - prior to visit receive same information as required for respite care as specified in 748.4265 The operation did not give a volunteer required information such as emergency contact information prior. to allowing the child to complete visitation with the volunteer.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Medication labeled to be administered for the afternoon and evening were dispensed in the morning. The medication was stored unsecured in small cups that were not labeled. The medication logs were pre-filled prior to medications being administered to the child is was prescribed to.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child The operational staff were notified of an abuse allegation and did not properly report the allegations of abuse within the required time frame as noted in Minimum Standards.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.	—
3	—	748.535(3)(E) - Child-care administrator responsibilities-Administering and managing the operation according to your policies. The administrator failed to ensure compliance with the policies and procedures that are related to volunteers, contracted, and subcontracted individuals which caused harm to child in care.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects One of the cottages was observed to have bed bugs and extended amount of bed bug feces on the furniture.	—
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 A child in care was hospitalized due to an illness and the operation did not make a report to Licensing within 24 hours.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain The operation failed to provide a child in care medical care when he exhibits signs of ringworm.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being An overnight caregiver left the facility after completing her scheduled shift leaving six children unattended and unsupervised.	—
4	—	748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child. A child in care was hospitalized due to an illness and the operation did not make notify the child's permanency specialist.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission 5 of 5 preliminary service plan did not have a date when it was completed.	—
3	—	748.725(b)(2) - Must get written approval from the parent for a volunteer or a volunteer?s family to take a child in care for a visit. The operation did not obtain prior written approval and consent from a child in care's managing conservator prior to the child being permitted to leave the operation with a volunteer.	—
3	—	748.723(b) - Volunteers and Contractors-Personnel record documents how volunteer requirements are met if person performs an employee function The operation did not have written documentation on how the volunteer met the requirement to performed employee functions.	—
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care A volunteer at the operation did not have a TB screening in his operational record.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof A matttress cover was not intact and exposed the internal composition of the mattress.	—
4	—	748.2003(b)(6) - Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication A caregiver allowed third party to administer medication without proper training.	—
4	—	748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children The operational administrator failed to schedule a continuous and 24-hour staffing pattern that affected the supervision of 6 children in care.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident Multiple incident reports reviewed did not include a clear resolution to incidents involving concerns for infant care, supervision, medication, and unauthorized absences.	—
2	—	748.119(2) - Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers The operation's volunteer policy does not document job descriptions, and/or responsibilities for the volunteers, qualifications, screening, selection procedures, orientation training programs, or the documentation of the contact with children.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation did not have appropriate documents in the volunteer's file as required in their operational policy. The operational volunteer file did not have the sponsor packet information, sponsor orientation, and training.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain A child in care symptoms for illness and pain progressively worsened and medical care was not provided.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication logs did not document the reason, date, time or the phone call to the pharmasist upon discovering the medication error.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Medication logs reviewed had missing dates for when the prescription was administion.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record A child record was missing a signed and dated child's rights form.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Per 748.1215(a) a completed and signed admission assessment must be in the childs record prior to admission. One out of four active records did not have admission assessment.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver used yelling, demeaning remarks and abrasive tone towards children in care.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Caregiver struck a 14 year old child with a shoe.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A child in care was placed on punishment for 2 months.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drill werer not completed every six months.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child A house parent's disparaging comments and looks make a child in care feel excluded and isolated from the others residing in the cottage.	—
4	—	748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child Child in care was subjected to inappropriate punishment in a form of yelling.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer Four of four child records reviewed did not include details in the transfer summaries for the circumstances of the transfer or the date the child was informed of the transfer.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A child in care received medication prescribed to another child and the error was not documented.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication logs did not document the reason, date, time or the phone call to the pharmasist upon discovering the medication error.	—
4	—	748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children The operational administrator failed to schedule a continuous and 24-hour staffing pattern that affected the supervision of 6 children in care.	—
3	—	748.723(b) - Volunteers and Contractors-Personnel record documents how volunteer requirements are met if person performs an employee function The operation did not have written documentation on how the volunteer met the requirement to performed employee functions.	—
3	—	748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation Medication labeled to be administered for the afternoon and evening were dispensed in the morning. The medication was stored unsecured in small cups that were not labeled. The medication logs were pre-filled prior to medications being administered to the child is was prescribed to.	—
4	—	748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child. A child in care was hospitalized due to an illness and the operation did not make notify the child's permanency specialist.	—
3	—	748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof A matttress cover was not intact and exposed the internal composition of the mattress.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Caregiver struck a 14 year old child with a shoe.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record A child record was missing a signed and dated child's rights form.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A child in care was placed on punishment for 2 months.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication records were not documented cumulative to show if the child was administers his PRN medication.	—
3	—	748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill Severe weather drill werer not completed every six months.	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Multiple incident reports reviewed did not specify what (if any) interventions were made to reduce risk to children involved in the incident.	—
3	—	748.311(10) - Serious Incident Documentation-Includes resolution of the incident Multiple incident reports reviewed did not include a clear resolution to incidents involving concerns for infant care, supervision, medication, and unauthorized absences.	—
3	—	748.535(3)(E) - Child-care administrator responsibilities-Administering and managing the operation according to your policies. The administrator failed to ensure compliance with the policies and procedures that are related to volunteers, contracted, and subcontracted individuals which caused harm to child in care.	—
5	—	748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment. Caregivers are using demeaning language while speaking to the children in care.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Per 748.1215(a) a completed and signed admission assessment must be in the childs record prior to admission. One out of four active records did not have admission assessment.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation did not have appropriate documents in the volunteer's file as required in their operational policy. The operational volunteer file did not have the sponsor packet information, sponsor orientation, and training.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Medication logs reviewed had missing dates for when the prescription was administion.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain The operation failed to provide a child in care medical care when he exhibits signs of ringworm.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs A child in care received medication prescribed to another child and the error was not documented.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects One of the cottages was observed to have bed bugs and extended amount of bed bug feces on the furniture.	—

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

Inspections (159)

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

Nearby alternatives

Facility	Score	City	Distance
YWCAre of Lubbock at Maedgen	4	Lubbock	—
The Childrens Home of Lubbock	0	Lubbock	—
Carver Early Learning Center	0	Lubbock	—
Guadalupe Early Learning Center	0	Lubbock	—
Suzanne Morman	0	Lubbock	—
Texas Tech Child Development Research Center	0	Lubbock	—

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