Pegasus Schools, Inc.
License Information
- Status
- Licensed
- License #
- 844396
- Expires
- November 16, 2027
- Licensed Capacity
- 200 children
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
394 records- routine#862212613
No violations found. All areas in compliance.
No violations
- routine#862212612
No violations found. All areas in compliance.
No violations
- routine#862212611
No violations found. All areas in compliance.
No violations
- routine#862212610
No violations found. All areas in compliance.
No violations
- routine#862212609
No violations found. All areas in compliance.
No violations
- complaint#862351025
No violations found. All areas in compliance.
No violations
- self-report#862351024
No violations found. All areas in compliance.
No violations
- self-report#862351023
No violations found. All areas in compliance.
No violations
- routine#862212608
No violations found. All areas in compliance.
No violations
- self-report#862351022
No violations found. All areas in compliance.
No violations
- complaint#862351021
No violations found. All areas in compliance.
No violations
- routine#862212607
No violations found. All areas in compliance.
No violations
- routine#862212606
No violations found. All areas in compliance.
No violations
- routine#862212605
No violations found. All areas in compliance.
No violations
- self-report#862351020
No violations found. All areas in compliance.
No violations
- self-report#862351019
No violations found. All areas in compliance.
No violations
- routine#862212604
No violations found. All areas in compliance.
No violations
- self-report#862351018
1 violation found (1 high severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
HighA caregiver performed an escort restraint on a child in care when the child did not respond to a directive.
748.2463(3)Corrected 2025-11-21 - complaint#862351017
No violations found. All areas in compliance.
No violations
- routine#862212603
No violations found. All areas in compliance.
No violations
- routine#862212602
No violations found. All areas in compliance.
No violations
- complaint#862351016
No violations found. All areas in compliance.
No violations
- routine#862212601
No violations found. All areas in compliance.
No violations
- self-report#862351015
No violations found. All areas in compliance.
No violations
- routine#862212600
No violations found. All areas in compliance.
No violations
- routine#862212599
No violations found. All areas in compliance.
No violations
- routine#862212598
No violations found. All areas in compliance.
No violations
- self-report#862351014
No violations found. All areas in compliance.
No violations
- complaint#862351013
No violations found. All areas in compliance.
No violations
- routine#862212597
No violations found. All areas in compliance.
No violations
- routine#862212596
No violations found. All areas in compliance.
No violations
- routine#862212595
No violations found. All areas in compliance.
No violations
- self-report#862351012
No violations found. All areas in compliance.
No violations
- routine#862212594
No violations found. All areas in compliance.
No violations
- routine#862212593
1 violation found (1 medium severity).
Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
MediumDuring the inspection of Child's Rights, two child files did not have a signed child rights form.
748.1103(a)Corrected 2025-08-13 - routine#862212592
No violations found. All areas in compliance.
No violations
- routine#862212591
No violations found. All areas in compliance.
No violations
- self-report#862351011
No violations found. All areas in compliance.
No violations
- self-report#862351010
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighIt was determined that two children in care were able to expose himself to another child due to lack of staff?s supervision.
748.685(a)(5)Corrected 2025-09-19 - routine#862212590
No violations found. All areas in compliance.
No violations
- self-report#862351009
No violations found. All areas in compliance.
No violations
- self-report#862351008
No violations found. All areas in compliance.
No violations
- complaint#862351007
No violations found. All areas in compliance.
No violations
- complaint#862351006
No violations found. All areas in compliance.
No violations
- routine#862212589
No violations found. All areas in compliance.
No violations
- complaint#862351005
No violations found. All areas in compliance.
No violations
- routine#862212588
No violations found. All areas in compliance.
No violations
- complaint#862351004
No violations found. All areas in compliance.
No violations
- routine#862212587
No violations found. All areas in compliance.
No violations
- self-report#862351003
No violations found. All areas in compliance.
No violations
- routine#862212586
No violations found. All areas in compliance.
No violations
- routine#862212585
No violations found. All areas in compliance.
No violations
- complaint#862351002
No violations found. All areas in compliance.
No violations
- routine#862212584
No violations found. All areas in compliance.
No violations
- self-report#862351001
No violations found. All areas in compliance.
No violations
- routine#862212583
No violations found. All areas in compliance.
No violations
- self-report#862351000
No violations found. All areas in compliance.
No violations
- self-report#862350999
No violations found. All areas in compliance.
No violations
- self-report#862350998
No violations found. All areas in compliance.
No violations
- complaint#862350997
No violations found. All areas in compliance.
No violations
- complaint#862350996
No violations found. All areas in compliance.
No violations
- routine#862212582
No violations found. All areas in compliance.
No violations
- complaint#862350995
No violations found. All areas in compliance.
No violations
- self-report#862350994
1 violation found (1 high severity).
Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HighThe 4/19/25 medical report states that the child was to be seen by primary care physician within 2-4 days and he was seen 12 days later on 5/1/2025.
748.1531(d)Corrected 2025-06-24 - self-report#862350993
1 violation found (1 high severity).
Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
HighDuring the investigation, it was reported that staff was out of ratio when incident of a child hitting another child with a stick.
748.1009(2)Corrected 2025-06-20 - routine#862212581
No violations found. All areas in compliance.
No violations
- routine#862212580
No violations found. All areas in compliance.
No violations
- complaint#862350992
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
HighIt is determined staff become out of ratio when attending to high-risk situations of restraints, as well as smoke breaks.
748.1003(a)Corrected 2025-05-02 - routine#862212579
No violations found. All areas in compliance.
No violations
- self-report#862350991
No violations found. All areas in compliance.
No violations
- routine#862212578
No violations found. All areas in compliance.
No violations
- routine#862212577
No violations found. All areas in compliance.
No violations
- self-report#862350990
No violations found. All areas in compliance.
No violations
- self-report#862350989
No violations found. All areas in compliance.
No violations
- routine#862212576
No violations found. All areas in compliance.
No violations
- self-report#862350988
No violations found. All areas in compliance.
No violations
- routine#862212575
No violations found. All areas in compliance.
No violations
- routine#862212574
No violations found. All areas in compliance.
No violations
- complaint#862350987
No violations found. All areas in compliance.
No violations
- self-report#862350986
No violations found. All areas in compliance.
No violations
- complaint#862350985
No violations found. All areas in compliance.
No violations
- routine#862212573
No violations found. All areas in compliance.
No violations
- complaint#862350984
No violations found. All areas in compliance.
No violations
- routine#862212572
No violations found. All areas in compliance.
No violations
- complaint#862350983
No violations found. All areas in compliance.
No violations
- self-report#862350982
No violations found. All areas in compliance.
No violations
- complaint#862350981
No violations found. All areas in compliance.
No violations
- complaint#862350980
No violations found. All areas in compliance.
No violations
- complaint#862350979
No violations found. All areas in compliance.
No violations
- complaint#862350978
No violations found. All areas in compliance.
No violations
- complaint#862350977
No violations found. All areas in compliance.
No violations
- routine#862212571
No violations found. All areas in compliance.
No violations
- self-report#862350976
No violations found. All areas in compliance.
No violations
- complaint#862350975
No violations found. All areas in compliance.
No violations
- routine#862212570
No violations found. All areas in compliance.
No violations
- self-report#862350974
No violations found. All areas in compliance.
No violations
- complaint#862350973
No violations found. All areas in compliance.
No violations
- routine#862212569
No violations found. All areas in compliance.
No violations
- complaint#862350972
No violations found. All areas in compliance.
No violations
- complaint#862350971
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighIt was confirmed a staff member providing overnight supervision fell asleep while caring for children.
748.685(a)(4)Corrected 2025-01-17 - self-report#862350970
No violations found. All areas in compliance.
No violations
- routine#862212568
No violations found. All areas in compliance.
No violations
- complaint#862350969
1 violation found (1 high severity).
Serious Incident-Report to parents immediately after ensuring the safety of the child.
HighThe operation did not report to a child's parent, in a timely manner, that their child made an outcry of abuse due to incidents involving another child in care.
748.303(a)(5)(B)Corrected 2025-01-06 - complaint#862350968
No violations found. All areas in compliance.
No violations
- complaint#862350967
2 violations found (2 high severity).
Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HighDuring the course of the investigation, it was determined that a child was restrained without an emergency situation.
748.2455(a)(2)Corrected 2024-12-20Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HighDuring the course of the investigation, it was determined that de-escalation techniques were not used.
748.2455(a)(1)Corrected 2024-12-20 - complaint#862350966
No violations found. All areas in compliance.
No violations
- complaint#862350965
No violations found. All areas in compliance.
No violations
- routine#862212567
No violations found. All areas in compliance.
No violations
- routine#862212566
No violations found. All areas in compliance.
No violations
- complaint#862350964
No violations found. All areas in compliance.
No violations
- self-report#862350963
No violations found. All areas in compliance.
No violations
- self-report#862350962
No violations found. All areas in compliance.
No violations
- routine#862212565
No violations found. All areas in compliance.
No violations
- self-report#862350961
No violations found. All areas in compliance.
No violations
- routine#862212564
2 violations found (2 high severity).
Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HighIt was observed that an expired medication was left in the medication locker and was still being used.
748.2101(7)Corrected 2024-10-25Bathrooms-Must be maintained in good repair & kept clean
HighDuring the physical site inspection, several concerns were observed throughout all of the dorm's bathrooms and shower areas. Showers were observed to have mold and other bacteria growing, dripping shower heads, shower heads that squirt water out of the shower area, leaking soap dispensers, bacteria growing on water fountains, and rusty screws on both toilet seats and faucets.
748.3391(a)Corrected 2024-10-25 - complaint#862350960
No violations found. All areas in compliance.
No violations
- routine#862212563
No violations found. All areas in compliance.
No violations
- routine#862212562
2 violations found (2 high severity).
Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HighIt was observed that an expired medication was left in the medication locker and was still being used.
748.2101(7)Corrected 2024-10-25Bathrooms-Must be maintained in good repair & kept clean
HighDuring the physical site inspection, several concerns were observed throughout all of the dorm's bathrooms and shower areas. Showers were observed to have mold and other bacteria growing, dripping shower heads, shower heads that squirt water out of the shower area, leaking soap dispensers, bacteria growing on water fountains, and rusty screws on both toilet seats and faucets.
748.3391(a)Corrected 2024-10-25 - complaint#862350959
No violations found. All areas in compliance.
No violations
- self-report#862350958
No violations found. All areas in compliance.
No violations
- routine#862212561
No violations found. All areas in compliance.
No violations
- self-report#862350957
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
HighReview of the Serious Incident Report, Medical Documentation, and CLASS showed the incident occurred on 9/24/24 and was not reported until 9/26/24.
748.303(a)(2)(A)Corrected 2024-10-07 - routine#862212560
No violations found. All areas in compliance.
No violations
- routine#862212559
No violations found. All areas in compliance.
No violations
- complaint#862350956
No violations found. All areas in compliance.
No violations
- self-report#862350955
No violations found. All areas in compliance.
No violations
- complaint#862350954
No violations found. All areas in compliance.
No violations
- routine#862212558
No violations found. All areas in compliance.
No violations
- routine#862212557
No violations found. All areas in compliance.
No violations
- self-report#862350953
No violations found. All areas in compliance.
No violations
- routine#862212556
No violations found. All areas in compliance.
No violations
- self-report#862350952
No violations found. All areas in compliance.
No violations
- self-report#862350951
No violations found. All areas in compliance.
No violations
- complaint#862350950
No violations found. All areas in compliance.
No violations
- complaint#862350949
1 violation found (1 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
HighEvidence supports that multiple children in care were able to engage in sexual activity while the same caregiver was supervising those children on multiple occasions.
748.685(a)(3)Corrected 2024-09-27 - complaint#862350948
1 violation found (1 medium severity).
Operational responsibilities - Operate according to your approved plans, policies, and procedures
MediumIn their interviews staff stated that they have either seen or have nodded off while on shift.
748.151(2)Corrected 2024-09-23 - complaint#862350947
No violations found. All areas in compliance.
No violations
- complaint#862350946
No violations found. All areas in compliance.
No violations
- complaint#862350945
1 violation found (1 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighEvidence was provided showing that staff member provided their personal number and social media to a child in care. In addition, communication with a discharged child was deemed inappropriate.
748.507(1)Corrected 2024-09-27 - complaint#862350944
No violations found. All areas in compliance.
No violations
- routine#862212555
No violations found. All areas in compliance.
No violations
- routine#862212554
No violations found. All areas in compliance.
No violations
- routine#862212553
No violations found. All areas in compliance.
No violations
- self-report#862350943
No violations found. All areas in compliance.
No violations
- complaint#862350942
No violations found. All areas in compliance.
No violations
- complaint#862350941
No violations found. All areas in compliance.
No violations
- complaint#862350940
No violations found. All areas in compliance.
No violations
- complaint#862350939
1 violation found (1 medium severity).
All employees and caregivers must be aware of and follow your policies and procedures
MediumIn an interview, a staff member admitted that they had on occasion fallen asleep. In an additional interview, a child in care stated that they witnessed the staff member sleeping during school hours.
748.126(b)Corrected 2024-08-30 - complaint#862350938
No violations found. All areas in compliance.
No violations
- complaint#862350937
No violations found. All areas in compliance.
No violations
- complaint#862350936
No violations found. All areas in compliance.
No violations
- complaint#862350935
No violations found. All areas in compliance.
No violations
- complaint#862350934
No violations found. All areas in compliance.
No violations
- routine#862212552
No violations found. All areas in compliance.
No violations
- complaint#862350933
No violations found. All areas in compliance.
No violations
- complaint#862350932
No violations found. All areas in compliance.
No violations
- routine#862212551
No violations found. All areas in compliance.
No violations
- routine#862212550
No violations found. All areas in compliance.
No violations
- complaint#862350931
No violations found. All areas in compliance.
No violations
- routine#862212549
No violations found. All areas in compliance.
No violations
- self-report#862350930
No violations found. All areas in compliance.
No violations
- routine#862212548
No violations found. All areas in compliance.
No violations
- complaint#862350929
No violations found. All areas in compliance.
No violations
- self-report#862350928
No violations found. All areas in compliance.
No violations
- routine#862212547
No violations found. All areas in compliance.
No violations
- routine#862212546
No violations found. All areas in compliance.
No violations
- routine#862212545
No violations found. All areas in compliance.
No violations
- complaint#862350927
No violations found. All areas in compliance.
No violations
- routine#862212544
No violations found. All areas in compliance.
No violations
- self-report#862350926
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighDuring the course of the investigation, it was determined that a caregiver allowed children to be unsupervised in the community for short periods of time.
748.685(a)(4)Corrected 2024-06-28 - routine#862212543
No violations found. All areas in compliance.
No violations
- self-report#862350925
No violations found. All areas in compliance.
No violations
- self-report#862350924
No violations found. All areas in compliance.
No violations
- routine#862212542
No violations found. All areas in compliance.
No violations
- complaint#862350923
No violations found. All areas in compliance.
No violations
- complaint#862350922
2 violations found (2 high severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
HighMultiple children and staff reported that a staff member placed a child on an escort hold because they were cursing, threatening peers, and threatening to run.
748.2463(3)Corrected 2024-07-05Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighIt was determined that a staff member was heard yelling at a child in care to comply with their request prior to conducting a restraint.
748.2307(8)Corrected 2024-07-05 - routine#862212541
No violations found. All areas in compliance.
No violations
- self-report#862350921
No violations found. All areas in compliance.
No violations
- routine#862212540
No violations found. All areas in compliance.
No violations
- routine#862212539
No violations found. All areas in compliance.
No violations
- self-report#862350920
1 violation found (1 high severity).
Medication Storage-Store medication in a locked container
HighDuring a physical inspection is was observed that the door to medication room and the medication cabinet were left unlocked.
748.2101(1)Corrected 2024-04-20 - routine#862212538
No violations found. All areas in compliance.
No violations
- routine#862212537
No violations found. All areas in compliance.
No violations
- self-report#862350919
2 violations found (2 high severity).
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HighIt was found that a staff who was reportedly supervising one or both children in care involved during this incident is currently on Provisional status with conditions.
745.635(3)Corrected 2024-06-03Caregiver responsibility - being aware of and accountable for each child's on-going activity
HighDuring the investigation, it was found that two children in care went behind a golf cart outside during recreation time for a period of approx. 5 minutes and staff were unaware of their whereabouts during this time. It was reported the two children were supposed to remain within eyesight of staff. Additionally, the staff that was reportedly responsible for watching one or both of the children involved is currently on Provisional status with conditions.
748.685(a)(3)Corrected 2024-06-03 - routine#862212536
No violations found. All areas in compliance.
No violations
- complaint#862350918
No violations found. All areas in compliance.
No violations
- complaint#862350917
No violations found. All areas in compliance.
No violations
- complaint#862350916
No violations found. All areas in compliance.
No violations
- self-report#862350915
No violations found. All areas in compliance.
No violations
- routine#862212535
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighDuring the review of medications, it was found that 4 children had med counts that didn't match the count that the med log noted.
748.2151(d)Corrected 2024-03-27 - routine#862212534
No violations found. All areas in compliance.
No violations
- self-report#862350914
No violations found. All areas in compliance.
No violations
- routine#862212533
No violations found. All areas in compliance.
No violations
- complaint#862350913
No violations found. All areas in compliance.
No violations
- complaint#862350912
No violations found. All areas in compliance.
No violations
- complaint#862350911
No violations found. All areas in compliance.
No violations
- routine#862212532
No violations found. All areas in compliance.
No violations
- complaint#862350910
No violations found. All areas in compliance.
No violations
- complaint#862350909
No violations found. All areas in compliance.
No violations
- complaint#862350908
No violations found. All areas in compliance.
No violations
- routine#862212531
No violations found. All areas in compliance.
No violations
- complaint#862350907
No violations found. All areas in compliance.
No violations
- complaint#862350906
No violations found. All areas in compliance.
No violations
- routine#862212530
No violations found. All areas in compliance.
No violations
- self-report#862350905
No violations found. All areas in compliance.
No violations
- routine#862212529
No violations found. All areas in compliance.
No violations
- complaint#862350904
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
HighThrough interviews it was determined that, while in the PPL room, staff and residents were out of ratio for a period of time.
748.1003(a)Corrected 2023-12-22 - routine#862212528
No violations found. All areas in compliance.
No violations
- routine#862212527
No violations found. All areas in compliance.
No violations
- complaint#862350903
No violations found. All areas in compliance.
No violations
- self-report#862350902
3 violations found (3 high severity).
Caregiver responsibility - provide a safe environment
HighIt was determined and confirmed that children in care were not provided raincoats to protect themselves from the rain, staff members attempted to persuade children in care from submitting grievances, staff displayed and fidgeted with a knife while caring for children, staff threatened EBI if the children touch their knife, staff threatened children after being released, staff used their personal cell phones to send text messages and make personal phone calls, while leaving the dorm out of ratio, and released confidential information to the children in their care.
748.685(c)(2)Corrected 2024-01-05Other Prohibited Punishments-subjecting a child to abusive or profane language
HighThrough information gathered, it was determined that staff members subjected children in care to inappropriate and obscene language.
748.2307(9)Corrected 2024-01-05Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighIt was reported and confirmed that staff instructed and directed children in care to walk a lap by the staff parking lot while it was raining because they were chatty and particularly talkative, and they did not comply with the staff?s warning. It was also confirmed that although not while raining, this form of punishment has occurred on multiple occasions and was described as very ordinary.
748.2307(1)Corrected 2024-01-05 - complaint#862350901
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighThrough video surveillance and interviews it was determined that residents were not adequately supervised and were able to have inappropriate contact.
748.1101(b)(1)(B)Corrected 2024-01-05 - complaint#862350900
1 violation found (1 medium severity).
Initial Service Plan-Document in child's record and include preliminary service plan requirements
MediumWhile reviewing the service plan it was observed that a significant portion of the requirements are missing.
748.1337(b)Corrected 2024-01-19 - complaint#862350899
No violations found. All areas in compliance.
No violations
- complaint#862350898
No violations found. All areas in compliance.
No violations
- complaint#862350897
No violations found. All areas in compliance.
No violations
- routine#862212526
No violations found. All areas in compliance.
No violations
- routine#862212525
No violations found. All areas in compliance.
No violations
- routine#862212524
No violations found. All areas in compliance.
No violations
- self-report#862350896
No violations found. All areas in compliance.
No violations
- routine#862212523
No violations found. All areas in compliance.
No violations
- complaint#862350895
3 violations found (3 high severity).
Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighDuring the investigation, it was determined that a caregiver have been observed yelling at the children and shaming them for behaving inappropriately.
748.2307(8)Corrected 2023-08-18Other Prohibited Punishments-subjecting a child to abusive or profane language
HighDuring the course of the investigation, it was determined that caregivers are subjecting children to profane language on a regular basis.
748.2307(9)Corrected 2023-08-18Children's rights-Adhere to the child's right to receive fair treatment
HighDuring the course of the investigation, it was determined that a caregiver failed to treat all residents fairly in terms of consequences for their actions which may have negatively impacts a child?s positive success in the program.
748.1101(b)(1)(C)Corrected 2023-08-18 - routine#862212522
No violations found. All areas in compliance.
No violations
- routine#862212521
No violations found. All areas in compliance.
No violations
- complaint#862350894
No violations found. All areas in compliance.
No violations
- self-report#862350893
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighDuring the course of the investigation it was determined two children in care were able to speak to each other from their bunks in an inappropriate manner during sleeping hours for six consecutive days.
748.685(a)(5)Corrected 2023-08-18 - self-report#862350892
No violations found. All areas in compliance.
No violations
- routine#862212520
No violations found. All areas in compliance.
No violations
- complaint#862350891
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighIt was found one staff person was falling asleep for short periods of time while at work.
748.685(a)(4)Corrected 2023-09-08 - complaint#862350890
No violations found. All areas in compliance.
No violations
- complaint#862350889
No violations found. All areas in compliance.
No violations
- routine#862212519
No violations found. All areas in compliance.
No violations
- routine#862212518
No violations found. All areas in compliance.
No violations
- routine#862212517
No violations found. All areas in compliance.
No violations
- self-report#862350888
No violations found. All areas in compliance.
No violations
- self-report#862350887
No violations found. All areas in compliance.
No violations
- complaint#862350886
No violations found. All areas in compliance.
No violations
- routine#862212516
1 violation found (1 high severity).
Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighWhen completing the walktrhough, a staff was observed yelling and tellling a kid to shut up.
748.2307(8)Corrected 2023-05-24 - self-report#862350885
1 violation found (1 high severity).
Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HighDuring interviews and review of video footage, it was determined that a child in care was restrained due to not wanting to get up from sitting on the floor.
748.2455(a)(2)Corrected 2023-06-16 - complaint#862350884
No violations found. All areas in compliance.
No violations
- routine#862212515
No violations found. All areas in compliance.
No violations
- self-report#862350883
No violations found. All areas in compliance.
No violations
- routine#862212514
No violations found. All areas in compliance.
No violations
- routine#862212513
No violations found. All areas in compliance.
No violations
- routine#862212512
No violations found. All areas in compliance.
No violations
- routine#862212511
No violations found. All areas in compliance.
No violations
- self-report#862350882
No violations found. All areas in compliance.
No violations
- complaint#862350881
No violations found. All areas in compliance.
No violations
- routine#862212510
1 violation found (1 medium severity).
Food Preparation-Food items must be covered when stored in the refrigerator
MediumMultiple food items were stored in open bags.
748.3443(a)(6)Corrected 2023-03-20 - self-report#862350880
No violations found. All areas in compliance.
No violations
- routine#862212509
No violations found. All areas in compliance.
No violations
- complaint#862350879
No violations found. All areas in compliance.
No violations
- routine#862212508
No violations found. All areas in compliance.
No violations
- complaint#862350878
No violations found. All areas in compliance.
No violations
- complaint#862350877
No violations found. All areas in compliance.
No violations
- routine#862212507
No violations found. All areas in compliance.
No violations
- complaint#862350876
1 violation found (1 high severity).
Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HighIt was determined that a staff member used threats of getting physical if residents didn't calm down.
748.1101(b)(4)(A)(ii)Corrected 2023-03-08 - self-report#862350875
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighDuring the course of this investigation, it was determined that staff did not adequately supervise a child at the operation during recreation time and the child sustained a serious injury.
748.685(a)(4)Corrected 2023-03-31 - routine#862212506
No violations found. All areas in compliance.
No violations
- self-report#862350874
No violations found. All areas in compliance.
No violations
- routine#862212505
No violations found. All areas in compliance.
No violations
- routine#862212504
No violations found. All areas in compliance.
No violations
- complaint#862350873
No violations found. All areas in compliance.
No violations
- complaint#862350872
No violations found. All areas in compliance.
No violations
- routine#862212503
No violations found. All areas in compliance.
No violations
- complaint#862350871
No violations found. All areas in compliance.
No violations
- self-report#862350870
No violations found. All areas in compliance.
No violations
- routine#862212502
No violations found. All areas in compliance.
No violations
- routine#862212501
No violations found. All areas in compliance.
No violations
- self-report#862350869
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
HighDuring the investigation, it was determined that staff members used profane language in front of or directed at children in care.
748.2307(9)Corrected 2022-12-12 - routine#862212500
No violations found. All areas in compliance.
No violations
- complaint#862350868
No violations found. All areas in compliance.
No violations
- complaint#862350867
No violations found. All areas in compliance.
No violations
- complaint#862350866
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighThere is sufficient evidence to show a staff member was sleeping while being counted in ratio.
748.685(a)(4)Corrected 2022-10-28 - routine#862212499
No violations found. All areas in compliance.
No violations
- complaint#862350865
No violations found. All areas in compliance.
No violations
- complaint#862350864
2 violations found (1 high, 1 medium severity).
Children's rights-The right to be free of unnecessary or excessive medication
HighIt was determined that a caretaker gave multiple tablets of over-the-counter medication at once, on multiple occasions, to numerous children in care without the approval of a healthcare provider and/or management.
748.1101(b)(6)(B)Corrected 2022-10-20Medication Record-must document non-prescription medication or supplement given to child and how often given
MediumDuring the course of this investigation, it was determined that a caretaker gave over-the-counter medication to children in care on multiple occasions and did not document it in the children?s medication record.
748.2151(e)Corrected 2022-10-20 - routine#862212498
No violations found. All areas in compliance.
No violations
- self-report#862350863
No violations found. All areas in compliance.
No violations
- routine#862212497
No violations found. All areas in compliance.
No violations
- routine#862212496
No violations found. All areas in compliance.
No violations
- complaint#862350862
No violations found. All areas in compliance.
No violations
- complaint#862350861
No violations found. All areas in compliance.
No violations
- complaint#862350860
No violations found. All areas in compliance.
No violations
- complaint#862350859
No violations found. All areas in compliance.
No violations
- complaint#862350858
No violations found. All areas in compliance.
No violations
- complaint#862350857
No violations found. All areas in compliance.
No violations
- complaint#862350856
No violations found. All areas in compliance.
No violations
- routine#862212494
1 violation found (1 high severity).
Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HighMedications were not being properly documented in two dorms. In one dorm the medication had already been documented for night medicine that had not been administered and in another dorm the staff put their initials but did not fill out the rest of the documentation.
748.2151(a)Corrected 2022-06-13 - routine#862212495
No violations found. All areas in compliance.
No violations
- complaint#862350855
No violations found. All areas in compliance.
No violations
- self-report#862350854
No violations found. All areas in compliance.
No violations
- routine#862212493
No violations found. All areas in compliance.
No violations
- routine#862212492
No violations found. All areas in compliance.
No violations
- self-report#862350853
No violations found. All areas in compliance.
No violations
- routine#862212491
No violations found. All areas in compliance.
No violations
- routine#862212490
No violations found. All areas in compliance.
No violations
- self-report#862350852
No violations found. All areas in compliance.
No violations
- complaint#862350851
No violations found. All areas in compliance.
No violations
- self-report#862350850
No violations found. All areas in compliance.
No violations
- complaint#862350849
No violations found. All areas in compliance.
No violations
- routine#862212489
No violations found. All areas in compliance.
No violations
- self-report#862350848
No violations found. All areas in compliance.
No violations
- complaint#862350847
1 violation found (1 high severity).
Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HighDuring the course of the investigation, four (4) individuals reported one particular staff uses language towards the children in care that is ridiculing and/or belittling in nature.
748.1101(b)(4)(A)(v)Corrected 2022-05-23 - routine#862212488
No violations found. All areas in compliance.
No violations
- routine#862212487
No violations found. All areas in compliance.
No violations
- self-report#862350846
No violations found. All areas in compliance.
No violations
- complaint#862350845
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighThere is sufficient evidence to show that night staff are not providing an appropriate level of supervision and are being distracted by paperwork.
748.685(a)(4)Corrected 2022-04-28 - routine#862212486
No violations found. All areas in compliance.
No violations
- self-report#862350844
No violations found. All areas in compliance.
No violations
- routine#862212485
No violations found. All areas in compliance.
No violations
- self-report#862350843
No violations found. All areas in compliance.
No violations
- complaint#862350842
No violations found. All areas in compliance.
No violations
- complaint#862350841
No violations found. All areas in compliance.
No violations
- complaint#862350840
No violations found. All areas in compliance.
No violations
- routine#862212484
No violations found. All areas in compliance.
No violations
- complaint#862350839
No violations found. All areas in compliance.
No violations
- self-report#862350838
No violations found. All areas in compliance.
No violations
- complaint#862350837
No violations found. All areas in compliance.
No violations
- complaint#862350836
No violations found. All areas in compliance.
No violations
- self-report#862350835
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighAfter conducting the investigation, two children in care reported that they touched each other inappropriately on top of clothing and the staff supervising either did not see and/or was not paying attention and this may have been due to the staff either being on their phone and/or sleeping in the classroom when supposed to be supervising. It was also reported that this staff and multiple other staff close their eyes/nod off/sleep in the classroom for short periods of time when supposed to be supervising and at times wear a cap and/or sunglasses which may be preventing them from supervising properly.
748.685(a)(5)Corrected 2022-04-25 - complaint#862350834
No violations found. All areas in compliance.
No violations
- complaint#862350833
No violations found. All areas in compliance.
No violations
- routine#862212483
No violations found. All areas in compliance.
No violations
- routine#862212482
No violations found. All areas in compliance.
No violations
- routine#862212481
No violations found. All areas in compliance.
No violations
- routine#862212480
No violations found. All areas in compliance.
No violations
- self-report#862350832
No violations found. All areas in compliance.
No violations
- self-report#862350831
No violations found. All areas in compliance.
No violations
- self-report#862350830
1 violation found (1 high severity).
Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HighDuring the course of this investigation, it was determined that a caretaker did not follow protocol in checking children in care as they entered the shower and/or latrines. It was also determined that a caretaker was not made aware of an active Safety Plan for a child under their care.
748.685(c)(5)Corrected 2022-04-08 - complaint#862350829
No violations found. All areas in compliance.
No violations
- routine#862212479
No violations found. All areas in compliance.
No violations
- routine#862212478
No violations found. All areas in compliance.
No violations
- complaint#862350828
No violations found. All areas in compliance.
No violations
- complaint#862350827
No violations found. All areas in compliance.
No violations
- routine#862212477
No violations found. All areas in compliance.
No violations
- self-report#862350826
1 violation found (1 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighA caregiver did not demonstrate self-control when they cursed at a child to get them out of bed and then forcefully pulled the child out of their bed.
748.507(1)Corrected 2022-03-11 - routine#862212476
No violations found. All areas in compliance.
No violations
- self-report#862350825
No violations found. All areas in compliance.
No violations
- self-report#862350824
No violations found. All areas in compliance.
No violations
- routine#862212475
No violations found. All areas in compliance.
No violations
- self-report#862350823
No violations found. All areas in compliance.
No violations
- self-report#862350822
No violations found. All areas in compliance.
No violations
- routine#862212474
1 violation found (1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumMultiple training records showed staff were getting sometimes more than 20 hours of training in a day.
748.151(3)Corrected 2021-12-15 - self-report#862350821
No violations found. All areas in compliance.
No violations
- routine#862212473
No violations found. All areas in compliance.
No violations
- routine#862212472
No violations found. All areas in compliance.
No violations
- routine#862212471
No violations found. All areas in compliance.
No violations
- self-report#862350820
No violations found. All areas in compliance.
No violations
- self-report#862350819
No violations found. All areas in compliance.
No violations
- self-report#862350818
No violations found. All areas in compliance.
No violations
- routine#862212470
No violations found. All areas in compliance.
No violations
- routine#862212469
No violations found. All areas in compliance.
No violations
- routine#862212468
No violations found. All areas in compliance.
No violations
- self-report#862350817
No violations found. All areas in compliance.
No violations
- self-report#862350816
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
HighDuring the course of the investigation, it was determined that a staff member subjected a child to insulting, offensive language.
748.2307(9)Corrected 2021-12-29 - self-report#862350815
No violations found. All areas in compliance.
No violations
- routine#862212467
No violations found. All areas in compliance.
No violations
- routine#862212466
No violations found. All areas in compliance.
No violations
- self-report#862350814
1 violation found (1 high severity).
Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighThere is sufficient evidence to show a staff member cursed at and threatened a child and allowed other children in care to curse at the child.
748.2307(1)Corrected 2021-09-14 - complaint#862350813
No violations found. All areas in compliance.
No violations
- routine#862212465
No violations found. All areas in compliance.
No violations
- routine#862212464
No violations found. All areas in compliance.
No violations
- self-report#862350812
No violations found. All areas in compliance.
No violations
- self-report#862350811
No violations found. All areas in compliance.
No violations
- self-report#862350810
No violations found. All areas in compliance.
No violations
- routine#862212463
No violations found. All areas in compliance.
No violations
- self-report#862350809
No violations found. All areas in compliance.
No violations
- complaint#862350808
No violations found. All areas in compliance.
No violations
- self-report#862350807
No violations found. All areas in compliance.
No violations
- self-report#862350806
No violations found. All areas in compliance.
No violations
- complaint#862350805
No violations found. All areas in compliance.
No violations
- routine#862212462
No violations found. All areas in compliance.
No violations
- self-report#862350804
1 violation found (1 medium severity).
Records Available for Licensing-all active records immediately available for review and reproduction
MediumLicensing requested EBI training for the two direct care staff involved in this incident on 6/23/21 and one of the two staff EBI training complete records/current records was not provided to licensing by the operation until 8/16/21. On 6/24/21, the operation provided EBI records for this staff from 2018 and 2019. On 8/11/21, the operation provided additional EBI training for this staff from 2019 and 2020, then on 8/16/21, the operation provided current EBI training for this staff from 2021.
748.399(a)Corrected 2021-08-27 - routine#862212461
No violations found. All areas in compliance.
No violations
- complaint#862350803
No violations found. All areas in compliance.
No violations
- self-report#862350802
No violations found. All areas in compliance.
No violations
- routine#862212460
No violations found. All areas in compliance.
No violations
- complaint#862350801
No violations found. All areas in compliance.
No violations
- routine#862212459
No violations found. All areas in compliance.
No violations
- self-report#862350800
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighThere is a preponderance of evidence that a staff member allowed inappropriate contact between themself and children in care.
748.1101(b)(1)(B)Corrected 2021-09-27 - complaint#862350799
No violations found. All areas in compliance.
No violations
- self-report#862350798
No violations found. All areas in compliance.
No violations
- self-report#862350797
No violations found. All areas in compliance.
No violations
- routine#862212458
No violations found. All areas in compliance.
No violations
- routine#862212457
No violations found. All areas in compliance.
No violations
- self-report#862350796
1 violation found (1 high severity).
Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HighAfter reviewing the child's service plan, it was found that several required sections of the service plan were missing.
748.1337(b)(1)(H)(i)Corrected 2021-06-11 - routine#862212456
No violations found. All areas in compliance.
No violations
- complaint#862350795
1 violation found (1 high severity).
EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HighStaff instigated a child to react violently when they physically attempted to remove their shoes resulting in the child being restrained.
748.2551(a)Corrected 2021-04-29 - self-report#862350794
No violations found. All areas in compliance.
No violations
- complaint#862350793
No violations found. All areas in compliance.
No violations
- complaint#862350792
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighA child in care was left unsupervised for 21 min allowing the child time to attempt suicide.
748.685(a)(4)Corrected 2021-03-22 - self-report#862350791
No violations found. All areas in compliance.
No violations
- complaint#862350790
No violations found. All areas in compliance.
No violations
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