Texas › Boerne › Roy Maas Youth Alternatives Meadows

Roy Maas Youth Alternatives Meadows

Child care center · 121 OLD SAN ANTONIO RD, Boerne, TX 78006-3415 · License 185528

0Compliance score
Poor

Capacity 48. 6-17

Violation history (304)

Severity	Date	Standard / narrative	Corrected
2	—	748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment Interviews confirmed staff threatening residents with loss of placement.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member used unwarranted and excessive force on two children in care on two separate occasions. One child sustained an injury.	—
4	—	748.3061(2) - Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks The current gas inspection was not completed within the 24 months from the last inspection. The last gas inspection was completed on 4/10/19 and current one was completed on 5/6/21.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication error occurred. It was not documented within 24 hours.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication Medication log reviewed a staff name and signature was missing on the entry log.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medication logs reviewed were incomplete. Medication logs were missing date and time. Medication log also reflected inaccurate date.	—
4	—	748.863(a)(4) - Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days 1 out of 6 staff did not have all of the required EBI training hours completed within 90 days of hire.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible Staff member was confirmed to be making inappropriate comments with a child in care.	—
4	—	748.3713(5) - Higher Risk Activity-Supervisor must ensure that all necessary equipment is complete, in good repair, and safe to use Punching bag was not on the chain to hold it and left lying on the floor.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Current fire inspection was not completed within the required timeframe. The last fire inspection was completed on 6/10/20 and current one was completed on 7/20/21.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One of six medication records, indicated a discrepancy in the amount remaining for the medication from one day to the next day.	—
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Medication error occurred however documentation was not completed.	—
4	—	748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks Staff allowed the resident to use the punching bag with no protective equipment when gloves were available for the resident when using the punching bag.	—
3	—	748.307(1)(B) - Other occurrences-Report to parents within 7 days and document medically pertinent incidents, that do not rise to the level of a serious incident CPS caseworker was not notified of the medication error by the operation.	—
3	—	748.2551(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers Operation used another child in care for support during a restraint and another child attempted to sit on the resident's leg who was being restrained.	—
5	—	HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria. Staff member was counted in child in care ratio without proper background check.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Medication error occurred, there was not documentation of the error.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication In Poston Cabin, one of three medication logs reviewed was missing a signature for the staff who administered the medication. In Wright Cabin, one of three medication logs reviewed didn't include a staff signature or home pass indication for six days.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The freezer in a cabin was showing a temperature of ten degrees farenheit.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that a Restraint Detail and Debriefing document had discrepancies from the Serious Incident Report. The child referenced throughout the document was not the same as the child identified in the header.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Interviews confirmed staff interfering on investigation by asking resident what questions licensing asked.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective During interviews, children corroborated a staff member did not attempt to de-escalate a child's behaviors before restraining a child.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Video revealed staff gave a second EpiPen dose to child 64 seconds after they had already received a first dose. Pharmacy confirmed the instruction label of second dose needing to be given after 10 minutes of a first dose.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication I observed a medication log to have a missing time for medication administration in the Laurence and Davis Cabin, and this medication log had been checked by three staff to ensure accuracy.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver became irate and shoved and physically aggressed a child.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in care were left unsupervised, for 5 minutes when staff went to the bathroom. Video did show children were unsupervised from 7:15 pm - 7:20 pm.	—
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 During administrating medications, a staff gave a child another child's prescribed medication by mistake.	—
3	—	748.705(b)(8) - Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate Children using cart to play on is not intended for recreational use.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The incident occurred 08/09/2023 at 6:50 pm. The incident was not reported to the hotline until 08/11/2023 at 9:11 am, by phone.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff ripped a child's poster as discipline.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free During the walk through inspection, shower in two cabins observed had mold.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member harbored a child in care who was on runaway for several days. The employee failed to take proper actions which placed the child at substantial risk of potential harm.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI A staff failed to complete 4 hours of EBI training within six months from the last date of EBI training.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff shared their social media with the residents in a way to keep communicate with each other. It was also observed in video footage that staff left children unattended for a period of time at an outing considering these children had high risk behaviors.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others When reviewing service plans child did have a history of harming others and getting aggressive twice in the last 60 days from the incident.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS investigation.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Several of the medication logs reviewed did not indicate if the medication was administered during the morning or night. In the Poston, the medication was documented as being administered at PM but the prescription is for morning medication.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication I observed a medication log to have a missing time for medication administration in the Laurence and Davis Cabin, and this medication log had been checked by three staff to ensure accuracy.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One of six medication records, indicated a discrepancy in the amount remaining for the medication from one day to the next day.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The freezer in a cabin was showing a temperature of ten degrees farenheit.	—
4	—	748.3713(5) - Higher Risk Activity-Supervisor must ensure that all necessary equipment is complete, in good repair, and safe to use Punching bag was not on the chain to hold it and left lying on the floor.	—
5	—	HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria. Staff member was counted in child in care ratio without proper background check.	—
3	—	748.2551(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers Operation used another child in care for support during a restraint and another child attempted to sit on the resident's leg who was being restrained.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Current fire inspection was not completed within the required timeframe. The last fire inspection was completed on 6/10/20 and current one was completed on 7/20/21.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff ripped a child's poster as discipline.	—
4	—	748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks Staff allowed the resident to use the punching bag with no protective equipment when gloves were available for the resident when using the punching bag.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member used unwarranted and excessive force on two children in care on two separate occasions. One child sustained an injury.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Medication error occurred, there was not documentation of the error.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Video revealed staff gave a second EpiPen dose to child 64 seconds after they had already received a first dose. Pharmacy confirmed the instruction label of second dose needing to be given after 10 minutes of a first dose.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medication logs reviewed were incomplete. Medication logs were missing date and time. Medication log also reflected inaccurate date.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free During the walk through inspection, shower in two cabins observed had mold.	—
3	—	748.307(1)(B) - Other occurrences-Report to parents within 7 days and document medically pertinent incidents, that do not rise to the level of a serious incident CPS caseworker was not notified of the medication error by the operation.	—
4	—	748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible Staff member was confirmed to be making inappropriate comments with a child in care.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication Medication log reviewed a staff name and signature was missing on the entry log.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication In Poston Cabin, one of three medication logs reviewed was missing a signature for the staff who administered the medication. In Wright Cabin, one of three medication logs reviewed didn't include a staff signature or home pass indication for six days.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Several of the medication logs reviewed did not indicate if the medication was administered during the morning or night. In the Poston, the medication was documented as being administered at PM but the prescription is for morning medication.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others When reviewing service plans child did have a history of harming others and getting aggressive twice in the last 60 days from the incident.	—
3	—	748.705(b)(8) - Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate Children using cart to play on is not intended for recreational use.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The incident occurred 08/09/2023 at 6:50 pm. The incident was not reported to the hotline until 08/11/2023 at 9:11 am, by phone.	—
2	—	748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment Interviews confirmed staff threatening residents with loss of placement.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member harbored a child in care who was on runaway for several days. The employee failed to take proper actions which placed the child at substantial risk of potential harm.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Interviews confirmed staff interfering on investigation by asking resident what questions licensing asked.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication error occurred. It was not documented within 24 hours.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS investigation.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver became irate and shoved and physically aggressed a child.	—
4	—	748.3061(2) - Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks The current gas inspection was not completed within the 24 months from the last inspection. The last gas inspection was completed on 4/10/19 and current one was completed on 5/6/21.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective During interviews, children corroborated a staff member did not attempt to de-escalate a child's behaviors before restraining a child.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Medication error occurred however documentation was not completed.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff shared their social media with the residents in a way to keep communicate with each other. It was also observed in video footage that staff left children unattended for a period of time at an outing considering these children had high risk behaviors.	—
4	—	748.863(a)(4) - Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days 1 out of 6 staff did not have all of the required EBI training hours completed within 90 days of hire.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in care were left unsupervised, for 5 minutes when staff went to the bathroom. Video did show children were unsupervised from 7:15 pm - 7:20 pm.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI A staff failed to complete 4 hours of EBI training within six months from the last date of EBI training.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that a Restraint Detail and Debriefing document had discrepancies from the Serious Incident Report. The child referenced throughout the document was not the same as the child identified in the header.	—
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 During administrating medications, a staff gave a child another child's prescribed medication by mistake.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The freezer in a cabin was showing a temperature of ten degrees farenheit.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Interviews confirmed staff interfering on investigation by asking resident what questions licensing asked.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Medication error occurred. It was not documented within 24 hours.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Current fire inspection was not completed within the required timeframe. The last fire inspection was completed on 6/10/20 and current one was completed on 7/20/21.	—
4	—	748.685(b)(4) - Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks Staff allowed the resident to use the punching bag with no protective equipment when gloves were available for the resident when using the punching bag.	—
5	—	HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria. Staff member was counted in child in care ratio without proper background check.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment A staff ripped a child's poster as discipline.	—
2	—	748.2307(3) - Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment Interviews confirmed staff threatening residents with loss of placement.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Video revealed staff gave a second EpiPen dose to child 64 seconds after they had already received a first dose. Pharmacy confirmed the instruction label of second dose needing to be given after 10 minutes of a first dose.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others When reviewing service plans child did have a history of harming others and getting aggressive twice in the last 60 days from the incident.	—
4	—	748.931(a)(2)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI A staff failed to complete 4 hours of EBI training within six months from the last date of EBI training.	—
4	—	748.3713(5) - Higher Risk Activity-Supervisor must ensure that all necessary equipment is complete, in good repair, and safe to use Punching bag was not on the chain to hold it and left lying on the floor.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error Medication error occurred, there was not documentation of the error.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One of six medication records, indicated a discrepancy in the amount remaining for the medication from one day to the next day.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A staff member used unwarranted and excessive force on two children in care on two separate occasions. One child sustained an injury.	—
3	—	748.2551(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers Operation used another child in care for support during a restraint and another child attempted to sit on the resident's leg who was being restrained.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver became irate and shoved and physically aggressed a child.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medication logs reviewed were incomplete. Medication logs were missing date and time. Medication log also reflected inaccurate date.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS investigation.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication I observed a medication log to have a missing time for medication administration in the Laurence and Davis Cabin, and this medication log had been checked by three staff to ensure accuracy.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free During the walk through inspection, shower in two cabins observed had mold.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Several of the medication logs reviewed did not indicate if the medication was administered during the morning or night. In the Poston, the medication was documented as being administered at PM but the prescription is for morning medication.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff shared their social media with the residents in a way to keep communicate with each other. It was also observed in video footage that staff left children unattended for a period of time at an outing considering these children had high risk behaviors.	—
4	—	748.2203(c)(1) - Medication Error-Document the time & date of the error Medication error occurred however documentation was not completed.	—

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

Inspections (200)

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

Nearby alternatives

Facility	City	Distance
Roy Maas Youth Alternative - Girlsville/Junction	Boerne	—
Early Learning Center of St Mark Presbyterian	Boerne	—
Y School Age Fair Oaks Ranch Elementary	Boerne	—
Y School Age Cibolo Creek	Boerne	—
Families Especial Inc	Boerne	—
Jessicas Home Day Care	Boerne	—

Licensed facilities near this one, highest compliance score first.

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.