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Texas › › Concho Valley Home For Girls

Concho Valley Home For Girls

Child care center · , TX · License 24719

0Compliance score
Poor

Capacity 23. 0-17

Violation history (160)

SeverityDateStandard / narrativeCorrected
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Service plan review was not completed timely.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
One childs initial service plan was not signed by the child in care or service plan team		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Two children's medication logs were observed with missing dosages and no medication error.		 —
2— 748.3065(b) - Gas Inspection-Must keep most recent inspection report at operation to verify inspection date & findings —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
It is best practice that there be a monthly menu with daily meals that will be servved to children.		 —
2— 748.3003 - Sanitation Inspection-Must keep most recent sanitation inspection report at operation; report must include name & phone number of inspector —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling and cussing at children. One staff admitted to yelling, cussing, and slamming their hand down on a table in anger. Three children in care reported that one staff instigates and makes them angry on purpose to get a reaction from them. One staff reported a staff does instigate and escalate situations with the 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
Both children and one staffed stated a staff uses their cell phone to call and text constantly for personal reasons, while actively supervising on duty.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was found that the operations last fire inspection was conducted on 4/25/24, and an updated fire inspection has not been completed.		 —
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
One child did not have a TB test in their records		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A caregiver was asleep while responsible for caregiving and did not respond to attempts to wake them.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During the inspection, it was found that the operations last health inspection was last completed on 6/05/24, and an updated health inspection has not been scheduled.		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During the inspection, the medication storage room door was found to be unlocked.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
During the inspection, there were 3 employee files that were missing documentation of educational requirements such as GED, High School diploma, and/or transcripts.		 —
1— 748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
There was no documentation on both initial and updated service plan that the CPS caseworker had participated or that a copy of the service had been provided.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a review of the discharge summary, it was found that the section for medications was left blank and the child was found to be on several medications.		 —
4— 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that 3 employees have only received an online training of administering psychotropic medications, and not an instructor led training in administering psychotropic medications.		 —
1— 748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
The orientation in 2 childrens records were missing additional information regarding the operations policies		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Both children and one staff reported a staff being demeaning, instigating, escalating situations and putting the children down.		 —
3— 748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
A 16 yo child in care participated in the service plan meeting but did not sign the service plan.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
One childs initial service plan was not signed by the child in care or service plan team		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During the inspection, the medication storage room door was found to be unlocked.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During the inspection, it was found that the operations last health inspection was last completed on 6/05/24, and an updated health inspection has not been scheduled.		 —
1— 748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
The orientation in 2 childrens records were missing additional information regarding the operations policies		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was found that the operations last fire inspection was conducted on 4/25/24, and an updated fire inspection has not been completed.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Two children's medication logs were observed with missing dosages and no medication error.		 —
3— 748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
A 16 yo child in care participated in the service plan meeting but did not sign the service plan.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling and cussing at children. One staff admitted to yelling, cussing, and slamming their hand down on a table in anger. Three children in care reported that one staff instigates and makes them angry on purpose to get a reaction from them. One staff reported a staff does instigate and escalate situations with the children in care.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
It is best practice that there be a monthly menu with daily meals that will be servved to children.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A caregiver was asleep while responsible for caregiving and did not respond to attempts to wake them.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Service plan review was not completed timely.		 —
4— 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that 3 employees have only received an online training of administering psychotropic medications, and not an instructor led training in administering psychotropic medications.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Both children and one staff reported a staff being demeaning, instigating, escalating situations and putting the children down.		 —
2— 748.3003 - Sanitation Inspection-Must keep most recent sanitation inspection report at operation; report must include name & phone number of inspector —
2— 748.3065(b) - Gas Inspection-Must keep most recent inspection report at operation to verify inspection date & findings —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
During the inspection, there were 3 employee files that were missing documentation of educational requirements such as GED, High School diploma, and/or transcripts.		 —
1— 748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
There was no documentation on both initial and updated service plan that the CPS caseworker had participated or that a copy of the service had been provided.		 —
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
One child did not have a TB test in their records		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Both children and one staffed stated a staff uses their cell phone to call and text constantly for personal reasons, while actively supervising on duty.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a review of the discharge summary, it was found that the section for medications was left blank and the child was found to be on several medications.		 —
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
One child did not have a TB test in their records		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Service plan review was not completed timely.		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During the inspection, the medication storage room door was found to be unlocked.		 —
4— 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that 3 employees have only received an online training of administering psychotropic medications, and not an instructor led training in administering psychotropic medications.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During the inspection, it was found that the operations last health inspection was last completed on 6/05/24, and an updated health inspection has not been scheduled.		 —
2— 748.3003 - Sanitation Inspection-Must keep most recent sanitation inspection report at operation; report must include name & phone number of inspector —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
It is best practice that there be a monthly menu with daily meals that will be servved to children.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Two children's medication logs were observed with missing dosages and no medication error.		 —
1— 748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
There was no documentation on both initial and updated service plan that the CPS caseworker had participated or that a copy of the service had been provided.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Both children and one staff reported a staff being demeaning, instigating, escalating situations and putting the children down.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
One childs initial service plan was not signed by the child in care or service plan team		 —
2— 748.3065(b) - Gas Inspection-Must keep most recent inspection report at operation to verify inspection date & findings —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a review of the discharge summary, it was found that the section for medications was left blank and the child was found to be on several medications.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling and cussing at children. One staff admitted to yelling, cussing, and slamming their hand down on a table in anger. Three children in care reported that one staff instigates and makes them angry on purpose to get a reaction from them. One staff reported a staff does instigate and escalate situations with the children in care.		 —
3— 748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
A 16 yo child in care participated in the service plan meeting but did not sign the service plan.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was found that the operations last fire inspection was conducted on 4/25/24, and an updated fire inspection has not been completed.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A caregiver was asleep while responsible for caregiving and did not respond to attempts to wake them.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
During the inspection, there were 3 employee files that were missing documentation of educational requirements such as GED, High School diploma, and/or transcripts.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Both children and one staffed stated a staff uses their cell phone to call and text constantly for personal reasons, while actively supervising on duty.		 —
1— 748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
The orientation in 2 childrens records were missing additional information regarding the operations policies		 —
4— 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that 3 employees have only received an online training of administering psychotropic medications, and not an instructor led training in administering psychotropic medications.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Both children and one staff reported a staff being demeaning, instigating, escalating situations and putting the children down.		 —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
It is best practice that there be a monthly menu with daily meals that will be servved to children.		 —
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
One child did not have a TB test in their records		 —
1— 748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
There was no documentation on both initial and updated service plan that the CPS caseworker had participated or that a copy of the service had been provided.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Both children and one staffed stated a staff uses their cell phone to call and text constantly for personal reasons, while actively supervising on duty.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was found that the operations last fire inspection was conducted on 4/25/24, and an updated fire inspection has not been completed.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During the inspection, it was found that the operations last health inspection was last completed on 6/05/24, and an updated health inspection has not been scheduled.		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During the inspection, the medication storage room door was found to be unlocked.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Two children's medication logs were observed with missing dosages and no medication error.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling and cussing at children. One staff admitted to yelling, cussing, and slamming their hand down on a table in anger. Three children in care reported that one staff instigates and makes them angry on purpose to get a reaction from them. One staff reported a staff does instigate and escalate situations with the children in care.		 —
2— 748.3065(b) - Gas Inspection-Must keep most recent inspection report at operation to verify inspection date & findings —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A caregiver was asleep while responsible for caregiving and did not respond to attempts to wake them.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
During the inspection, there were 3 employee files that were missing documentation of educational requirements such as GED, High School diploma, and/or transcripts.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a review of the discharge summary, it was found that the section for medications was left blank and the child was found to be on several medications.		 —
1— 748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
The orientation in 2 childrens records were missing additional information regarding the operations policies		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
One childs initial service plan was not signed by the child in care or service plan team		 —
2— 748.3003 - Sanitation Inspection-Must keep most recent sanitation inspection report at operation; report must include name & phone number of inspector —
3— 748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
A 16 yo child in care participated in the service plan meeting but did not sign the service plan.		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Service plan review was not completed timely.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
During the inspection, it was found that the operations last health inspection was last completed on 6/05/24, and an updated health inspection has not been scheduled.		 —
2— 748.3003 - Sanitation Inspection-Must keep most recent sanitation inspection report at operation; report must include name & phone number of inspector —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
During the inspection, there were 3 employee files that were missing documentation of educational requirements such as GED, High School diploma, and/or transcripts.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was found that the operations last fire inspection was conducted on 4/25/24, and an updated fire inspection has not been completed.		 —
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
One child did not have a TB test in their records		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
Both children and one staff reported a staff being demeaning, instigating, escalating situations and putting the children down.		 —
1— 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
One childs initial service plan was not signed by the child in care or service plan team		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a review of the discharge summary, it was found that the section for medications was left blank and the child was found to be on several medications.		 —
1— 748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
The orientation in 2 childrens records were missing additional information regarding the operations policies		 —
2— 748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
Service plan review was not completed timely.		 —
3— 748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
A 16 yo child in care participated in the service plan meeting but did not sign the service plan.		 —
5— 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
A caregiver was asleep while responsible for caregiving and did not respond to attempts to wake them.		 —
2— 748.3065(b) - Gas Inspection-Must keep most recent inspection report at operation to verify inspection date & findings —
1— 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
It is best practice that there be a monthly menu with daily meals that will be servved to children.		 —
1— 748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
There was no documentation on both initial and updated service plan that the CPS caseworker had participated or that a copy of the service had been provided.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children interviewed reported staff yelling and cussing at children. One staff admitted to yelling, cussing, and slamming their hand down on a table in anger. Three children in care reported that one staff instigates and makes them angry on purpose to get a reaction from them. One staff reported a staff does instigate and escalate situations with the children in care.		 —
4— 748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
During the inspection, it was found that 3 employees have only received an online training of administering psychotropic medications, and not an instructor led training in administering psychotropic medications.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Two children's medication logs were observed with missing dosages and no medication error.		 —
4— 748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During the inspection, the medication storage room door was found to be unlocked.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Both children and one staffed stated a staff uses their cell phone to call and text constantly for personal reasons, while actively supervising on duty.		 —

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

Inspections (64)

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

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