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High Plains Children's Home

Child care center · , TX · License 18027

0Compliance score
Poor

Capacity 56. 2-17

Violation history (268)

SeverityDateStandard / narrativeCorrected
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver failed to provide the appropriate level of supervision necessary when two children in care were allowed to continue to share a bedroom, after they engaged in inappropriate behaviors together and when the operation was aware of concerns for possible sexual acting out behaviors with one of the children. As a result, the children continued to engage in inappropriate behaviors.		 —
2— 748.1217(b)(10) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
While reviewing three child records it was noted that two of the three admission assessments were no emergency placement were not completed prior to admission.		 Yes
3— 748.3271(6) - First Aid Kits-Each one must be kept out of the reach of children
A child in care had access to a first aid kit and ingested medication found in the kit.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers engaged in verbal argumentative conversation, and one caregiver threw an object when children were present.		 —
5— 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
Video footage shows a caregiver uses an improper restraint when they twist the child's arm and place the arm behind the child's back.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Preliminary Service Plan was not completed within 72-hours. The child was admitted on 8/23/2021 and the Preliminary Service Plan was completed on 8/31/2021.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One child record out of eight did not have a preliminary service plan completed within 72 hours.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Service plan did not document supervision for the child.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
Staff did not follow operational procedures when they were on duty.		 —
5— 748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
Video footage from the operation shows a caregiver leaning on the child who is sitting on the floor. The caregiver has the child's arm pulled over the child's head putting pressure on a child which impairs the breathing .		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
An alternative house parent failed to ensure a child had taken their medication. The child in care had eight prescription Zoloft in her possession when the primary house parent completed a search.		 —
3— 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A caregiver did not follow a child's service plan by allowing a child to participate in a supervised visitation without confirming supervision.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
The overnight staff was discovered asleep while on duty.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was sick and had to wake the overnight staff to get medical care.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A single caregiver was transporting 11 children.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
The operation failed to provide appropriate supervision for children in care after learning of an older male youth having inappropriate feelings for a younger child in care.		 —
3— 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The operation self-treated an incident involving bed bugs.		 —
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 attempted to use a rod to trip a child in care as a means to deter his behaviors.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profane language and children in care were subject to this profane language.		 —
4— 748.1217(b)(3) - Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
Out of three child files reviewed one file did not have the admission assessment completed within the required time frame.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
The operation did not complete daily notes for two children in care as per their policy.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Three bathrooms in the emergency shelter had shower mold that needed to be removed.		 —
2— 748.1101(b)(6)(C) - Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
Caregivers failed to keep medical discussions private.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A caregiver made shaming and ridiculing comments to a child in care.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A service plan indicated that supervision was required inside and outside of the home, but lacked any details regarding the level of supervision required.		 —
3— 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
One cottage program has not had a fire drill since 5/16/2023.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not comply with the operations policy of having evening staff check on the kids 3-4x during the night at different times.		 —
4— 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
Caregivers did not follow a child's de-escalation method that was listed in the child's orientation admission record. The caregiver took away a radio as a form of discipline when the child's orientation records reflected the child listens to music for de-escalation.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not recieve prescription medication for two days.		 —
3— 748.125(b) - All employees and caregivers must be aware of and follow your operation's policies and procedures
Overnight staff and day staff were not following the operation's policies; operation will have 24 hour awake staff. Staff was asleep while on duty.		 —
4— 748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model
The operation failed to document medication administration on multiple occasions.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judge when she engaged in sexual conversations with residents.		 —
5— 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements
Caregiver did not allow the children to finish their dinner due to misbehaving.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not comply with the operations policy of having evening staff check on the kids 3-4x during the night at different times.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judge when she engaged in sexual conversations with residents.		 —
4— 748.1217(b)(3) - Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
Out of three child files reviewed one file did not have the admission assessment completed within the required time frame.		 —
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 attempted to use a rod to trip a child in care as a means to deter his behaviors.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profane language and children in care were subject to this profane language.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Preliminary Service Plan was not completed within 72-hours. The child was admitted on 8/23/2021 and the Preliminary Service Plan was completed on 8/31/2021.		 —
5— 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
Video footage shows a caregiver uses an improper restraint when they twist the child's arm and place the arm behind the child's back.		 —
5— 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements
Caregiver did not allow the children to finish their dinner due to misbehaving.		 —
3— 748.3271(6) - First Aid Kits-Each one must be kept out of the reach of children
A child in care had access to a first aid kit and ingested medication found in the kit.		 —
3— 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
One cottage program has not had a fire drill since 5/16/2023.		 —
4— 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
Caregivers did not follow a child's de-escalation method that was listed in the child's orientation admission record. The caregiver took away a radio as a form of discipline when the child's orientation records reflected the child listens to music for de-escalation.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
The overnight staff was discovered asleep while on duty.		 —
3— 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The operation self-treated an incident involving bed bugs.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
The operation failed to provide appropriate supervision for children in care after learning of an older male youth having inappropriate feelings for a younger child in care.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
Staff did not follow operational procedures when they were on duty.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers engaged in verbal argumentative conversation, and one caregiver threw an object when children were present.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A caregiver made shaming and ridiculing comments to a child in care.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
An alternative house parent failed to ensure a child had taken their medication. The child in care had eight prescription Zoloft in her possession when the primary house parent completed a search.		 —
2— 748.1217(b)(10) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
While reviewing three child records it was noted that two of the three admission assessments were no emergency placement were not completed prior to admission.		 Yes
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not recieve prescription medication for two days.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was sick and had to wake the overnight staff to get medical care.		 —
3— 748.125(b) - All employees and caregivers must be aware of and follow your operation's policies and procedures
Overnight staff and day staff were not following the operation's policies; operation will have 24 hour awake staff. Staff was asleep while on duty.		 —
5— 748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
Video footage from the operation shows a caregiver leaning on the child who is sitting on the floor. The caregiver has the child's arm pulled over the child's head putting pressure on a child which impairs the breathing .		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One child record out of eight did not have a preliminary service plan completed within 72 hours.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A single caregiver was transporting 11 children.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Service plan did not document supervision for the child.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Three bathrooms in the emergency shelter had shower mold that needed to be removed.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A service plan indicated that supervision was required inside and outside of the home, but lacked any details regarding the level of supervision required.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver failed to provide the appropriate level of supervision necessary when two children in care were allowed to continue to share a bedroom, after they engaged in inappropriate behaviors together and when the operation was aware of concerns for possible sexual acting out behaviors with one of the children. As a result, the children continued to engage in inappropriate behaviors.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
The operation did not complete daily notes for two children in care as per their policy.		 —
3— 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A caregiver did not follow a child's service plan by allowing a child to participate in a supervised visitation without confirming supervision.		 —
4— 748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model
The operation failed to document medication administration on multiple occasions.		 —
2— 748.1101(b)(6)(C) - Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
Caregivers failed to keep medical discussions private.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Service plan did not document supervision for the child.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A caregiver made shaming and ridiculing comments to a child in care.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A single caregiver was transporting 11 children.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Two caregivers engaged in verbal argumentative conversation, and one caregiver threw an object when children were present.		 —
4— 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
Caregivers did not follow a child's de-escalation method that was listed in the child's orientation admission record. The caregiver took away a radio as a form of discipline when the child's orientation records reflected the child listens to music for de-escalation.		 —
3— 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
One cottage program has not had a fire drill since 5/16/2023.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One child record out of eight did not have a preliminary service plan completed within 72 hours.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
Staff did not follow operational procedures when they were on duty.		 —
4— 748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
The operation failed to provide appropriate supervision for children in care after learning of an older male youth having inappropriate feelings for a younger child in care.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
The overnight staff was discovered asleep while on duty.		 —
5— 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements
Caregiver did not allow the children to finish their dinner due to misbehaving.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care did not recieve prescription medication for two days.		 —
4— 748.1217(b)(3) - Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
Out of three child files reviewed one file did not have the admission assessment completed within the required time frame.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Three bathrooms in the emergency shelter had shower mold that needed to be removed.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profane language and children in care were subject to this profane language.		 —
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 attempted to use a rod to trip a child in care as a means to deter his behaviors.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
The operation did not complete daily notes for two children in care as per their policy.		 —
3— 748.125(b) - All employees and caregivers must be aware of and follow your operation's policies and procedures
Overnight staff and day staff were not following the operation's policies; operation will have 24 hour awake staff. Staff was asleep while on duty.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was sick and had to wake the overnight staff to get medical care.		 —
3— 748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not comply with the operations policy of having evening staff check on the kids 3-4x during the night at different times.		 —
4— 748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model
The operation failed to document medication administration on multiple occasions.		 —
5— 748.2461(b)(2) - Short Personal Restraint-Caregiver may not use restraint that impairs child's breathing by putting pressure on torso
Video footage from the operation shows a caregiver leaning on the child who is sitting on the floor. The caregiver has the child's arm pulled over the child's head putting pressure on a child which impairs the breathing .		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A child's Preliminary Service Plan was not completed within 72-hours. The child was admitted on 8/23/2021 and the Preliminary Service Plan was completed on 8/31/2021.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
An alternative house parent failed to ensure a child had taken their medication. The child in care had eight prescription Zoloft in her possession when the primary house parent completed a search.		 —
3— 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A caregiver did not follow a child's service plan by allowing a child to participate in a supervised visitation without confirming supervision.		 —
3— 748.3271(6) - First Aid Kits-Each one must be kept out of the reach of children
A child in care had access to a first aid kit and ingested medication found in the kit.		 —
3— 748.3019(b) - Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
The operation self-treated an incident involving bed bugs.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A service plan indicated that supervision was required inside and outside of the home, but lacked any details regarding the level of supervision required.		 —
5— 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
Video footage shows a caregiver uses an improper restraint when they twist the child's arm and place the arm behind the child's back.		 —
2— 748.1217(b)(10) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
While reviewing three child records it was noted that two of the three admission assessments were no emergency placement were not completed prior to admission.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver did not demonstrate prudent judge when she engaged in sexual conversations with residents.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A caregiver failed to provide the appropriate level of supervision necessary when two children in care were allowed to continue to share a bedroom, after they engaged in inappropriate behaviors together and when the operation was aware of concerns for possible sexual acting out behaviors with one of the children. As a result, the children continued to engage in inappropriate behaviors.		 —
2— 748.1101(b)(6)(C) - Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
Caregivers failed to keep medical discussions private.		 —
3— 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
Staff did not follow operational procedures when they were on duty.		 —

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

Inspections (194)

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

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