Capacity 45. 0-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member had their personal computer at the operation and an inappropriate picture popped up which a child was able to see. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Inspector observed fire extinguishers in 2 houses to not have initials or dates showing they were inspected monthly. |
— |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The pressure gauge for a fire extinguisher in a home where children in care including infants are living was not in the green zone and was observed to be in the red zone. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
Licensing observed and photographed a toilet with the tank leaking and a small puddle behind the toilet. |
— |
| 5 | — |
748.2307(15) - Other Prohibited Punishments-using or threatening to use emergency behavior intervention as discipline or punishment
The video (audible) shows staff telling the child in care "You're about to be put in a containment". The staff confirmed in an investigation interview that they did say this. |
— |
| 2 | — |
748.1117 - Documentation of searches-Caregiver documents searches in the child's record
Reviewed 6 out of 6 child records and child rights only states searches being documented if personal items are removed. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
It was confirmed staff locked the door restricting children access to come into operation as a form of discipline due to children having dysregulated behaviors. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the investigation Austin Welch admitted, he signed the observation logs for the child, however, also admitted he did not complete the supervision checks, he only signed the logs and did not check on the child himself. |
— |
| 1 | — |
748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Six child service plans were reviewed, four did not have the child's signature or documentation that the child refused to sign. |
— |
| 2 | — |
748.1207(a)(1) - Placement agreement-Must include authorization permitting operation to care for the child
During the unannounced monitoring inspection two child files were reviewed and both found to be missing the correct name for the placement authorization. The files reviewed showed names of previous placement. |
— |
| 4 | — |
748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation failed to report two suicide attempts to licensing for a child in care who was evaluated and put on a safety plan when returned to operation. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough inspection food was found to be stored in the refrigerator without a cover or in a container. |
— |
| 3 | — |
748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
As of 10/10/2024 the data which was due by April 15th for restraints between January and March 2024 and data which was due by July 15th for restraints between April and June have not yet been reported to licensing. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff admitted to observing another staff falling asleep during shift on 5 different occasions. During one occasion of staff falling asleep, the staff was working alone and solely responsible for the supervision of children in care. In addition, staff admitted to falling asleep for a duration of 3 hours, waking up for 1-2 minutes before returning to sleep. |
— |
| 4 | — |
748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Incident Report documentation reveals a child attempted suicide by wrapping pant leg around their neck and trying to hang themself on shower rod. The child was unsuccessful and told staff about the self-harming behavior. The operation completed an incident report on 12/02/2025 and reported to Statewide Intake on 12/03/2025, with the report reflecting just after midnight on 12/4/25; thus, the incident was not reported as soon as the operation was aware of the attempt. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
During a walkthrough inspection a bathroom commode was found to be in an unclean state, as mold was observed to be growing inside of the toilet. The wall of a shower area was observed to have mold growing from the surface. The curtain rod of a shower was also observed to not be apprpriately holstered to the wall allowing it to fall off if touched. |
— |
| 3 | — |
748.3441(b) - Food Preparation-Must sanitize food service equipment, dishware, & utensils after each use and store properly
Licenisng observed a frying pan with dired bits of food in the under kitchen sink cabinet of A Wing house. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Records were found to be filled out as 15-minute checks completed however camera footage showed this to be incorrect as the 15-minute checks were not conducted. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member was aware they had inappropriate photos on cell phone in which they were seen by 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
Administrative staff admitted to having knowledge of the concerns of staff sleeping during work hours, however, did not report the incidents to licensing. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Medication errors were not documented within the timeframe for four medication logs. Two medication logs did not accurately reflect the directions for the medication, per the psychiatric note. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
The debrief following an unauthorized absence, containing all required components, was not completed within the 24 hour timeframe. |
— |
| 5 | — |
745.8413(b) - Licensing may interview anyone relevant to inspection/investigation
A relevant staff member was not interviewed because they failed to appear at scheduled meeting with Investigator and operation staff could not reach staff member either. |
— |
| 5 | — |
748.3757(b) - Swimming Ratio-when all children in group are at least 4 yrs or older, if four/more children swimming, there must be at least two adults supervising
During a swimming activity, staff were found to be out of ratio, resulting in a child in care being injured during the activity, requiring medical care. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care with known high-risk behaviors as it was documented the child?s plan of service shared a room with another resident in which led to inappropriate behaviors. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During 2 activities outside of the operation, staff did not bring the necessary emergency medication for children in care, resulting in further medical care needed. |
— |
| 5 | — |
748.3755 - Lifeguard-Must be located in a position to observe all swimmers and to respond to emergencies
During a recreational water activity, outside of the operation, children in care were allowed to participate in a swimming activity with no lifeguard present. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
A child in care reported a reportable incident to the operation administration staff, however, this was not reported to licensing and no serious incident report was completed documented or could be provided to licensing upon request. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
According to medication logs, a child in care did not receive one medication for one day and did not receive another medication for two days as prescribed. |
— |
| 1 | — |
748.1337(b)(1)(A)(vii) - Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications
Six child plans were reviewed. Three child plans were missing CANS information and one child plan had inconsistencies in documenting the child's therapy. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Per the mental health provider recommendations, safety plans implemented to maintain the safety of the child were not followed, as the child was not provided with the 1 on 1 supervision as the operation did not have enough staff and recommended 15 minute checks in and did not make arrangements to provide the 1 on 1 supervision for the child. |
— |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
Suicide screenings are not being conducted as required for children in care. |
— |
| 4 | — |
748.1743(d) - Care requirements for infants-caregiver must ensure that the environment is safe
Electrical outlets were observed not to have covers in a home where toddlers and infants are living. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not follow the operation policy and properly check the mouths of children in care after the administration of medication. Due to the improper mouth checks after the administration of medication, 2 children in care were able to obtain their prescribed medications and snort them. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During an Investigation it was discovered that the staff on duty did not conduct 15-minute safety checks on a child in care as instructed on her safety plan pertaining to supervision. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
When conducting the walkthrough baby was observed in crib with a thick wool blanket in his mouth while mom was asleep. |
Yes |
| 3 | — |
748.303(a)(12)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child any suicide attempt by their child.
Operation staff did not notify child's CPS worker/parent about the two suicide attempts made by child in care while at the operation. |
— |
| 4 | — |
748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
During an walkthrough inspection the emergency evacuation relocation diagram was found to be without the rally point. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
Multiple child in care witnesses indicated a child in care was just standing around, not causing any harm or risk at the point of restraint. The video also shows the child in care was not engaged in any harmful behavior at the time of restraint. The staff who performed the restraint also admitted the child in care' s refusal to leave the house was the only reason the staff performed the restraint. |
— |
| 4 | — |
748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
Child in care ran away from operation after exhibiting suicidal warning signs and was not assessed by the operation. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregivers made the decision to direct a staff member to be in a home, and in the presence of a child in care, against the directions in a Safety Plan even though other staff members were available to go to the home. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Licensing observed and photographed a broken bedroom window in Hall House covered by a piece of wood. There was an opening between the wood panel and the wall wide enough for a child in care to reach between and access the glass shards inside. During the inspection, the operation house and grounds specialist removed most of the glass and screwed down the wood panel suffiently to prevent a child in care from reaching in. |
Yes |
| 4 | — |
748.3021 - Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
A care giver admitted that a child in care was in possession of a metal garden trowel during a behavior episode, which the care giver put away afterward. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the investigation Austin Welch admitted, he signed the observation logs for the child, however, also admitted he did not complete the supervision checks, he only signed the logs and did not check on the child himself. |
— |
| 3 | — |
748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
A child in care reported a reportable incident to the operation administration staff, however, this was not reported to licensing and no serious incident report was completed documented or could be provided to licensing upon request. |
— |
| 4 | — |
748.1743(d) - Care requirements for infants-caregiver must ensure that the environment is safe
Electrical outlets were observed not to have covers in a home where toddlers and infants are living. |
— |
| 3 | — |
748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
As of 10/10/2024 the data which was due by April 15th for restraints between January and March 2024 and data which was due by July 15th for restraints between April and June have not yet been reported to licensing. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
When conducting the walkthrough baby was observed in crib with a thick wool blanket in his mouth while mom was asleep. |
Yes |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
It was confirmed staff locked the door restricting children access to come into operation as a form of discipline due to children having dysregulated behaviors. |
— |
| 2 | — |
748.1117 - Documentation of searches-Caregiver documents searches in the child's record
Reviewed 6 out of 6 child records and child rights only states searches being documented if personal items are removed. |
— |
| 3 | — |
748.125(d)(4)(D) - Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
Suicide screenings are not being conducted as required for children in care. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Caregivers made the decision to direct a staff member to be in a home, and in the presence of a child in care, against the directions in a Safety Plan even though other staff members were available to go to the home. |
— |
| 4 | — |
748.3021 - Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
A care giver admitted that a child in care was in possession of a metal garden trowel during a behavior episode, which the care giver put away afterward. |
— |
| 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
Administrative staff admitted to having knowledge of the concerns of staff sleeping during work hours, however, did not report the incidents to licensing. |
— |
| 2 | — |
748.1207(a)(1) - Placement agreement-Must include authorization permitting operation to care for the child
During the unannounced monitoring inspection two child files were reviewed and both found to be missing the correct name for the placement authorization. The files reviewed showed names of previous placement. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
Medication errors were not documented within the timeframe for four medication logs. Two medication logs did not accurately reflect the directions for the medication, per the psychiatric note. |
— |
| 4 | — |
748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
During an walkthrough inspection the emergency evacuation relocation diagram was found to be without the rally point. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
During a walkthrough inspection a bathroom commode was found to be in an unclean state, as mold was observed to be growing inside of the toilet. The wall of a shower area was observed to have mold growing from the surface. The curtain rod of a shower was also observed to not be apprpriately holstered to the wall allowing it to fall off if touched. |
— |
| 1 | — |
748.1337(b)(1)(A)(vii) - Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications
Six child plans were reviewed. Three child plans were missing CANS information and one child plan had inconsistencies in documenting the child's therapy. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
During 2 activities outside of the operation, staff did not bring the necessary emergency medication for children in care, resulting in further medical care needed. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff admitted to observing another staff falling asleep during shift on 5 different occasions. During one occasion of staff falling asleep, the staff was working alone and solely responsible for the supervision of children in care. In addition, staff admitted to falling asleep for a duration of 3 hours, waking up for 1-2 minutes before returning to sleep. |
— |
| 3 | — |
748.3441(b) - Food Preparation-Must sanitize food service equipment, dishware, & utensils after each use and store properly
Licenisng observed a frying pan with dired bits of food in the under kitchen sink cabinet of A Wing house. |
Yes |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During a walkthrough inspection food was found to be stored in the refrigerator without a cover or in a container. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care with known high-risk behaviors as it was documented the child?s plan of service shared a room with another resident in which led to inappropriate behaviors. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
The debrief following an unauthorized absence, containing all required components, was not completed within the 24 hour timeframe. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During an Investigation it was discovered that the staff on duty did not conduct 15-minute safety checks on a child in care as instructed on her safety plan pertaining to supervision. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
Licensing observed and photographed a toilet with the tank leaking and a small puddle behind the toilet. |
— |
| 4 | — |
748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
Child in care ran away from operation after exhibiting suicidal warning signs and was not assessed by the operation. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
Licensing observed and photographed a broken bedroom window in Hall House covered by a piece of wood. There was an opening between the wood panel and the wall wide enough for a child in care to reach between and access the glass shards inside. During the inspection, the operation house and grounds specialist removed most of the glass and screwed down the wood panel suffiently to prevent a child in care from reaching in. |
Yes |
| 4 | — |
748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Operation failed to report two suicide attempts to licensing for a child in care who was evaluated and put on a safety plan when returned to operation. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not follow the operation policy and properly check the mouths of children in care after the administration of medication. Due to the improper mouth checks after the administration of medication, 2 children in care were able to obtain their prescribed medications and snort them. |
— |
| 5 | — |
745.8413(b) - Licensing may interview anyone relevant to inspection/investigation
A relevant staff member was not interviewed because they failed to appear at scheduled meeting with Investigator and operation staff could not reach staff member either. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Per the mental health provider recommendations, safety plans implemented to maintain the safety of the child were not followed, as the child was not provided with the 1 on 1 supervision as the operation did not have enough staff and recommended 15 minute checks in and did not make arrangements to provide the 1 on 1 supervision for the child. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member had their personal computer at the operation and an inappropriate picture popped up which a child was able to see. |
— |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The pressure gauge for a fire extinguisher in a home where children in care including infants are living was not in the green zone and was observed to be in the red zone. |
— |
| 5 | — |
748.3757(b) - Swimming Ratio-when all children in group are at least 4 yrs or older, if four/more children swimming, there must be at least two adults supervising
During a swimming activity, staff were found to be out of ratio, resulting in a child in care being injured during the activity, requiring medical care. |
— |
| 3 | — |
748.3115 - Fire Extinguisher-Must inspect fire extinguisher(s) monthly
Inspector observed fire extinguishers in 2 houses to not have initials or dates showing they were inspected monthly. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
Multiple child in care witnesses indicated a child in care was just standing around, not causing any harm or risk at the point of restraint. The video also shows the child in care was not engaged in any harmful behavior at the time of restraint. The staff who performed the restraint also admitted the child in care' s refusal to leave the house was the only reason the staff performed the restraint. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Records were found to be filled out as 15-minute checks completed however camera footage showed this to be incorrect as the 15-minute checks were not conducted. |
— |
| 4 | — |
748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
According to medication logs, a child in care did not receive one medication for one day and did not receive another medication for two days as prescribed. |
— |
| 3 | — |
748.303(a)(12)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child any suicide attempt by their child.
Operation staff did not notify child's CPS worker/parent about the two suicide attempts made by child in care while at the operation. |
— |
| 4 | — |
748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
Incident Report documentation reveals a child attempted suicide by wrapping pant leg around their neck and trying to hang themself on shower rod. The child was unsuccessful and told staff about the self-harming behavior. The operation completed an incident report on 12/02/2025 and reported to Statewide Intake on 12/03/2025, with the report reflecting just after midnight on 12/4/25; thus, the incident was not reported as soon as the operation was aware of the attempt. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member was aware they had inappropriate photos on cell phone in which they were seen by child in care. |
— |
| 1 | — |
748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Six child service plans were reviewed, four did not have the child's signature or documentation that the child refused to sign. |
— |
| 5 | — |
748.2307(15) - Other Prohibited Punishments-using or threatening to use emergency behavior intervention as discipline or punishment
The video (audible) shows staff telling the child in care "You're about to be put in a containment". The staff confirmed in an investigation interview that they did say this. |
— |
| 5 | — |
748.3755 - Lifeguard-Must be located in a position to observe all swimmers and to respond to emergencies
During a recreational water activity, outside of the operation, children in care were allowed to participate in a swimming activity with no lifeguard present. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
During an Investigation it was discovered that the staff on duty did not conduct 15-minute safety checks on a child in care as instructed on her safety plan pertaining to supervision. |
— |
| 3 | — |
748.3441(b) - Food Preparation-Must sanitize food service equipment, dishware, & utensils after each use and store properly
Licenisng observed a frying pan with dired bits of food in the under kitchen sink cabinet of A Wing house. |
Yes |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
Licensing observed and photographed a toilet with the tank leaking and a small puddle behind the toilet. |
— |
| 5 | — |
748.3755 - Lifeguard-Must be located in a position to observe all swimmers and to respond to emergencies
During a recreational water activity, outside of the operation, children in care were allowed to participate in a swimming activity with no lifeguard present. |
— |
| 3 | — |
748.303(a)(12)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child any suicide attempt by their child.
Operation staff did not notify child's CPS worker/parent about the two suicide attempts made by child in care while at the operation. |
— |
| 5 | — |
745.8413(b) - Licensing may interview anyone relevant to inspection/investigation
A relevant staff member was not interviewed because they failed to appear at scheduled meeting with Investigator and operation staff could not reach staff member either. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
Multiple child in care witnesses indicated a child in care was just standing around, not causing any harm or risk at the point of restraint. The video also shows the child in care was not engaged in any harmful behavior at the time of restraint. The staff who performed the restraint also admitted the child in care' s refusal to leave the house was the only reason the staff performed the restraint. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
During a walkthrough inspection a bathroom commode was found to be in an unclean state, as mold was observed to be growing inside of the toilet. The wall of a shower area was observed to have mold growing from the surface. The curtain rod of a shower was also observed to not be apprpriately holstered to the wall allowing it to fall off if touched. |
— |
| 4 | — |
748.3021 - Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
A care giver admitted that a child in care was in possession of a metal garden trowel during a behavior episode, which the care giver put away afterward. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
The debrief following an unauthorized absence, containing all required components, was not completed within the 24 hour timeframe. |
— |
| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Staff did not follow the operation policy and properly check the mouths of children in care after the administration of medication. Due to the improper mouth checks after the administration of medication, 2 children in care were able to obtain their prescribed medications and snort them. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Per the mental health provider recommendations, safety plans implemented to maintain the safety of the child were not followed, as the child was not provided with the 1 on 1 supervision as the operation did not have enough staff and recommended 15 minute checks in and did not make arrangements to provide the 1 on 1 supervision for the child. |
— |
| 5 | — |
748.1757(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 748.1757(c) for infant less than 12 months
When conducting the walkthrough baby was observed in crib with a thick wool blanket in his mouth while mom was asleep. |
Yes |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member was aware they had inappropriate photos on cell phone in which they were seen by child in care. |
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216 inspection record(s) on file from TX-HHSC.