Capacity 16. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The last health inspection was completed on 07/13/2022 and expired on 07/13/2023. The DFPS Form 4004 (Environmental Checklist) was submitted on 03/21/2024 by the operation. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found that a caregiver dragged a child to the restroom and hit the child repeatedly in the head. |
— |
| 3 | — |
748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
It was found that the serious incident documentation was missing the names of all adults involved and their role in relation to the child. |
— |
| 3 | — |
748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
It was found that the serious incident documentation was missing information such as names of all adults involved and their role in relation to the child [4], names or other means of identifying witnesses to the incident, if any [5], circumstances surrounding the incident [7], interventions made during and after the incident [8], the treating licensed health-care professional?s name, findings, and treatment [9], and the resolution of the incident [10]. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The medication record for a child in care showed 11 doses were taken, but the number of pills remaining was 17 out of 30. |
— |
| 4 | — |
748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment.
Several operation caregivers do not have current first aid training documentation. |
— |
| 3 | — |
748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner
Two of two picnic tables on the playgrounds accessible to children present safety risks which included an exposed nail and paint was observed to be peeling on two of the outdoor swing sets. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
A serious incident report was reviewed and it was found that the following information was not provided in the template: physical address and phone number, age and gender of child, adults involved, names of witnesses, and name of medical personnel treating the child. |
— |
| 5 | — |
748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
It was determined that the operation did not receive consent prior to increasing the dosage of a psychotropic medication for a child in care. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
During the inspection it was determined that the booster seats in use had expiration dates that had expired or dates that had been scratched off and could not be verified. This was corrected prior to Licensing leaving the premise as the operation ordered new seats to replace the expired seats. |
Yes |
| 3 | — |
748.881(7) - General pre-service training curriculum-Includes normalcy
During a review of training logs, it was found that one staff did not complete the training for Normalcy within the 90 days of the hire date. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found that a caregiver used corporal punishment with a child in care. |
— |
| 4 | — |
748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, it was noted 1 out of 4 employees did not have the required 4 hours of pre-service training prior to being counted in ratio. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
Two outlets in the main sensory room accessible to children were observed to be cracked/broken. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the interview, a staff stated during a head count of the children it was discovered the victim was missing. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that one of the child's prescription medications was not administered according to the medical treatment discharge record as of 6/4/24. The health care professional's instructions on the record states to administer this medication three times daily, however, the child's medication log shows that from 6/5/24 to 6/11/24, the child was administered this medication twice daily. |
— |
| 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
Based on investigation interviews the operation staff and/or management are not reporting suspected allegations of abuse and neglect of a child to the Child Abuse Hotline. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
The operation does not currently have a system in place to monitor fire extinguishers monthly to ensure they are maintained properly. |
Yes |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
It was found that the doctor's medication instructions for three of the child's medications as of 6/4/24 were written incorrectly on the child's June 2024 medication log (aka MAR). The medication logs for May and June 2024 were also missing the prescribing doctor's name [2], reason medications were prescribed for the prescription medications (except for one medication that was for anxiety) [3], staff initials were illegible and some did not match the initials on the signature page provided for staff who administered the medications [6], the medication log was missing the reasons for administering the medications (including the specific symptoms/conditions) [8]. |
— |
| 3 | — |
748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
The operation failed to provide written documentation showing the health inspection could not be completed by the city. |
— |
| 3 | — |
748.881(6) - General pre-service training curriculum-Includes trauma informed care
During a review of training logs, it was found that one staff did not complete the training for Trauma informed Care within the 90 days of the hire date. |
— |
| 5 | — |
748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
It was determined that the operation did not receive consent prior to increasing the dosage of a psychotropic medication for a child 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.
It was found that a caregiver used corporal punishment with a child in care. |
— |
| 3 | — |
748.881(7) - General pre-service training curriculum-Includes normalcy
During a review of training logs, it was found that one staff did not complete the training for Normalcy within the 90 days of the hire date. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The medication record for a child in care showed 11 doses were taken, but the number of pills remaining was 17 out of 30. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
The operation does not currently have a system in place to monitor fire extinguishers monthly to ensure they are maintained properly. |
Yes |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
A serious incident report was reviewed and it was found that the following information was not provided in the template: physical address and phone number, age and gender of child, adults involved, names of witnesses, and name of medical personnel treating the child. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that one of the child's prescription medications was not administered according to the medical treatment discharge record as of 6/4/24. The health care professional's instructions on the record states to administer this medication three times daily, however, the child's medication log shows that from 6/5/24 to 6/11/24, the child was administered this medication twice daily. |
— |
| 3 | — |
748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner
Two of two picnic tables on the playgrounds accessible to children present safety risks which included an exposed nail and paint was observed to be peeling on two of the outdoor swing sets. |
— |
| 3 | — |
748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
The operation failed to provide written documentation showing the health inspection could not be completed by the city. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found that a caregiver dragged a child to the restroom and hit the child repeatedly in the head. |
— |
| 3 | — |
748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
It was found that the serious incident documentation was missing information such as names of all adults involved and their role in relation to the child [4], names or other means of identifying witnesses to the incident, if any [5], circumstances surrounding the incident [7], interventions made during and after the incident [8], the treating licensed health-care professional?s name, findings, and treatment [9], and the resolution of the incident [10]. |
— |
| 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
Based on investigation interviews the operation staff and/or management are not reporting suspected allegations of abuse and neglect of a child to the Child Abuse Hotline. |
— |
| 4 | — |
748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, it was noted 1 out of 4 employees did not have the required 4 hours of pre-service training prior to being counted in ratio. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the interview, a staff stated during a head count of the children it was discovered the victim was missing. |
— |
| 3 | — |
748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
It was found that the serious incident documentation was missing the names of all adults involved and their role in relation to the child. |
— |
| 4 | — |
748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment.
Several operation caregivers do not have current first aid training documentation. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
Two outlets in the main sensory room accessible to children were observed to be cracked/broken. |
— |
| 3 | — |
748.881(6) - General pre-service training curriculum-Includes trauma informed care
During a review of training logs, it was found that one staff did not complete the training for Trauma informed Care within the 90 days of the hire date. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
It was found that the doctor's medication instructions for three of the child's medications as of 6/4/24 were written incorrectly on the child's June 2024 medication log (aka MAR). The medication logs for May and June 2024 were also missing the prescribing doctor's name [2], reason medications were prescribed for the prescription medications (except for one medication that was for anxiety) [3], staff initials were illegible and some did not match the initials on the signature page provided for staff who administered the medications [6], the medication log was missing the reasons for administering the medications (including the specific symptoms/conditions) [8]. |
— |
| 4 | — |
748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The last health inspection was completed on 07/13/2022 and expired on 07/13/2023. The DFPS Form 4004 (Environmental Checklist) was submitted on 03/21/2024 by the operation. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
During the inspection it was determined that the booster seats in use had expiration dates that had expired or dates that had been scratched off and could not be verified. This was corrected prior to Licensing leaving the premise as the operation ordered new seats to replace the expired seats. |
Yes |
| 4 | — |
748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment.
Several operation caregivers do not have current first aid training documentation. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found that a caregiver used corporal punishment with a child in care. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
A serious incident report was reviewed and it was found that the following information was not provided in the template: physical address and phone number, age and gender of child, adults involved, names of witnesses, and name of medical personnel treating the child. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
Two outlets in the main sensory room accessible to children were observed to be cracked/broken. |
— |
| 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
Based on investigation interviews the operation staff and/or management are not reporting suspected allegations of abuse and neglect of a child to the Child Abuse Hotline. |
— |
| 3 | — |
748.881(7) - General pre-service training curriculum-Includes normalcy
During a review of training logs, it was found that one staff did not complete the training for Normalcy within the 90 days of the hire date. |
— |
| 3 | — |
748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
The operation failed to provide written documentation showing the health inspection could not be completed by the city. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The medication record for a child in care showed 11 doses were taken, but the number of pills remaining was 17 out of 30. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
The operation does not currently have a system in place to monitor fire extinguishers monthly to ensure they are maintained properly. |
Yes |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that one of the child's prescription medications was not administered according to the medical treatment discharge record as of 6/4/24. The health care professional's instructions on the record states to administer this medication three times daily, however, the child's medication log shows that from 6/5/24 to 6/11/24, the child was administered this medication twice daily. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found that a caregiver dragged a child to the restroom and hit the child repeatedly in the head. |
— |
| 3 | — |
748.881(6) - General pre-service training curriculum-Includes trauma informed care
During a review of training logs, it was found that one staff did not complete the training for Trauma informed Care within the 90 days of the hire date. |
— |
| 4 | — |
748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The last health inspection was completed on 07/13/2022 and expired on 07/13/2023. The DFPS Form 4004 (Environmental Checklist) was submitted on 03/21/2024 by the operation. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
During the inspection it was determined that the booster seats in use had expiration dates that had expired or dates that had been scratched off and could not be verified. This was corrected prior to Licensing leaving the premise as the operation ordered new seats to replace the expired seats. |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the interview, a staff stated during a head count of the children it was discovered the victim was missing. |
— |
| 3 | — |
748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
It was found that the serious incident documentation was missing information such as names of all adults involved and their role in relation to the child [4], names or other means of identifying witnesses to the incident, if any [5], circumstances surrounding the incident [7], interventions made during and after the incident [8], the treating licensed health-care professional?s name, findings, and treatment [9], and the resolution of the incident [10]. |
— |
| 4 | — |
748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, it was noted 1 out of 4 employees did not have the required 4 hours of pre-service training prior to being counted in ratio. |
— |
| 3 | — |
748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
It was found that the serious incident documentation was missing the names of all adults involved and their role in relation to the child. |
— |
| 5 | — |
748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
It was determined that the operation did not receive consent prior to increasing the dosage of a psychotropic medication for a child in care. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
It was found that the doctor's medication instructions for three of the child's medications as of 6/4/24 were written incorrectly on the child's June 2024 medication log (aka MAR). The medication logs for May and June 2024 were also missing the prescribing doctor's name [2], reason medications were prescribed for the prescription medications (except for one medication that was for anxiety) [3], staff initials were illegible and some did not match the initials on the signature page provided for staff who administered the medications [6], the medication log was missing the reasons for administering the medications (including the specific symptoms/conditions) [8]. |
— |
| 3 | — |
748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner
Two of two picnic tables on the playgrounds accessible to children present safety risks which included an exposed nail and paint was observed to be peeling on two of the outdoor swing sets. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
Two outlets in the main sensory room accessible to children were observed to be cracked/broken. |
— |
| 3 | — |
748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner
Two of two picnic tables on the playgrounds accessible to children present safety risks which included an exposed nail and paint was observed to be peeling on two of the outdoor swing sets. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The medication record for a child in care showed 11 doses were taken, but the number of pills remaining was 17 out of 30. |
— |
| 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
Based on investigation interviews the operation staff and/or management are not reporting suspected allegations of abuse and neglect of a child to the Child Abuse Hotline. |
— |
| 4 | — |
748.911(c)(1) - Each caregiver must be certified in first aid within 90 days of employment.
Several operation caregivers do not have current first aid training documentation. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
The operation does not currently have a system in place to monitor fire extinguishers monthly to ensure they are maintained properly. |
Yes |
| 4 | — |
748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The last health inspection was completed on 07/13/2022 and expired on 07/13/2023. The DFPS Form 4004 (Environmental Checklist) was submitted on 03/21/2024 by the operation. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
A serious incident report was reviewed and it was found that the following information was not provided in the template: physical address and phone number, age and gender of child, adults involved, names of witnesses, and name of medical personnel treating the child. |
— |
| 3 | — |
748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
It was found that the serious incident documentation was missing information such as names of all adults involved and their role in relation to the child [4], names or other means of identifying witnesses to the incident, if any [5], circumstances surrounding the incident [7], interventions made during and after the incident [8], the treating licensed health-care professional?s name, findings, and treatment [9], and the resolution of the incident [10]. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the interview, a staff stated during a head count of the children it was discovered the victim was missing. |
— |
| 3 | — |
748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
It was found that the serious incident documentation was missing the names of all adults involved and their role in relation to the child. |
— |
| 3 | — |
748.881(6) - General pre-service training curriculum-Includes trauma informed care
During a review of training logs, it was found that one staff did not complete the training for Trauma informed Care within the 90 days of the hire date. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that one of the child's prescription medications was not administered according to the medical treatment discharge record as of 6/4/24. The health care professional's instructions on the record states to administer this medication three times daily, however, the child's medication log shows that from 6/5/24 to 6/11/24, the child was administered this medication twice daily. |
— |
| 3 | — |
748.3001(c)(1) - Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
The operation failed to provide written documentation showing the health inspection could not be completed by the city. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found that a caregiver used corporal punishment with a 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
It was found that a caregiver dragged a child to the restroom and hit the child repeatedly in the head. |
— |
| 4 | — |
748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, it was noted 1 out of 4 employees did not have the required 4 hours of pre-service training prior to being counted in ratio. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
It was found that the doctor's medication instructions for three of the child's medications as of 6/4/24 were written incorrectly on the child's June 2024 medication log (aka MAR). The medication logs for May and June 2024 were also missing the prescribing doctor's name [2], reason medications were prescribed for the prescription medications (except for one medication that was for anxiety) [3], staff initials were illegible and some did not match the initials on the signature page provided for staff who administered the medications [6], the medication log was missing the reasons for administering the medications (including the specific symptoms/conditions) [8]. |
— |
| 3 | — |
748.881(7) - General pre-service training curriculum-Includes normalcy
During a review of training logs, it was found that one staff did not complete the training for Normalcy within the 90 days of the hire date. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
During the inspection it was determined that the booster seats in use had expiration dates that had expired or dates that had been scratched off and could not be verified. This was corrected prior to Licensing leaving the premise as the operation ordered new seats to replace the expired seats. |
Yes |
| 5 | — |
748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
It was determined that the operation did not receive consent prior to increasing the dosage of a psychotropic medication for a child in care. |
— |
| 4 | — |
748.863(a)(2) - If EBI not allowed, caregivers for childcare prog. or treat. svc must have 8hrs EBI. 4 before counted in ratio, rest w/in 90 days.
During the inspection, it was noted 1 out of 4 employees did not have the required 4 hours of pre-service training prior to being counted in ratio. |
— |
| 3 | — |
748.881(7) - General pre-service training curriculum-Includes normalcy
During a review of training logs, it was found that one staff did not complete the training for Normalcy within the 90 days of the hire date. |
— |
| 5 | — |
748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
It was determined that the operation did not receive consent prior to increasing the dosage of a psychotropic medication for a child in care. |
— |
| 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
Based on investigation interviews the operation staff and/or management are not reporting suspected allegations of abuse and neglect of a child to the Child Abuse Hotline. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
It was found that a caregiver dragged a child to the restroom and hit the child repeatedly in the head. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During the interview, a staff stated during a head count of the children it was discovered the victim was missing. |
— |
| 3 | — |
748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
It was found that the serious incident documentation was missing information such as names of all adults involved and their role in relation to the child [4], names or other means of identifying witnesses to the incident, if any [5], circumstances surrounding the incident [7], interventions made during and after the incident [8], the treating licensed health-care professional?s name, findings, and treatment [9], and the resolution of the incident [10]. |
— |
| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found that a caregiver used corporal punishment with a child in care. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
During the inspection it was determined that the booster seats in use had expiration dates that had expired or dates that had been scratched off and could not be verified. This was corrected prior to Licensing leaving the premise as the operation ordered new seats to replace the expired seats. |
Yes |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
The operation does not currently have a system in place to monitor fire extinguishers monthly to ensure they are maintained properly. |
Yes |
| 3 | — |
748.881(6) - General pre-service training curriculum-Includes trauma informed care
During a review of training logs, it was found that one staff did not complete the training for Trauma informed Care within the 90 days of the hire date. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
It was found that one of the child's prescription medications was not administered according to the medical treatment discharge record as of 6/4/24. The health care professional's instructions on the record states to administer this medication three times daily, however, the child's medication log shows that from 6/5/24 to 6/11/24, the child was administered this medication twice daily. |
— |
| 4 | — |
748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The medication record for a child in care showed 11 doses were taken, but the number of pills remaining was 17 out of 30. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
A serious incident report was reviewed and it was found that the following information was not provided in the template: physical address and phone number, age and gender of child, adults involved, names of witnesses, and name of medical personnel treating the child. |
— |
| 3 | — |
748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
It was found that the serious incident documentation was missing the names of all adults involved and their role in relation to the child. |
— |
| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
It was found that the doctor's medication instructions for three of the child's medications as of 6/4/24 were written incorrectly on the child's June 2024 medication log (aka MAR). The medication logs for May and June 2024 were also missing the prescribing doctor's name [2], reason medications were prescribed for the prescription medications (except for one medication that was for anxiety) [3], staff initials were illegible and some did not match the initials on the signature page provided for staff who administered the medications [6], the medication log was missing the reasons for administering the medications (including the specific symptoms/conditions) [8]. |
— |
112 inspection record(s) on file from TX-HHSC.