HMIH CEDAR CREST, LLC

Childcare Center|3500 S IH 35, Belton, TX 76513|(254) 939-2100|cedarcresthospital.com

This provider has a probationary license

This means the state licensing agency has identified compliance issues. Review the inspection history below for details.

View corrective action on state website

License Information

Status: Probationary
License #: 846369
Expires: June 12, 2026
Licensed Capacity: 90 children
Licensing Agency: Texas HHSC

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

State records

Inspection History

641 records

February 18, 2026routine#862213301
No violations found. All areas in compliance.
No violations
February 16, 2026complaint#862351776
No violations found. All areas in compliance.
No violations
February 4, 2026routine#862213300
No violations found. All areas in compliance.
No violations
January 31, 2026routine#862213299
No violations found. All areas in compliance.
No violations
January 30, 2026self-report#862351775
No violations found. All areas in compliance.
No violations
January 20, 2026routine#862213298
No violations found. All areas in compliance.
No violations
January 17, 2026complaint#862351774
No violations found. All areas in compliance.
No violations
January 11, 2026complaint#862351773
No violations found. All areas in compliance.
No violations
January 9, 2026complaint#862351772
No violations found. All areas in compliance.
No violations
January 8, 2026routine#862213297
No violations found. All areas in compliance.
No violations
January 7, 2026complaint#862351771
No violations found. All areas in compliance.
No violations
January 3, 2026self-report#862351770
No violations found. All areas in compliance.
No violations
December 23, 2025complaint#862351769
No violations found. All areas in compliance.
No violations
December 23, 2025routine#862213296
No violations found. All areas in compliance.
No violations
December 22, 2025self-report#862351768
No violations found. All areas in compliance.
No violations
December 19, 2025complaint#862351767
No violations found. All areas in compliance.
No violations
December 5, 2025routine#862213295
No violations found. All areas in compliance.
No violations
December 5, 2025self-report#862351766
No violations found. All areas in compliance.
No violations
December 2, 2025routine#862213294
No violations found. All areas in compliance.
No violations
November 29, 2025self-report#862351765
No violations found. All areas in compliance.
No violations
November 24, 2025complaint#862351764
No violations found. All areas in compliance.
No violations
November 18, 2025routine#862213293
No violations found. All areas in compliance.
No violations
November 17, 2025self-report#862351763
No violations found. All areas in compliance.
No violations
November 3, 2025routine#862213292
No violations found. All areas in compliance.
No violations
October 25, 2025complaint#862351762
No violations found. All areas in compliance.
No violations
October 24, 2025complaint#862351761
No violations found. All areas in compliance.
No violations
October 21, 2025routine#862213291
No violations found. All areas in compliance.
No violations
October 18, 2025complaint#862351760
No violations found. All areas in compliance.
No violations
October 16, 2025routine#862213290
No violations found. All areas in compliance.
No violations
October 15, 2025routine#862213289
No violations found. All areas in compliance.
No violations
October 14, 2025self-report#862351759
No violations found. All areas in compliance.
No violations
October 14, 2025complaint#862351758
No violations found. All areas in compliance.
No violations
October 14, 2025self-report#862351757
No violations found. All areas in compliance.
No violations
October 14, 2025complaint#862351756
No violations found. All areas in compliance.
No violations
October 9, 2025complaint#862351755
No violations found. All areas in compliance.
No violations
October 7, 2025routine#862213288
No violations found. All areas in compliance.
No violations
October 4, 2025self-report#862351754
No violations found. All areas in compliance.
No violations
September 18, 2025routine#862213287
No violations found. All areas in compliance.
No violations
September 18, 2025routine#862213286
No violations found. All areas in compliance.
No violations
September 18, 2025complaint#862351753
No violations found. All areas in compliance.
No violations
September 17, 2025complaint#862351752
No violations found. All areas in compliance.
No violations
September 15, 2025complaint#862351751
No violations found. All areas in compliance.
No violations
September 14, 2025complaint#862351750
No violations found. All areas in compliance.
No violations
September 5, 2025routine#862213285
No violations found. All areas in compliance.
No violations
September 4, 2025self-report#862351749
No violations found. All areas in compliance.
No violations
September 2, 2025complaint#862351748
No violations found. All areas in compliance.
No violations
August 20, 2025routine#862213284
No violations found. All areas in compliance.
No violations
August 20, 2025routine#862213282
No violations found. All areas in compliance.
No violations
August 20, 2025routine#862213283
No violations found. All areas in compliance.
No violations
August 17, 2025self-report#862351747
No violations found. All areas in compliance.
No violations
August 14, 2025routine#862213281
No violations found. All areas in compliance.
No violations
August 14, 2025routine#862213280
No violations found. All areas in compliance.
No violations
August 14, 2025complaint#862351746
No violations found. All areas in compliance.
No violations
August 13, 2025self-report#862351745
No violations found. All areas in compliance.
No violations
August 12, 2025routine#862213279
No violations found. All areas in compliance.
No violations
August 10, 2025self-report#862351744
No violations found. All areas in compliance.
No violations
August 8, 2025self-report#862351743
No violations found. All areas in compliance.
No violations
August 7, 2025routine#862213278
No violations found. All areas in compliance.
No violations
August 6, 2025routine#862213277
No violations found. All areas in compliance.
No violations
August 5, 2025self-report#862351742
No violations found. All areas in compliance.
No violations
August 3, 2025self-report#862351741
No violations found. All areas in compliance.
No violations
July 30, 2025complaint#862351740
No violations found. All areas in compliance.
No violations
July 27, 2025routine#862213276
No violations found. All areas in compliance.
No violations
July 26, 2025self-report#862351739
No violations found. All areas in compliance.
No violations
July 25, 2025routine#862213275
No violations found. All areas in compliance.
No violations
July 18, 2025routine#862213274
No violations found. All areas in compliance.
No violations
July 17, 2025self-report#862351738
No violations found. All areas in compliance.
No violations
July 15, 2025complaint#862351737
No violations found. All areas in compliance.
No violations
July 9, 2025routine#862213272
No violations found. All areas in compliance.
No violations
July 9, 2025routine#862213273
No violations found. All areas in compliance.
No violations
July 8, 2025self-report#862351736
No violations found. All areas in compliance.
No violations
July 4, 2025complaint#862351735
No violations found. All areas in compliance.
No violations
June 26, 2025routine#862213271
No violations found. All areas in compliance.
No violations
June 24, 2025complaint#862351734
No violations found. All areas in compliance.
No violations
June 20, 2025routine#862213270
No violations found. All areas in compliance.
No violations
June 19, 2025routine#862213269
No violations found. All areas in compliance.
No violations
June 19, 2025routine#862213268
No violations found. All areas in compliance.
No violations
June 19, 2025routine#862213267
No violations found. All areas in compliance.
No violations
June 17, 2025self-report#862351733
No violations found. All areas in compliance.
No violations
June 17, 2025routine#862213266
No violations found. All areas in compliance.
No violations
June 14, 2025self-report#862351732
No violations found. All areas in compliance.
No violations
June 12, 2025complaint#862351731
No violations found. All areas in compliance.
No violations
June 4, 2025routine#862213265
No violations found. All areas in compliance.
No violations
June 2, 2025complaint#862351730
No violations found. All areas in compliance.
No violations
June 2, 2025routine#862213264
No violations found. All areas in compliance.
No violations
June 1, 2025self-report#862351729
No violations found. All areas in compliance.
No violations
May 25, 2025routine#862213263
No violations found. All areas in compliance.
No violations
May 22, 2025routine#862213261
No violations found. All areas in compliance.
No violations
May 22, 2025routine#862213262
No violations found. All areas in compliance.
No violations
May 19, 2025routine#862213260
No violations found. All areas in compliance.
No violations
May 19, 2025self-report#862351728
No violations found. All areas in compliance.
No violations
May 17, 2025routine#862213259
No violations found. All areas in compliance.
No violations
May 17, 2025routine#862213258
No violations found. All areas in compliance.
No violations
May 16, 2025routine#862213257
No violations found. All areas in compliance.
No violations
May 15, 2025self-report#862351727
No violations found. All areas in compliance.
No violations
May 1, 2025routine#862213256
No violations found. All areas in compliance.
No violations
April 30, 2025complaint#862351726
No violations found. All areas in compliance.
No violations
April 30, 2025complaint#862351725
No violations found. All areas in compliance.
No violations
April 30, 2025routine#862213255
No violations found. All areas in compliance.
No violations
April 29, 2025complaint#862351724
No violations found. All areas in compliance.
No violations
April 24, 2025self-report#862351723
No violations found. All areas in compliance.
No violations
April 24, 2025complaint#862351722
No violations found. All areas in compliance.
No violations
April 18, 2025complaint#862351721
No violations found. All areas in compliance.
No violations
April 15, 2025routine#862213254
No violations found. All areas in compliance.
No violations
April 15, 2025routine#862213253
No violations found. All areas in compliance.
No violations
April 11, 2025routine#862213252
No violations found. All areas in compliance.
No violations
April 10, 2025self-report#862351720
No violations found. All areas in compliance.
No violations
April 4, 2025routine#862213251
No violations found. All areas in compliance.
No violations
April 1, 2025complaint#862351719
No violations found. All areas in compliance.
No violations
March 31, 2025routine#862213250
No violations found. All areas in compliance.
No violations
March 31, 2025complaint#862351718
No violations found. All areas in compliance.
No violations
March 29, 2025complaint#862351717
No violations found. All areas in compliance.
No violations
March 26, 2025complaint#862351716
No violations found. All areas in compliance.
No violations
March 25, 2025self-report#862351715
No violations found. All areas in compliance.
No violations
March 20, 2025complaint#862351714
No violations found. All areas in compliance.
No violations
March 19, 2025complaint#862351713
No violations found. All areas in compliance.
No violations
March 13, 2025complaint#862351712
No violations found. All areas in compliance.
No violations
March 13, 2025routine#862213249
No violations found. All areas in compliance.
No violations
March 12, 2025routine#862213248
No violations found. All areas in compliance.
No violations
March 11, 2025complaint#862351711
No violations found. All areas in compliance.
No violations
March 11, 2025complaint#862351710
No violations found. All areas in compliance.
No violations
March 11, 2025assessment#862395002
No violations found. All areas in compliance.
No violations
March 11, 2025routine#862213247
No violations found. All areas in compliance.
No violations
March 10, 2025complaint#862351709
No violations found. All areas in compliance.
No violations
March 9, 2025complaint#862351708
No violations found. All areas in compliance.
No violations
March 5, 2025routine#862213246
No violations found. All areas in compliance.
No violations
March 5, 2025complaint#862351707
No violations found. All areas in compliance.
No violations
March 4, 2025routine#862213245
No violations found. All areas in compliance.
No violations
March 1, 2025self-report#862351706
No violations found. All areas in compliance.
No violations
February 28, 2025routine#862213244
No violations found. All areas in compliance.
No violations
February 26, 2025routine#862213243
No violations found. All areas in compliance.
No violations
February 25, 2025routine#862213242
No violations found. All areas in compliance.
No violations
February 24, 2025complaint#862351705
No violations found. All areas in compliance.
No violations
February 24, 2025complaint#862351704
No violations found. All areas in compliance.
No violations
February 24, 2025self-report#862351703
No violations found. All areas in compliance.
No violations
February 21, 2025complaint#862351702
No violations found. All areas in compliance.
No violations
February 20, 2025routine#862213241
No violations found. All areas in compliance.
No violations
February 18, 2025complaint#862351701
No violations found. All areas in compliance.
No violations
February 17, 2025complaint#862351700
No violations found. All areas in compliance.
No violations
February 13, 2025routine#862213240
No violations found. All areas in compliance.
No violations
February 12, 2025complaint#862351699
No violations found. All areas in compliance.
No violations
February 11, 2025complaint#862351698
No violations found. All areas in compliance.
No violations
February 10, 2025routine#862213239
No violations found. All areas in compliance.
No violations
February 9, 2025self-report#862351697
No violations found. All areas in compliance.
No violations
February 8, 2025complaint#862351696
No violations found. All areas in compliance.
No violations
February 8, 2025self-report#862351695
No violations found. All areas in compliance.
No violations
February 7, 2025complaint#862351694
No violations found. All areas in compliance.
No violations
February 6, 2025complaint#862351693
No violations found. All areas in compliance.
No violations
February 5, 2025complaint#862351692
No violations found. All areas in compliance.
No violations
January 31, 2025routine#862213238
No violations found. All areas in compliance.
No violations
January 23, 2025routine#862213237
No violations found. All areas in compliance.
No violations
January 22, 2025complaint#862351691
No violations found. All areas in compliance.
No violations
January 15, 2025complaint#862351690
No violations found. All areas in compliance.
No violations
January 14, 2025complaint#862351689
No violations found. All areas in compliance.
No violations
January 14, 2025routine#862213235
2 violations found (2 high severity).
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
High
A staff member was determined by the background check unit to be ineligible to be at the operation on 1/9/25. The staff worked on 1/11/25.
745.635(2)Corrected 2025-01-16
Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
High
A caregiver did not have 16 hours of preservice EBI training within 90 days of being hired.
748.863(a)(3)Corrected 2025-01-24
January 14, 2025routine#862213236
No violations found. All areas in compliance.
No violations
January 13, 2025routine#862213234
No violations found. All areas in compliance.
No violations
January 13, 2025complaint#862351688
No violations found. All areas in compliance.
No violations
January 6, 2025self-report#862351687
No violations found. All areas in compliance.
No violations
December 16, 2024complaint#862351686
No violations found. All areas in compliance.
No violations
December 11, 2024routine#862213232
No violations found. All areas in compliance.
No violations
December 11, 2024routine#862213233
No violations found. All areas in compliance.
No violations
December 5, 2024routine#862213231
No violations found. All areas in compliance.
No violations
December 4, 2024self-report#862351685
No violations found. All areas in compliance.
No violations
December 4, 2024complaint#862351684
No violations found. All areas in compliance.
No violations
December 3, 2024routine#862213230
No violations found. All areas in compliance.
No violations
December 3, 2024self-report#862351683
No violations found. All areas in compliance.
No violations
December 3, 2024complaint#862351682
No violations found. All areas in compliance.
No violations
December 3, 2024routine#862213229
No violations found. All areas in compliance.
No violations
November 26, 2024complaint#862351681
No violations found. All areas in compliance.
No violations
November 22, 2024routine#862213228
No violations found. All areas in compliance.
No violations
November 21, 2024complaint#862351680
No violations found. All areas in compliance.
No violations
November 12, 2024routine#862213227
No violations found. All areas in compliance.
No violations
November 6, 2024complaint#862351679
No violations found. All areas in compliance.
No violations
November 6, 2024routine#862213225
No violations found. All areas in compliance.
No violations
November 6, 2024routine#862213226
No violations found. All areas in compliance.
No violations
November 6, 2024routine#862213224
No violations found. All areas in compliance.
No violations
November 4, 2024complaint#862351678
No violations found. All areas in compliance.
No violations
October 29, 2024complaint#862351677
No violations found. All areas in compliance.
No violations
October 29, 2024routine#862213223
1 violation found (1 low severity).
Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Low
Three of three child files did not have documentation that parents were notified of service plan meeting at least two weeks before the meeting. Two files had documentation that had incorrect dates while the other file had no documentation at all.
748.1341(a)Corrected 2024-11-08
October 28, 2024complaint#862351676
No violations found. All areas in compliance.
No violations
October 17, 2024complaint#862351675
No violations found. All areas in compliance.
No violations
October 7, 2024complaint#862351674
No violations found. All areas in compliance.
No violations
October 7, 2024complaint#862351673
No violations found. All areas in compliance.
No violations
September 24, 2024complaint#862351672
No violations found. All areas in compliance.
No violations
September 24, 2024routine#862213222
No violations found. All areas in compliance.
No violations
September 22, 2024complaint#862351671
No violations found. All areas in compliance.
No violations
September 15, 2024complaint#862351670
No violations found. All areas in compliance.
No violations
September 11, 2024complaint#862351669
No violations found. All areas in compliance.
No violations
September 7, 2024complaint#862351668
No violations found. All areas in compliance.
No violations
September 3, 2024assessment#862395001
No violations found. All areas in compliance.
No violations
August 27, 2024routine#862213221
No violations found. All areas in compliance.
No violations
August 20, 2024complaint#862351667
No violations found. All areas in compliance.
No violations
August 19, 2024complaint#862351666
No violations found. All areas in compliance.
No violations
August 16, 2024routine#862213220
No violations found. All areas in compliance.
No violations
August 16, 2024complaint#862351665
No violations found. All areas in compliance.
No violations
August 16, 2024complaint#862351664
No violations found. All areas in compliance.
No violations
August 14, 2024self-report#862351663
No violations found. All areas in compliance.
No violations
August 12, 2024complaint#862351662
No violations found. All areas in compliance.
No violations
August 9, 2024complaint#862351661
No violations found. All areas in compliance.
No violations
August 5, 2024complaint#862351660
No violations found. All areas in compliance.
No violations
August 5, 2024complaint#862351659
No violations found. All areas in compliance.
No violations
August 1, 2024complaint#862351658
No violations found. All areas in compliance.
No violations
July 28, 2024complaint#862351657
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
High
Through multiple interviews of staff and children it was determined that staff have been heard using profane and abusive language towards children.
748.2307(9)Corrected 2024-09-27
July 23, 2024routine#862213219
No violations found. All areas in compliance.
No violations
July 22, 2024routine#862213218
No violations found. All areas in compliance.
No violations
July 21, 2024complaint#862351656
No violations found. All areas in compliance.
No violations
July 21, 2024complaint#862351655
No violations found. All areas in compliance.
No violations
July 21, 2024complaint#862351654
No violations found. All areas in compliance.
No violations
July 19, 2024complaint#862351653
No violations found. All areas in compliance.
No violations
July 17, 2024routine#862213217
No violations found. All areas in compliance.
No violations
July 14, 2024complaint#862351652
No violations found. All areas in compliance.
No violations
July 12, 2024self-report#862351651
No violations found. All areas in compliance.
No violations
July 9, 2024routine#862213216
No violations found. All areas in compliance.
No violations
July 8, 2024complaint#862351650
No violations found. All areas in compliance.
No violations
July 8, 2024self-report#862351649
2 violations found (2 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
Six children and three staff who were interviewed report on 7/7/24 three children were placed on 1:1 observation and the rest of the unit was out of ratio.
748.1003(a)Corrected 2024-08-16
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
High
A child in care was left unsupervised in a hallway by themselves. The child accessed a hospital gown and used the strings to tie around their neck. After the child was placed on 1:1 observation, the staff assigned to the child responded to incident involving another child and brought the child on 1:1 to the other child's room and was not providing 1:1 observation.
748.685(a)(4)Corrected 2024-08-16
July 3, 2024routine#862213215
No violations found. All areas in compliance.
No violations
July 2, 2024complaint#862351648
No violations found. All areas in compliance.
No violations
July 2, 2024routine#862213213
No violations found. All areas in compliance.
No violations
July 2, 2024routine#862213214
No violations found. All areas in compliance.
No violations
July 2, 2024routine#862213212
No violations found. All areas in compliance.
No violations
July 1, 2024complaint#862351647
No violations found. All areas in compliance.
No violations
July 1, 2024self-report#862351646
No violations found. All areas in compliance.
No violations
June 27, 2024complaint#862351645
No violations found. All areas in compliance.
No violations
June 27, 2024complaint#862351644
No violations found. All areas in compliance.
No violations
June 26, 2024routine#862213211
No violations found. All areas in compliance.
No violations
June 24, 2024self-report#862351643
No violations found. All areas in compliance.
No violations
June 24, 2024routine#862213210
No violations found. All areas in compliance.
No violations
June 22, 2024self-report#862351642
No violations found. All areas in compliance.
No violations
June 22, 2024complaint#862351641
No violations found. All areas in compliance.
No violations
June 20, 2024routine#862213209
No violations found. All areas in compliance.
No violations
June 19, 2024complaint#862351640
No violations found. All areas in compliance.
No violations
June 19, 2024complaint#862351639
No violations found. All areas in compliance.
No violations
June 17, 2024complaint#862351638
No violations found. All areas in compliance.
No violations
June 15, 2024self-report#862351637
No violations found. All areas in compliance.
No violations
June 13, 2024complaint#862351636
No violations found. All areas in compliance.
No violations
June 12, 2024routine#862213208
No violations found. All areas in compliance.
No violations
June 11, 2024complaint#862351635
No violations found. All areas in compliance.
No violations
June 11, 2024complaint#862351634
No violations found. All areas in compliance.
No violations
June 10, 2024complaint#862351633
No violations found. All areas in compliance.
No violations
June 6, 2024routine#862213207
No violations found. All areas in compliance.
No violations
June 5, 2024complaint#862351632
No violations found. All areas in compliance.
No violations
June 5, 2024routine#862213206
3 violations found (2 high, 1 medium 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
In a serious incident report reviewed it was noted a child swallowed a zipper and was taken to the emergency room for X-rays. This was not reported to RCCR.
748.303(a)(2)(A)Corrected 2024-06-06
Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
Medium
Three of three children's files did not have documentation of dental exams being completed within the last year. No dental had been scheduled for the children.
748.1225(b)Corrected 2024-06-21
Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training
High
It could not be verified that a staff had 50 hours of annual training for 2023. The staff's onling training showed less than 15 hours and other trainings did not have the number of hours.
748.930(a)(2)Corrected 2024-06-21
June 4, 2024complaint#862351631
No violations found. All areas in compliance.
No violations
June 3, 2024routine#862213205
No violations found. All areas in compliance.
No violations
June 1, 2024complaint#862351630
No violations found. All areas in compliance.
No violations
May 27, 2024self-report#862351629
No violations found. All areas in compliance.
No violations
May 26, 2024complaint#862351628
No violations found. All areas in compliance.
No violations
May 26, 2024complaint#862351627
No violations found. All areas in compliance.
No violations
May 24, 2024complaint#862351626
No violations found. All areas in compliance.
No violations
May 23, 2024complaint#862351625
No violations found. All areas in compliance.
No violations
May 21, 2024routine#862213204
No violations found. All areas in compliance.
No violations
May 21, 2024routine#862213203
No violations found. All areas in compliance.
No violations
May 21, 2024routine#862213202
No violations found. All areas in compliance.
No violations
May 21, 2024complaint#862351624
No violations found. All areas in compliance.
No violations
May 14, 2024self-report#862351623
No violations found. All areas in compliance.
No violations
May 11, 2024complaint#862351622
1 violation found (1 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
High
Staff sitting in the hallway observing children in their bedrooms did not notice when one child went into another child's room, where the two children appeared to have engaged in inappropriate physical contact with each other. This was observed by a different staff member.
748.685(a)(3)Corrected 2024-07-01
May 9, 2024complaint#862351621
No violations found. All areas in compliance.
No violations
May 1, 2024complaint#862351620
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
High
Staff did not intervene appropriately on children who were playing a potentially dangerous game of seeing how long they could hold their hands in fire ant beds. Multiple interviews indicate staff saw what the children were doing and redirected but did not continue to redirect or prevent children from gaining access to other ant beds. Two child had serious reactions to the ant bites and had to be taken to the emergency room.
748.685(a)(5)Corrected 2024-06-19
April 29, 2024complaint#862351619
1 violation found (1 high severity).
Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
High
A child in care attempted suicide on 4/24/24 and this was not reported to Residential Childcare Regulation until 4/28/24.
748.303(a)(12)(A)Corrected 2024-06-19
April 29, 2024complaint#862351618
No violations found. All areas in compliance.
No violations
April 26, 2024routine#862213201
No violations found. All areas in compliance.
No violations
April 26, 2024complaint#862351617
No violations found. All areas in compliance.
No violations
April 25, 2024routine#862213200
No violations found. All areas in compliance.
No violations
April 24, 2024complaint#862351616
No violations found. All areas in compliance.
No violations
April 24, 2024complaint#862351615
No violations found. All areas in compliance.
No violations
April 18, 2024complaint#862351613
No violations found. All areas in compliance.
No violations
April 18, 2024complaint#862351614
No violations found. All areas in compliance.
No violations
April 17, 2024routine#862213199
No violations found. All areas in compliance.
No violations
April 16, 2024complaint#862351612
No violations found. All areas in compliance.
No violations
April 16, 2024routine#862213198
No violations found. All areas in compliance.
No violations
April 15, 2024self-report#862351611
No violations found. All areas in compliance.
No violations
April 15, 2024self-report#862351610
No violations found. All areas in compliance.
No violations
April 15, 2024routine#862213196
No violations found. All areas in compliance.
No violations
April 15, 2024routine#862213197
No violations found. All areas in compliance.
No violations
April 13, 2024complaint#862351609
No violations found. All areas in compliance.
No violations
April 10, 2024complaint#862351608
No violations found. All areas in compliance.
No violations
April 9, 2024routine#862213195
No violations found. All areas in compliance.
No violations
April 5, 2024complaint#862351607
No violations found. All areas in compliance.
No violations
April 5, 2024routine#862213192
No violations found. All areas in compliance.
No violations
April 5, 2024routine#862213193
No violations found. All areas in compliance.
No violations
April 5, 2024routine#862213194
No violations found. All areas in compliance.
No violations
April 4, 2024complaint#862351606
No violations found. All areas in compliance.
No violations
April 2, 2024self-report#862351605
No violations found. All areas in compliance.
No violations
March 29, 2024complaint#862351604
No violations found. All areas in compliance.
No violations
March 27, 2024complaint#862351603
No violations found. All areas in compliance.
No violations
March 26, 2024routine#862213189
No violations found. All areas in compliance.
No violations
March 26, 2024routine#862213191
No violations found. All areas in compliance.
No violations
March 26, 2024routine#862213188
No violations found. All areas in compliance.
No violations
March 26, 2024routine#862213190
No violations found. All areas in compliance.
No violations
March 24, 2024complaint#862351602
2 violations found (1 high, 1 medium 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
Two out of two staff interviewed regarding ratio report ratio was not being maintained during an incident as there were more than 10 children outside with two staff. One of two children interviewed regarding ratio report ratio was not being maintained during an incident as there were more than ten children outside with two staff.
748.1003(a)Corrected 2024-05-17
Operational responsibilities - Maintain current, true, accurate, and complete records
Medium
Observation logs for several children note each child was inside the unit and calm during the same time the children were involved in an altercation outside the unit. Staff who report being inside the unit were completing observation logs on children who were reported to be outside the unit. A staff who says they were outside the unit, handling the physical altercation between children documented and initialed off on a child's observation log that the child was calm and inside and the same time the child was reportedly involved in an altercation outside the unit.
748.151(3)Corrected 2024-05-17
March 19, 2024routine#862213187
No violations found. All areas in compliance.
No violations
March 15, 2024routine#862213186
No violations found. All areas in compliance.
No violations
March 15, 2024routine#862213185
No violations found. All areas in compliance.
No violations
March 14, 2024complaint#862351601
No violations found. All areas in compliance.
No violations
March 13, 2024routine#862213184
No violations found. All areas in compliance.
No violations
March 13, 2024self-report#862351600
No violations found. All areas in compliance.
No violations
March 12, 2024complaint#862351599
No violations found. All areas in compliance.
No violations
March 12, 2024routine#862213183
No violations found. All areas in compliance.
No violations
March 11, 2024self-report#862351598
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
High
Multiple staff and children in care indicated that a staff used profane language at a child in care.
748.2307(9)Corrected 2024-04-03
March 11, 2024complaint#862351597
1 violation found (1 high severity).
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 threatening pulling the hair of a child in care.
748.2303(a)Corrected 2024-03-08
March 7, 2024complaint#862351596
No violations found. All areas in compliance.
No violations
March 6, 2024routine#862213180
No violations found. All areas in compliance.
No violations
March 6, 2024routine#862213182
No violations found. All areas in compliance.
No violations
March 6, 2024routine#862213181
No violations found. All areas in compliance.
No violations
March 6, 2024complaint#862351595
No violations found. All areas in compliance.
No violations
March 1, 2024routine#862213179
No violations found. All areas in compliance.
No violations
March 1, 2024routine#862213178
No violations found. All areas in compliance.
No violations
February 28, 2024self-report#862351594
No violations found. All areas in compliance.
No violations
February 24, 2024complaint#862351593
1 violation found (1 high severity).
Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
High
During the course of interviewing children four of five indicated that staff is using derogatory language that is belittling to children in care. The children also indicated that staff curse in general.
748.1101(b)(1)(A)Corrected 2024-03-29
February 21, 2024complaint#862351592
No violations found. All areas in compliance.
No violations
February 21, 2024routine#862213177
No violations found. All areas in compliance.
No violations
February 20, 2024routine#862213176
No violations found. All areas in compliance.
No violations
February 20, 2024complaint#862351591
No violations found. All areas in compliance.
No violations
February 20, 2024routine#862213175
No violations found. All areas in compliance.
No violations
February 18, 2024complaint#862351590
No violations found. All areas in compliance.
No violations
February 16, 2024complaint#862351589
No violations found. All areas in compliance.
No violations
February 15, 2024routine#862213174
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
4 out of 4 interviews noted there were only 2 staff in ratio for 24 children the morning of 2.15.24.
748.1003(a)Corrected 2024-02-22
February 13, 2024self-report#862351588
No violations found. All areas in compliance.
No violations
February 13, 2024complaint#862351587
1 violation found (1 high severity).
Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
High
3 children and 3 staff have received undercooked and/or molded items served in the cafeteria.
748.3441(a)Corrected 2024-03-13
February 13, 2024routine#862213173
No violations found. All areas in compliance.
No violations
February 12, 2024complaint#862351586
No violations found. All areas in compliance.
No violations
February 10, 2024complaint#862351585
No violations found. All areas in compliance.
No violations
February 7, 2024routine#862213172
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
During the walk through of Unit I 24 children were observed with 3 staff. Two children were in the hall out of the sight of staff.
748.1003(a)Corrected 2024-02-14
February 6, 2024complaint#862351584
No violations found. All areas in compliance.
No violations
February 2, 2024complaint#862351583
No violations found. All areas in compliance.
No violations
February 2, 2024routine#862213171
No violations found. All areas in compliance.
No violations
February 2, 2024complaint#862351582
No violations found. All areas in compliance.
No violations
February 1, 2024complaint#862351581
No violations found. All areas in compliance.
No violations
February 1, 2024complaint#862351580
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
During interviews with caregivers and children it was evident the operation had not maintained the required 1:5 ratio.
748.1003(a)Corrected 2024-02-23
February 1, 2024complaint#862351579
1 violation found (1 high severity).
You must not leave the child alone until a mental health professional assesses the child, in the event of a suicide attempt.
High
After reviewing the information it was determined a child rose to the level of Suicide Attempt, but did not get assessed by a medical person that falls under the definition of a Mental Health Specialist.
748.125(g)(2)(B)Corrected 2024-03-14
January 31, 2024complaint#862351578
No violations found. All areas in compliance.
No violations
January 30, 2024routine#862213170
No violations found. All areas in compliance.
No violations
January 29, 2024complaint#862351577
No violations found. All areas in compliance.
No violations
January 27, 2024complaint#862351576
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
During the course of the investigation it was found one of the victim's and another child were in an altercation and the other child was choked. This was not reported to Licensing and was found during the investigation process.
748.303(a)(2)(A)Corrected 2024-03-08
January 27, 2024complaint#862351575
1 violation found (1 high severity).
EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
High
Through interviews of staff and children it was determined that a caregiver did not use a permitted type of emergency behavior intervention when they had their legs wrapped around a child's waist.
748.2551(b)(2)Corrected 2024-04-15
January 25, 2024complaint#862351574
No violations found. All areas in compliance.
No violations
January 25, 2024routine#862213169
No violations found. All areas in compliance.
No violations
January 24, 2024complaint#862351573
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
High
Two children were able to gain entry into a bathroom that is supposed to remain locked and only have one child at a time in there. While in the bathroom the two children had inappropriate contact with each other.
748.685(a)(4)Corrected 2024-03-25
January 23, 2024complaint#862351572
No violations found. All areas in compliance.
No violations
January 23, 2024complaint#862351570
No violations found. All areas in compliance.
No violations
January 23, 2024complaint#862351571
No violations found. All areas in compliance.
No violations
January 22, 2024complaint#862351569
No violations found. All areas in compliance.
No violations
January 22, 2024routine#862213168
No violations found. All areas in compliance.
No violations
January 20, 2024complaint#862351568
No violations found. All areas in compliance.
No violations
January 19, 2024complaint#862351567
2 violations found (2 high severity).
Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
High
During review of operation documentation, a nurse's note was reviewed regarding an incident where a child was hit by a staff member on 1/17/24. This was not reported by the operation until 1/20/24. The staff that witnessed the incident did not report at all.
748.303(a)(3)(A)Corrected 2024-02-08
Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
High
It was observed by staff that another staff struck a child in care after that child hit that staff.
748.2303(a)Corrected 2024-04-15
January 19, 2024routine#862213164
No violations found. All areas in compliance.
No violations
January 19, 2024routine#862213167
No violations found. All areas in compliance.
No violations
January 19, 2024routine#862213165
No violations found. All areas in compliance.
No violations
January 19, 2024routine#862213166
No violations found. All areas in compliance.
No violations
January 18, 2024routine#862213163
1 violation found (1 medium severity).
Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
Medium
In one of the employee files reviewed, references were not documented to verify or discuss the applicant's suitability to work with or around children.
748.753(d)(1)Corrected 2024-01-29
January 18, 2024complaint#862351566
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
It was found two staff got into a verbal altercation waking children up in the middle of the night due to yelling and cussing.
748.507(1)Corrected 2024-03-15
January 18, 2024complaint#862351565
No violations found. All areas in compliance.
No violations
January 17, 2024self-report#862351564
2 violations found (2 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
High
Statements provided by both children in care and staff members stated that profane language is being used and directed at children in care.
748.2307(9)Corrected 2024-03-22
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
Statements from children in care and staff members stated that the operation only had one staff member for twelve residents.
748.1003(a)Corrected 2024-03-22
January 17, 2024routine#862213162
No violations found. All areas in compliance.
No violations
January 12, 2024complaint#862351563
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 caregiver did not demonstrate prudent judgment or self-control when they cursed around a child, made intimating comments and stood in front of a child in an intimidating way.
748.507(1)Corrected 2024-02-23
January 12, 2024complaint#862351562
No violations found. All areas in compliance.
No violations
January 11, 2024complaint#862351561
No violations found. All areas in compliance.
No violations
January 4, 2024self-report#862351560
No violations found. All areas in compliance.
No violations
January 3, 2024routine#862213161
No violations found. All areas in compliance.
No violations
January 2, 2024self-report#862351559
No violations found. All areas in compliance.
No violations
December 28, 2023complaint#862351558
No violations found. All areas in compliance.
No violations
December 22, 2023complaint#862351557
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
This standard was found deficient as part of a DFPS investigation.
748.1101(b)(1)(B)Corrected 2024-04-01
December 21, 2023complaint#862351556
No violations found. All areas in compliance.
No violations
December 20, 2023complaint#862351555
No violations found. All areas in compliance.
No violations
December 18, 2023complaint#862351554
2 violations found (1 high, 1 medium severity).
Active child record - Ensure record is kept accurate and current
Medium
While reviewing documentation it was noted that a child's psych eval was signed and dated prior to the child presenting at the operation and not the date that the evaluation occurred.
748.393(b)(3)Corrected 2024-03-05
Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
High
Two children in care were put on a safety plan that included them to remain 10ft apart at all times. It was determined that this was not implemented at all times.
748.685(c)(1)Corrected 2024-03-05
December 15, 2023routine#862213160
No violations found. All areas in compliance.
No violations
December 15, 2023complaint#862351553
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
During interviews it was evident the operation had not maintained the required 1:5 ratio. Ratios documented were 4:31 with a child on 1 to 1 supervision and 2:32 with a child on 1 to 1 supervision.
748.1003(a)Corrected 2024-02-13
December 12, 2023routine#862213159
No violations found. All areas in compliance.
No violations
December 11, 2023complaint#862351552
No violations found. All areas in compliance.
No violations
December 9, 2023complaint#862351551
No violations found. All areas in compliance.
No violations
December 8, 2023self-report#862351550
No violations found. All areas in compliance.
No violations
December 1, 2023routine#862213158
No violations found. All areas in compliance.
No violations
December 1, 2023routine#862213157
No violations found. All areas in compliance.
No violations
November 15, 2023complaint#862351549
No violations found. All areas in compliance.
No violations
November 13, 2023complaint#862351548
No violations found. All areas in compliance.
No violations
November 13, 2023complaint#862351547
No violations found. All areas in compliance.
No violations
November 8, 2023routine#862213156
No violations found. All areas in compliance.
No violations
November 8, 2023routine#862213155
No violations found. All areas in compliance.
No violations
October 24, 2023routine#862213154
1 violation found (1 medium severity).
Physical Site- Buildings must be clean and in good repair.
Medium
There was inappropriate graffiti on multiple bathroom walls in one of the units.
748.3301(a)(2)Corrected 2023-11-03
October 6, 2023complaint#862351546
No violations found. All areas in compliance.
No violations
October 6, 2023complaint#862351545
No violations found. All areas in compliance.
No violations
October 6, 2023complaint#862351544
No violations found. All areas in compliance.
No violations
October 5, 2023complaint#862351543
No violations found. All areas in compliance.
No violations
October 5, 2023complaint#862351542
1 violation found (1 high severity).
Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
High
A child in care had a suicide attempt on 9/30/23. This was not reported until 10/3/23.
748.303(a)(12)(A)Corrected 2024-02-02
October 3, 2023complaint#862351541
No violations found. All areas in compliance.
No violations
October 2, 2023complaint#862351540
No violations found. All areas in compliance.
No violations
September 30, 2023complaint#862351539
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
A child in care with a history of inappropriate boundaries was able to gain access to another child's room and acted out on that child. It was during a time when the hallway was not monitored by staff.
748.1101(b)(1)(B)Corrected 2023-12-11
September 30, 2023complaint#862351538
No violations found. All areas in compliance.
No violations
September 29, 2023complaint#862351537
No violations found. All areas in compliance.
No violations
September 27, 2023complaint#862351536
No violations found. All areas in compliance.
No violations
September 19, 2023routine#862213153
No violations found. All areas in compliance.
No violations
September 15, 2023complaint#862351535
No violations found. All areas in compliance.
No violations
September 12, 2023self-report#862351534
3 violations found (1 high, 2 medium severity).
Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
Medium
In Reviewing the Service Plan and Admission Assessment several required items were determined to be missing. Some of the items included Safety Plan for High Risk Behaviors, Life Skills for children, Supervision, Family Information, Manging Conservator information, and Discipline.
748.1205(a)(12)Corrected 2023-11-24
Emergency Behavior Intervention-Never used as a means to get a child to comply
High
Information gathered during the course of the investigation determined a child was restrained in order to get them to comply in two separate incidents.
748.2463(3)Corrected 2023-11-24
Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
Medium
In reviewing the Serious Incident Reports from both incidents items were found to be missing such as treating doctor, names of police officer, names of child witnesses and how to identify them, complete information of staff involved.
748.311(9)Corrected 2023-11-24
September 11, 2023complaint#862351533
No violations found. All areas in compliance.
No violations
September 8, 2023complaint#862351532
No violations found. All areas in compliance.
No violations
August 30, 2023complaint#862351531
No violations found. All areas in compliance.
No violations
August 29, 2023complaint#862351530
No violations found. All areas in compliance.
No violations
August 28, 2023complaint#862351529
No violations found. All areas in compliance.
No violations
August 25, 2023complaint#862351528
No violations found. All areas in compliance.
No violations
August 25, 2023routine#862213152
No violations found. All areas in compliance.
No violations
August 25, 2023routine#862213150
No violations found. All areas in compliance.
No violations
August 25, 2023routine#862213151
No violations found. All areas in compliance.
No violations
August 24, 2023complaint#862351527
No violations found. All areas in compliance.
No violations
August 23, 2023complaint#862351526
No violations found. All areas in compliance.
No violations
August 23, 2023complaint#862351525
No violations found. All areas in compliance.
No violations
August 22, 2023self-report#862351524
No violations found. All areas in compliance.
No violations
August 21, 2023complaint#862351523
No violations found. All areas in compliance.
No violations
August 19, 2023complaint#862351522
No violations found. All areas in compliance.
No violations
August 16, 2023routine#862213149
3 violations found (2 medium, 1 low severity).
Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
Medium
Two of two child files reviewed did not have results of past dental exams that had been done. There is no documentation showing a dental exam had been completed within required time frames.
748.1225(b)Corrected 2023-08-25
Admission Documentation-Includes a copy of the placement agreement, if applicable.
Low
Two of two child files reviewed did not have a placement agreement.
748.1205(a)(15)Corrected 2023-08-25
Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Medium
The operation has not had a severe weather drill since March 18, 2022.
748.3239(b)Corrected 2023-08-25
August 15, 2023complaint#862351521
1 violation found (1 high severity).
Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
High
A child in care was injected with Toradol 3 times in a 3 day span without their parent being notified they were being administered the medication. The operation noted the medication was covered by the "Consent for Emergency Medical Treatment/ Advance Directive" form, however, the medication was administered 2 days after the child initially began feeling chest pains and shortness of pain.
748.2003(a)Corrected 2023-10-06
August 15, 2023complaint#862351520
No violations found. All areas in compliance.
No violations
August 13, 2023complaint#862351519
No violations found. All areas in compliance.
No violations
August 10, 2023complaint#862351518
No violations found. All areas in compliance.
No violations
August 8, 2023complaint#862351517
No violations found. All areas in compliance.
No violations
August 4, 2023assessment#862395000
No violations found. All areas in compliance.
No violations
August 3, 2023complaint#862351516
2 violations found (2 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
High
A staff member did not demonstrate prudent judgment when they allowed a child in care to use their personal phone to access social media platforms. Additionally the staff used social media while working. The staff brought fast food to a child in care without prior approval to do so and ignored the appearance of favoritism to one specific child in care.
748.507(1)Corrected 2023-10-20
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
Through interviews it was determined that a staff member did engage in inappropriate contact with a child in care in such a way that meets Texas Family Code and Texas Administrative Code definitions of abuse.
748.1101(b)(1)(B)Corrected 2023-10-20
August 3, 2023routine#862213148
No violations found. All areas in compliance.
No violations
August 3, 2023routine#862213147
No violations found. All areas in compliance.
No violations
July 29, 2023routine#862213146
No violations found. All areas in compliance.
No violations
July 28, 2023complaint#862351515
No violations found. All areas in compliance.
No violations
July 28, 2023complaint#862351514
No violations found. All areas in compliance.
No violations
July 28, 2023complaint#862351513
No violations found. All areas in compliance.
No violations
July 28, 2023complaint#862351512
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
A child in care was not free from abuse when a staff member pulled the child to the ground by their hair.
748.1101(b)(1)(B)Corrected 2023-11-28
July 27, 2023complaint#862351511
No violations found. All areas in compliance.
No violations
July 26, 2023routine#862213145
No violations found. All areas in compliance.
No violations
July 26, 2023complaint#862351510
No violations found. All areas in compliance.
No violations
July 24, 2023routine#862213144
No violations found. All areas in compliance.
No violations
July 23, 2023complaint#862351509
2 violations found (2 high severity).
Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
High
Through interviews it was determined that appropriate ratio was not being maintained when one staff was left alone on one side of the unit with 12 children.
748.1005Corrected 2023-10-25
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
Through interviews it was determined five children in care were able to assault another child in care due to a lack of supervision by caregivers. The child that was assaulted sustained serious injuries.
748.1101(b)(1)(B)Corrected 2023-10-25
July 22, 2023self-report#862351508
No violations found. All areas in compliance.
No violations
July 12, 2023routine#862213143
No violations found. All areas in compliance.
No violations
July 11, 2023complaint#862351507
2 violations found (2 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
High
Caregivers were unaware that a child in care, who had history of suicidal gestures, went into the restroom until the door was opened for another child. The child was found unresponsive with clothing around their neck. Additionally two children were placed on 1:1 precaution and one caregiver was observed to be watching both children, which would not meet the 1:1 criteria.
748.685(a)(4)Corrected 2023-12-29
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
There were multiple reports that ratio was not being maintained on a day when a child was found unresponsive with clothing around their neck. It was reported there was at least one child on 1:1 supervision, leaving 4 staff to supervise the remaining 28 children.
748.1003(a)Corrected 2023-12-29
July 11, 2023complaint#862351506
No violations found. All areas in compliance.
No violations
July 10, 2023complaint#862351505
No violations found. All areas in compliance.
No violations
July 10, 2023complaint#862351504
No violations found. All areas in compliance.
No violations
July 9, 2023complaint#862351503
No violations found. All areas in compliance.
No violations
July 3, 2023routine#862213142
No violations found. All areas in compliance.
No violations
June 30, 2023self-report#862351502
No violations found. All areas in compliance.
No violations
June 29, 2023routine#862213141
No violations found. All areas in compliance.
No violations
June 24, 2023complaint#862351501
No violations found. All areas in compliance.
No violations
June 22, 2023complaint#862351500
No violations found. All areas in compliance.
No violations
June 20, 2023complaint#862351499
No violations found. All areas in compliance.
No violations
June 17, 2023routine#862213140
No violations found. All areas in compliance.
No violations
June 17, 2023self-report#862351498
No violations found. All areas in compliance.
No violations
June 15, 2023routine#862213139
No violations found. All areas in compliance.
No violations
June 15, 2023complaint#862351497
No violations found. All areas in compliance.
No violations
June 14, 2023complaint#862351496
No violations found. All areas in compliance.
No violations
June 14, 2023complaint#862351495
2 violations found (2 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
High
Two children were able to engage in consensual inappropriate sexual contact with each other. One of the children was on a side of the unit they were not assigned to and was in another child's bedroom, which is not allowed. Both children had history of inappropriate boundaries and due to a lack of being appropriately supervised, they were able to engage in inappropriate behavior.
748.685(a)(3)Corrected 2023-07-31
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
Through interviews with staff and children it was determined unit 1 was out of ratio on the day an incident between two children occurred. Multiple reports were that one staff was supervising 12 children.
748.1003(a)Corrected 2023-07-31
June 13, 2023routine#862213137
1 violation found (1 high severity).
Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
High
It was discovered that there were only two caregivers with 14 children. This left the group out of ratio. During a second walkthrough it was found that 1 of 3 units were out of ratio. There were 24 children with 3 caregivers. Two nurses were on the unit found to be working in the nurse station at the time.
748.1005Corrected 2023-06-29
June 13, 2023routine#862213138
No violations found. All areas in compliance.
No violations
June 8, 2023self-report#862351494
2 violations found (1 high, 1 medium severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
High
It was determined that two children in care were missing from the operation for about 15 minutes before staff realized they were gone. It was also determined that staff did not realize a door that was supposed to be secured was left opened and children were able to leave the building.
748.685(a)(4)Corrected 2023-08-11
Records Available for Licensing-all active records immediately available for review and reproduction
Medium
Documentation was requested in person, through phone call, and through email over multiple times throughout this investigation and two other investigations.
748.399(a)Corrected 2023-08-11
June 6, 2023routine#862213136
No violations found. All areas in compliance.
No violations
June 5, 2023complaint#862351493
No violations found. All areas in compliance.
No violations
June 3, 2023routine#862213135
No violations found. All areas in compliance.
No violations
June 2, 2023self-report#862351492
No violations found. All areas in compliance.
No violations
May 27, 2023self-report#862351491
5 violations found (3 high, 2 medium severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
High
A child in care was restrained to keep them from going out of a fence.
748.2463(3)Corrected 2023-08-07
Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
Medium
The log was requested 10 days after the runaway, the 5/27/2023 runs were not documented on the log.
748.453(a)(1)Corrected 2023-08-07
Initial Service Plan-Include instructions to caregivers about level of supervision required
High
Two children's service plans did not have any information regarding supervision requirements.
748.1337(b)(1)(D)(ii)Corrected 2023-08-07
Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
Medium
In reviewing the Serious Incident Reports, items were found to be missing; names of all staff involved and names of all witnesses (outside of children directly involved).
748.311(5)Corrected 2023-08-07
Caregiver responsibility - being aware of and accountable for each child's on-going activity
High
Three children in care who were on restriction got out of the locked home and locked fence and ran away. None of the staff interviewed could say who was responsible for the children involved in the incident.
748.685(a)(3)Corrected 2023-08-07
May 26, 2023self-report#862351490
No violations found. All areas in compliance.
No violations
May 26, 2023routine#862213134
No violations found. All areas in compliance.
No violations
May 25, 2023complaint#862351489
No violations found. All areas in compliance.
No violations
May 25, 2023complaint#862351488
No violations found. All areas in compliance.
No violations
May 25, 2023routine#862213133
No violations found. All areas in compliance.
No violations
May 25, 2023routine#862213132
No violations found. All areas in compliance.
No violations
May 24, 2023self-report#862351487
No violations found. All areas in compliance.
No violations
May 23, 2023complaint#862351486
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
One of the units had 28 children on the unit. One child required 1:1 supervision. For a period of time there were 3 other staff to supervise the remaining 27 children.
748.1003(a)Corrected 2023-06-02
May 20, 2023self-report#862351485
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
High
There's sufficient evidence to show that staff members were on their phones while counted in ratio and supervising children.
748.685(a)(4)Corrected 2023-07-07
May 19, 2023routine#862213131
2 violations found (2 high severity).
Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
High
It was observed that a caregiver restrained a child in care without an emergency situation occuring and did not attempt to de-escaltate.
748.2455(a)(1)Corrected 2023-05-26
Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
High
It was discovered that there were only two caregivers with 14 children. This left the group out of ratio.
748.1005Corrected 2023-05-26
May 18, 2023routine#862213130
6 violations found (4 high, 2 medium 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
Through interviews of staff and children it was determined the residential treatment center units (1, 2, and 5) are frequentlly out of ratio, with times where one staff is supervising 20 children.
748.1003(a)Corrected 2023-05-22
Operational responsibilities - Designate a qualified full-time child-care administrator
High
The administrator of record is not a full time employee of the operation.
748.151(1)Corrected 2023-06-16
Operational responsibilities - Maintain current, true, accurate, and complete records
Medium
The operation did not maintain true and accurate records as staff training records showed staff did 6 days of orientation in 2 days or less, that staff did 40 hours of observation in one day, staff signed that they did 40 hours of observation but no form was filled out, and training documentation noted staff did CPI training on 2/27/23 but the CPI card notes the training being done on 2/28/23.
748.151(3)Corrected 2023-05-26
Notification - New controlling person
High
The operation has had a new CEO since April 2023 that would need to be added as a new controlling person. As of 5/18/23 this person still was not added as a controlling person.
748.153(3)(B)Corrected 2023-05-22
Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
High
An incident report reviewed showed an incident was documented on 5/7/23 that two children were involved in non consensual sexual activity and this was not reported to Licensing.
748.303(a)(5)(A)Corrected 2023-05-22
Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
Medium
It was noted there were several pillows being used by children that did not have pillow cases. The pillows had vinyl coverings that were ripped. Several beds did not have sheets.
748.3365(c)(1)Corrected 2023-05-26
May 16, 2023complaint#862351484
1 violation found (1 high severity).
Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
High
By several caregiver's own admission, it was stated that administrative personnel have breached this standard by sending staff from cottage to cottage while under-staffed to create the illusion they are in ratio when Licensing personnel are on the Operation's premises.
748.535(3)(A)Corrected 2023-06-06
May 12, 2023complaint#862351483
No violations found. All areas in compliance.
No violations
May 10, 2023routine#862213129
No violations found. All areas in compliance.
No violations
May 9, 2023complaint#862351482
No violations found. All areas in compliance.
No violations
May 9, 2023routine#862213128
No violations found. All areas in compliance.
No violations
May 9, 2023complaint#862351481
No violations found. All areas in compliance.
No violations
May 8, 2023self-report#862351480
6 violations found (4 high, 2 medium 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
Based on interviews and the staffing schedule, there were at least 3 times a unit was out of ratio due to not having enough workers in the unit.
748.1003(a)Corrected 2023-06-12
General pre-service training curriculum-Includes trauma informed care
Medium
At least 3 caregivers did not have their pre-service training completed for trauma informed care. Refer to pre-service normalcy training as well, 748.748.881(7).
748.881(6)Corrected 2023-06-12
Operational responsibilities - Maintain current, true, accurate, and complete records
Medium
Based on interviews and the staffing schedule, there were at least 4 occasions where staff were documented to have worked who did not actually work that unit.
748.151(3)Corrected 2023-06-12
Annual Training- Caregivers must have 2 hrs trauma informed care.
High
At least 2 caregivers did not have annual trauma informed care training. Refer to TIC annual training as well, 748.930(b)(3).
748.930(b)(2)Corrected 2023-06-12
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
A current staff member providing direct care services did not have an active background check. The background check was inactivated on 4.20.23.
745.641Corrected 2023-06-12
Child/caregiver ratio-Includes only qualified caregivers working directly with a child or group of children
High
Based on the staffing schedule and interviews, there were at least 6 times that unqualified caregivers were placed in ratio with the children.
748.1011Corrected 2023-06-12
May 8, 2023complaint#862351479
No violations found. All areas in compliance.
No violations
May 5, 2023routine#862213127
No violations found. All areas in compliance.
No violations
May 5, 2023routine#862213126
No violations found. All areas in compliance.
No violations
May 4, 2023self-report#862351478
No violations found. All areas in compliance.
No violations
May 2, 2023complaint#862351477
No violations found. All areas in compliance.
No violations
April 26, 2023self-report#862351476
No violations found. All areas in compliance.
No violations
April 26, 2023routine#862213125
No violations found. All areas in compliance.
No violations
April 20, 2023complaint#862351475
No violations found. All areas in compliance.
No violations
April 12, 2023complaint#862351474
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 determined through interviews that a staff member did push a child, making the child fall and hit their head. It was determined by DFPS this meets to definition for abuse.
748.1101(b)(1)(B)Corrected 2023-07-03
EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
High
A caregiver did not consider permitted types of emergency behavior intervention when they pushed a child to stop them from trying to fight another child. The child was pushed into another child, who fell and hit their head.
748.2551(b)(2)Corrected 2023-07-03
April 8, 2023complaint#862351473
3 violations found (3 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
High
Staff were not aware and accountable of a child's activities when the child was able to obtain a razor and cut themselves seriously enough to where the child required medical attention and had stitches for the injury.
748.685(a)(3)Corrected 2023-06-09
Initial Service Plan-Include instructions to caregivers about level of supervision required
High
A child's service plan did not have specific information about the level of supervision the child would have at the operation.
748.1337(b)(1)(D)(ii)Corrected 2023-06-09
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
Through interviews of children and staff it was determined when an incident occurred on 4/4/23 the unit was not in ratio. There were 30 children on the unit and only 4 direct care staff could be confirmed to be working when the incident occurred.
748.1003(a)Corrected 2023-06-09
April 7, 2023complaint#862351472
1 violation found (1 high severity).
Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
High
Rubbing alcohol was not stored in a way that was inaccessible to children in care. A child in care was able to obtain access to the bottle. Several children then ingested the rubbing alcohol. One of the children became sick and required medical attention.
748.3421(3)Corrected 2023-08-04
March 28, 2023complaint#862351471
No violations found. All areas in compliance.
No violations
March 24, 2023self-report#862351470
2 violations found (2 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
High
Staff did not demonstrate prudent judgment or self control when they threw a binder on to the ground and cornered a child for a negative comment the child made.
748.507(1)Corrected 2023-05-05
Other Prohibited Punishments-subjecting a child to abusive or profane language
High
A staff member used profane, threatening language to a child in care after a child used inappropriate language.
748.2307(9)Corrected 2023-05-05
March 22, 2023complaint#862351469
No violations found. All areas in compliance.
No violations
March 15, 2023complaint#862351468
No violations found. All areas in compliance.
No violations
March 13, 2023complaint#862351467
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
High
Through interviews of staff and children it was determined that during a physical altercation between children at least one, possibly two staff responding to the incident did not assist in intervening on the children fighting. One of the children involved sustained multiple injuries including bruising and swelling to their face.
748.685(a)(5)Corrected 2023-05-03
March 13, 2023complaint#862351466
3 violations found (3 high severity).
Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
High
On the morning of 3/11/23, children in care reported allegations of sexual abuse of by a caregiver. This was not reported to Licensing until 3/13/23. A report made by one of the administrative staff did not include sufficient details of the abuse to be referred to the appropriate investigative program.
748.303(a)(3)(A)Corrected 2023-08-11
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
During the course of the investigation it was determined a staff member encouraged children in care to show staff their private parts and requested that the children engage in inappropriate sexual activity. Additionally, the staff was observed touching themselves inappropriately.
748.1101(b)(1)(B)Corrected 2023-08-11
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
High
Through interviews it was determined a staff member did not demonstrate prudent judgment when they violated professional boundaries between children in care and caregivers. Staff made promises to children in care of drugs, money, phones, jewelry, and marriage. Additionally, the staff promised to take the children out of the operation.
748.507(1)Corrected 2023-08-11
March 9, 2023complaint#862351465
No violations found. All areas in compliance.
No violations
March 7, 2023complaint#862351464
No violations found. All areas in compliance.
No violations
March 1, 2023routine#862213124
No violations found. All areas in compliance.
No violations
February 26, 2023complaint#862351463
No violations found. All areas in compliance.
No violations
February 23, 2023routine#862213123
No violations found. All areas in compliance.
No violations
February 21, 2023routine#862213122
1 violation found (1 high severity).
Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
High
4 of the 4 child files reviewed did not have documentation that a vision or hearing screening was conducted.
748.1545(a)Corrected 2023-02-28
February 19, 2023routine#862213121
No violations found. All areas in compliance.
No violations
February 18, 2023self-report#862351462
No violations found. All areas in compliance.
No violations
February 15, 2023routine#862213120
No violations found. All areas in compliance.
No violations
February 10, 2023complaint#862351461
No violations found. All areas in compliance.
No violations
February 8, 2023complaint#862351460
2 violations found (2 high severity).
Personal Restraints Prohibited-Restraints that obstruct child's airway
High
Through interviews of children and staff it was determined a child's sweatshirt was pulled over a child's face/mouth during the course of a restraint.
748.2605(a)(2)Corrected 2023-04-28
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
High
Staff did not exercise prudent judgment when having children in care clean up another child's excrement as incentive for those children to be able to go on an outing.
748.507(1)Corrected 2023-04-28
February 2, 2023routine#862213119
No violations found. All areas in compliance.
No violations
February 1, 2023complaint#862351459
2 violations found (2 high severity).
Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
High
Medication was not kept inaccessible other than employees responsible for storing the medication, as a child was able to obtain 6 bottles of medication and ingested an unknown amount of medication, requiring that child to be hospitalized.
748.2101(2)Corrected 2023-07-03
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
It was determined a child in care was neglectfully supervised at the operation when they were able to obtain and ingest several different medications, that required the child to be hospitalized.
748.1101(b)(1)(B)Corrected 2023-07-03
January 20, 2023self-report#862351458
No violations found. All areas in compliance.
No violations
January 12, 2023complaint#862351457
No violations found. All areas in compliance.
No violations
January 11, 2023routine#862213118
No violations found. All areas in compliance.
No violations
January 11, 2023routine#862213117
No violations found. All areas in compliance.
No violations
January 6, 2023complaint#862351456
2 violations found (2 high severity).
Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
High
During the course of the investigation through interviews with children and staff it was determined staff members are making belittling remarks to children such as telling them to shut up, calling them bullies, saying their hair is "nappy", saying children are annoying, that children stink, and commenting that children have not "washed between their legs."
748.1101(b)(4)(A)(v)Corrected 2023-03-13
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
High
During the course of this investigation through interviews of children and staff it was determined that some staff did not demonstrate prudent judgment or self control when they got mad, yelled, and punched a wall or meal cart. Additionally, another staff member has made threatening comments to children in care which does not demonstrate prudent judgment.
748.507(1)Corrected 2023-03-13
January 4, 2023self-report#862351455
No violations found. All areas in compliance.
No violations
January 3, 2023routine#862213116
No violations found. All areas in compliance.
No violations
December 12, 2022routine#862213115
No violations found. All areas in compliance.
No violations
December 12, 2022routine#862213114
No violations found. All areas in compliance.
No violations
December 6, 2022routine#862213113
No violations found. All areas in compliance.
No violations
December 6, 2022routine#862213112
No violations found. All areas in compliance.
No violations
December 2, 2022complaint#862351454
No violations found. All areas in compliance.
No violations
November 30, 2022routine#862213111
No violations found. All areas in compliance.
No violations
November 22, 2022routine#862213110
No violations found. All areas in compliance.
No violations
November 19, 2022self-report#862351453
No violations found. All areas in compliance.
No violations
November 17, 2022complaint#862351452
No violations found. All areas in compliance.
No violations
November 14, 2022complaint#862351451
No violations found. All areas in compliance.
No violations
November 12, 2022complaint#862351450
No violations found. All areas in compliance.
No violations
November 9, 2022complaint#862351449
No violations found. All areas in compliance.
No violations
November 3, 2022routine#862213109
No violations found. All areas in compliance.
No violations
November 2, 2022complaint#862351448
No violations found. All areas in compliance.
No violations
October 31, 2022routine#862213108
No violations found. All areas in compliance.
No violations
October 29, 2022complaint#862351447
No violations found. All areas in compliance.
No violations
October 26, 2022complaint#862351446
No violations found. All areas in compliance.
No violations
October 12, 2022complaint#862351445
No violations found. All areas in compliance.
No violations
October 12, 2022complaint#862351444
No violations found. All areas in compliance.
No violations
October 11, 2022complaint#862351443
No violations found. All areas in compliance.
No violations
October 7, 2022complaint#862351442
No violations found. All areas in compliance.
No violations
October 6, 2022complaint#862351441
No violations found. All areas in compliance.
No violations
September 28, 2022routine#862213107
No violations found. All areas in compliance.
No violations
September 26, 2022complaint#862351440
No violations found. All areas in compliance.
No violations
September 24, 2022complaint#862351439
No violations found. All areas in compliance.
No violations
September 20, 2022routine#862213106
No violations found. All areas in compliance.
No violations
September 14, 2022complaint#862351438
2 violations found (1 high, 1 medium severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
High
It was determined through the course of the investigation two children were in a physical altercation. During the time of separation in an attempt to de-escalate, one of the children came in where the other child was still upset and staff admitted to not intervening to ensure there would be no further altercations which allowed another altercation to occur and left one of the children with an injury.
748.685(a)(5)Corrected 2022-11-21
Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
Medium
In reviewing the Serious Incident Report several items were found to be missing. Names of all staff and children involved, names of all witnesses, description of the differences between the children in size, weight, mental level.
748.311(4)Corrected 2022-11-21
September 12, 2022complaint#862351437
No violations found. All areas in compliance.
No violations
September 9, 2022complaint#862351436
No violations found. All areas in compliance.
No violations
August 23, 2022routine#862213105
No violations found. All areas in compliance.
No violations
August 23, 2022routine#862213104
No violations found. All areas in compliance.
No violations
August 19, 2022complaint#862351435
No violations found. All areas in compliance.
No violations
August 18, 2022complaint#862351434
No violations found. All areas in compliance.
No violations
August 13, 2022complaint#862351433
No violations found. All areas in compliance.
No violations
August 11, 2022routine#862213103
No violations found. All areas in compliance.
No violations
August 10, 2022routine#862213102
No violations found. All areas in compliance.
No violations
August 3, 2022complaint#862351432
No violations found. All areas in compliance.
No violations
August 1, 2022self-report#862351431
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
After reviewing documentation, it was determined that this was reported after 24 hours of being injured and receiving medical care.
748.303(a)(2)(A)Corrected 2022-09-21
July 20, 2022complaint#862351430
No violations found. All areas in compliance.
No violations
July 9, 2022routine#862213101
No violations found. All areas in compliance.
No violations
July 7, 2022routine#862213100
No violations found. All areas in compliance.
No violations
July 6, 2022complaint#862351429
No violations found. All areas in compliance.
No violations
June 21, 2022complaint#862351428
No violations found. All areas in compliance.
No violations
June 17, 2022complaint#862351427
No violations found. All areas in compliance.
No violations
June 4, 2022complaint#862351426
No violations found. All areas in compliance.
No violations
May 4, 2022routine#862213099
No violations found. All areas in compliance.
No violations
April 26, 2022complaint#862351425
No violations found. All areas in compliance.
No violations
April 21, 2022complaint#862351424
No violations found. All areas in compliance.
No violations
April 1, 2022complaint#862351423
No violations found. All areas in compliance.
No violations
March 28, 2022complaint#862351422
No violations found. All areas in compliance.
No violations
March 26, 2022complaint#862351421
No violations found. All areas in compliance.
No violations
March 24, 2022complaint#862351420
No violations found. All areas in compliance.
No violations
March 24, 2022complaint#862351419
No violations found. All areas in compliance.
No violations
March 22, 2022complaint#862351418
No violations found. All areas in compliance.
No violations
March 22, 2022routine#862213098
No violations found. All areas in compliance.
No violations
March 16, 2022complaint#862351417
No violations found. All areas in compliance.
No violations
March 9, 2022complaint#862351416
No violations found. All areas in compliance.
No violations
March 4, 2022routine#862213097
No violations found. All areas in compliance.
No violations
March 3, 2022complaint#862351415
No violations found. All areas in compliance.
No violations
February 28, 2022complaint#862351414
No violations found. All areas in compliance.
No violations
February 23, 2022complaint#862351413
No violations found. All areas in compliance.
No violations
February 9, 2022routine#862213096
No violations found. All areas in compliance.
No violations
February 1, 2022self-report#862351412
No violations found. All areas in compliance.
No violations
January 26, 2022complaint#862351411
No violations found. All areas in compliance.
No violations
January 22, 2022complaint#862351410
No violations found. All areas in compliance.
No violations
January 7, 2022complaint#862351409
No violations found. All areas in compliance.
No violations
December 29, 2021self-report#862351408
No violations found. All areas in compliance.
No violations
December 21, 2021complaint#862351407
No violations found. All areas in compliance.
No violations
November 19, 2021complaint#862351406
No violations found. All areas in compliance.
No violations
November 10, 2021complaint#862351405
No violations found. All areas in compliance.
No violations
October 28, 2021complaint#862351404
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
High
On multiple occasions at the operation, a staff member sexually abused a child resident who was left in this staff member's care.
748.1101(b)(1)(B)Corrected 2022-01-11
October 27, 2021complaint#862351403
No violations found. All areas in compliance.
No violations
September 27, 2021routine#862213095
2 violations found (1 high, 1 medium severity).
Admission Documentation-Includes copy of the placement agreement, if applicable
High
4 of the 4 child files read did not contain placement agreement documentation.
748.1205(a)(13)Corrected 2021-10-11
Admission-Report and findings of dental exam must be documented in child's record
Medium
4 of the 4 child files read did not contain documentation/reports of dental exams in the child's records.
748.1225(c)Corrected 2021-10-11
September 22, 2021routine#862213094
No violations found. All areas in compliance.
No violations
September 20, 2021self-report#862351402
No violations found. All areas in compliance.
No violations
September 8, 2021self-report#862351401
No violations found. All areas in compliance.
No violations
August 19, 2021complaint#862351400
No violations found. All areas in compliance.
No violations
August 19, 2021complaint#862351399
No violations found. All areas in compliance.
No violations
July 26, 2021self-report#862351398
2 violations found (2 high severity).
Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
High
During the course of the investigation, staff admitted to reaching hand down victim child's pants to retrieve bouncy ball.
748.1101(b)(4)(A)Corrected 2021-11-11
Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
High
During the course of the investigation, it was determined that the caregiver restrained the child for an inappropriate reason.
748.2455(a)(2)Corrected 2021-11-11
June 29, 2021routine#862213093
No violations found. All areas in compliance.
No violations
June 25, 2021complaint#862351397
No violations found. All areas in compliance.
No violations
June 11, 2021complaint#862351396
No violations found. All areas in compliance.
No violations
June 6, 2021self-report#862351395
No violations found. All areas in compliance.
No violations
May 20, 2021routine#862213092
No violations found. All areas in compliance.
No violations
May 17, 2021routine#862213091
No violations found. All areas in compliance.
No violations
May 7, 2021self-report#862351394
No violations found. All areas in compliance.
No violations
May 7, 2021complaint#862351393
No violations found. All areas in compliance.
No violations
May 5, 2021self-report#862351392
No violations found. All areas in compliance.
No violations
May 4, 2021complaint#862351391
No violations found. All areas in compliance.
No violations
May 3, 2021routine#862213090
No violations found. All areas in compliance.
No violations
May 3, 2021complaint#862351390
No violations found. All areas in compliance.
No violations
April 27, 2021routine#862213089
No violations found. All areas in compliance.
No violations
April 24, 2021self-report#862351389
No violations found. All areas in compliance.
No violations
April 20, 2021complaint#862351388
1 violation found (1 high severity).
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 discovered that the child was given cleaning solution by a staff member without ensuring that the child needed it or that the child was being supervised while using it. The staff member who gave the child the cleaning solution did not notify the child's supervising staff that the child was in possession of the cleaning solution.
748.685(a)(4)Corrected 2021-06-21
April 16, 2021routine#862213088
No violations found. All areas in compliance.
No violations
April 12, 2021routine#862213087
No violations found. All areas in compliance.
No violations
April 11, 2021complaint#862351387
No violations found. All areas in compliance.
No violations
April 8, 2021routine#862213086
No violations found. All areas in compliance.
No violations
April 1, 2021self-report#862351386
2 violations found (2 high severity).
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
During the review of the person's involved, it was discovered a person is currently working, but their background check has been inactive since November 2020.
745.641Corrected 2021-05-01
Serious Incident-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
High
During the course of the investigation, it was determined a Serious Incident occurred in which a child injured themselves, but was not report to the Hotline for five days.
748.303(a)(2)(A)Corrected 2021-05-06
March 29, 2021self-report#862351385
No violations found. All areas in compliance.
No violations
March 29, 2021self-report#862351384
No violations found. All areas in compliance.
No violations
March 28, 2021self-report#862351383
No violations found. All areas in compliance.
No violations
March 25, 2021self-report#862351382
No violations found. All areas in compliance.
No violations
March 24, 2021complaint#862351381
No violations found. All areas in compliance.
No violations
March 23, 2021self-report#862351380
1 violation found (1 high severity).
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 documented that several individuals interviewed stated that staff were on their phones constantly and not supervising correctly which might have contributed to one of the children in care being able to touch peers inappropriately.
748.685(a)(4)Corrected 2021-05-20
March 12, 2021complaint#862351379
1 violation found (1 high severity).
Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
High
During the course of the investigation, the children in care interviewed all stated that the staff has yelled and cursed at them or other children at the operation.
748.2307(8)Corrected 2021-05-03
March 12, 2021routine#862213085
No violations found. All areas in compliance.
No violations
March 10, 2021self-report#862351378
No violations found. All areas in compliance.
No violations
March 5, 2021routine#862213084
No violations found. All areas in compliance.
No violations
March 5, 2021routine#862213083
No violations found. All areas in compliance.
No violations
March 5, 2021self-report#862351377
No violations found. All areas in compliance.
No violations
March 4, 2021self-report#862351376
No violations found. All areas in compliance.
No violations
March 4, 2021routine#862213082
No violations found. All areas in compliance.
No violations
March 4, 2021self-report#862351375
No violations found. All areas in compliance.
No violations
March 3, 2021self-report#862351374
No violations found. All areas in compliance.
No violations
February 24, 2021routine#862213081
No violations found. All areas in compliance.
No violations
February 17, 2021complaint#862351373
No violations found. All areas in compliance.
No violations
February 9, 2021self-report#862351372
2 violations found (2 medium severity).
Single service plan is acceptable as long you continue to comply with the service plan review and update requirements
Medium
In Reviewing the Service Plans it was found that several of the requirements were not included. The child also did not sign and it is not documented if they received a copy.
748.1386(2)Corrected 2021-04-16
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Medium
In reviewing background checks for persons interviewed, it was found that a staff quit in Mid-March, but is still active as of this date.
745.651(1)Corrected 2021-04-14
February 1, 2021complaint#862351371
No violations found. All areas in compliance.
No violations
January 27, 2021complaint#862351370
No violations found. All areas in compliance.
No violations
December 30, 2020complaint#862351369
No violations found. All areas in compliance.
No violations
December 24, 2020complaint#862351368
No violations found. All areas in compliance.
No violations
December 16, 2020complaint#862351367
No violations found. All areas in compliance.
No violations
November 26, 2020complaint#862351366
No violations found. All areas in compliance.
No violations
November 6, 2020self-report#862351365
1 violation found (1 high severity).
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 discovered that the child was on an increased supervision plan that required they have 5 minute checks. That does not appear to have occurred.
748.685(a)(4)Corrected 2021-04-01
October 29, 2020complaint#862351364
No violations found. All areas in compliance.
No violations
October 19, 2020self-report#862351363
No violations found. All areas in compliance.
No violations
October 12, 2020complaint#862351362
No violations found. All areas in compliance.
No violations
September 19, 2020complaint#862351361
No violations found. All areas in compliance.
No violations
August 26, 2020self-report#862351360
No violations found. All areas in compliance.
No violations

Availability

90 children capacity

Estimated Tuition

$750 – $1,100/mo

By age group

Infant$950 – $1,400

Toddler$850 – $1,250

Preschool$750 – $1,100

School-age$450 – $750

Estimated from regional averages. Actual rates may vary.

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