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Option House Es

Child care center · , TX · License 69531

0Compliance score
Poor

Capacity 15. 11-17

Violation history (120)

SeverityDateStandard / narrativeCorrected
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
4 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
One employee did not have the additional 4 hours of EBI trainings for pre-service within 90 days and two files did not have all required sections of general pre-service.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
While conducting interviews it was admitted to RCCL Staff that an operation staff member knowingly didn't follow operation procedures by checking to see that full authorization and permission was given for an overnight excursion. Staff member was told by the child in care they had received the proper permissions but failed to follow up with the overnight/ visit forms and ensure all permissions were given.
3 748.705(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
A child's supervision instructions were not followed by staff.
5 748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
While reviewing the video, it was observed that children in care were helping to restrain another child in care.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
2 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
A Preliminary Service Plan did not contain a date showing when it was completed.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
While reviewing the video, it was observed that staff initiated an inappropriate restraint prior to an emergency situation occurring.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During a night inspection, medications showed that a child in care did not receive their three morning medications. The child also reported that they did not get their morning medications.
5 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
While reviewing the video, it was observed that staff immediately put a child in a choke hold without attempting a proper restraint.
4 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
A smoke alarm in the back bedroom was chirping to indicate a low battery.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There appeared to be mold in the ceiling and upper parts of the wall in the boys restroom. There was also a broken drawer on the vanity as well as sections of the edging peeled off. Multiple lightbulb were also out. The wall by the shower had multiple areas where the drywall was broken, cracked and peeling away.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
Part of the fence was leaning over and a section was broken and on the ground with numerous nails sticking up. There were also broken fence pieces around and other trash items in the yard area.
4 748.3191 - Carbon Monoxide-Must have operable carbon monoxide detector-system if operation has gas appliances
The Inspector conducted a walkthrough of the facility during a monitor inspection, and discovered the facility did not have a carbon monoxide detector system installed.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An active staff members background was inactivated in 2019.
Yes
3 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
During an unannouced team inspection, Inspectors were unable to gain access to operation records. There was no one on site that had access to the requested records.
4 748.3107(a) - Smoke Detector-Must have an operable smoke-detection system that is audible throughout building
During the physical site inspection, it was observed the girl's bedroom fire alarm was not operable or audible. The facility administrator put in a maintenance request to have it fixed.

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

Inspections (80)

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

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