Caring Heart Residential Care Services LLC

During a monitoring inspection there was 1 serious incident report that indicated a child was arrested and taken to juvenile detention. The incident was reported to DFPS worker, but was not reported to licensing.

Resolution: Corrected: 2026-03-11

During a monitoring inspection there was 1 serious incident report that indicated a child was arrested and taken to juvenile detention. The incident was reported to DFPS worker, but was not reported to licensing.

Resolution: Corrected: 2026-03-11

During a monitoring inspection there was 1 serious incident report that indicated a child was arrested and taken to juvenile detention. The incident was reported to DFPS worker, but was not reported to licensing.

Resolution: Corrected: 2026-03-11

It was indicated a child was yelled at by a staff in a threatening manner without a reason during a zoom call the child had with bio parent and Case worker.

Resolution: Corrected: 2026-02-27

It was indicated a child was yelled at by a staff in a threatening manner without a reason during a zoom call the child had with bio parent and Case worker.

Resolution: Corrected: 2026-02-27

It was indicated a child was yelled at by a staff in a threatening manner without a reason during a zoom call the child had with bio parent and Case worker.

Resolution: Corrected: 2026-02-27

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-16

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-16

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-16

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-16

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-02

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-02

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-02

During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.

Resolution: Corrected: 2025-10-02

A first aid was not found during this inspection.

Resolution: Corrected at inspection

An incident report was reported to the hotline 2 days after the incident happened.

Resolution: Corrected: 2025-05-27

A first aid was not found during this inspection.

Resolution: Corrected at inspection

A first aid was not found during this inspection.

Resolution: Corrected at inspection

An incident report was reported to the hotline 2 days after the incident happened.

Resolution: Corrected: 2025-05-27

A first aid was not found during this inspection.

Resolution: Corrected at inspection

An incident report was reported to the hotline 2 days after the incident happened.

Resolution: Corrected: 2025-05-27

An incident report was reported to the hotline 2 days after the incident happened.

Resolution: Corrected: 2025-05-27

Multiple children advised of being hit by staff.

Resolution: Corrected: 2024-11-18

Multiple children advised of being hit by staff.

Resolution: Corrected: 2024-11-18

Multiple children advised of being hit by staff.

Resolution: Corrected: 2024-11-18

Multiple children advised of being hit by staff.

Resolution: Corrected: 2024-11-18

The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.

Resolution: Corrected: 2024-07-31

Damaged doors & window blinds, broken furniture, and wall stains were observed.

Resolution: Corrected: 2024-07-31

The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.

Resolution: Corrected: 2024-07-31

Damaged doors & window blinds, broken furniture, and wall stains were observed.

Resolution: Corrected: 2024-07-31

The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.

Resolution: Corrected: 2024-07-31

The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.

Resolution: Corrected: 2024-07-31

Damaged doors & window blinds, broken furniture, and wall stains were observed.

Resolution: Corrected: 2024-07-31

Damaged doors & window blinds, broken furniture, and wall stains were observed.

Resolution: Corrected: 2024-07-31

Records reviewed showed clerical errors.

Resolution: Corrected: 2024-07-31

Records reviewed show staff did not renew annual trainings timely.

Resolution: Corrected: 2024-07-31

Records reviewed show staff did not renew annual trainings timely.

Resolution: Corrected: 2024-07-31

Records reviewed show staff did not renew annual trainings timely.

Resolution: Corrected: 2024-07-31

Records reviewed showed clerical errors.

Resolution: Corrected: 2024-07-31

Records reviewed showed clerical errors.

Resolution: Corrected: 2024-07-31

Records reviewed show staff did not renew annual trainings timely.

Resolution: Corrected: 2024-07-31

Records reviewed showed clerical errors.

Resolution: Corrected: 2024-07-31

Children reported that one direct staff yelled at the residence, and threatened to hit the residence.

Resolution: Corrected: 2024-05-10

Children reported that one direct staff yelled at the residence, and threatened to hit the residence.

Resolution: Corrected: 2024-05-10

Children reported that one direct staff yelled at the residence, and threatened to hit the residence.

Resolution: Corrected: 2024-05-10

Children reported that one direct staff yelled at the residence, and threatened to hit the residence.

Resolution: Corrected: 2024-05-10

It was determined that a caregiver did not intervene when there was an altercation between three residents.

Resolution: Corrected: 2023-12-28

It was determined that a caregiver did not intervene when there was an altercation between three residents.

Resolution: Corrected: 2023-12-28

It was determined that a caregiver did not intervene when there was an altercation between three residents.

Resolution: Corrected: 2023-12-28

It was determined that a caregiver did not intervene when there was an altercation between three residents.

Resolution: Corrected: 2023-12-28

3 out of 3 staff files reviewed did contain proof of education.

Resolution: Corrected: 2022-12-21

3 out of 3 staff files reviewed did contain proof of education.

Resolution: Corrected: 2022-12-21

3 out of 3 staff files reviewed did contain proof of education.

Resolution: Corrected: 2022-12-21

3 out of 3 staff files reviewed did contain proof of education.

Resolution: Corrected: 2022-12-21

The operation failed to report sexual abuse against a child in care by another resident.

Resolution: Corrected: 2022-12-12

The operation failed to report sexual abuse against a child in care by another resident.

Resolution: Corrected: 2022-12-12

The operation failed to report sexual abuse against a child in care by another resident.

Resolution: Corrected: 2022-12-12

The operation failed to report sexual abuse against a child in care by another resident.

Resolution: Corrected: 2022-12-12

Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.

Resolution: Corrected at inspection

Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.

Resolution: Corrected at inspection

Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.

Resolution: Corrected at inspection

Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.

Resolution: Corrected at inspection

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.

Resolution: Corrected: 2022-09-08

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.

Resolution: Corrected: 2022-09-08

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.

Resolution: Corrected: 2022-09-08

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.

Resolution: Corrected: 2022-09-08

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.

Resolution: Corrected: 2022-09-02

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.

Resolution: Corrected: 2022-09-02

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.

Resolution: Corrected: 2022-09-02

Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.

Resolution: Corrected: 2022-09-02

Operation failed to send the required 14-day planning review notice in a timely manner.

Resolution: Corrected: 2022-09-05

The operation failed to report multiple serious incidents to licensing.

Resolution: Corrected: 2022-08-31

The operation failed to report multiple serious incidents to licensing.

Resolution: Corrected: 2022-08-31

The operation failed to report multiple serious incidents to licensing.

Resolution: Corrected: 2022-08-31

The operation failed to report multiple serious incidents to licensing.

Resolution: Corrected: 2022-08-31

Operation failed to send the required 14-day planning review notice in a timely manner.

Resolution: Corrected: 2022-09-05

Operation failed to send the required 14-day planning review notice in a timely manner.

Resolution: Corrected: 2022-09-05

Operation failed to send the required 14-day planning review notice in a timely manner.

Resolution: Corrected: 2022-09-05

During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.

Resolution: Corrected: 2022-07-18

During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.

Resolution: Corrected: 2022-07-18

During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.

Resolution: Corrected: 2022-07-18

During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.

Resolution: Corrected: 2022-07-18

A caregiver displayed a lack of self -control when he punched a hole in a wall.

Resolution: Corrected: 2022-08-05

A caregiver displayed a lack of self -control when he punched a hole in a wall.

Resolution: Corrected: 2022-08-05

A caregiver displayed a lack of self -control when he punched a hole in a wall.

Resolution: Corrected: 2022-08-05

A caregiver displayed a lack of self -control when he punched a hole in a wall.

Resolution: Corrected: 2022-08-05

Several medication records reviewed were missing the reason the medication was prescribed.

Resolution: Corrected: 2022-06-23

Several medication records reviewed were missing the reason the medication was prescribed.

Resolution: Corrected: 2022-06-23

Several medication records reviewed were missing the reason the medication was prescribed.

Resolution: Corrected: 2022-06-23

Several medication records reviewed were missing the reason the medication was prescribed.

Resolution: Corrected: 2022-06-23

There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.

Resolution: Corrected at inspection

There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.

Resolution: Corrected at inspection

There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.

Resolution: Corrected at inspection

There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.

Resolution: Corrected at inspection

Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."

Resolution: Corrected: 2022-09-02

Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."

Resolution: Corrected: 2022-09-02

Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."

Resolution: Corrected: 2022-09-02

Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."

Resolution: Corrected: 2022-09-02

A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.

Resolution: Corrected: 2022-07-29

One of the bedrooms smelled of urine.

Resolution: Corrected: 2022-08-03

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.

Resolution: Corrected: 2022-07-29

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.

Resolution: Corrected: 2022-07-29

A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.

Resolution: Corrected: 2022-07-29

One of the bedrooms smelled of urine.

Resolution: Corrected: 2022-08-03

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.

Resolution: Corrected: 2022-07-29

A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.

Resolution: Corrected: 2022-07-29

One of the bedrooms smelled of urine.

Resolution: Corrected: 2022-08-03

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.

Resolution: Corrected: 2022-07-29

A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.

Resolution: Corrected: 2022-07-29

One of the bedrooms smelled of urine.

Resolution: Corrected: 2022-08-03

1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.

Resolution: Corrected at inspection

1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.

Resolution: Corrected at inspection

1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.

Resolution: Corrected at inspection

1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.

Resolution: Corrected at inspection

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.

Resolution: Corrected: 2022-02-14

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.

Resolution: Corrected: 2022-02-14

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.

Resolution: Corrected: 2022-02-14

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.

Resolution: Corrected: 2022-02-14

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan

Resolution: Corrected: 2022-02-14

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2022-01-21

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2022-01-21

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2022-01-21

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2022-01-21

A caregiver placed a child in a closet as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver used hitting as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver placed a child in a closet as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver placed a child in a closet as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver used hitting as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver used hitting as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver used hitting as a method of discipline.

Resolution: Corrected: 2022-04-20

A caregiver placed a child in a closet as a method of discipline.

Resolution: Corrected: 2022-04-20

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.

Resolution: Corrected: 2022-01-21

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.

Resolution: Corrected: 2022-01-10

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes

Resolution: Corrected: 2022-01-10

2 of the 3 staff files reviewed did not have a record of a TB screening

Resolution: Corrected: 2022-01-13

Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.

Resolution: Corrected: 2022-01-13

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.

Resolution: Corrected: 2022-01-21

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.

Resolution: Corrected: 2022-01-21

All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.

Resolution: Corrected: 2022-01-21

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.

Resolution: Corrected: 2022-01-10

Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.

Resolution: Corrected: 2022-01-13

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.

Resolution: Corrected: 2022-01-10

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes

Resolution: Corrected: 2022-01-10

2 of the 3 staff files reviewed did not have a record of a TB screening

Resolution: Corrected: 2022-01-13

Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.

Resolution: Corrected: 2022-01-13

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes

Resolution: Corrected: 2022-01-10

2 of the 3 staff files reviewed did not have a record of a TB screening

Resolution: Corrected: 2022-01-13

One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes

Resolution: Corrected: 2022-01-10

Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.

Resolution: Corrected: 2022-01-10

Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.

Resolution: Corrected: 2022-01-13

2 of the 3 staff files reviewed did not have a record of a TB screening

Resolution: Corrected: 2022-01-13

Several child records shows that children missed at least 1 dosage and there is no documentation as to why.

Resolution: Corrected: 2022-01-20

2 medication records reviewed shows that medication was not disposed of after being discontinued.

Resolution: Corrected: 2022-01-20

Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.

Resolution: Corrected: 2022-01-20

1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.

Resolution: Corrected: 2022-01-20

Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.

Resolution: Corrected: 2022-01-13

2 medication records reviewed shows that medication was not disposed of after being discontinued.

Resolution: Corrected: 2022-01-20

Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.

Resolution: Corrected: 2022-01-13

Several child records shows that children missed at least 1 dosage and there is no documentation as to why.

Resolution: Corrected: 2022-01-20

1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.

Resolution: Corrected: 2022-01-20

Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.

Resolution: Corrected: 2022-01-20

2 medication records reviewed shows that medication was not disposed of after being discontinued.

Resolution: Corrected: 2022-01-20

Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.

Resolution: Corrected: 2022-01-20

2 medication records reviewed shows that medication was not disposed of after being discontinued.

Resolution: Corrected: 2022-01-20

Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.

Resolution: Corrected: 2022-01-13

Several child records shows that children missed at least 1 dosage and there is no documentation as to why.

Resolution: Corrected: 2022-01-20

1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.

Resolution: Corrected: 2022-01-20

Several child records shows that children missed at least 1 dosage and there is no documentation as to why.

Resolution: Corrected: 2022-01-20

Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.

Resolution: Corrected: 2022-01-13

1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.

Resolution: Corrected: 2022-01-20

Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.

Resolution: Corrected: 2022-01-20

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2021-12-17

The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).

Resolution: Corrected: 2021-12-17

During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.

Resolution: Corrected: 2021-12-29

During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.

Resolution: Corrected: 2021-12-29

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2021-12-17

The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).

Resolution: Corrected: 2021-12-17

During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.

Resolution: Corrected: 2021-12-29

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2021-12-17

The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).

Resolution: Corrected: 2021-12-17

During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.

Resolution: Corrected: 2021-12-29

During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.

Resolution: Corrected: 2021-12-17

The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).

Resolution: Corrected: 2021-12-17

3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.

Resolution: Corrected: 2022-04-05

3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.

Resolution: Corrected: 2022-04-05

3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.

Resolution: Corrected: 2022-04-05

3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.

Resolution: Corrected: 2022-04-05

Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when 2 caregivers caused physical harm and injury to children in care.

Resolution: Corrected: 2022-02-08

The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.

Resolution: Corrected: 2022-02-10

2 caregivers used corporal punishment on children in care when they punched the child/ren.

Resolution: Corrected: 2022-02-08

The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.

Resolution: Corrected: 2022-02-10

2 caregivers used corporal punishment on children in care when they punched the child/ren.

Resolution: Corrected: 2022-02-08

Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when 2 caregivers caused physical harm and injury to children in care.

Resolution: Corrected: 2022-02-08

The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.

Resolution: Corrected: 2022-02-10

Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when 2 caregivers caused physical harm and injury to children in care.

Resolution: Corrected: 2022-02-08

2 caregivers used corporal punishment on children in care when they punched the child/ren.

Resolution: Corrected: 2022-02-08

The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.

Resolution: Corrected: 2022-02-10

Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when 2 caregivers caused physical harm and injury to children in care.

Resolution: Corrected: 2022-02-08

2 caregivers used corporal punishment on children in care when they punched the child/ren.

Resolution: Corrected: 2022-02-08

3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.

Resolution: Corrected: 2022-01-07

3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.

Resolution: Corrected: 2022-01-07

3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.

Resolution: Corrected: 2022-01-07

3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.

Resolution: Corrected: 2022-01-07

During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.

Resolution: Corrected: 2022-01-11

It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.

Resolution: Corrected: 2022-01-11

While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.

Resolution: Corrected: 2022-01-11

It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.

Resolution: Corrected: 2022-01-11

It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.

Resolution: Corrected: 2022-01-11

While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.

Resolution: Corrected: 2022-01-11

It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.

Resolution: Corrected: 2022-01-11

While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.

Resolution: Corrected: 2022-01-11

During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.

Resolution: Corrected: 2022-01-11

During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.

Resolution: Corrected: 2022-01-11

While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.

Resolution: Corrected: 2022-01-11

During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.

Resolution: Corrected: 2022-01-11

Caregiver with a pending background check was present at the operation, supervising children and administering medication.

Resolution: Corrected: 2021-07-28

There was no documentation regarding a post restraint discussion.

Resolution: Corrected: 2021-08-02

Several children's medication record reviewed showed that children either missed doses of their medication or were not given at the correct time.

Resolution: Corrected: 2021-07-28

One restraint report reviewed did not include the type of restraint that was used.

Resolution: Corrected: 2021-08-02

The operation does not have an overall operation evaluation for emergency behavior interventions.

Resolution: Corrected: 2021-08-02

A new staff member is not documenting his name and signature on the medication records.

Resolution: Corrected: 2021-08-02

One child record reviewed did not have a documented TB test.

Resolution: Corrected: 2021-08-02

Several children's medication records reviewed did not have an accurate count.

Resolution: Corrected: 2021-08-02

Caregiver with a pending background check was present at the operation, supervising children and administering medication.

Resolution: Corrected: 2021-07-28

There was no documentation regarding a post restraint discussion.

Resolution: Corrected: 2021-08-02

A new staff member is not documenting his name and signature on the medication records.

Resolution: Corrected: 2021-08-02

One restraint report reviewed did not include the type of restraint that was used.

Resolution: Corrected: 2021-08-02

Several children's medication record reviewed showed that children either missed doses of their medication or were not given at the correct time.

Resolution: Corrected: 2021-07-28

Several children's medication records reviewed did not have an accurate count.

Resolution: Corrected: 2021-08-02

A new staff member is not documenting his name and signature on the medication records.

Resolution: Corrected: 2021-08-02

The operation does not have an overall operation evaluation for emergency behavior interventions.

Resolution: Corrected: 2021-08-02

One child record reviewed did not have a documented TB test.

Resolution: Corrected: 2021-08-02

One restraint report reviewed did not include the type of restraint that was used.

Resolution: Corrected: 2021-08-02

Caregiver with a pending background check was present at the operation, supervising children and administering medication.

Resolution: Corrected: 2021-07-28

The operation does not have an overall operation evaluation for emergency behavior interventions.

Resolution: Corrected: 2021-08-02

There was no documentation regarding a post restraint discussion.

Resolution: Corrected: 2021-08-02

A new staff member is not documenting his name and signature on the medication records.

Resolution: Corrected: 2021-08-02

One restraint report reviewed did not include the type of restraint that was used.

Resolution: Corrected: 2021-08-02

Several children's medication record reviewed showed that children either missed doses of their medication or were not given at the correct time.

Resolution: Corrected: 2021-07-28

Several children's medication records reviewed did not have an accurate count.

Resolution: Corrected: 2021-08-02

One child record reviewed did not have a documented TB test.

Resolution: Corrected: 2021-08-02

One child record reviewed did not have a documented TB test.

Resolution: Corrected: 2021-08-02

The operation does not have an overall operation evaluation for emergency behavior interventions.

Resolution: Corrected: 2021-08-02

Several children's medication records reviewed did not have an accurate count.

Resolution: Corrected: 2021-08-02

Caregiver with a pending background check was present at the operation, supervising children and administering medication.

Resolution: Corrected: 2021-07-28

Several children's medication record reviewed showed that children either missed doses of their medication or were not given at the correct time.

Resolution: Corrected: 2021-07-28

There was no documentation regarding a post restraint discussion.

Resolution: Corrected: 2021-08-02

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver failed to properly supervise the children due to sleeping while on shift.

Resolution: Corrected: 2021-07-28

A caregiver failed to show prudent judgement when she slept while on shift. The caregiver was the only adult at the facility at the time and was responsible for the safety and well being of all the children

Resolution: Corrected: 2021-07-28

The permit holder failed to ensure compliance with minimum standards and rules and also failed to follow the conditions of a safety plan.

Resolution: Corrected: 2021-07-28

A caregiver failed to show prudent judgement when she slept while on shift. The caregiver was the only adult at the facility at the time and was responsible for the safety and well being of all the children

Resolution: Corrected: 2021-07-28

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver failed to properly supervise the children due to sleeping while on shift.

Resolution: Corrected: 2021-07-28

The permit holder failed to ensure compliance with minimum standards and rules and also failed to follow the conditions of a safety plan.

Resolution: Corrected: 2021-07-28

A caregiver failed to show prudent judgement when she slept while on shift. The caregiver was the only adult at the facility at the time and was responsible for the safety and well being of all the children

Resolution: Corrected: 2021-07-28

A caregiver failed to show prudent judgement when she slept while on shift. The caregiver was the only adult at the facility at the time and was responsible for the safety and well being of all the children

Resolution: Corrected: 2021-07-28

The permit holder failed to ensure compliance with minimum standards and rules and also failed to follow the conditions of a safety plan.

Resolution: Corrected: 2021-07-28

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver failed to properly supervise the children due to sleeping while on shift.

Resolution: Corrected: 2021-07-28

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver failed to properly supervise the children due to sleeping while on shift.

Resolution: Corrected: 2021-07-28

The permit holder failed to ensure compliance with minimum standards and rules and also failed to follow the conditions of a safety plan.

Resolution: Corrected: 2021-07-28

CCI was unable to retrieve or view records while at the operation. Also, requested documentation was not immediately available.

Resolution: Corrected: 2021-06-01

While at the operation, CCI heard staff yelling and cursing at and in the presence of children.

Resolution: Corrected: 2021-06-01

While at the operation, CCI heard staff yelling and cursing at and in the presence of children.

Resolution: Corrected: 2021-06-01

CCI was unable to retrieve or view records while at the operation. Also, requested documentation was not immediately available.

Resolution: Corrected: 2021-06-01

While at the operation, CCI heard staff yelling and cursing at and in the presence of children.

Resolution: Corrected: 2021-06-01

CCI was unable to retrieve or view records while at the operation. Also, requested documentation was not immediately available.

Resolution: Corrected: 2021-06-01

While at the operation, CCI heard staff yelling and cursing at and in the presence of children.

Resolution: Corrected: 2021-06-01

CCI was unable to retrieve or view records while at the operation. Also, requested documentation was not immediately available.

Resolution: Corrected: 2021-06-01

There is a white shelf in one of the residents closets downstairs that has a broken bottom shelf and the side is cracked as well. There is a basketball goal in the backyard that has a broken backboard, with sharp pieces of hard plastic surrounded the frame of the backboard.

Resolution: Corrected: 2021-06-03

There is a white shelf in one of the residents closets downstairs that has a broken bottom shelf and the side is cracked as well. There is a basketball goal in the backyard that has a broken backboard, with sharp pieces of hard plastic surrounded the frame of the backboard.

Resolution: Corrected: 2021-06-03

There is a white shelf in one of the residents closets downstairs that has a broken bottom shelf and the side is cracked as well. There is a basketball goal in the backyard that has a broken backboard, with sharp pieces of hard plastic surrounded the frame of the backboard.

Resolution: Corrected: 2021-06-03

There is a white shelf in one of the residents closets downstairs that has a broken bottom shelf and the side is cracked as well. There is a basketball goal in the backyard that has a broken backboard, with sharp pieces of hard plastic surrounded the frame of the backboard.

Resolution: Corrected: 2021-06-03

During a walk though of the facility 2 out of the 4 bathrooms observed had toilets that where filthy and bathrooms held really strong urine odors.

Resolution: Corrected: 2021-06-16

During a walk though of the facility 2 out of the 4 bathrooms observed had toilets that where filthy and bathrooms held really strong urine odors.

Resolution: Corrected: 2021-06-16

During a walk though of the facility 2 out of the 4 bathrooms observed had toilets that where filthy and bathrooms held really strong urine odors.

Resolution: Corrected: 2021-06-16

During a walk though of the facility 2 out of the 4 bathrooms observed had toilets that where filthy and bathrooms held really strong urine odors.

Resolution: Corrected: 2021-06-16

From medication records it was determined that 2 children were given medication that was discontinued.

Resolution: Corrected: 2021-06-18

While reviewing medication records it was determined that 4 children did not receive their medication because the refills were not made in a timely manner. As a result, medication was not administered daily as instructed. There was also 1 child who did not receive the correct dosage, the medication was to be given once a day but was given twice a day by staff. .

Resolution: Corrected: 2021-06-04

There were 5 medication records missing for 3 children in care. There was no way to confirm that the medication was administrated.

Resolution: Corrected: 2021-06-18

There were 5 medication records missing for 3 children in care. There was no way to confirm that the medication was administrated.

Resolution: Corrected: 2021-06-18

While reviewing medication records it was determined that 4 children did not receive their medication because the refills were not made in a timely manner. As a result, medication was not administered daily as instructed. There was also 1 child who did not receive the correct dosage, the medication was to be given once a day but was given twice a day by staff. .

Resolution: Corrected: 2021-06-04

There were 5 medication records missing for 3 children in care. There was no way to confirm that the medication was administrated.

Resolution: Corrected: 2021-06-18

From medication records it was determined that 2 children were given medication that was discontinued.

Resolution: Corrected: 2021-06-18

While reviewing medication records it was determined that 4 children did not receive their medication because the refills were not made in a timely manner. As a result, medication was not administered daily as instructed. There was also 1 child who did not receive the correct dosage, the medication was to be given once a day but was given twice a day by staff. .

Resolution: Corrected: 2021-06-04

While reviewing medication records it was determined that 4 children did not receive their medication because the refills were not made in a timely manner. As a result, medication was not administered daily as instructed. There was also 1 child who did not receive the correct dosage, the medication was to be given once a day but was given twice a day by staff. .

Resolution: Corrected: 2021-06-04

From medication records it was determined that 2 children were given medication that was discontinued.

Resolution: Corrected: 2021-06-18

There were 5 medication records missing for 3 children in care. There was no way to confirm that the medication was administrated.

Resolution: Corrected: 2021-06-18

From medication records it was determined that 2 children were given medication that was discontinued.

Resolution: Corrected: 2021-06-18

EBI documentation stated that a prone restraint was used on a child in care.

Resolution: Corrected: 2021-06-25

EBI documentation stated that a prone restraint was used on a child in care.

Resolution: Corrected: 2021-06-25

EBI documentation stated that a prone restraint was used on a child in care.

Resolution: Corrected: 2021-06-25

EBI documentation stated that a prone restraint was used on a child in care.

Resolution: Corrected: 2021-06-25

During a visit at the operation, CCI observed an electric saw sitting just outside the front door of the operation.

Resolution: Corrected: 2021-05-04

During a visit at the operation, CCI observed an electric saw sitting just outside the front door of the operation.

Resolution: Corrected: 2021-05-04

During a visit at the operation, CCI observed an electric saw sitting just outside the front door of the operation.

Resolution: Corrected: 2021-05-04

During a visit at the operation, CCI observed an electric saw sitting just outside the front door of the operation.

Resolution: Corrected: 2021-05-04

Night shift staff are signing the medication logs when it is the day shift staff that administers them.

Resolution: Corrected: 2021-04-19

Several staff stated the night shift pops out the 8am medication at night and the staff on day shift administers them.

Resolution: Corrected: 2021-04-19

All windows in the bedrooms and living quarters are nailed shut.

Resolution: Corrected at inspection

All windows in the bedrooms and living quarters are nailed shut.

Resolution: Corrected at inspection

Several staff stated the night shift pops out the 8am medication at night and the staff on day shift administers them.

Resolution: Corrected: 2021-04-19

All windows in the bedrooms and living quarters are nailed shut.

Resolution: Corrected at inspection

Night shift staff are signing the medication logs when it is the day shift staff that administers them.

Resolution: Corrected: 2021-04-19

Several staff stated the night shift pops out the 8am medication at night and the staff on day shift administers them.

Resolution: Corrected: 2021-04-19

All windows in the bedrooms and living quarters are nailed shut.

Resolution: Corrected at inspection

Night shift staff are signing the medication logs when it is the day shift staff that administers them.

Resolution: Corrected: 2021-04-19

Night shift staff are signing the medication logs when it is the day shift staff that administers them.

Resolution: Corrected: 2021-04-19

Several staff stated the night shift pops out the 8am medication at night and the staff on day shift administers them.

Resolution: Corrected: 2021-04-19

A staff member has violated the conditions of a background check by administering medications and transporting children in care.

Resolution: Corrected: 2021-04-16

A staff member has violated the conditions of a background check by administering medications and transporting children in care.

Resolution: Corrected: 2021-04-16

A staff member has violated the conditions of a background check by administering medications and transporting children in care.

Resolution: Corrected: 2021-04-16

A staff member has violated the conditions of a background check by administering medications and transporting children in care.

Resolution: Corrected: 2021-04-16

After conducting several interviews it was learned that a staff member falls asleep during the night shift.

Resolution: Corrected: 2021-05-04

One of the service planned reviewed appeared to be copied and pasted. The verbiage in the service plan does not match the RTC.

Resolution: Corrected: 2021-04-27

One of the service planned reviewed appeared to be copied and pasted. The verbiage in the service plan does not match the RTC.

Resolution: Corrected: 2021-04-27

After conducting several interviews it was learned that a staff member falls asleep during the night shift.

Resolution: Corrected: 2021-05-04

One of the service planned reviewed appeared to be copied and pasted. The verbiage in the service plan does not match the RTC.

Resolution: Corrected: 2021-04-27

After conducting several interviews it was learned that a staff member falls asleep during the night shift.

Resolution: Corrected: 2021-05-04

One of the service planned reviewed appeared to be copied and pasted. The verbiage in the service plan does not match the RTC.

Resolution: Corrected: 2021-04-27

After conducting several interviews it was learned that a staff member falls asleep during the night shift.

Resolution: Corrected: 2021-05-04

Multiple staff and residents stated that 2 children in care have a habit of running away.

Resolution: Corrected: 2021-04-12

During a restraint by a caregiver, a child in care was slammed to the ground and held down on his stomach with his arms behind his back while the caregiver used her bodyweight to keep the child down, causing the child pain.

Resolution: Corrected: 2021-03-17

A caregiver used corporal punishment on a child when she wrestled with the child and slammed the child to the ground.

Resolution: Corrected: 2021-03-17

A caregiver antagonized children in care by using abusive language.

Resolution: Corrected: 2021-03-17

The caregivers failed to attempt to de-escalate a situation before performing a restraint on a child in care.

Resolution: Corrected: 2021-03-17

The caregiver failed to use the minimal amount of force when slamming the child to the ground causing the child to have an injury under his eye.

Resolution: Corrected: 2021-03-17

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver caused physical harm and injury to a child when performing an improper restraint.

Resolution: Corrected: 2021-03-12