Safe Haven Youth Ranch
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 websiteLicense Information
- Status
- Probationary
- License #
- 1692813
- Expires
- June 15, 2026
- Licensed Capacity
- 32 children
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
217 records- routine#862276617
1 violation found (1 high severity).
Annual Training- Caregivers must have 1 hour normalcy training.
HighAn employee was observed to be delinquent in completing the required annual Normalcy Training.
748.930(b)(3)Corrected 2026-02-13 - complaint#862376586
No violations found. All areas in compliance.
No violations
- routine#862276616
No violations found. All areas in compliance.
No violations
- complaint#862376585
No violations found. All areas in compliance.
No violations
- routine#862276615
No violations found. All areas in compliance.
No violations
- routine#862276614
2 violations found (2 high severity).
Requirements during probation
HighCondition #1-Met Condition #2-Not met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met
745.8641Corrected 2026-01-15Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighA medication log for a child in care indicated a remaining count of 30 pills; however, a physical count revealed only 16 pills.
748.2151(d)Corrected 2026-01-15 - complaint#862376584
No violations found. All areas in compliance.
No violations
- routine#862276613
No violations found. All areas in compliance.
No violations
- complaint#862376583
No violations found. All areas in compliance.
No violations
- routine#862276612
6 violations found (1 high, 3 medium, 2 low severity).
Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
LowNotification of a Service Plan meeting occurring on 05/15/25 was not sent until 05/07/25.
748.1341(a)Corrected 2025-12-19Requirements during probation
HighCondition #1-Met Condition #2-Met Condition #3-Met Condition #4-Not Met Condition #5-Met Condition #6-Met
745.8641Corrected 2025-12-19Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
MediumA Service Plan Review was observed to be completed past 90 days of the Initial Service Plan completion date.
748.1381(2)Corrected 2025-12-19Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
LowA child's records reviewed did not have documentation that the service plan meeting letter was sent to all parties
748.1341(b)Corrected 2025-12-19Operational responsibilities - Maintain current, true, accurate, and complete records
MediumAdmissions Assessments for two children in care were observed to be missing pertinent information.
748.151(3)Corrected 2025-12-19Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
MediumThere is no documentation showing that the smoke detector was tested in October 2025 in the Brazos House, and none from July through December 2025 in the Llano House.
748.3111(a)Corrected 2025-12-19 - complaint#862376582
No violations found. All areas in compliance.
No violations
- routine#862276611
No violations found. All areas in compliance.
No violations
- self-report#862376581
No violations found. All areas in compliance.
No violations
- self-report#862376580
No violations found. All areas in compliance.
No violations
- routine#862276610
No violations found. All areas in compliance.
No violations
- routine#862276609
No violations found. All areas in compliance.
No violations
- routine#862276608
No violations found. All areas in compliance.
No violations
- routine#862276607
No violations found. All areas in compliance.
No violations
- self-report#862376579
No violations found. All areas in compliance.
No violations
- routine#862276606
No violations found. All areas in compliance.
No violations
- self-report#862376578
No violations found. All areas in compliance.
No violations
- routine#862276605
No violations found. All areas in compliance.
No violations
- complaint#862376577
1 violation found (1 medium severity).
Caregiver responsibility - knowing which children they are responsible for
MediumA child in care was reported to have been on a one-to-one level of supervision, yet there are multiple incidents where the same child was involved in horseplay with a second child in care. These same incidents were documented and required further investigation.
748.685(a)(1)Corrected 2025-12-09 - self-report#862376576
No violations found. All areas in compliance.
No violations
- self-report#862376575
1 violation found (1 high severity).
Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighDuring the course of this investigation, it was determined that a staff member was utilized inappropriate disciplinary practices by referring to a child using derogatory names.
748.2307(8)Corrected 2025-11-21 - routine#862276604
No violations found. All areas in compliance.
No violations
- routine#862276603
No violations found. All areas in compliance.
No violations
- self-report#862376574
No violations found. All areas in compliance.
No violations
- routine#862276602
No violations found. All areas in compliance.
No violations
- routine#862276601
No violations found. All areas in compliance.
No violations
- self-report#862376573
No violations found. All areas in compliance.
No violations
- complaint#862376572
No violations found. All areas in compliance.
No violations
- routine#862276600
No violations found. All areas in compliance.
No violations
- routine#862276599
No violations found. All areas in compliance.
No violations
- complaint#862376571
No violations found. All areas in compliance.
No violations
- complaint#862376570
No violations found. All areas in compliance.
No violations
- routine#862276598
No violations found. All areas in compliance.
No violations
- routine#862276597
No violations found. All areas in compliance.
No violations
- self-report#862376569
No violations found. All areas in compliance.
No violations
- routine#862276596
No violations found. All areas in compliance.
No violations
- complaint#862376568
2 violations found (2 high severity).
AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HighSix children in care missed dosages of prescribed medications on multiple occasions for consecutive days.
748.2003(b)(3)Corrected 2025-08-05Medication Error-Document the medication error
HighMedication errors were not documented for missed dosages of prescription medication for six children in care.
748.2203(c)(2)Corrected 2025-08-05 - routine#862276595
No violations found. All areas in compliance.
No violations
- routine#862276594
No violations found. All areas in compliance.
No violations
- self-report#862376567
1 violation found (1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumWhile reviewing the child service plan it was discovered in the "Transitioning To Successful Adulthood," several statements indicated the child was a twelve-year-old, which was not true or accurate at the time this plan was completed. This section of the plan was also not current, as the child plan was a review and this section should've been completed at the time of the review as the child was fourteen years old at the time the plan was completed.
748.151(3)Corrected 2025-08-11 - complaint#862376566
No violations found. All areas in compliance.
No violations
- complaint#862376565
No violations found. All areas in compliance.
No violations
- routine#862276593
No violations found. All areas in compliance.
No violations
- routine#862276592
3 violations found (1 high, 1 medium, 1 low severity).
Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
MediumAn employee file was observed to lack documentation related to pre-employment screening.
748.751(b)(2)Corrected 2025-06-04Medical care-A child in care must receive medical care initially according to the requirements in 748.1223
HighA child admitted on 06/11/2024 did not receive an initial medical visit until 08/14/2024.
748.1531(a)(1)Corrected 2025-06-04Active child record - All documentation in the record no later than 30 days after occurrence or event
LowDocumentation related to the medical records of a child admitted in June 2024 was not observed in the child's file.
748.395(1)Corrected 2025-06-04 - routine#862276591
No violations found. All areas in compliance.
No violations
- complaint#862376564
No violations found. All areas in compliance.
No violations
- routine#862276590
No violations found. All areas in compliance.
No violations
- routine#862276589
No violations found. All areas in compliance.
No violations
- self-report#862376563
No violations found. All areas in compliance.
No violations
- routine#862276587
No violations found. All areas in compliance.
No violations
- routine#862276588
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
HighOne caregiver was observed to be supervising 7 children in Llanos House.
748.1003(a)Corrected 2025-04-11 - complaint#862376562
No violations found. All areas in compliance.
No violations
- self-report#862376561
No violations found. All areas in compliance.
No violations
- self-report#862376560
No violations found. All areas in compliance.
No violations
- routine#862276586
No violations found. All areas in compliance.
No violations
- routine#862276584
10 violations found (3 high, 5 medium, 2 low severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumOne of four child's records reviewed had a different child's name listed in file.Additionally, one of the employee records reviewed lacked documentation of a drug tests being taken
748.151(3)Corrected 2025-03-18Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
MediumDuring the review of four employee records, it was noted that two of them lacked documentation verifying the completion of reference checks.
748.751(b)(2)Corrected 2025-03-18Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
MediumThree of four employee records reviewed were observed to be missing recent training certificates.
748.915(a)Corrected 2025-03-18Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HighOne of four records revewed observed EBI was not completed; last completion was 07/23/2024.
748.936(1)Corrected 2025-03-18Admission Documentation-Includes child's immunization record
HighChildren's records reviewed did not have an immunization record in the file.
748.1205(a)(7)Corrected 2025-03-18Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
LowDuring the review of files, services plans were not signed by all parties involved.
748.1337(b)(1)(N)Corrected 2025-03-18Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
LowChildren's records reviewed did not have documentation that the service plan meeting letter was sent to all parties.
748.1341(b)Corrected 2025-03-18Personnel records-The system for maintaining all records must be uniform throughout the operation
MediumRecords were supplied in two formats: electronic and paper. However, the documents in both formats lacked uniformity, which created challenges in processing the information. Additionally, there were several missing documents in both the electronic and paper submissions, further complicating the review and analysis of the records.
748.361(d)Corrected 2025-03-18AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HighMedical attention was sought for a child in care after a restraint was administered. Child reported of having stomach pains and was taken to the doctor the next day. Serious incident occurred on 2.11.2025, but was not called into RCCR.
748.303(a)(2)(A)Corrected 2025-03-18Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
MediumChildren's records reviewed did not have current service plans completed in the file.
748.1381(2)Corrected 2025-03-18 - routine#862276585
No violations found. All areas in compliance.
No violations
- complaint#862376559
No violations found. All areas in compliance.
No violations
- routine#862276583
No violations found. All areas in compliance.
No violations
- self-report#862376558
No violations found. All areas in compliance.
No violations
- complaint#862376557
No violations found. All areas in compliance.
No violations
- self-report#862376556
No violations found. All areas in compliance.
No violations
- routine#862276582
No violations found. All areas in compliance.
No violations
- self-report#862376555
No violations found. All areas in compliance.
No violations
- routine#862276581
No violations found. All areas in compliance.
No violations
- self-report#862376554
No violations found. All areas in compliance.
No violations
- complaint#862376553
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighA child in care suffered pain to the face as a result of a staff member horseplaying with the child.
748.1101(b)(1)(B)Corrected 2025-03-17 - routine#862276580
No violations found. All areas in compliance.
No violations
- complaint#862376552
No violations found. All areas in compliance.
No violations
- complaint#862376551
No violations found. All areas in compliance.
No violations
- complaint#862376550
No violations found. All areas in compliance.
No violations
- complaint#862376549
No violations found. All areas in compliance.
No violations
- complaint#862376548
No violations found. All areas in compliance.
No violations
- complaint#862376547
1 violation found (1 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighStaff described physically picking up a child in care and placing him in his bedroom after an altercation with another child.
748.507(1)Corrected 2025-01-23 - routine#862276579
No violations found. All areas in compliance.
No violations
- complaint#862376546
2 violations found (2 high severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
High748.2003(b)(5)Corrected 2024-12-30Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
High748.2001(b)Corrected 2024-12-30 - routine#862276578
No violations found. All areas in compliance.
No violations
- complaint#862376545
No violations found. All areas in compliance.
No violations
- self-report#862376544
No violations found. All areas in compliance.
No violations
- complaint#862376543
No violations found. All areas in compliance.
No violations
- complaint#862376542
No violations found. All areas in compliance.
No violations
- routine#862276577
5 violations found (2 high, 3 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumThe person list in the portal shows 8 active employees that are not documented on the employee list provided by the operation.
748.151(3)Corrected 2024-09-27Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
MediumIt was observed in one of four employee files reviewed that the operation did not contact each employer included in the five-year employment history.
748.751(a)(2)Corrected 2024-09-27Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HighThree serious incidents for one child in care indicated suicide ideations and/or attempts. Neither of the three incidents were reported to Licensing.
748.303(a)(12)(A)Corrected 2024-09-27Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
MediumOne of four employee files reviewed was observed to be missing notarization on the Licensing Affidavit for Applicants for Employment form.
748.363(7)Corrected 2024-09-27Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HighThere were three serious incidents involving one child in care exhibiting suicidal ideations. There were no documented suicide screenings for neither incident.
748.125(d)(4)(E)Corrected 2024-09-27 - routine#862276576
No violations found. All areas in compliance.
No violations
- routine#862276575
No violations found. All areas in compliance.
No violations
- complaint#862376541
No violations found. All areas in compliance.
No violations
- routine#862276574
No violations found. All areas in compliance.
No violations
- routine#862276573
No violations found. All areas in compliance.
No violations
- complaint#862376540
1 violation found (1 high severity).
Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 2 hrs trauma informed care.
HighIt was determined that two trainings were over a year old.
748.931(b)(1)Corrected 2024-08-22 - complaint#862376539
2 violations found (2 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighChildren in care reported that staff were asleep on shift, staff were observed unresponsive with their eyes closed shut.
748.685(a)(4)Corrected 2024-09-04Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HighA caregiver sought assistance from other children in care to restrain a child.
748.2453Corrected 2024-09-04 - complaint#862376538
No violations found. All areas in compliance.
No violations
- complaint#862376537
1 violation found (1 high severity).
AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HighOne child in care was not administered prescribed medication for one month. A second child in care received two more milligrams of medication than what was prescribed.
748.2003(b)(3)Corrected 2024-08-20 - routine#862276572
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighOne of the child files reviewed was observed to have an inaccurate count of two medications documented on the medication log.
748.2151(d)Corrected 2024-06-12 - routine#862276571
No violations found. All areas in compliance.
No violations
- complaint#862376536
No violations found. All areas in compliance.
No violations
- routine#862276570
No violations found. All areas in compliance.
No violations
- self-report#862376535
No violations found. All areas in compliance.
No violations
- complaint#862376534
No violations found. All areas in compliance.
No violations
- complaint#862376533
No violations found. All areas in compliance.
No violations
- routine#862276569
No violations found. All areas in compliance.
No violations
- complaint#862376532
No violations found. All areas in compliance.
No violations
- routine#862276568
No violations found. All areas in compliance.
No violations
- complaint#862376531
No violations found. All areas in compliance.
No violations
- routine#862276567
No violations found. All areas in compliance.
No violations
- complaint#862376530
No violations found. All areas in compliance.
No violations
- routine#862276566
No violations found. All areas in compliance.
No violations
- complaint#862376529
No violations found. All areas in compliance.
No violations
- self-report#862376528
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
HighStaff and residents interviewed stated a staff member called a resident a derogatory name.
748.1101(b)(4)(A)(v)Corrected 2024-03-04 - routine#862276565
No violations found. All areas in compliance.
No violations
- self-report#862376527
No violations found. All areas in compliance.
No violations
- complaint#862376526
No violations found. All areas in compliance.
No violations
- self-report#862376525
No violations found. All areas in compliance.
No violations
- complaint#862376524
No violations found. All areas in compliance.
No violations
- complaint#862376523
No violations found. All areas in compliance.
No violations
- complaint#862376522
No violations found. All areas in compliance.
No violations
- routine#862276564
No violations found. All areas in compliance.
No violations
- self-report#862376521
No violations found. All areas in compliance.
No violations
- complaint#862376520
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighCaregiver did not provide the 1:1 supervision required for a youth in care.
748.685(a)(4)Corrected 2024-02-20 - complaint#862376519
No violations found. All areas in compliance.
No violations
- complaint#862376518
No violations found. All areas in compliance.
No violations
- routine#862276563
No violations found. All areas in compliance.
No violations
- complaint#862376517
1 violation found (1 high severity).
Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighIt was determined a staff member made inappropriate comments to a child in care regarding family and also engaged in an unnecessary power struggle with a child in care.
748.2307(1)Corrected 2024-02-14 - complaint#862376516
No violations found. All areas in compliance.
No violations
- complaint#862376515
No violations found. All areas in compliance.
No violations
- complaint#862376514
1 violation found (1 medium severity).
EBI Documentation-Must include the length of time the child was restrained or secluded
MediumSeveral incident reports do not document the length of time a child was restrained.
748.2855(a)(6)Corrected 2024-02-29 - complaint#862376513
No violations found. All areas in compliance.
No violations
- routine#862276562
No violations found. All areas in compliance.
No violations
- routine#862276561
No violations found. All areas in compliance.
No violations
- complaint#862376512
1 violation found (1 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
HighStaff have fallen asleep when supervising children in care.
748.685(a)(3)Corrected 2023-10-06 - complaint#862376511
No violations found. All areas in compliance.
No violations
- self-report#862376510
No violations found. All areas in compliance.
No violations
- self-report#862376509
No violations found. All areas in compliance.
No violations
- routine#862276560
6 violations found (2 high, 3 medium, 1 low severity).
Admission Documentation-Includes known contraindications to the use of restraint
HighAdmission Assessments reviewed did not include any known contraindications to restraints.
748.1205(a)(10)Corrected 2023-06-19General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
HighIt was observed that an employee transported children in care with an expired driver's license.
748.4003(1)(C)Corrected 2023-06-19Admission Documentation-Includes medication the child is taking
LowAdmission Assessments did not include medications the children were taking.
748.1205(a)(6)Corrected 2023-06-19Admission Documentation-Include names, addresses, phone numbers of bio or adoptive parents, unless parental rights terminated
MediumAdmission Assessments did not include information for parents.
748.1205(a)(3)Corrected 2023-06-19Admission Documentation-Includes allergies (food, medication, sting, and skin allergies)
MediumAdmission Assessments does not include known allergies.
748.1205(a)(8)Corrected 2023-06-19Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
MediumLog shows that smoke detectors were not tested in May 2023.
748.3111(a)Corrected 2023-06-19 - routine#862276559
No violations found. All areas in compliance.
No violations
- complaint#862376508
No violations found. All areas in compliance.
No violations
- complaint#862376507
No violations found. All areas in compliance.
No violations
- routine#862276558
No violations found. All areas in compliance.
No violations
- routine#862276557
No violations found. All areas in compliance.
No violations
- routine#862276556
No violations found. All areas in compliance.
No violations
- routine#862276555
No violations found. All areas in compliance.
No violations
- complaint#862376506
No violations found. All areas in compliance.
No violations
- complaint#862376505
No violations found. All areas in compliance.
No violations
- self-report#862376504
1 violation found (1 high severity).
Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighVideo camera footage, captured by the facility, showed a staff using her forearm to push a child back into his room, forcing him to comply to directives for quiet, calm down time.
748.2307(1)Corrected 2023-04-07 - routine#862276554
No violations found. All areas in compliance.
No violations
- complaint#862376503
2 violations found (2 high severity).
Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
HighWhile conducting the investigation of the facility it was found that the medication error was found on 1-18-23 and the child had still not received any medical attention as of 2-2-23 when the investigation was initiated.
748.2203(a)Corrected 2023-03-16Medication Error-Operation must meet documentation requirements within 24 hrs
HighDuring the course of the investigation, it was found that the medication error happened on 1-9-23 and it was not documented until 1-20-23.
748.2203(c)Corrected 2023-03-16 - complaint#862376502
No violations found. All areas in compliance.
No violations
- complaint#862376501
No violations found. All areas in compliance.
No violations
- complaint#862376500
1 violation found (1 high severity).
Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HighStaff performed a personal restraint on a child in care without there being an emergency situation.
748.2455(a)(2)Corrected 2023-03-06 - complaint#862376499
No violations found. All areas in compliance.
No violations
- complaint#862376498
1 violation found (1 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
HighA child was inappropriately touched by another child while outside and under the supervision of staff.
748.685(a)(3)Corrected 2022-12-26 - self-report#862376497
1 violation found (1 medium severity).
Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
MediumThe reportable incident occurred on 10.15.22 and it was not reported by the operation to licensing until 10.19.22
748.309Corrected 2022-12-20 - routine#862276553
1 violation found (1 high severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
High2 children in care were given one extra dosage of medication.
748.2003(b)(5)Corrected 2022-10-12 - routine#862276552
No violations found. All areas in compliance.
No violations
- complaint#862376496
No violations found. All areas in compliance.
No violations
- self-report#862376495
1 violation found (1 high severity).
AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HighTwo staff members administered an additional prescription medication dosage to a child in care.
748.2003(b)(3)Corrected 2022-11-11 - self-report#862376494
No violations found. All areas in compliance.
No violations
- routine#862276551
No violations found. All areas in compliance.
No violations
- self-report#862376493
1 violation found (1 high severity).
AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HighA child in care was administered an incorrect dosage of medication.
748.2003(b)(3)Corrected 2022-10-21 - self-report#862376492
No violations found. All areas in compliance.
No violations
- complaint#862376491
No violations found. All areas in compliance.
No violations
- complaint#862376490
No violations found. All areas in compliance.
No violations
- self-report#862376489
No violations found. All areas in compliance.
No violations
- self-report#862376488
1 violation found (1 high severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
High2 children in care were given one extra dosage of medication.
748.2003(b)(5)Corrected 2022-10-07 - complaint#862376487
No violations found. All areas in compliance.
No violations
- routine#862276550
No violations found. All areas in compliance.
No violations
- routine#862276549
3 violations found (3 medium severity).
Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
MediumOne of the four employee files reviewed was observed to be missing a high school diploma. The employee has been working at the operation since 01/24/22.
748.681(2)Corrected 2022-06-21Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
MediumFour of the four child records reviewed were observed to be missing immunization records.
748.1539(b)Corrected 2022-06-21Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
MediumIn one of the four employee files reviewed, it was observed that an employee who began 01/24/22 did not have a notarized Affidavit for Applicants until 06/13/22.
748.505(b)(4)Corrected 2022-06-21 - complaint#862376486
No violations found. All areas in compliance.
No violations
- routine#862276548
No violations found. All areas in compliance.
No violations
- self-report#862376485
No violations found. All areas in compliance.
No violations
- complaint#862376484
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
HighOn the date of the incident the agency was not in ratio.
748.1005Corrected 2022-06-10 - routine#862276547
No violations found. All areas in compliance.
No violations
- self-report#862376483
No violations found. All areas in compliance.
No violations
- routine#862276546
No violations found. All areas in compliance.
No violations
- routine#862276545
No violations found. All areas in compliance.
No violations
- complaint#862376482
No violations found. All areas in compliance.
No violations
- routine#862276544
No violations found. All areas in compliance.
No violations
- routine#862276543
No violations found. All areas in compliance.
No violations
- routine#862276542
2 violations found (2 high severity).
Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HighDuring the inspection it was observed that the operation had expired food in the pantry and not stored properly. There were two open food boxes in the pantry..mash potatoes, pancakes (photos taken).
748.3441(a)Corrected 2022-03-09Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HighDuring the walk through it was observed that one building had a door with a board over the window. Photos taken.
748.3301(c)Corrected 2022-03-16 - complaint#862376481
No violations found. All areas in compliance.
No violations
- self-report#862376480
No violations found. All areas in compliance.
No violations
- routine#862276541
No violations found. All areas in compliance.
No violations
- self-report#862376479
No violations found. All areas in compliance.
No violations
- complaint#862376478
No violations found. All areas in compliance.
No violations
- self-report#862376477
1 violation found (1 high severity).
Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HighIt was reported that a staff member was asleep while providing supervision to children in care.
748.1013(a)Corrected 2022-03-02 - complaint#862376476
No violations found. All areas in compliance.
No violations
- complaint#862376475
No violations found. All areas in compliance.
No violations
- routine#862276540
No violations found. All areas in compliance.
No violations
- complaint#862376474
1 violation found (1 high severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
HighIt was determined that a child in care was restrained for walking/not listening.
748.2463(3)Corrected 2022-03-11 - routine#862276539
No violations found. All areas in compliance.
No violations
- complaint#862376473
No violations found. All areas in compliance.
No violations
- complaint#862376472
No violations found. All areas in compliance.
No violations
- routine#862276538
No violations found. All areas in compliance.
No violations
- self-report#862376471
No violations found. All areas in compliance.
No violations
- self-report#862376470
No violations found. All areas in compliance.
No violations
- routine#862276537
1 violation found (1 medium severity).
Serious Incident Documentation-Documented in written report
MediumOperation does not have documented report of serious incident that occurred.
748.311Corrected 2021-09-30 - self-report#862376469
No violations found. All areas in compliance.
No violations
- self-report#862376468
No violations found. All areas in compliance.
No violations
- complaint#862376467
No violations found. All areas in compliance.
No violations
- routine#862276536
No violations found. All areas in compliance.
No violations
- complaint#862376466
No violations found. All areas in compliance.
No violations
- routine#862276535
No violations found. All areas in compliance.
No violations
- self-report#862376465
2 violations found (2 high severity).
Nutrition-must offer a child a meal or snack, but may not force the child to eat
HighChildren in care reported that a staff member would force a child in care to eat food that he did not want to eat.
748.1699(a)Corrected 2021-09-03Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighChildren in care reported that a staff member would make derogatory remarks in reference to the sexuality of a child in care.
748.2307(1)Corrected 2021-09-03 - routine#862276534
No violations found. All areas in compliance.
No violations
- complaint#862376464
No violations found. All areas in compliance.
No violations
- complaint#862376463
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
HighFour out of five children interviewed reported to hearing profane language being used to redirect the children. Three out of five staff interviewed acknowledged being aware of profane language being used to redirect the children.
748.2307(9)Corrected 2021-07-20 - routine#862276533
2 violations found (2 medium severity).
First Aid Kits-Each one must contain cotton balls
MediumObserved First Aid Kit did not contain (4) cotton balls or (6) scissors.
748.3273(4)Corrected 2021-06-22Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
MediumOne child's record did not include an Immunization Record.
748.1539(b)Corrected 2021-06-22 - self-report#862376462
No violations found. All areas in compliance.
No violations
- routine#862276532
No violations found. All areas in compliance.
No violations
- complaint#862376461
6 violations found (4 high, 2 medium severity).
Medication record - must include medication name, strength and dosage
HighOne of four children's records does not document the dosage of the medication.
748.2151(c)(4)Corrected 2021-06-14Medication record - must include name & signature of person who administered each medication
MediumThree of four children's record did not have the signature of staff that administrated the medication, with a total of 4 errors.
748.2151(c)(6)Corrected 2021-06-14Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighFour of four children's medication log showed that the children did not get their medication as prescribed, Out of the four children records it was seen 18 times that medication was missed.
748.2003(b)(5)Corrected 2021-06-14Medication record - must include reason medication was prescribed, for prescription medication
MediumThree of Four Children's medication record indicated no reason for prescription with a total of 16 logs without a reason.
748.2151(c)(3)Corrected 2021-06-14Medication Error-Operation must meet documentation requirements within 24 hrs
HighThree of four children's record showed that there was medication corrections without the required documentation to follow with a total 4 errors.
748.2203(c)Corrected 2021-06-14Medication record - update cumulative record within 2 hours of administering medication
HighFour of four Children's recorders had errors based on the cumulative medication count with a total of 16 times.
748.2151(b)(1)Corrected 2021-06-14 - routine#862276531
No violations found. All areas in compliance.
No violations
- self-report#862376460
No violations found. All areas in compliance.
No violations
- self-report#862376459
No violations found. All areas in compliance.
No violations
- self-report#862376458
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.
HighIt was found that a child in care was pushed by a caregiver.
748.2303(a)Corrected 2021-03-19 - self-report#862376457
No violations found. All areas in compliance.
No violations
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