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Texas Girls and Boys Ranch

Child care center · , TX · License 36943

0Compliance score
Poor

Capacity 45. 0-18

Violation history (128)

SeverityDateStandard / narrativeCorrected
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
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 two operational caregiver(s) 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 six children in care.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
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 two operational caregiver(s) 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 six children in care.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
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 two operational caregiver(s) 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 six children in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
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 two operational caregiver(s) 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 six children in care.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
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 two operational caregiver(s) 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 six children in care.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
There were no signtures or dates to confrim when the Preliminary Service Plan was complete.		 —
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
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.		 —
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 two operational caregiver(s) 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 six children in care.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Caregiver did not provide a child in care with appropriate supervision when the child with high-risk behavior history was able to access and ingest medication without the caregiver's knowledge.		 —
5— 748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
Child was able to access medication due to the medication being unlocked or the child having access to the medication keys.		 —
3— 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Multiple staff were late taking annual trainings.		 Yes
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 13 year child ingested over the counter medication and self reported the ingestion. Caregiver required to provide supervision was unaware of the child's activity and access to medication.		 —
3— 748.1103(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
One children's rights record was not signed timely within 7 days of admission indicating that the rights were not reviewed.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Six children in care at the operation, both males and females, ages 5-14 years old were subjected to ongoing sexualized contact by a caregiver. Additionally, a caregiver failed to intervene to prevent the sexualized contact from occurring at the childcare operation.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Two cottages inspected had shower mold, door damage, splitting around door knob, and snack trash under a child s bed.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
3— 748.2301(b)(1) - Disciplinary Measures-must be consistent with operation policies and procedures
A caregiver physically intervened by grabbing a child to thwart the child's behavior.		 —
2— 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements
Multiple child records did not have required information such as CANS recommendations, supervision, and intellectual development etc.		 Yes
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A caregiver admitted to sleeping when being the only caregiver on duty.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
A child in care was administered medication prescribed to another child in care.		 —
3— 748.1531(b) - Medical care-The child's record must include a written record of each medical examination
Multiple child records did not have completed medical documentation in their records.		 Yes
4— 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
Staff did not complete annual normalcy training timely.		 —
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 two operational caregiver(s) 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 six children in care.		 —

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

Inspections (72)

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

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