Creighton Oaks Residential Treatment Center

Childcare Center|11313 LONG DRIVE, Conroe, TX 77302|(817) 680-7912|creightonoakstreatmentcenter.com

License Information

Status
Licensed
License #
1721455
Expires
August 19, 2026
Licensed Capacity
71 children
Licensing Agency
Texas HHSC

Data from Texas HHSC. Updated 2/24/2026.

State records

Inspection History

308 records
  • routine#862294795

    2 violations found (1 high, 1 medium severity).

    Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection

    High

    The CLASS system shows the most recent fire inspection was 04-09-2024. The operation had records of requests to have the inspection completed by 04-09-2025. The FIre marshall inspected the operation on 04-16-2025 and the operation didn't pass. The operation had a change in management and got a passing inspection on 10-06-2025.

    748.3101(2)Corrected 2025-10-08

    Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill

    Medium

    The operation had no documentation of any emergency drills in over six months.

    748.3239(b)Corrected 2025-10-22
  • routine#862294794

    No violations found. All areas in compliance.

    No violations

  • routine#862294793

    2 violations found (2 medium severity).

    Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.

    Medium

    2 of 3 employee files did not have documented reference checks.

    748.753(d)(1)Corrected 2025-04-22

    Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position.

    Medium

    While reviewing files it was found that multiple items were missing.

    748.363(5)Corrected 2025-04-22
  • routine#862294792

    No violations found. All areas in compliance.

    No violations

  • routine#862294791

    No violations found. All areas in compliance.

    No violations

  • routine#862294790

    No violations found. All areas in compliance.

    No violations

  • complaint#862383187

    1 violation found (1 high severity).

    Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

    High

    A child in care obtained bullets from the operations van.

    748.685(a)(4)Corrected 2025-02-25
  • routine#862294789

    No violations found. All areas in compliance.

    No violations

  • routine#862294788

    No violations found. All areas in compliance.

    No violations

  • complaint#862383186

    No violations found. All areas in compliance.

    No violations

  • complaint#862383185

    No violations found. All areas in compliance.

    No violations

  • routine#862294787

    No violations found. All areas in compliance.

    No violations

  • complaint#862383184

    2 violations found (2 high severity).

    EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child

    High

    While reviewing video of the incident a child was inappropriately restrained.

    748.2551(c)(1)Corrected 2025-02-26

    Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

    High

    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.

    748.1101(b)(1)(B)Corrected 2025-02-26
  • routine#862294786

    No violations found. All areas in compliance.

    No violations

  • complaint#862383183

    No violations found. All areas in compliance.

    No violations

  • routine#862294785

    No violations found. All areas in compliance.

    No violations

  • complaint#862383182

    No violations found. All areas in compliance.

    No violations

  • complaint#862383181

    No violations found. All areas in compliance.

    No violations

  • self-report#862383180

    No violations found. All areas in compliance.

    No violations

  • routine#862294784

    1 violation found (1 high severity).

    AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders

    High

    A child in care did not receive two doses of their morning medication.

    748.2003(b)(3)Corrected 2024-12-13
  • assessment#862398163

    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.

    Medium

    The operation did not report a child in care unauthorized absence to Licensing or their parent within the allotted timeframe per minimum standards.

    748.303(a)(10)(B)Corrected 2024-11-15
  • routine#862294783

    No violations found. All areas in compliance.

    No violations

  • complaint#862383179

    No violations found. All areas in compliance.

    No violations

  • routine#862294782

    No violations found. All areas in compliance.

    No violations

  • assessment#862398162

    No violations found. All areas in compliance.

    No violations

  • routine#862294781

    No violations found. All areas in compliance.

    No violations

  • routine#862294780

    No violations found. All areas in compliance.

    No violations

  • complaint#862383178

    No violations found. All areas in compliance.

    No violations

  • complaint#862383177

    No violations found. All areas in compliance.

    No violations

  • routine#862294779

    No violations found. All areas in compliance.

    No violations

  • self-report#862383176

    3 violations found (3 high severity).

    Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions

    High

    There were several food items observed to be expired and without expiration dates in the library refrigerator/freezer.

    748.3445(a)Corrected 2024-10-08

    Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

    High

    During the course of the investigation, it was revealed that multiple children in care stole equipment with the intent to sell, indicating insufficient supervision and increased risk to their safety.

    748.685(a)(4)Corrected 2024-11-08

    Water-A thermostat must control the temperature of hot water accessible to children, so the temperature is no higher than 120 degrees Fahrenheit

    High

    The bathroom sink and shower water in room 2 of the Green house was observed to with no hot water.

    748.3315Corrected 2024-10-08
  • routine#862294778

    No violations found. All areas in compliance.

    No violations

  • routine#862294777

    No violations found. All areas in compliance.

    No violations

  • routine#862294776

    1 violation found (1 medium severity).

    Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review

    Medium

    Fire extinguisher on the second floor of the green house expired in August of 2024.

    748.3117(b)Corrected 2024-09-24
  • complaint#862383175

    1 violation found (1 high severity).

    Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child

    High

    A child made an outcry of physical abuse to multiple staff by a staff member that was not reported.

    748.303(a)(3)(A)Corrected 2024-10-25
  • complaint#862383174

    No violations found. All areas in compliance.

    No violations

  • self-report#862383173

    No violations found. All areas in compliance.

    No violations

  • complaint#862383172

    No violations found. All areas in compliance.

    No violations

  • routine#862294775

    No violations found. All areas in compliance.

    No violations

  • complaint#862383171

    No violations found. All areas in compliance.

    No violations

  • routine#862294774

    No violations found. All areas in compliance.

    No violations

  • routine#862294773

    No violations found. All areas in compliance.

    No violations

  • complaint#862383170

    2 violations found (2 high severity).

    Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair

    High

    It was observed that a broken dresser in Bedroom 5 of the green house has not been removed.

    748.3351(1)Corrected 2024-09-13

    Physical Site-The building must be free of rodents and insects

    High

    The green house was observed to have dead wasps in the light fixture.

    748.3301(h)Corrected 2024-09-13
  • self-report#862383169

    No violations found. All areas in compliance.

    No violations

  • self-report#862383168

    1 violation found (1 medium severity).

    All employees and caregivers must be aware of and follow your policies and procedures

    Medium

    A staff member admitted to sleeping on shift.

    748.126(b)Corrected 2024-08-30
  • routine#862294772

    No violations found. All areas in compliance.

    No violations

  • complaint#862383167

    No violations found. All areas in compliance.

    No violations

  • routine#862294771

    No violations found. All areas in compliance.

    No violations

  • routine#862294769

    No violations found. All areas in compliance.

    No violations

  • routine#862294770

    No violations found. All areas in compliance.

    No violations

  • routine#862294768

    No violations found. All areas in compliance.

    No violations

  • complaint#862383166

    2 violations found (2 high severity).

    Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

    High

    The allegation is related to a DFPS abuse/neglect investigation.

    748.1101(b)(1)(B)Corrected 2024-08-30

    Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

    High

    A staff member admitted to hitting a child in care.

    748.2303(a)Corrected 2024-08-30
  • routine#862294767

    No violations found. All areas in compliance.

    No violations

  • complaint#862383165

    No violations found. All areas in compliance.

    No violations

  • routine#862294766

    No violations found. All areas in compliance.

    No violations

  • routine#862294765

    No violations found. All areas in compliance.

    No violations

  • complaint#862383164

    No violations found. All areas in compliance.

    No violations

  • complaint#862383163

    No violations found. All areas in compliance.

    No violations

  • self-report#862383162

    No violations found. All areas in compliance.

    No violations

  • routine#862294764

    No violations found. All areas in compliance.

    No violations

  • complaint#862383161

    No violations found. All areas in compliance.

    No violations

  • complaint#862383160

    No violations found. All areas in compliance.

    No violations

  • complaint#862383159

    No violations found. All areas in compliance.

    No violations

  • complaint#862383158

    No violations found. All areas in compliance.

    No violations

  • complaint#862383157

    No violations found. All areas in compliance.

    No violations

  • complaint#862383156

    No violations found. All areas in compliance.

    No violations

  • routine#862294763

    No violations found. All areas in compliance.

    No violations

  • routine#862294762

    No violations found. All areas in compliance.

    No violations

  • routine#862294761

    No violations found. All areas in compliance.

    No violations

  • complaint#862383155

    2 violations found (1 high, 1 medium severity).

    Medical care-A child in care must receive medical care as needed for injury, illness, and pain

    High

    A child in care did not receive immediate medical attention after receiving burns to their arms.

    748.1531(a)(2)Corrected 2024-07-31

    All employees and caregivers must be aware of and follow your policies and procedures

    Medium

    A child in care had a prohibited item which wasn't locked back up and resulted in another getting injured.

    748.126(b)Corrected 2024-07-31
  • routine#862294760

    No violations found. All areas in compliance.

    No violations

  • complaint#862383154

    No violations found. All areas in compliance.

    No violations

  • routine#862294759

    No violations found. All areas in compliance.

    No violations

  • complaint#862383153

    No violations found. All areas in compliance.

    No violations

  • complaint#862383152

    1 violation found (1 high severity).

    Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

    High

    A staff member drove children in care around with confiscated drugs in the glovebox.

    748.507(1)Corrected 2024-07-19
  • routine#862294758

    No violations found. All areas in compliance.

    No violations

  • complaint#862383151

    No violations found. All areas in compliance.

    No violations

  • complaint#862383150

    No violations found. All areas in compliance.

    No violations

  • complaint#862383149

    No violations found. All areas in compliance.

    No violations

  • routine#862294757

    No violations found. All areas in compliance.

    No violations

  • self-report#862383148

    No violations found. All areas in compliance.

    No violations

  • complaint#862383147

    No violations found. All areas in compliance.

    No violations

  • routine#862294756

    No violations found. All areas in compliance.

    No violations

  • routine#862294755

    No violations found. All areas in compliance.

    No violations

  • complaint#862383146

    No violations found. All areas in compliance.

    No violations

  • complaint#862383145

    No violations found. All areas in compliance.

    No violations

  • complaint#862383144

    No violations found. All areas in compliance.

    No violations

  • complaint#862383143

    No violations found. All areas in compliance.

    No violations

  • self-report#862383142

    No violations found. All areas in compliance.

    No violations

  • routine#862294754

    No violations found. All areas in compliance.

    No violations

  • complaint#862383141

    No violations found. All areas in compliance.

    No violations

  • routine#862294753

    No violations found. All areas in compliance.

    No violations

  • routine#862294752

    No violations found. All areas in compliance.

    No violations

  • routine#862294751

    No violations found. All areas in compliance.

    No violations

  • complaint#862383140

    No violations found. All areas in compliance.

    No violations

  • complaint#862383139

    No violations found. All areas in compliance.

    No violations

  • self-report#862383138

    No violations found. All areas in compliance.

    No violations

  • complaint#862383137

    No violations found. All areas in compliance.

    No violations

  • routine#862294750

    No violations found. All areas in compliance.

    No violations

  • routine#862294749

    No violations found. All areas in compliance.

    No violations

  • self-report#862383136

    No violations found. All areas in compliance.

    No violations

  • self-report#862383135

    No violations found. All areas in compliance.

    No violations

  • routine#862294747

    No violations found. All areas in compliance.

    No violations

  • routine#862294748

    No violations found. All areas in compliance.

    No violations

  • complaint#862383134

    No violations found. All areas in compliance.

    No violations

  • routine#862294746

    No violations found. All areas in compliance.

    No violations

  • complaint#862383133

    No violations found. All areas in compliance.

    No violations

  • self-report#862383132

    No violations found. All areas in compliance.

    No violations

  • complaint#862383131

    No violations found. All areas in compliance.

    No violations

  • complaint#862383130

    No violations found. All areas in compliance.

    No violations

  • complaint#862383129

    No violations found. All areas in compliance.

    No violations

  • routine#862294745

    No violations found. All areas in compliance.

    No violations

  • routine#862294744

    No violations found. All areas in compliance.

    No violations

  • routine#862294743

    No violations found. All areas in compliance.

    No violations

  • self-report#862383128

    No violations found. All areas in compliance.

    No violations

  • routine#862294742

    No violations found. All areas in compliance.

    No violations

  • routine#862294741

    No violations found. All areas in compliance.

    No violations

  • routine#862294740

    No violations found. All areas in compliance.

    No violations

  • routine#862294739

    No violations found. All areas in compliance.

    No violations

  • routine#862294738

    No violations found. All areas in compliance.

    No violations

  • complaint#862383127

    1 violation found (1 high severity).

    Emergency Behavior Intervention-Never used as a means to get a child to comply

    High

    An incident report, dated 9/11/23, described a 12-year-old being restrained for attempting to runaway into the woods.

    748.2463(3)Corrected 2024-04-16
  • complaint#862383126

    No violations found. All areas in compliance.

    No violations

  • self-report#862383125

    No violations found. All areas in compliance.

    No violations

  • routine#862294737

    5 violations found (1 high, 3 medium, 1 low severity).

    Documentation of searches-Document the reason for the search in the child's record

    Low

    While reviewing search records for children's rooms/possessions it was observed that required information was missing from the reports.

    748.1117(3)Corrected 2024-03-15

    Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.

    Medium

    While reviewing the screenings it was found they were not being completed within 30 days of the last screening.

    748.125(d)(4)(C)Corrected 2024-02-27

    Initial Service Plan-Include instructions to caregivers about level of supervision required

    High

    While reviewing files it was found the supervision section did not include information about day to day supervision requirements in the home or supervision outside the home.

    748.1337(b)(1)(D)(ii)Corrected 2024-03-15

    Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained

    Medium

    While reviewing files it was observed that the admission assessments did not contain all required information.

    748.1217(a)Corrected 2024-03-15

    Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement

    Medium

    While reviewing the files, children did not have safety plans in place at the time of admission.

    748.1205(a)(12)Corrected 2024-03-15
  • complaint#862383124

    No violations found. All areas in compliance.

    No violations

  • self-report#862383123

    No violations found. All areas in compliance.

    No violations

  • routine#862294736

    No violations found. All areas in compliance.

    No violations

  • complaint#862383122

    No violations found. All areas in compliance.

    No violations

  • self-report#862383121

    No violations found. All areas in compliance.

    No violations

  • routine#862294735

    No violations found. All areas in compliance.

    No violations

  • routine#862294734

    2 violations found (1 high, 1 medium severity).

    Food Preparation-Food items must be covered when stored in the refrigerator

    Medium

    During the walkthrough of the operation food was observed in refrigerator unsealed in two different units. Staff was asked to throw away several pounds of bad cheese during the walk through.

    748.3443(a)(6)Corrected 2024-03-08

    Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.

    High

    During the walkthrough of the operation various cleaning chemicals were observed unsecured in the kitchen drawers and under the kitchen sink.

    748.3421(3)Corrected 2024-03-08
  • self-report#862383120

    No violations found. All areas in compliance.

    No violations

  • routine#862294733

    No violations found. All areas in compliance.

    No violations

  • self-report#862383119

    1 violation found (1 high severity).

    Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

    High

    After speaking with multiple caregivers and residence, I became aware that a caregiver was not present during the incident and the operation was out of ratio with 15 residents and 2 staff members.

    748.1003(a)Corrected 2024-03-13
  • complaint#862383118

    No violations found. All areas in compliance.

    No violations

  • complaint#862383117

    No violations found. All areas in compliance.

    No violations

  • self-report#862383116

    No violations found. All areas in compliance.

    No violations

  • complaint#862383115

    1 violation found (1 high severity).

    Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

    High

    Photos were reviewed of exposed nails and screws on a bedframe, broke outlet cover and holes in the walls.

    748.3301(i)Corrected 2024-04-05
  • complaint#862383114

    No violations found. All areas in compliance.

    No violations

  • complaint#862383113

    No violations found. All areas in compliance.

    No violations

  • complaint#862383112

    1 violation found (1 high severity).

    Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

    High

    A staff member made inappropriate comments regarding a child's physical ability and inappropriate comments regarding sexuality.

    748.507(1)Corrected 2024-04-11
  • complaint#862383111

    No violations found. All areas in compliance.

    No violations

  • self-report#862383110

    No violations found. All areas in compliance.

    No violations

  • routine#862294732

    No violations found. All areas in compliance.

    No violations

  • routine#862294731

    No violations found. All areas in compliance.

    No violations

  • self-report#862383109

    1 violation found (1 medium severity).

    Operational responsibilities - Maintain current, true, accurate, and complete records

    Medium

    1 service plan referenced the child by a name other than their own and 3 entries on the unauthorized absence log had information pertaining to a different child than the one being discussed.

    748.151(3)Corrected 2024-02-14
  • complaint#862383108

    No violations found. All areas in compliance.

    No violations

  • complaint#862383107

    No violations found. All areas in compliance.

    No violations

  • complaint#862383106

    No violations found. All areas in compliance.

    No violations

  • routine#862294730

    No violations found. All areas in compliance.

    No violations

  • routine#862294729

    No violations found. All areas in compliance.

    No violations

  • routine#862294727

    No violations found. All areas in compliance.

    No violations

  • routine#862294728

    No violations found. All areas in compliance.

    No violations

  • complaint#862383105

    No violations found. All areas in compliance.

    No violations

  • complaint#862383104

    No violations found. All areas in compliance.

    No violations

  • routine#862294726

    No violations found. All areas in compliance.

    No violations

  • routine#862294724

    No violations found. All areas in compliance.

    No violations

  • routine#862294725

    No violations found. All areas in compliance.

    No violations

  • routine#862294723

    No violations found. All areas in compliance.

    No violations

  • self-report#862383103

    No violations found. All areas in compliance.

    No violations

  • complaint#862383102

    No violations found. All areas in compliance.

    No violations

  • complaint#862383101

    No violations found. All areas in compliance.

    No violations

  • routine#862294722

    No violations found. All areas in compliance.

    No violations

  • routine#862294721

    No violations found. All areas in compliance.

    No violations

  • routine#862294720

    No violations found. All areas in compliance.

    No violations

  • complaint#862383100

    No violations found. All areas in compliance.

    No violations

  • complaint#862383099

    No violations found. All areas in compliance.

    No violations

  • complaint#862383098

    No violations found. All areas in compliance.

    No violations

  • complaint#862383097

    No violations found. All areas in compliance.

    No violations

  • complaint#862383096

    No violations found. All areas in compliance.

    No violations

  • complaint#862383095

    No violations found. All areas in compliance.

    No violations

  • complaint#862383094

    No violations found. All areas in compliance.

    No violations

  • routine#862294719

    No violations found. All areas in compliance.

    No violations

  • complaint#862383093

    No violations found. All areas in compliance.

    No violations

  • complaint#862383092

    No violations found. All areas in compliance.

    No violations

  • complaint#862383091

    No violations found. All areas in compliance.

    No violations

  • complaint#862383090

    2 violations found (2 high severity).

    Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

    High

    It was found during the investigation that vehicle keys were left unsecured which resulted in children in care stealing the operation van.

    748.1101(b)(1)(B)Corrected 2023-12-05

    Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container

    High

    During the investigation it was found the office door, which is the second lock for medications, was left unlocked and children in care were able to access the office.

    748.2101(3)Corrected 2023-12-05
  • routine#862294718

    No violations found. All areas in compliance.

    No violations

  • routine#862294717

    No violations found. All areas in compliance.

    No violations

  • complaint#862383089

    No violations found. All areas in compliance.

    No violations

  • self-report#862383088

    2 violations found (1 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.

    Medium

    One incident report on 10/15/23 involving a teenager in care, was called in past the 6-hour required timeframe for reporting to the A/N hotline for an unauthorized absence and Law Enforcement was not contacted. For another unauthorized absence incident involving two other children in care, on 10/14/23, law enforcement was also not contacted.

    748.303(a)(10)(A)Corrected 2023-12-11

    Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others

    High

    Three children's service plans reviewed were missing some high risk behaviors although it is noted in other sections of the plan that the children have history of unsafe behaviors such as verbal and/or physical aggression, substance use, delinquency, threats of self-harm and harm to peers, and/or run away. There was also no documentation of known triggers for the children on the plan.

    748.1337(b)(1)(H)(i)Corrected 2023-12-11
  • routine#862294716

    No violations found. All areas in compliance.

    No violations

  • complaint#862383087

    No violations found. All areas in compliance.

    No violations

  • self-report#862383086

    No violations found. All areas in compliance.

    No violations

  • complaint#862383085

    No violations found. All areas in compliance.

    No violations

  • routine#862294715

    No violations found. All areas in compliance.

    No violations

  • routine#862294714

    No violations found. All areas in compliance.

    No violations

  • routine#862294713

    2 violations found (2 high severity).

    Bathrooms-Must be maintained in good repair & kept clean

    High

    During the walk through of the operation, multiple bathrooms were found to have trash on the floors, urine on and around the toilets and soap on the floors.

    748.3391(a)Corrected 2023-10-11

    Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair

    High

    During the walkthrough each of the bedrooms were observed to be unclean, with beds unmade, clothing and shoes throw around the room.

    748.3351(1)Corrected 2023-10-11
  • self-report#862383084

    No violations found. All areas in compliance.

    No violations

  • routine#862294712

    No violations found. All areas in compliance.

    No violations

  • complaint#862383083

    No violations found. All areas in compliance.

    No violations

  • complaint#862383082

    1 violation found (1 medium severity).

    Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions

    Medium

    During the investigation, required documentation couldn't be provided for a serious incident.

    748.311(8)Corrected 2024-03-15
  • complaint#862383081

    No violations found. All areas in compliance.

    No violations

  • self-report#862383080

    No violations found. All areas in compliance.

    No violations

  • complaint#862383079

    No violations found. All areas in compliance.

    No violations

  • self-report#862383078

    No violations found. All areas in compliance.

    No violations

  • routine#862294711

    No violations found. All areas in compliance.

    No violations

  • routine#862294710

    No violations found. All areas in compliance.

    No violations

  • complaint#862383077

    No violations found. All areas in compliance.

    No violations

  • complaint#862383076

    No violations found. All areas in compliance.

    No violations

  • routine#862294709

    No violations found. All areas in compliance.

    No violations

  • complaint#862383075

    No violations found. All areas in compliance.

    No violations

  • self-report#862383074

    No violations found. All areas in compliance.

    No violations

  • routine#862294708

    No violations found. All areas in compliance.

    No violations

  • routine#862294707

    No violations found. All areas in compliance.

    No violations

  • self-report#862383073

    No violations found. All areas in compliance.

    No violations

  • routine#862294706

    No violations found. All areas in compliance.

    No violations

  • routine#862294705

    No violations found. All areas in compliance.

    No violations

  • routine#862294704

    No violations found. All areas in compliance.

    No violations

  • self-report#862383072

    No violations found. All areas in compliance.

    No violations

  • self-report#862383071

    No violations found. All areas in compliance.

    No violations

  • self-report#862383070

    No violations found. All areas in compliance.

    No violations

  • self-report#862383069

    No violations found. All areas in compliance.

    No violations

  • self-report#862383068

    No violations found. All areas in compliance.

    No violations

  • routine#862294703

    No violations found. All areas in compliance.

    No violations

  • self-report#862383067

    No violations found. All areas in compliance.

    No violations

  • routine#862294702

    1 violation found (1 high severity).

    Physical Site-Windows & doors must be in good repair & free of broken glass or hazards

    High

    A portion of two door frames were observed to be broken. One of the doors was observed to have broken door handle.

    748.3301(c)Corrected 2023-08-22
  • routine#862294701

    1 violation found (1 high severity).

    Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.

    High

    While reviewing 4 staff files it was discovered staff were not receiving instructor-led pre-service psychotropic medication training by a health-care professional.

    748.869(c)Corrected 2023-08-24
  • routine#862294700

    No violations found. All areas in compliance.

    No violations

  • routine#862294699

    No violations found. All areas in compliance.

    No violations

  • self-report#862383066

    No violations found. All areas in compliance.

    No violations

  • routine#862294698

    No violations found. All areas in compliance.

    No violations

  • complaint#862383065

    No violations found. All areas in compliance.

    No violations

  • self-report#862383064

    No violations found. All areas in compliance.

    No violations

  • self-report#862383063

    No violations found. All areas in compliance.

    No violations

  • self-report#862383062

    No violations found. All areas in compliance.

    No violations

  • routine#862294697

    No violations found. All areas in compliance.

    No violations

  • routine#862294696

    No violations found. All areas in compliance.

    No violations

  • complaint#862383061

    No violations found. All areas in compliance.

    No violations

  • complaint#862383060

    No violations found. All areas in compliance.

    No violations

  • routine#862294695

    No violations found. All areas in compliance.

    No violations

  • self-report#862383059

    No violations found. All areas in compliance.

    No violations

  • routine#862294694

    No violations found. All areas in compliance.

    No violations

  • complaint#862383058

    No violations found. All areas in compliance.

    No violations

  • complaint#862383057

    No violations found. All areas in compliance.

    No violations

  • complaint#862383056

    No violations found. All areas in compliance.

    No violations

  • self-report#862383055

    No violations found. All areas in compliance.

    No violations

  • self-report#862383054

    No violations found. All areas in compliance.

    No violations

  • complaint#862383053

    No violations found. All areas in compliance.

    No violations

  • complaint#862383052

    No violations found. All areas in compliance.

    No violations

  • complaint#862383051

    No violations found. All areas in compliance.

    No violations

  • routine#862294693

    No violations found. All areas in compliance.

    No violations

  • complaint#862383050

    No violations found. All areas in compliance.

    No violations

  • complaint#862383049

    No violations found. All areas in compliance.

    No violations

  • routine#862294692

    No violations found. All areas in compliance.

    No violations

  • complaint#862383048

    No violations found. All areas in compliance.

    No violations

  • self-report#862383047

    No violations found. All areas in compliance.

    No violations

  • complaint#862383046

    1 violation found (1 medium severity).

    All employees and caregivers must be aware of and follow your policies and procedures

    Medium

    A staff was observed sleeping by a Department staff and operation staff.

    748.126(b)Corrected 2023-10-06
  • complaint#862383045

    No violations found. All areas in compliance.

    No violations

  • complaint#862383044

    No violations found. All areas in compliance.

    No violations

  • complaint#862383043

    No violations found. All areas in compliance.

    No violations

  • routine#862294691

    No violations found. All areas in compliance.

    No violations

  • complaint#862383042

    No violations found. All areas in compliance.

    No violations

  • complaint#862383041

    No violations found. All areas in compliance.

    No violations

  • complaint#862383040

    No violations found. All areas in compliance.

    No violations

  • complaint#862383039

    1 violation found (1 high severity).

    AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

    High

    Several children were caught intentionally inhaling axe body spray. This incident was never reported by the agency to Licensing.

    748.303(a)(2)(A)Corrected 2023-07-20
  • complaint#862383038

    No violations found. All areas in compliance.

    No violations

  • routine#862294690

    No violations found. All areas in compliance.

    No violations

  • complaint#862383037

    No violations found. All areas in compliance.

    No violations

  • complaint#862383036

    No violations found. All areas in compliance.

    No violations

  • routine#862294689

    No violations found. All areas in compliance.

    No violations

  • complaint#862383035

    No violations found. All areas in compliance.

    No violations

  • self-report#862383034

    No violations found. All areas in compliance.

    No violations

  • routine#862294688

    No violations found. All areas in compliance.

    No violations

  • routine#862294687

    No violations found. All areas in compliance.

    No violations

  • routine#862294686

    No violations found. All areas in compliance.

    No violations

  • self-report#862383033

    No violations found. All areas in compliance.

    No violations

  • self-report#862383032

    No violations found. All areas in compliance.

    No violations

  • complaint#862383031

    No violations found. All areas in compliance.

    No violations

  • complaint#862383030

    No violations found. All areas in compliance.

    No violations

  • complaint#862383029

    No violations found. All areas in compliance.

    No violations

  • routine#862294685

    No violations found. All areas in compliance.

    No violations

  • complaint#862383028

    No violations found. All areas in compliance.

    No violations

  • complaint#862383027

    No violations found. All areas in compliance.

    No violations

  • routine#862294684

    No violations found. All areas in compliance.

    No violations

  • routine#862294683

    No violations found. All areas in compliance.

    No violations

  • complaint#862383026

    1 violation found (1 high severity).

    Other Prohibited Punishments-subjecting a child to abusive or profane language

    High

    A caregiver admitted to using inappropriate/profane language about a child in care in their presence.

    748.2307(9)Corrected 2023-04-05
  • routine#862294682

    No violations found. All areas in compliance.

    No violations

  • routine#862294681

    No violations found. All areas in compliance.

    No violations

  • self-report#862383025

    No violations found. All areas in compliance.

    No violations

  • routine#862294680

    No violations found. All areas in compliance.

    No violations

  • self-report#862383024

    No violations found. All areas in compliance.

    No violations

  • self-report#862383023

    No violations found. All areas in compliance.

    No violations

  • routine#862294679

    No violations found. All areas in compliance.

    No violations

  • self-report#862383022

    No violations found. All areas in compliance.

    No violations

  • routine#862294678

    No violations found. All areas in compliance.

    No violations

  • self-report#862383021

    No violations found. All areas in compliance.

    No violations

  • routine#862294677

    No violations found. All areas in compliance.

    No violations

  • routine#862294676

    No violations found. All areas in compliance.

    No violations

  • self-report#862383020

    2 violations found (2 medium severity).

    EBI Documentation-Must include the specific emergency behavior intervention administered

    Medium

    Documentation provided only listed a two-person restraint as being used, but no specifics.

    748.2855(a)(4)Corrected 2022-11-28

    EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child

    Medium

    Documentation provided stated the post discussion was held with the child and a staff that was not involved in the restraint.

    748.2851(b)Corrected 2022-11-28
  • self-report#862383019

    No violations found. All areas in compliance.

    No violations

  • routine#862294675

    No violations found. All areas in compliance.

    No violations

  • complaint#862383018

    No violations found. All areas in compliance.

    No violations

  • routine#862294674

    No violations found. All areas in compliance.

    No violations

  • complaint#862383017

    No violations found. All areas in compliance.

    No violations

  • routine#862294673

    No violations found. All areas in compliance.

    No violations

  • complaint#862383016

    1 violation found (1 medium severity).

    Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being

    Medium

    All staff stated there were all in different location when the incident occured.

    748.683(1)Corrected 2022-08-09
  • routine#862294672

    No violations found. All areas in compliance.

    No violations

  • routine#862294671

    No violations found. All areas in compliance.

    No violations

  • routine#862294670

    No violations found. All areas in compliance.

    No violations

  • routine#862294669

    No violations found. All areas in compliance.

    No violations

  • routine#862294668

    No violations found. All areas in compliance.

    No violations

  • self-report#862383015

    1 violation found (1 high severity).

    AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders

    High

    Two of seven children's medication file reviewed revealed a medication being administered not according to the label/order.

    748.2003(b)(3)Corrected 2022-04-14
  • routine#862294667

    No violations found. All areas in compliance.

    No violations

  • routine#862294666

    No violations found. All areas in compliance.

    No violations

  • routine#862294665

    No violations found. All areas in compliance.

    No violations

  • routine#862294664

    No violations found. All areas in compliance.

    No violations

  • routine#862294663

    10 violations found (5 high, 3 medium, 2 low severity).

    Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair

    High

    Bathroom sink for bedrooms two and three in Peach House are slow draining. Bathroom sink for bedroom six in the Grey House is also slow draining.

    748.3351(1)Corrected 2021-09-29

    Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director

    High

    The facility does not have a treatment director.

    748.601Corrected 2021-09-29

    Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

    Medium

    The deep freezer in the kitchen does not have a thermometer.

    748.3443(b)(2)Corrected 2021-09-29

    Pre-Service Training- All caregivers must have 5 hrs of training on complex trauma of trafficking victims, 2 hrs pre-service and rest within 90 days

    High

    Policy does not indicate complex trauma training for caregivers of human trafficking victims.

    748.4653(a)(3)Corrected 2021-09-29

    Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

    Medium

    The right refrigerator is at 50 degrees Fahrenheit

    748.3443(b)(1)Corrected 2021-09-29

    Policies and procedures to submit - Tobacco and e-cigarette

    High

    The agency's policy does not address tobacco and e-cigarette.

    748.103(b)(13)Corrected 2021-09-29

    Admission Assessment-At admission, must include child's legal status

    Low

    The admissions assessment does not include the child's legal status.

    748.1217(b)(1)Corrected 2021-09-29

    Records Available for Licensing-all active records immediately available for review and reproduction

    Medium

    There was no active record available for the operations administrator.

    748.399(a)Corrected 2021-09-29

    Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy

    High

    Drug polices do not address all information provided in the model drug testing policy.

    745.4151(a)Corrected 2021-09-29

    Admission Documentation-Includes date of admission

    Low

    The date of admission is not listed on the admission documents.

    748.1205(a)(5)Corrected 2021-09-29

Availability

71 children capacity

Estimated Tuition

$900$1,250/mo

By age group

Infant$1,150$1,550
Toddler$1,000$1,400
Preschool$900$1,250
School-age$500$800

Estimated from regional averages. Actual rates may vary.

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