Adiee, LLC
License Information
- Status
- Licensed
- License #
- 1675992
- Expires
- June 24, 2027
- Licensed Capacity
- 15 children
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
393 records- routine#862268203
No violations found. All areas in compliance.
No violations
- routine#862268202
No violations found. All areas in compliance.
No violations
- routine#862268201
No violations found. All areas in compliance.
No violations
- routine#862268200
1 violation found (1 medium severity).
Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
MediumThe child file reviewed did not include an updated service plan for review.
748.1381(2)Corrected 2026-01-31 - routine#862268199
No violations found. All areas in compliance.
No violations
- complaint#862373171
No violations found. All areas in compliance.
No violations
- routine#862268198
No violations found. All areas in compliance.
No violations
- routine#862268197
No violations found. All areas in compliance.
No violations
- routine#862268196
No violations found. All areas in compliance.
No violations
- self-report#862373170
No violations found. All areas in compliance.
No violations
- routine#862268195
No violations found. All areas in compliance.
No violations
- self-report#862373169
No violations found. All areas in compliance.
No violations
- routine#862268194
No violations found. All areas in compliance.
No violations
- routine#862268193
No violations found. All areas in compliance.
No violations
- routine#862268192
No violations found. All areas in compliance.
No violations
- routine#862268191
No violations found. All areas in compliance.
No violations
- routine#862268190
No violations found. All areas in compliance.
No violations
- complaint#862373168
No violations found. All areas in compliance.
No violations
- routine#862268189
No violations found. All areas in compliance.
No violations
- routine#862268188
1 violation found (1 medium severity).
Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
MediumDuring the walkthrough of the facility, several windows upstairs were noticed without any curtains, blinds or shades.
748.3351(5)Corrected 2025-10-27 - self-report#862373167
No violations found. All areas in compliance.
No violations
- routine#862268187
No violations found. All areas in compliance.
No violations
- routine#862268186
No violations found. All areas in compliance.
No violations
- self-report#862373166
No violations found. All areas in compliance.
No violations
- assessment#862397226
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on October 2, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2025-10-03 - routine#862268185
No violations found. All areas in compliance.
No violations
- routine#862268184
No violations found. All areas in compliance.
No violations
- routine#862268183
No violations found. All areas in compliance.
No violations
- complaint#862373165
2 violations found (2 high severity).
Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HighDuring an investigation review, a child stated they were not provided snacks for a few weeks and photographs reviewed showed limited amounts of food in the pantry and refrigerator.
748.1693(a)(1)Corrected 2025-11-27Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HighA staff member belittled a child in care when expressing to them that they do not deserve respect and should stay in a child's place.
748.1101(b)(4)(A)(v)Corrected 2025-11-27 - self-report#862373164
1 violation found (1 medium severity).
Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
MediumChildren in care were reported to have left the operation at 12:24 pm. Parents (CPS workers) were not notified until 7:43 pm and 7:51 pm, which is after the 6 hour requirement.
748.303(a)(10)(B)Corrected 2025-11-28 - routine#862268182
4 violations found (1 high, 3 medium severity).
Service Plan Review-Must document in the child's record the review and update of the plan
MediumThe child's file reviewed did not include the service plan update that was scheduled for June 11th.
748.1385(9)Corrected 2025-09-24EBI policy - For orientation, explain and document to a child in a manner that the child can understand
HighThe policy reviewed did not include the required components for child orientation regarding emergency behavior interventions.
748.113(5)(A)Corrected 2025-09-24Serious Incident Documentation-Documented in written report
MediumA serious incident report reviewed did not include the age of the child involved or interventions made during or after the incident.
748.311Corrected 2025-09-24Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
MediumMultiple employees were observed in CLASS that are no longer employed at the operation.
745.651(1)Corrected 2025-09-24 - routine#862268181
No violations found. All areas in compliance.
No violations
- assessment#862397225
1 violation found (1 medium severity).
Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
MediumA child's file reviewed did not have an admission assessment for the child's re-admission; the child was previously admitted to the operation in Aug. 2024 and re-admitted on Jan. 4, 2025.
748.1217(a)Corrected 2025-09-19 - routine#862268180
No violations found. All areas in compliance.
No violations
- self-report#862373163
No violations found. All areas in compliance.
No violations
- routine#862268179
No violations found. All areas in compliance.
No violations
- complaint#862373162
2 violations found (2 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighA video recording indicates that a staff member provoked a child by using verbal commands and hand gestures in a manner that challenged the child to fight.
748.507(1)Corrected 2025-09-17Other Prohibited Punishments-subjecting a child to abusive or profane language
HighA video recording was provided of a staff member using inappropriate language towards a child in care.
748.2307(9)Corrected 2025-09-17 - routine#862268178
No violations found. All areas in compliance.
No violations
- routine#862268177
No violations found. All areas in compliance.
No violations
- complaint#862373160
1 violation found (1 low severity).
Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
LowThe two service plans obtained for the investigation were not signed by the youth nor was their refusal to sign documented.
748.1349(b)(2)Corrected 2025-09-24 - complaint#862373161
No violations found. All areas in compliance.
No violations
- routine#862268176
No violations found. All areas in compliance.
No violations
- routine#862268175
No violations found. All areas in compliance.
No violations
- routine#862268174
No violations found. All areas in compliance.
No violations
- routine#862268173
No violations found. All areas in compliance.
No violations
- routine#862268172
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighThe childs medication reviewed did not indicate the accurate count of the remaining pills.
748.2151(d)Corrected 2025-07-01 - complaint#862373159
No violations found. All areas in compliance.
No violations
- complaint#862373158
2 violations found (2 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
HighA video recording indicated a staff member cursing at a child in care.
748.2307(9)Corrected 2025-08-21Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighA video recording indicated a staff member yelling at a child in care.
748.2307(8)Corrected 2025-08-21 - routine#862268171
No violations found. All areas in compliance.
No violations
- self-report#862373157
No violations found. All areas in compliance.
No violations
- complaint#862373156
No violations found. All areas in compliance.
No violations
- routine#862268170
No violations found. All areas in compliance.
No violations
- routine#862268169
No violations found. All areas in compliance.
No violations
- routine#862268168
No violations found. All areas in compliance.
No violations
- routine#862268167
No violations found. All areas in compliance.
No violations
- self-report#862373155
3 violations found (3 medium severity).
Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
MediumAWOL log provided was for 1 child. Missing age, gender, and date of admission.
748.453(a)(1)Corrected 2025-07-21Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
MediumDischarge plan provided is missing several details including circumstances of discharge.
748.1437(1)Corrected 2025-07-21Serious Incident - Unauthorized absence of a child-document whether child returned to operation and how long child was gone from operation
MediumIncident report received regarding AWOL was missing departure and return times.
748.313(3)(D)Corrected 2025-07-21 - complaint#862373154
No violations found. All areas in compliance.
No violations
- routine#862268166
No violations found. All areas in compliance.
No violations
- routine#862268165
No violations found. All areas in compliance.
No violations
- self-report#862373153
No violations found. All areas in compliance.
No violations
- complaint#862373152
1 violation found (1 low severity).
Initial Service Plan-For treatment services, service planning team must include two professionals
LowA service plan for a child in care identified as receiving treatment services did not contain two professionals on the service planning team.
748.1339(b)Corrected 2025-06-19 - routine#862268164
No violations found. All areas in compliance.
No violations
- routine#862268163
No violations found. All areas in compliance.
No violations
- complaint#862373151
No violations found. All areas in compliance.
No violations
- routine#862268162
No violations found. All areas in compliance.
No violations
- routine#862268161
No violations found. All areas in compliance.
No violations
- self-report#862373150
No violations found. All areas in compliance.
No violations
- routine#862268160
No violations found. All areas in compliance.
No violations
- complaint#862373149
No violations found. All areas in compliance.
No violations
- self-report#862373148
No violations found. All areas in compliance.
No violations
- routine#862268159
No violations found. All areas in compliance.
No violations
- assessment#862397224
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on March 31, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2025-04-01 - routine#862268158
No violations found. All areas in compliance.
No violations
- routine#862268157
No violations found. All areas in compliance.
No violations
- self-report#862373147
No violations found. All areas in compliance.
No violations
- routine#862268156
No violations found. All areas in compliance.
No violations
- complaint#862373146
No violations found. All areas in compliance.
No violations
- routine#862268155
No violations found. All areas in compliance.
No violations
- routine#862268154
No violations found. All areas in compliance.
No violations
- complaint#862373145
No violations found. All areas in compliance.
No violations
- complaint#862373144
No violations found. All areas in compliance.
No violations
- routine#862268153
No violations found. All areas in compliance.
No violations
- routine#862268152
No violations found. All areas in compliance.
No violations
- routine#862268151
No violations found. All areas in compliance.
No violations
- complaint#862373143
No violations found. All areas in compliance.
No violations
- complaint#862373142
No violations found. All areas in compliance.
No violations
- self-report#862373141
No violations found. All areas in compliance.
No violations
- complaint#862373140
No violations found. All areas in compliance.
No violations
- routine#862268150
No violations found. All areas in compliance.
No violations
- complaint#862373139
No violations found. All areas in compliance.
No violations
- routine#862268149
No violations found. All areas in compliance.
No violations
- routine#862268148
No violations found. All areas in compliance.
No violations
- self-report#862373138
No violations found. All areas in compliance.
No violations
- routine#862268147
No violations found. All areas in compliance.
No violations
- routine#862268146
No violations found. All areas in compliance.
No violations
- assessment#862397223
No violations found. All areas in compliance.
No violations
- self-report#862373137
1 violation found (1 medium severity).
Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
MediumThe operation did not report two children in care's unauthorized absences to their CVS workers within the required time frame by minimum standards.
748.303(a)(10)(B)Corrected 2025-02-26 - routine#862268145
No violations found. All areas in compliance.
No violations
- routine#862268144
No violations found. All areas in compliance.
No violations
- routine#862268143
No violations found. All areas in compliance.
No violations
- complaint#862373136
No violations found. All areas in compliance.
No violations
- self-report#862373135
1 violation found (1 medium severity).
Serious Incident-Report to parents as soon as facility aware that child is indicted, charged, or arrested
MediumDuring the investigation, it was learned that the operation failed to notify the conservator of the child timely. Notification was not made about the incident until the following day.
748.303(a)(6)(B)Corrected 2025-02-10 - routine#862268142
No violations found. All areas in compliance.
No violations
- complaint#862373134
No violations found. All areas in compliance.
No violations
- routine#862268141
No violations found. All areas in compliance.
No violations
- routine#862268140
No violations found. All areas in compliance.
No violations
- complaint#862373133
No violations found. All areas in compliance.
No violations
- assessment#862397222
No violations found. All areas in compliance.
No violations
- complaint#862373132
No violations found. All areas in compliance.
No violations
- routine#862268139
No violations found. All areas in compliance.
No violations
- routine#862268138
No violations found. All areas in compliance.
No violations
- complaint#862373131
No violations found. All areas in compliance.
No violations
- complaint#862373130
No violations found. All areas in compliance.
No violations
- routine#862268137
No violations found. All areas in compliance.
No violations
- complaint#862373129
No violations found. All areas in compliance.
No violations
- complaint#862373128
No violations found. All areas in compliance.
No violations
- self-report#862373127
No violations found. All areas in compliance.
No violations
- routine#862268136
No violations found. All areas in compliance.
No violations
- routine#862268135
No violations found. All areas in compliance.
No violations
- assessment#862397221
No violations found. All areas in compliance.
No violations
- routine#862268134
No violations found. All areas in compliance.
No violations
- self-report#862373126
No violations found. All areas in compliance.
No violations
- routine#862268133
No violations found. All areas in compliance.
No violations
- complaint#862373125
No violations found. All areas in compliance.
No violations
- routine#862268132
No violations found. All areas in compliance.
No violations
- self-report#862373124
No violations found. All areas in compliance.
No violations
- routine#862268131
No violations found. All areas in compliance.
No violations
- self-report#862373123
No violations found. All areas in compliance.
No violations
- complaint#862373122
No violations found. All areas in compliance.
No violations
- complaint#862373121
No violations found. All areas in compliance.
No violations
- self-report#862373120
1 violation found (1 high severity).
Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HighThere was no documentation indicating that a debriefing took place with all of the required components according to the minimum standards.
748.455(a)Corrected 2025-01-21 - self-report#862373119
1 violation found (1 high severity).
Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HighThe operation reports they were unaware staff was required to complete an annual suicide prevention training.
748.125(c)(1)Corrected 2024-12-26 - routine#862268130
No violations found. All areas in compliance.
No violations
- complaint#862373118
No violations found. All areas in compliance.
No violations
- routine#862268129
No violations found. All areas in compliance.
No violations
- routine#862268128
No violations found. All areas in compliance.
No violations
- routine#862268127
No violations found. All areas in compliance.
No violations
- routine#862268126
No violations found. All areas in compliance.
No violations
- complaint#862373117
No violations found. All areas in compliance.
No violations
- routine#862268125
No violations found. All areas in compliance.
No violations
- complaint#862373116
No violations found. All areas in compliance.
No violations
- routine#862268124
No violations found. All areas in compliance.
No violations
- routine#862268123
No violations found. All areas in compliance.
No violations
- routine#862268122
No violations found. All areas in compliance.
No violations
- complaint#862373115
No violations found. All areas in compliance.
No violations
- routine#862268121
No violations found. All areas in compliance.
No violations
- routine#862268120
No violations found. All areas in compliance.
No violations
- complaint#862373114
No violations found. All areas in compliance.
No violations
- assessment#862397220
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on September 30, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2024-10-01 - complaint#862373113
No violations found. All areas in compliance.
No violations
- self-report#862373112
No violations found. All areas in compliance.
No violations
- routine#862268119
No violations found. All areas in compliance.
No violations
- routine#862268118
No violations found. All areas in compliance.
No violations
- complaint#862373111
No violations found. All areas in compliance.
No violations
- routine#862268117
No violations found. All areas in compliance.
No violations
- routine#862268116
No violations found. All areas in compliance.
No violations
- complaint#862373110
No violations found. All areas in compliance.
No violations
- complaint#862373109
No violations found. All areas in compliance.
No violations
- complaint#862373108
No violations found. All areas in compliance.
No violations
- complaint#862373107
No violations found. All areas in compliance.
No violations
- complaint#862373106
No violations found. All areas in compliance.
No violations
- routine#862268115
No violations found. All areas in compliance.
No violations
- routine#862268114
No violations found. All areas in compliance.
No violations
- complaint#862373105
No violations found. All areas in compliance.
No violations
- routine#862268113
1 violation found (1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumDuring a review of incident reports and runaway incident reports, on multiple records the documentation was incomplete.
748.151(3)Corrected 2024-09-03 - routine#862268112
No violations found. All areas in compliance.
No violations
- routine#862268111
No violations found. All areas in compliance.
No violations
- assessment#862397219
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-care administrator
HighThe operation failed to employ a licensed administrator within the 120-day allotted timeframe.
748.151(1)Corrected 2024-09-12 - routine#862268110
No violations found. All areas in compliance.
No violations
- routine#862268109
No violations found. All areas in compliance.
No violations
- assessment#862397218
No violations found. All areas in compliance.
No violations
- routine#862268108
No violations found. All areas in compliance.
No violations
- assessment#862397217
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-care administrator
HighThe operation failed to employ a licensed administrator within the 90-day allotted timeframe.
748.151(1)Corrected 2024-08-11 - routine#862268107
No violations found. All areas in compliance.
No violations
- routine#862268106
No violations found. All areas in compliance.
No violations
- routine#862268105
No violations found. All areas in compliance.
No violations
- routine#862268104
No violations found. All areas in compliance.
No violations
- self-report#862373104
No violations found. All areas in compliance.
No violations
- self-report#862373103
1 violation found (1 medium severity).
Unauthorized Absence Eval-results of each overall operation eval for unauth absences must be avb to CCR for review and reproduction upon request
MediumThe operation was not able the triggered reviews and stated they are not required to complete triggered reviews.
748.463(e)Corrected 2024-08-16 - routine#862268103
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-care administrator
HighThe operation failed to employ a licensed administrator within the 60-day allotted timeframe.
748.151(1)Corrected 2024-07-12 - self-report#862373102
No violations found. All areas in compliance.
No violations
- routine#862268102
No violations found. All areas in compliance.
No violations
- routine#862268101
No violations found. All areas in compliance.
No violations
- routine#862268100
No violations found. All areas in compliance.
No violations
- self-report#862373101
2 violations found (2 medium severity).
EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
MediumThe caregiver did not have any type of discussion after the incident with the child.
748.2851(b)Corrected 2024-06-21EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
MediumThere was an indication that containment was required in the serious incident report, but the operation did not complete a restraint report.
748.2855(a)Corrected 2024-06-21 - routine#862268099
No violations found. All areas in compliance.
No violations
- routine#862268098
No violations found. All areas in compliance.
No violations
- complaint#862373100
No violations found. All areas in compliance.
No violations
- routine#862268097
No violations found. All areas in compliance.
No violations
- complaint#862373099
No violations found. All areas in compliance.
No violations
- routine#862268096
No violations found. All areas in compliance.
No violations
- complaint#862373098
No violations found. All areas in compliance.
No violations
- complaint#862373097
3 violations found (2 high, 1 medium severity).
Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumThe operation failed to report the serious incident after the children AWOL
748.303(a)(10)(A)Corrected 2024-06-21Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HighOperation staff confirmed that they do not debrief the children following serious incidents.
748.455(a)Corrected 2024-06-21Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
HighThe operation staff confirmed they do not conduct triggered reviews following 3 unauthorized absences within a 60-day timeframe.
748.457(a)Corrected 2024-06-21 - routine#862268095
No violations found. All areas in compliance.
No violations
- self-report#862373096
No violations found. All areas in compliance.
No violations
- routine#862268094
1 violation found (1 medium severity).
Serious Incident Documentation-Documented in written report
MediumDuring the inspection, it was found that there is no incident report regarding the unauthorized absence that took place on March 14, 2024
748.311Corrected 2024-04-23 - assessment#862397216
No violations found. All areas in compliance.
No violations
- complaint#862373095
No violations found. All areas in compliance.
No violations
- routine#862268093
1 violation found (1 medium severity).
Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
MediumDuring the inspection, it was observed that the AWOL annual summary log did not display the proper information.
748.453(a)(1)Corrected 2024-04-19 - routine#862268092
No violations found. All areas in compliance.
No violations
- routine#862268091
No violations found. All areas in compliance.
No violations
- complaint#862373094
No violations found. All areas in compliance.
No violations
- routine#862268090
No violations found. All areas in compliance.
No violations
- assessment#862397215
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on March 26, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2024-03-27 - complaint#862373093
1 violation found (1 high severity).
Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HighThe medication logs for two children could not be provided.
748.2151(a)Corrected 2024-04-26 - routine#862268089
No violations found. All areas in compliance.
No violations
- routine#862268088
No violations found. All areas in compliance.
No violations
- routine#862268087
No violations found. All areas in compliance.
No violations
- complaint#862373092
2 violations found (2 medium severity).
Unauthorized Absence ? Annual summary log must include time and date absence was discovered
MediumDuring the review of the summary log it was noted that the incident that occurred on 03/14/24 involving a child jumping from the second floor window and leaving unbeknownst staff was not recorded on the log.
748.453(a)(2)Corrected 2024-04-23Serious Incident Documentation-Documented in written report
MediumDuring the review of the incident report, it was noted that there was no report for March 12, 2024.
748.311Corrected 2024-04-23 - self-report#862373091
No violations found. All areas in compliance.
No violations
- complaint#862373090
No violations found. All areas in compliance.
No violations
- routine#862268086
No violations found. All areas in compliance.
No violations
- routine#862268085
No violations found. All areas in compliance.
No violations
- routine#862268084
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-care administrator
HighDuring the course of the inspection, it was determined that the adminstrator does not maintain full time hours.
748.151(1)Corrected 2024-03-15 - routine#862268083
No violations found. All areas in compliance.
No violations
- routine#862268082
No violations found. All areas in compliance.
No violations
- complaint#862373089
No violations found. All areas in compliance.
No violations
- routine#862268081
No violations found. All areas in compliance.
No violations
- routine#862268080
No violations found. All areas in compliance.
No violations
- self-report#862373088
No violations found. All areas in compliance.
No violations
- routine#862268079
No violations found. All areas in compliance.
No violations
- complaint#862373087
No violations found. All areas in compliance.
No violations
- routine#862268078
No violations found. All areas in compliance.
No violations
- routine#862268077
No violations found. All areas in compliance.
No violations
- complaint#862373086
No violations found. All areas in compliance.
No violations
- routine#862268076
1 violation found (1 medium severity).
Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumDuring a Heightened Monitoring Inspection, it was found that an incident of three children running away from the operation was not reported to licensing until 9 hours after the incident occured.
748.303(a)(10)(A)Corrected 2023-12-29 - complaint#862373085
1 violation found (1 high severity).
EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HighThe victim child and several children who witnessed the restraint indicated that the staff used more physical force than required while conducting the restraint.
748.2551(c)(2)Corrected 2024-02-16 - routine#862268075
No violations found. All areas in compliance.
No violations
- routine#862268074
No violations found. All areas in compliance.
No violations
- routine#862268073
No violations found. All areas in compliance.
No violations
- complaint#862373084
No violations found. All areas in compliance.
No violations
- complaint#862373083
No violations found. All areas in compliance.
No violations
- routine#862268072
No violations found. All areas in compliance.
No violations
- routine#862268071
No violations found. All areas in compliance.
No violations
- routine#862268070
2 violations found (2 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighMedication logs reviewed did not have an accurate count, in addition the medication that was administered last night was not fully documented as the staff did not sign the log for the 7pm dose on 10/24/23 as required per the minimum standards.
748.2151(d)Corrected 2023-11-01Medication Error-Operation must meet documentation requirements within 24 hrs
HighThere is no medication error protocol or documentation regarding children who have missed a dose of medication.
748.2203(c)Corrected 2023-11-01 - routine#862268069
No violations found. All areas in compliance.
No violations
- routine#862268068
No violations found. All areas in compliance.
No violations
- complaint#862373082
1 violation found (1 high severity).
AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HighChildren in care are running out of medication and miss doses of medication until the operation is able to get a refill.
748.2003(b)(3)Corrected 2023-12-09 - routine#862268067
No violations found. All areas in compliance.
No violations
- routine#862268066
No violations found. All areas in compliance.
No violations
- routine#862268065
No violations found. All areas in compliance.
No violations
- assessment#862397214
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on September 25, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Your operation received a Medium-High weighted citation in a pattern/trend category on March 31, 2023. Specifically, the operation was cited for 748.3353(c)- Monitoring Devices. The operation met compliance April 13, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2023-09-26 - routine#862268064
No violations found. All areas in compliance.
No violations
- routine#862268063
No violations found. All areas in compliance.
No violations
- routine#862268062
No violations found. All areas in compliance.
No violations
- self-report#862373081
No violations found. All areas in compliance.
No violations
- routine#862268061
No violations found. All areas in compliance.
No violations
- self-report#862373080
No violations found. All areas in compliance.
No violations
- routine#862268060
No violations found. All areas in compliance.
No violations
- routine#862268059
No violations found. All areas in compliance.
No violations
- routine#862268058
No violations found. All areas in compliance.
No violations
- routine#862268057
No violations found. All areas in compliance.
No violations
- routine#862268056
No violations found. All areas in compliance.
No violations
- self-report#862373079
No violations found. All areas in compliance.
No violations
- self-report#862373078
No violations found. All areas in compliance.
No violations
- routine#862268055
No violations found. All areas in compliance.
No violations
- routine#862268054
No violations found. All areas in compliance.
No violations
- routine#862268053
No violations found. All areas in compliance.
No violations
- self-report#862373077
No violations found. All areas in compliance.
No violations
- routine#862268052
No violations found. All areas in compliance.
No violations
- routine#862268051
No violations found. All areas in compliance.
No violations
- routine#862268050
No violations found. All areas in compliance.
No violations
- routine#862268049
No violations found. All areas in compliance.
No violations
- routine#862268048
No violations found. All areas in compliance.
No violations
- routine#862268047
No violations found. All areas in compliance.
No violations
- routine#862268046
No violations found. All areas in compliance.
No violations
- self-report#862373076
6 violations found (4 high, 2 medium severity).
Other Prohibited Punishments-denying basic child rights as discipline or punishment
HighDuring the investigation, multiple children were not allowed to back inside the facility following a short period of unauthorized absence.
748.2307(13)Corrected 2023-10-06Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HighDuring the investigation it was found that six children and one caregiver went on an outing in a vehicle that had five seatbealts.
748.4041Corrected 2023-10-11Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighDuring the investigation it was found that a caregiver failed to exercise prudent judgement in the presence of children when the caregiver failed to actively search for children in the vicinity from which they had gone missing and when the caregiver transported children in the trunk of a vehicle.
748.507(1)Corrected 2023-10-11Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
MediumDuring the investigation it was found that a child's (with a history of unauthorized absences) preliminary service plan failed to address their supervision needs.
748.1331(a)Corrected 2023-10-11Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighA caregiver neglectfully supervised multiple children in care when she transported them in the trunk of a vehicle.
748.1101(b)(1)(B)Corrected 2023-10-06All employees and caregivers must be aware of and follow your policies and procedures
MediumThe operation failed to follow their own policy when they transported children without the use of seatbelts and when they failed to report several children's unauthorized absences from the facility within the timeframes required by their policy.
748.126(b)Corrected 2023-10-11 - routine#862268045
No violations found. All areas in compliance.
No violations
- complaint#862373075
No violations found. All areas in compliance.
No violations
- routine#862268044
No violations found. All areas in compliance.
No violations
- complaint#862373074
No violations found. All areas in compliance.
No violations
- routine#862268043
No violations found. All areas in compliance.
No violations
- routine#862268042
No violations found. All areas in compliance.
No violations
- complaint#862373073
No violations found. All areas in compliance.
No violations
- routine#862268041
No violations found. All areas in compliance.
No violations
- complaint#862373072
No violations found. All areas in compliance.
No violations
- routine#862268040
No violations found. All areas in compliance.
No violations
- routine#862268039
No violations found. All areas in compliance.
No violations
- routine#862268038
No violations found. All areas in compliance.
No violations
- complaint#862373071
No violations found. All areas in compliance.
No violations
- routine#862268037
No violations found. All areas in compliance.
No violations
- routine#862268036
No violations found. All areas in compliance.
No violations
- routine#862268035
No violations found. All areas in compliance.
No violations
- self-report#862373070
No violations found. All areas in compliance.
No violations
- self-report#862373069
No violations found. All areas in compliance.
No violations
- complaint#862373068
No violations found. All areas in compliance.
No violations
- routine#862268034
No violations found. All areas in compliance.
No violations
- routine#862268033
No violations found. All areas in compliance.
No violations
- complaint#862373067
1 violation found (1 medium severity).
Monitoring Devices-Video cameras may not be used to tape the child, and images may not be accessible except to operation employees and caregivers
MediumA child in care was able to access the operation's camera system to review the previous altercation he had with another resident. This caused him to re-escalate and try to fight a second time.
748.3353(c)Corrected 2023-04-07 - complaint#862373066
No violations found. All areas in compliance.
No violations
- complaint#862373065
No violations found. All areas in compliance.
No violations
- routine#862268032
No violations found. All areas in compliance.
No violations
- routine#862268031
No violations found. All areas in compliance.
No violations
- routine#862268030
No violations found. All areas in compliance.
No violations
- routine#862268029
No violations found. All areas in compliance.
No violations
- self-report#862373064
No violations found. All areas in compliance.
No violations
- self-report#862373063
1 violation found (1 high severity).
Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HighIt was observed that the needle of the fire extinguisher on the second floor of the facility was not in the green zone.
748.3115(3)Corrected 2023-01-12 - routine#862268028
No violations found. All areas in compliance.
No violations
- routine#862268027
No violations found. All areas in compliance.
No violations
- routine#862268026
No violations found. All areas in compliance.
No violations
- complaint#862373062
No violations found. All areas in compliance.
No violations
- routine#862268025
No violations found. All areas in compliance.
No violations
- routine#862268024
No violations found. All areas in compliance.
No violations
- routine#862268023
No violations found. All areas in compliance.
No violations
- complaint#862373061
1 violation found (1 medium severity).
Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
MediumDischarge summary was not completed for child who was discharged on 06/26/2022.
748.1437(1)Corrected 2023-01-26 - routine#862268022
2 violations found (2 high severity).
Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HighIt was observed before todays HM inspection that the facility did not have Passed fire inspection. However, the facility was able to provide me with a copy of a recent Fire Inspection which is marked as Pass by Rosenberg Fire Department during my Inspection today.
748.3101(2)Corrected 2022-11-10Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighDuring audit of medication sheet today, it was observed that a child on medication has not been able to take his sertraline HCL 50mg medication since 11-2-22 and also has not taking his Sertraline HCL 100mg medication since 11-6-22 because the child is out of medication. Sertraline HCL 100 mg was taken last on 11-5-22 and Sertraline HCL 50mg was taken last on 11-1-22. However, the facility was able to get a refill of the medications from the pharmacy during my inspection.
748.2003(b)(5)Corrected 2022-11-10 - complaint#862373060
No violations found. All areas in compliance.
No violations
- complaint#862373059
No violations found. All areas in compliance.
No violations
- routine#862268021
No violations found. All areas in compliance.
No violations
- assessment#862397213
No violations found. All areas in compliance.
No violations
- routine#862268020
No violations found. All areas in compliance.
No violations
- routine#862268019
No violations found. All areas in compliance.
No violations
- routine#862268018
No violations found. All areas in compliance.
No violations
- routine#862268017
No violations found. All areas in compliance.
No violations
- routine#862268016
No violations found. All areas in compliance.
No violations
- routine#862268015
3 violations found (1 high, 2 medium severity).
Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
MediumThe operation did not have an annual summary log available for review and reproduction upon request.
748.453(c)Corrected 2022-09-15Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighA child in care did not take his medication as prescribed for his morning dose of medication.
748.2003(b)(5)Corrected 2022-09-09Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
MediumThere was no discharge summary in the inactive child file.
748.1437(1)Corrected 2022-09-15 - routine#862268014
No violations found. All areas in compliance.
No violations
- complaint#862373058
No violations found. All areas in compliance.
No violations
- complaint#862373057
1 violation found (1 medium severity).
Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
MediumThe operation did not have an annual summary log.
748.453(a)(3)Corrected 2022-10-05 - complaint#862373056
No violations found. All areas in compliance.
No violations
- self-report#862373055
No violations found. All areas in compliance.
No violations
- routine#862268013
No violations found. All areas in compliance.
No violations
- complaint#862373054
1 violation found (1 high severity).
AP Renewal background checks submitted -No later than 2 yrs from date you last submitted subjects initial or renewal name-based TX criminal hist check
HighOne staff member who supervises children in care did not have an active background check with the operation.
745.621(b)(1)(B)Corrected 2022-06-24 - routine#862268012
No violations found. All areas in compliance.
No violations
- complaint#862373053
No violations found. All areas in compliance.
No violations
- routine#862268011
No violations found. All areas in compliance.
No violations
- routine#862268010
No violations found. All areas in compliance.
No violations
- routine#862268009
No violations found. All areas in compliance.
No violations
- complaint#862373052
No violations found. All areas in compliance.
No violations
- routine#862268008
10 violations found (7 high, 2 medium, 1 low severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighOne of the children records evaluated had an inaccurate count.
748.2151(d)Corrected 2022-05-10Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
LowOne child in care has been at the operation for longer than 90 days.
748.4207(a)(2)Corrected 2022-05-10Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
HighBoth of the staff records evaluated were missing the second half of psychotropic medication training that must be instructor led.
748.941(d)Corrected 2022-05-25First-aid-CPR training-Each caregiver must have current certification in first-aid
HighOne of the two employee records evaluated did not have first-aid / cpr documentation
748.981(a)(1)Corrected 2022-05-25General pre-service training curriculum-Includes steps to preventing the spread of communicable diseases
HighAll of the staff records evaluated were missing communicable diseases training.
748.881(4)Corrected 2022-05-25Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583
HighBoth of the staff records evaluated did not have a document showing the results of their TB screening in their records.
748.505(b)(2)Corrected 2022-05-25General pre-service training curriculum-Includes procedures to follow in emergencies
HighBoth of the staff records evaluated were missing the emergency procedures in the pre-service curriculum.
748.881(3)Corrected 2022-05-25Orientation-Orientation must include the needs and characteristics of children that the operation serves
MediumBoth employee records evaluated did not address the characteristics of children in the orientation.
748.831(a)(3)Corrected 2022-05-25General pre-service training curriculum-Includes location and use of fire extinguishers and first aid equipment
HighBoth of the employee records evaluated did not contain training regarding the fire extinguishers nor first aid equipment.
748.881(5)Corrected 2022-05-25General pre-service training curriculum-Includes topics appropriate to the needs of children for whom the caregiver will be providing care
MediumBoth of the staff records evaluated did not address the topics appropriate to the needs of the children in care in their pre-service curriculum.
748.881(1)Corrected 2022-05-25 - complaint#862373051
No violations found. All areas in compliance.
No violations
- routine#862268007
No violations found. All areas in compliance.
No violations
- complaint#862373050
1 violation found (1 medium severity).
EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
MediumThere was no restraint documentation provided.
748.2855(a)Corrected 2022-07-06 - routine#862268006
No violations found. All areas in compliance.
No violations
- complaint#862373049
2 violations found (2 medium severity).
Initial Service Plan-Document in child's record and include preliminary service plan requirements
MediumThe operation failed to provide Initial service plan documents for two children previously in their care.
748.1337(b)Corrected 2022-06-17Serious Incident Documentation-Documented in written report
MediumThe operation failed to provide a written serious incident report.
748.311Corrected 2022-06-17 - complaint#862373048
No violations found. All areas in compliance.
No violations
- complaint#862373047
No violations found. All areas in compliance.
No violations
- complaint#862373046
1 violation found (1 medium severity).
Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
MediumThe operation did not report that a resident was arrested.
748.303(a)(6)(A)Corrected 2022-06-20 - routine#862268005
No violations found. All areas in compliance.
No violations
- routine#862268004
No violations found. All areas in compliance.
No violations
- routine#862268003
No violations found. All areas in compliance.
No violations
- self-report#862373045
No violations found. All areas in compliance.
No violations
- self-report#862373044
No violations found. All areas in compliance.
No violations
- complaint#862373043
1 violation found (1 high severity).
Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HighTwo fire extinguishers were observed to be expired as of February '22 and one lacked an inspection tag.
748.3115(3)Corrected 2022-04-15 - complaint#862373042
3 violations found (1 high, 2 medium severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighA child in care was not provided two different medications for multiple days.
748.2003(b)(5)Corrected 2022-04-11Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
MediumThe medical exam for a child in care was conducted -- days after admission.
748.1223(a)Corrected 2022-04-11Initial Service Plan-Complete the initial service plan within 45 days after admission
MediumThe initial service plan required for a child in care was not completed within the 45 days.
748.1335Corrected 2022-05-11 - complaint#862373041
No violations found. All areas in compliance.
No violations
- complaint#862373040
No violations found. All areas in compliance.
No violations
- routine#862268002
2 violations found (1 medium, 1 low severity).
Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
MediumOne staff file reviewed did not contain a signed statement stating he will immediately report suspected child abuse, neglect, or exploitation. One staff file reviewed did not have a job description.
748.363(8)Corrected 2022-02-22Active child record - All documentation in the record no later than 30 days after occurrence or event
LowTwo child files reviewed did not contain a preliminary service plan in their file. One child file reviewed did not have an initial service plan in their file.
748.395(1)Corrected 2022-02-22 - complaint#862373039
1 violation found (1 medium severity).
Active child record - Ensure record is kept accurate and current
MediumOne child's service plan reviewed contained inaccurate information in several areas.
748.393(b)(3)Corrected 2022-03-16 - routine#862268001
No violations found. All areas in compliance.
No violations
- complaint#862373038
5 violations found (5 high severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
HighA child's movements were restricted after refusing to go to bed.
748.2463(3)Corrected 2022-04-08Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighA staff was downstairs of the facility while all of the children were upstairs awake and a fight ensued.
748.685(a)(5)Corrected 2022-04-08Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso
HighA child's movements were restricted by a staff holding him across the chest from behind, and then staff using their hands to hold him against the wall.
748.2605(a)(1)Corrected 2022-04-08EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HighChildren and staff witnessed a staff use their body weight to restrict a child's movements.
748.2551(c)(2)Corrected 2022-04-08Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HighTwo children in care restrained two other children in care.
748.2453Corrected 2022-04-08 - complaint#862373037
No violations found. All areas in compliance.
No violations
- routine#862268000
No violations found. All areas in compliance.
No violations
- complaint#862373036
No violations found. All areas in compliance.
No violations
- complaint#862373035
No violations found. All areas in compliance.
No violations
- routine#862267999
No violations found. All areas in compliance.
No violations
- complaint#862373034
No violations found. All areas in compliance.
No violations
- routine#862267998
No violations found. All areas in compliance.
No violations
- routine#862267997
12 violations found (7 medium, 5 low severity).
Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
MediumAll the children records reviewed did not contain a preliminary service plan.
748.1331(a)Corrected 2021-10-15Child Orientation-Include policies on the educational program
LowAll the children records had orientation documents that did not address the education program.
748.1209(b)(9)Corrected 2021-10-15First Aid Kits-Each one must contain thermometer
MediumNone of the first aid kits observed contained a thermometer.
748.3273(8)Corrected 2021-10-15First Aid Kits-Each one must contain cotton balls
MediumNone of the first aid kits observed contained cotton balls.
748.3273(4)Corrected 2021-10-15Placement Extension-if there is appropriate reason for continuing care, a child five or older may continue placement for a total of 90 days
LowTwo children in care have been in placement past their maximum 90 day mark and without the proper extension paperwork.
748.4207(a)(2)Corrected 2021-10-15Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
LowOne out of four youth files reviewed did not contain documentation to indicate the youth had received an orientation.
748.1209(d)Corrected 2021-10-15Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Mediumone out of the four children records reviewed did not contain their admission assessments.
748.1269(a)Corrected 2021-10-15Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
LowThree out of four youth files reviewed did not contain paperwork explaining the youth's reason for placement extension.
748.4211(a)Corrected 2021-10-15Child Orientation-Include policies on trips away from the operation
LowAll of the children records reviewed had orientation documents that did not address trips away from the operation.
748.1209(b)(10)Corrected 2021-10-15Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
MediumOne out of four youth files reviewed did not contain an acknowledgement signed by the youth of their rights.
748.1103(d)Corrected 2021-10-15First Aid Kits-Each one must contain scissors
MediumThe first aid kits observed did not contain scissors.
748.3273(6)Corrected 2021-10-15Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
MediumOne out of two serious incident reports reviewed did not indicate which staff were involved in the incident.
748.311(4)Corrected 2021-10-15 - routine#862267996
No violations found. All areas in compliance.
No violations
- self-report#862373033
No violations found. All areas in compliance.
No violations
- routine#862267995
No violations found. All areas in compliance.
No violations
- routine#862267994
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Highthree children's medication logs were observed with count errors.
748.2151(d)Corrected 2021-08-16 - self-report#862373032
No violations found. All areas in compliance.
No violations
- routine#862267993
2 violations found (1 high, 1 medium severity).
Notification - Change in child-care administrator
HighThe operation hired a new administrator and failed to notify licensing. They have had a new administrator since 07/06/2021.
748.153(3)(A)Corrected 2021-07-30Food Preparation-Food items must be covered & stored off the floor
MediumDuring the inspection food was observed on the counter uncovered waiting to be eaten by children. Flies were also present in the kitchen.
748.3443(a)(1)Corrected 2021-07-30 - complaint#862373031
No violations found. All areas in compliance.
No violations
- self-report#862373030
No violations found. All areas in compliance.
No violations
- routine#862267992
No violations found. All areas in compliance.
No violations
- complaint#862373029
No violations found. All areas in compliance.
No violations
- self-report#862373028
No violations found. All areas in compliance.
No violations
- routine#862267991
No violations found. All areas in compliance.
No violations
- routine#862267990
No violations found. All areas in compliance.
No violations
- complaint#862373027
No violations found. All areas in compliance.
No violations
- routine#862267989
1 violation found (1 medium severity).
Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
MediumDuring the walk through there were 6 mattresses that did not have protectors on them. Pictures were taken.
748.3365(b)(2)Corrected 2021-06-02 - complaint#862373026
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighFive children's medication logs were observed with count errors.
748.2151(d)Corrected 2021-08-06 - complaint#862373025
No violations found. All areas in compliance.
No violations
- self-report#862373024
No violations found. All areas in compliance.
No violations
- self-report#862373023
No violations found. All areas in compliance.
No violations
- routine#862267988
No violations found. All areas in compliance.
No violations
- self-report#862373022
No violations found. All areas in compliance.
No violations
- self-report#862373021
No violations found. All areas in compliance.
No violations
- self-report#862373020
No violations found. All areas in compliance.
No violations
- self-report#862373019
No violations found. All areas in compliance.
No violations
- routine#862267987
No violations found. All areas in compliance.
No violations
- complaint#862373018
No violations found. All areas in compliance.
No violations
- self-report#862373017
No violations found. All areas in compliance.
No violations
- complaint#862373016
1 violation found (1 medium severity).
Records Available for Licensing-all active records immediately available for review and reproduction
MediumRecords were not provided timely.
748.399(a)Corrected 2021-04-16 - self-report#862373015
1 violation found (1 high severity).
Serious Incident-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HighThe incident occurred on February 17, 2021 but was not reported until 2/23/2021.
748.303(a)(2)(A)Corrected 2021-04-16 - complaint#862373014
No violations found. All areas in compliance.
No violations
- complaint#862373013
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighAll collateral children interviewed stating they saw the victim enter the other victims room. The staff member stated he was there but did not see it happen.
748.685(a)(4)Corrected 2021-03-09 - self-report#862373012
No violations found. All areas in compliance.
No violations
- complaint#862373011
No violations found. All areas in compliance.
No violations
- complaint#862373010
No violations found. All areas in compliance.
No violations
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