A Better Choice ABC LLC

A child's file reviewed did not have the child s bio parent s names or contact information documented in the file. It was also missing the child s sibling's information.

Condition #1 is met Condition #2 is met Condition #3 is met Condition #4 is met Condition #5 is met Condition #6 is not met. Two new placements do not have an initial audit completed. The children ae not emergency placements and have been in placement for almost a month. Condition #7 is met

The current fire inspection was marked as a foster home and not a GRO. It was noted on the fire inspection that they housed 5 or less children.

A caregiver did not follow the conditions listed on their background check when the caregiver transported children.

Children's documents were not in their record within the 30 day timeframe requirement.

The tile in the child's bathroom is cracked and is pulling up from the floor.

An employee file did not have reference checks or employment verifications in their record.

Two children did not sign their initial service plans.

Two children's files are missing information required in the section below 748.1337(b).

Condition 1 is met. Condition 2 is not ready for review. Condition 3 is deficient. This was corrected on 10/30 when they submitted a resume for a outside trainer. However, this was submitted late. Condition 4 is not ready for review. Condition 5 is not ready for review. Condition 6 is met. Condition 7 is met.

A contract employee did not have an eligible background check.

A contract employee does not have an employee file.

Staff was missing the first aid trianing.

Staff file is missing the form 2912.

The pre-employment affidavit for applicants were not completed before employees were hired and is missing information on the form.

The facility has a lot of dirt around the windows. There are cracked tiles that are also coming up. There is a hole in a step, broken window blinds, paint is peeling in a bedroom, a broken window, cracked walls, and black marks on a wall.

The length of training hours is not included on all training certificates.

It was discovered that a child attempted suicide and it was not reported to state wide intake. The child was also arrested during the same incident which is also reportable and was not reported.

Employee files were missing the required list five years of employment history, verification of employment and reference checks.

Fire extinguishers are past due for their annual inspection.

A child did not have a completed admission assessment in their record.

Caregivers did not intervene when children in care were injured during an altercation.

A serious incident report is missing the names of the staff involved.

This standard was found deficient as part of a DFPS Investigation.

Caregivers did not provide adequate supervision to children which led to an altercation among children and resulted in a serious injury.

A child was seriously injured, and the incident was not reported.

The employee's file did not include contact names and information for reference checks, reference checks and information required for the reference checks, and an assessment of applicant's suitability to work with or around children.

The following information was missing from an employee file: The date of hire, the proof of education, and a signed statement showing that they must document and report incident of child abuse/neglect

It was discovered that a child's medication count did not match the medication log. During the follow up inspection, there was another medication that had a count that did not match the medication log.

During the follow up inspection, it was discovered that the medication record was not updated within two hours of administering the medication.

The pill count for multiple children's medications did not match what was documented on the medication log.

During the inspection it was determined that a staff is not following the restrictions placed by CBCU.

It was discovered that a child's medication count did not match the medication log.

A caregiver has transported children while driver s license is expired.

The name and signature of the person dispensing the laxative was not provided only the initials were present.

The date and time the incident was reported to the legal parent and/or law enforcement was notified was not noted on a serious incident report.

A child was not given their morning medication.

During the investigation inspection, it was discovered that staff did not adhere to the restrictions placed by CBCU.

During the investigation inspection, it was discovered that some of a child's medications are being stored in a weekly pill container outside of the original container.

During the walk through for the investigation inspection, one child's medication logs were filled out for the rest of the month. The date of the inspection was on 11/26.

During the walk through when examining the medication logs, the pill count for one of the children's medications did not match what was documented on the child's medication log.

During the investigation inspection, the unauthorized absence log was not provided to licensing staff upon request.

On both of the incident reports reviewed, neither one documented information about the other child involved.

There were no signatures on the preliminary service plans that were reviewed.

It was determined that the service plan reviews were not being conducted for a child in care placed at the operation for more than 180 days.

During the review of children's records, it was discoverd that the children's service plans were not in the child's file.

The following informaton is missing from the serious incidet reports: The address of the operation, the phone number of the operation, the time of the incident, the age of the child, the gender of the child, the placement date of the child, and the resolution of the incident.

An out of state back ground check was not completed for an employee who moved to Texas in 2020.

One of the three employee files did not have the contact attempts made prior to being hired.

One of the two children at the operation were not supervised in accordance with the information that is described and documented in the child's information data.

A caregiver failed to provide appropriate supervision for two children in care which allowed the children to engage in inappropriate contact while placed at the operation.

Two children in care, both age 14 were involved in inappropriate sexualized behavior while placed at the operation, and the caregiver was unaware of the children's activity.

Both child files reviewed did not list the religion for the child in care in the admissions.

Both child files reviewed did not have the suicide prevention assessment for children age 10 and over. Both children are over the age of 10.

The incident report did not have a physical address, telephone number or the name of the operation on the incident form.

A caregiver fought and hit a child in care in the face.

17-year-old child in care with a history of aggressive behaviors was escalated by a caregiver resulting in a physical altercation and the child's arrest.

It was determined that staff did not demonstrate self-control and maintain appropriate boundaries causing a child's behavior to escalate.

One of the two files reviewed did not have the contact numbers of the siblings.

One of the two childrens medication log did not match the number of pills in the pill packs.

The medication log did not have the cumulative totals listed. There was no medication log, The time, name of medication and dosage amount was llisted on the childs daily notes.

The operation supplied the updated financials for the 3 month and 12 month as well as a bank statement

Both employee files reviewed did not have the date of hire in the employee file

The Admissions policy did not include the statement "medication the children are taking"

Both employee files did not contain documentation regarding the tuberculosis screenng or results.

One of the two employee files reviewed did not contain a job description.

One of the two employee files reviewed did not have the background check requested.

Both employee files reviewed did not have the drivers license. One of them did not have the license or job description. The second employee file indicated that the employee would be assisting in driving, but did not have a vailid Texas driving license.