Safe Haven Youth Ranch

Childcare Center|28158 SH 6, Hempstead, TX 77445|(713) 574-9024|safehavenyouthranch.org

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 #
1692813
Expires
June 15, 2026
Licensed Capacity
32 children
Licensing Agency
Texas HHSC

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

State records

Inspection History

217 records
  • routine#862276617

    1 violation found (1 high severity).

    Annual Training- Caregivers must have 1 hour normalcy training.

    High

    An 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

    High

    Condition #1-Met Condition #2-Not met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met

    745.8641Corrected 2026-01-15

    Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

    High

    A 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

    Low

    Notification of a Service Plan meeting occurring on 05/15/25 was not sent until 05/07/25.

    748.1341(a)Corrected 2025-12-19

    Requirements during probation

    High

    Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Not Met Condition #5-Met Condition #6-Met

    745.8641Corrected 2025-12-19

    Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan

    Medium

    A Service Plan Review was observed to be completed past 90 days of the Initial Service Plan completion date.

    748.1381(2)Corrected 2025-12-19

    Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents

    Low

    A child's records reviewed did not have documentation that the service plan meeting letter was sent to all parties

    748.1341(b)Corrected 2025-12-19

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

    Medium

    Admissions Assessments for two children in care were observed to be missing pertinent information.

    748.151(3)Corrected 2025-12-19

    Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented

    Medium

    There 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

    Medium

    A 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

    High

    During 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

    High

    Six children in care missed dosages of prescribed medications on multiple occasions for consecutive days.

    748.2003(b)(3)Corrected 2025-08-05

    Medication Error-Document the medication error

    High

    Medication 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

    Medium

    While 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.

    Medium

    An employee file was observed to lack documentation related to pre-employment screening.

    748.751(b)(2)Corrected 2025-06-04

    Medical care-A child in care must receive medical care initially according to the requirements in 748.1223

    High

    A child admitted on 06/11/2024 did not receive an initial medical visit until 08/14/2024.

    748.1531(a)(1)Corrected 2025-06-04

    Active child record - All documentation in the record no later than 30 days after occurrence or event

    Low

    Documentation 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

    High

    One 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

    Medium

    One 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 2025-03-18

    Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.

    Medium

    During 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 2025-03-18

    Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record

    Medium

    Three of four employee records reviewed were observed to be missing recent training certificates.

    748.915(a)Corrected 2025-03-18

    Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services

    High

    One of four records revewed observed EBI was not completed; last completion was 07/23/2024.

    748.936(1)Corrected 2025-03-18

    Admission Documentation-Includes child's immunization record

    High

    Children's records reviewed did not have an immunization record in the file.

    748.1205(a)(7)Corrected 2025-03-18

    Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan

    Low

    During the review of files, services plans were not signed by all parties involved.

    748.1337(b)(1)(N)Corrected 2025-03-18

    Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents

    Low

    Children's records reviewed did not have documentation that the service plan meeting letter was sent to all parties.

    748.1341(b)Corrected 2025-03-18

    Personnel records-The system for maintaining all records must be uniform throughout the operation

    Medium

    Records 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 2025-03-18

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

    High

    Medical 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 2025-03-18

    Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan

    Medium

    Children'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

    High

    A 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

    High

    Staff 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

    High
    748.2003(b)(5)Corrected 2024-12-30

    Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication

    High
    748.2001(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

    Medium

    The 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 2024-09-27

    Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.

    Medium

    It 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 2024-09-27

    Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child

    High

    Three 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 2024-09-27

    Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059

    Medium

    One of four employee files reviewed was observed to be missing notarization on the Licensing Affidavit for Applicants for Employment form.

    748.363(7)Corrected 2024-09-27

    Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.

    High

    There 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.

    High

    It 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

    High

    Children in care reported that staff were asleep on shift, staff were observed unresponsive with their eyes closed shut.

    748.685(a)(4)Corrected 2024-09-04

    Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint

    High

    A 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

    High

    One 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

    High

    One 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

    High

    Staff 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

    High

    Caregiver 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

    High

    It 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

    Medium

    Several 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

    High

    Staff 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

    High

    Admission Assessments reviewed did not include any known contraindications to restraints.

    748.1205(a)(10)Corrected 2023-06-19

    General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used

    High

    It was observed that an employee transported children in care with an expired driver's license.

    748.4003(1)(C)Corrected 2023-06-19

    Admission Documentation-Includes medication the child is taking

    Low

    Admission Assessments did not include medications the children were taking.

    748.1205(a)(6)Corrected 2023-06-19

    Admission Documentation-Include names, addresses, phone numbers of bio or adoptive parents, unless parental rights terminated

    Medium

    Admission Assessments did not include information for parents.

    748.1205(a)(3)Corrected 2023-06-19

    Admission Documentation-Includes allergies (food, medication, sting, and skin allergies)

    Medium

    Admission Assessments does not include known allergies.

    748.1205(a)(8)Corrected 2023-06-19

    Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented

    Medium

    Log 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

    High

    Video 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

    High

    While 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 2023-03-16

    Medication Error-Operation must meet documentation requirements within 24 hrs

    High

    During 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

    High

    Staff 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

    High

    A 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

    Medium

    The 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

    High

    2 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

    High

    Two 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

    High

    A 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

    High

    2 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

    Medium

    One 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 2022-06-21

    Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions

    Medium

    Four of the four child records reviewed were observed to be missing immunization records.

    748.1539(b)Corrected 2022-06-21

    Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form

    Medium

    In 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

    High

    On 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

    High

    During 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 2022-03-09

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

    High

    During 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

    High

    It 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

    High

    It 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

    Medium

    Operation 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

    High

    Children 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 2021-09-03

    Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment

    High

    Children 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

    High

    Four 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

    Medium

    Observed First Aid Kit did not contain (4) cotton balls or (6) scissors.

    748.3273(4)Corrected 2021-06-22

    Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions

    Medium

    One 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

    High

    One of four children's records does not document the dosage of the medication.

    748.2151(c)(4)Corrected 2021-06-14

    Medication record - must include name & signature of person who administered each medication

    Medium

    Three 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 2021-06-14

    Administration of prescription medication-Ensure the child has taken the medication as prescribed

    High

    Four 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 2021-06-14

    Medication record - must include reason medication was prescribed, for prescription medication

    Medium

    Three 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 2021-06-14

    Medication Error-Operation must meet documentation requirements within 24 hrs

    High

    Three 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 2021-06-14

    Medication record - update cumulative record within 2 hours of administering medication

    High

    Four 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.

    High

    It 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

Availability

32 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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