San Marcos Treatment Center
License Information
- Status
- Licensed
- License #
- 827335
- Expires
- April 1, 2027
- Licensed Capacity
- 265 children
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
335 records- routine#862208068
No violations found. All areas in compliance.
No violations
- routine#862208067
No violations found. All areas in compliance.
No violations
- routine#862208066
No violations found. All areas in compliance.
No violations
- routine#862208065
No violations found. All areas in compliance.
No violations
- routine#862208064
No violations found. All areas in compliance.
No violations
- routine#862208063
No violations found. All areas in compliance.
No violations
- self-report#862349022
No violations found. All areas in compliance.
No violations
- complaint#862349021
No violations found. All areas in compliance.
No violations
- routine#862208062
No violations found. All areas in compliance.
No violations
- complaint#862349020
No violations found. All areas in compliance.
No violations
- complaint#862349019
No violations found. All areas in compliance.
No violations
- routine#862208061
No violations found. All areas in compliance.
No violations
- routine#862208060
No violations found. All areas in compliance.
No violations
- complaint#862349018
No violations found. All areas in compliance.
No violations
- routine#862208059
No violations found. All areas in compliance.
No violations
- routine#862208058
No violations found. All areas in compliance.
No violations
- routine#862208057
No violations found. All areas in compliance.
No violations
- self-report#862349017
No violations found. All areas in compliance.
No violations
- complaint#862349016
No violations found. All areas in compliance.
No violations
- complaint#862349015
No violations found. All areas in compliance.
No violations
- routine#862208056
No violations found. All areas in compliance.
No violations
- self-report#862349014
No violations found. All areas in compliance.
No violations
- complaint#862349013
No violations found. All areas in compliance.
No violations
- routine#862208055
No violations found. All areas in compliance.
No violations
- routine#862208054
No violations found. All areas in compliance.
No violations
- complaint#862349012
No violations found. All areas in compliance.
No violations
- self-report#862349011
No violations found. All areas in compliance.
No violations
- complaint#862349010
No violations found. All areas in compliance.
No violations
- complaint#862349009
No violations found. All areas in compliance.
No violations
- routine#862208053
1 violation found (1 high severity).
Annual Training- Caregivers must have 2 hrs trauma informed care.
HighWhile reviewing staff files it was found that staff are only taking 1 hour of Trauma Informed Care annually.
748.930(b)(2)Corrected 2025-10-31 - routine#862208052
No violations found. All areas in compliance.
No violations
- self-report#862349008
1 violation found (1 high severity).
Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HighA child in care was allowed to attend school and be off unit due to a miscommunication from nursing staff to Direct Care staff regarding the child's Safety Plan. This allowed the child to be exposed to contraband and swallowed 2 magnets while off unit.
748.685(c)(1)Corrected 2025-10-17 - routine#862208051
No violations found. All areas in compliance.
No violations
- self-report#862349007
No violations found. All areas in compliance.
No violations
- complaint#862349006
No violations found. All areas in compliance.
No violations
- complaint#862349005
No violations found. All areas in compliance.
No violations
- routine#862208050
No violations found. All areas in compliance.
No violations
- routine#862208049
No violations found. All areas in compliance.
No violations
- self-report#862349004
No violations found. All areas in compliance.
No violations
- complaint#862349003
No violations found. All areas in compliance.
No violations
- complaint#862349002
No violations found. All areas in compliance.
No violations
- self-report#862349001
1 violation found (1 medium severity).
Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
MediumA child in care tested positive for a communicable disease and it was not reported to the hotline until after the required timeframe.
748.303(a)(11)(A)Corrected 2025-08-22 - routine#862208048
No violations found. All areas in compliance.
No violations
- routine#862208047
No violations found. All areas in compliance.
No violations
- routine#862208046
No violations found. All areas in compliance.
No violations
- complaint#862349000
No violations found. All areas in compliance.
No violations
- complaint#862348999
No violations found. All areas in compliance.
No violations
- routine#862208045
No violations found. All areas in compliance.
No violations
- self-report#862348998
No violations found. All areas in compliance.
No violations
- routine#862208044
No violations found. All areas in compliance.
No violations
- complaint#862348997
No violations found. All areas in compliance.
No violations
- complaint#862348996
No violations found. All areas in compliance.
No violations
- complaint#862348995
No violations found. All areas in compliance.
No violations
- routine#862208043
No violations found. All areas in compliance.
No violations
- complaint#862348994
No violations found. All areas in compliance.
No violations
- complaint#862348993
No violations found. All areas in compliance.
No violations
- routine#862208042
No violations found. All areas in compliance.
No violations
- complaint#862348992
No violations found. All areas in compliance.
No violations
- complaint#862348991
No violations found. All areas in compliance.
No violations
- complaint#862348990
No violations found. All areas in compliance.
No violations
- routine#862208041
No violations found. All areas in compliance.
No violations
- complaint#862348989
No violations found. All areas in compliance.
No violations
- complaint#862348988
No violations found. All areas in compliance.
No violations
- routine#862208040
No violations found. All areas in compliance.
No violations
- routine#862208039
No violations found. All areas in compliance.
No violations
- self-report#862348987
2 violations found (2 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighIn interviews with 4 staff and 3 children, it was determined that a staff member would curse at and threaten children in care.
748.507(1)Corrected 2025-04-18Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HighIt was determined through interviews with 4 staff and 3 children that a staff would threaten children with restraints and corporal punishment.
748.2303(a)Corrected 2025-04-18 - complaint#862348986
No violations found. All areas in compliance.
No violations
- complaint#862348985
No violations found. All areas in compliance.
No violations
- self-report#862348984
No violations found. All areas in compliance.
No violations
- routine#862208038
No violations found. All areas in compliance.
No violations
- complaint#862348983
No violations found. All areas in compliance.
No violations
- complaint#862348982
No violations found. All areas in compliance.
No violations
- routine#862208037
No violations found. All areas in compliance.
No violations
- complaint#862348981
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 found that a staff member was left to supervise 11 residents for an hour during awake hours.
748.1003(a)Corrected 2025-03-21 - complaint#862348980
No violations found. All areas in compliance.
No violations
- self-report#862348979
No violations found. All areas in compliance.
No violations
- self-report#862348978
No violations found. All areas in compliance.
No violations
- complaint#862348977
No violations found. All areas in compliance.
No violations
- complaint#862348976
No violations found. All areas in compliance.
No violations
- complaint#862348975
1 violation found (1 medium severity).
All employees and caregivers must be aware of and follow your policies and procedures
MediumDuring an investigation it was determined a staff member failed to review each hygiene box to assure all hygiene items are accounted for, and verify the absence of contraband. Due to this oversight a child was able to use a toothbrush to make a weapon.
748.126(b)Corrected 2025-02-14 - complaint#862348974
No violations found. All areas in compliance.
No violations
- complaint#862348973
No violations found. All areas in compliance.
No violations
- complaint#862348972
No violations found. All areas in compliance.
No violations
- complaint#862348971
No violations found. All areas in compliance.
No violations
- complaint#862348970
No violations found. All areas in compliance.
No violations
- complaint#862348969
No violations found. All areas in compliance.
No violations
- routine#862208036
No violations found. All areas in compliance.
No violations
- complaint#862348968
No violations found. All areas in compliance.
No violations
- complaint#862348967
No violations found. All areas in compliance.
No violations
- complaint#862348966
No violations found. All areas in compliance.
No violations
- routine#862208035
No violations found. All areas in compliance.
No violations
- complaint#862348965
No violations found. All areas in compliance.
No violations
- complaint#862348964
No violations found. All areas in compliance.
No violations
- complaint#862348963
No violations found. All areas in compliance.
No violations
- complaint#862348962
No violations found. All areas in compliance.
No violations
- routine#862208034
No violations found. All areas in compliance.
No violations
- self-report#862348961
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 determined a child was on 5 minute checks and staff did not check on the child timely allowing the child to self harm.
748.685(a)(4)Corrected 2024-10-25 - complaint#862348960
No violations found. All areas in compliance.
No violations
- routine#862208033
1 violation found (1 medium severity).
Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
MediumWhen reviewing training records, 5 out of 10 files reviewed did not have normalcy training completed annually and trauma informed training was missing 1/2 an hour annually.
748.935(a)(2)Corrected 2024-08-30 - routine#862208032
No violations found. All areas in compliance.
No violations
- routine#862208031
No violations found. All areas in compliance.
No violations
- complaint#862348959
No violations found. All areas in compliance.
No violations
- complaint#862348958
No violations found. All areas in compliance.
No violations
- complaint#862348957
No violations found. All areas in compliance.
No violations
- routine#862208030
No violations found. All areas in compliance.
No violations
- complaint#862348956
No violations found. All areas in compliance.
No violations
- routine#862208029
No violations found. All areas in compliance.
No violations
- complaint#862348955
No violations found. All areas in compliance.
No violations
- complaint#862348954
No violations found. All areas in compliance.
No violations
- complaint#862348953
No violations found. All areas in compliance.
No violations
- complaint#862348952
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.
HighDuring the review of this investigation, interviews reported that a staff member slapped a child in care during a restraint.
748.2303(a)Corrected 2024-08-13 - routine#862208028
No violations found. All areas in compliance.
No violations
- complaint#862348951
No violations found. All areas in compliance.
No violations
- complaint#862348950
No violations found. All areas in compliance.
No violations
- complaint#862348949
No violations found. All areas in compliance.
No violations
- self-report#862348948
No violations found. All areas in compliance.
No violations
- complaint#862348947
No violations found. All areas in compliance.
No violations
- complaint#862348946
No violations found. All areas in compliance.
No violations
- complaint#862348945
No violations found. All areas in compliance.
No violations
- complaint#862348944
No violations found. All areas in compliance.
No violations
- complaint#862348943
No violations found. All areas in compliance.
No violations
- complaint#862348942
No violations found. All areas in compliance.
No violations
- complaint#862348941
No violations found. All areas in compliance.
No violations
- complaint#862348940
No violations found. All areas in compliance.
No violations
- routine#862208027
No violations found. All areas in compliance.
No violations
- self-report#862348939
No violations found. All areas in compliance.
No violations
- routine#862208026
No violations found. All areas in compliance.
No violations
- complaint#862348938
No violations found. All areas in compliance.
No violations
- routine#862208025
No violations found. All areas in compliance.
No violations
- self-report#862348937
No violations found. All areas in compliance.
No violations
- complaint#862348936
No violations found. All areas in compliance.
No violations
- complaint#862348935
No violations found. All areas in compliance.
No violations
- complaint#862348934
No violations found. All areas in compliance.
No violations
- complaint#862348933
No violations found. All areas in compliance.
No violations
- complaint#862348932
No violations found. All areas in compliance.
No violations
- complaint#862348931
No violations found. All areas in compliance.
No violations
- complaint#862348930
No violations found. All areas in compliance.
No violations
- complaint#862348929
No violations found. All areas in compliance.
No violations
- complaint#862348928
No violations found. All areas in compliance.
No violations
- routine#862208024
No violations found. All areas in compliance.
No violations
- complaint#862348927
No violations found. All areas in compliance.
No violations
- complaint#862348926
No violations found. All areas in compliance.
No violations
- routine#862208023
No violations found. All areas in compliance.
No violations
- routine#862208022
No violations found. All areas in compliance.
No violations
- complaint#862348925
No violations found. All areas in compliance.
No violations
- routine#862208021
No violations found. All areas in compliance.
No violations
- complaint#862348924
No violations found. All areas in compliance.
No violations
- routine#862208020
No violations found. All areas in compliance.
No violations
- self-report#862348923
No violations found. All areas in compliance.
No violations
- routine#862208019
No violations found. All areas in compliance.
No violations
- complaint#862348922
No violations found. All areas in compliance.
No violations
- self-report#862348921
No violations found. All areas in compliance.
No violations
- complaint#862348920
No violations found. All areas in compliance.
No violations
- routine#862208018
No violations found. All areas in compliance.
No violations
- complaint#862348919
No violations found. All areas in compliance.
No violations
- self-report#862348918
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
HighAn x-ray concluded that a child in care had a fractured finger, and the injury was not reported to the hotline until after the required timeframe.
748.303(a)(2)(A)Corrected 2023-12-14 - routine#862208017
No violations found. All areas in compliance.
No violations
- self-report#862348917
No violations found. All areas in compliance.
No violations
- complaint#862348916
No violations found. All areas in compliance.
No violations
- routine#862208016
No violations found. All areas in compliance.
No violations
- self-report#862348915
No violations found. All areas in compliance.
No violations
- complaint#862348914
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
HighAfter the review of video footage, it was observed in the common room that there were 12 children to 2 staff members.
748.1003(a)Corrected 2023-10-26 - complaint#862348913
No violations found. All areas in compliance.
No violations
- complaint#862348912
No violations found. All areas in compliance.
No violations
- routine#862208015
No violations found. All areas in compliance.
No violations
- complaint#862348911
No violations found. All areas in compliance.
No violations
- self-report#862348910
No violations found. All areas in compliance.
No violations
- routine#862208014
No violations found. All areas in compliance.
No violations
- complaint#862348909
No violations found. All areas in compliance.
No violations
- complaint#862348908
No violations found. All areas in compliance.
No violations
- complaint#862348907
No violations found. All areas in compliance.
No violations
- routine#862208013
No violations found. All areas in compliance.
No violations
- self-report#862348906
No violations found. All areas in compliance.
No violations
- complaint#862348905
No violations found. All areas in compliance.
No violations
- complaint#862348904
No violations found. All areas in compliance.
No violations
- routine#862208012
No violations found. All areas in compliance.
No violations
- self-report#862348903
No violations found. All areas in compliance.
No violations
- routine#862208011
No violations found. All areas in compliance.
No violations
- complaint#862348902
No violations found. All areas in compliance.
No violations
- complaint#862348901
No violations found. All areas in compliance.
No violations
- complaint#862348900
No violations found. All areas in compliance.
No violations
- complaint#862348899
No violations found. All areas in compliance.
No violations
- complaint#862348898
No violations found. All areas in compliance.
No violations
- complaint#862348897
No violations found. All areas in compliance.
No violations
- complaint#862348896
No violations found. All areas in compliance.
No violations
- complaint#862348895
No violations found. All areas in compliance.
No violations
- routine#862208010
No violations found. All areas in compliance.
No violations
- complaint#862348894
No violations found. All areas in compliance.
No violations
- routine#862208009
No violations found. All areas in compliance.
No violations
- complaint#862348893
1 violation found (1 high severity).
Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HighStaff was not properly informed of supervision levels regarding children in care.
748.685(c)(1)Corrected 2023-06-08 - complaint#862348892
No violations found. All areas in compliance.
No violations
- complaint#862348891
No violations found. All areas in compliance.
No violations
- routine#862208008
No violations found. All areas in compliance.
No violations
- complaint#862348890
No violations found. All areas in compliance.
No violations
- complaint#862348889
No violations found. All areas in compliance.
No violations
- complaint#862348888
No violations found. All areas in compliance.
No violations
- complaint#862348887
No violations found. All areas in compliance.
No violations
- complaint#862348886
No violations found. All areas in compliance.
No violations
- routine#862208007
No violations found. All areas in compliance.
No violations
- complaint#862348885
No violations found. All areas in compliance.
No violations
- routine#862208006
No violations found. All areas in compliance.
No violations
- complaint#862348884
No violations found. All areas in compliance.
No violations
- self-report#862348883
No violations found. All areas in compliance.
No violations
- routine#862208005
No violations found. All areas in compliance.
No violations
- complaint#862348882
No violations found. All areas in compliance.
No violations
- complaint#862348881
No violations found. All areas in compliance.
No violations
- routine#862208004
No violations found. All areas in compliance.
No violations
- self-report#862348880
No violations found. All areas in compliance.
No violations
- routine#862208003
No violations found. All areas in compliance.
No violations
- complaint#862348879
No violations found. All areas in compliance.
No violations
- routine#862208002
No violations found. All areas in compliance.
No violations
- self-report#862348878
No violations found. All areas in compliance.
No violations
- self-report#862348877
No violations found. All areas in compliance.
No violations
- routine#862208001
No violations found. All areas in compliance.
No violations
- routine#862208000
No violations found. All areas in compliance.
No violations
- complaint#862348876
No violations found. All areas in compliance.
No violations
- complaint#862348875
No violations found. All areas in compliance.
No violations
- routine#862207999
No violations found. All areas in compliance.
No violations
- self-report#862348874
No violations found. All areas in compliance.
No violations
- self-report#862348873
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighDuring the course the investigation, it was determined a caregiver failed to intervene timely during an altercation which resulted in minor injuries to a child in care.
748.685(a)(5)Corrected 2023-01-05 - routine#862207998
No violations found. All areas in compliance.
No violations
- self-report#862348872
No violations found. All areas in compliance.
No violations
- complaint#862348871
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
HighDuring the investigation, it was found that seven out of seven children reported that different staff have used profane language/multiple curse words towards the children in care in a derogatory way and/or have said inappropriate derogatory comments towards and around children in care. Other collaterals reported staff may use profane language out of reflex or by accident around children in care, but usually not near or away from the children in care.
748.2307(9)Corrected 2023-01-13 - complaint#862348870
No violations found. All areas in compliance.
No violations
- routine#862207997
No violations found. All areas in compliance.
No violations
- routine#862207996
No violations found. All areas in compliance.
No violations
- complaint#862348869
No violations found. All areas in compliance.
No violations
- complaint#862348868
No violations found. All areas in compliance.
No violations
- complaint#862348867
No violations found. All areas in compliance.
No violations
- complaint#862348866
No violations found. All areas in compliance.
No violations
- complaint#862348865
No violations found. All areas in compliance.
No violations
- complaint#862348864
No violations found. All areas in compliance.
No violations
- complaint#862348863
No violations found. All areas in compliance.
No violations
- complaint#862348862
No violations found. All areas in compliance.
No violations
- complaint#862348861
No violations found. All areas in compliance.
No violations
- routine#862207995
No violations found. All areas in compliance.
No violations
- complaint#862348860
No violations found. All areas in compliance.
No violations
- self-report#862348859
No violations found. All areas in compliance.
No violations
- complaint#862348858
No violations found. All areas in compliance.
No violations
- complaint#862348857
No violations found. All areas in compliance.
No violations
- complaint#862348856
No violations found. All areas in compliance.
No violations
- routine#862207994
No violations found. All areas in compliance.
No violations
- complaint#862348855
No violations found. All areas in compliance.
No violations
- routine#862207993
No violations found. All areas in compliance.
No violations
- self-report#862348854
No violations found. All areas in compliance.
No violations
- complaint#862348853
1 violation found (1 high severity).
Other Prohibited Punishments-subjecting a child to abusive or profane language
High4 children interviewed mentioned that during the incident one staff member directed profane language toward a child in care.
748.2307(9)Corrected 2022-09-14 - routine#862207992
No violations found. All areas in compliance.
No violations
- routine#862207991
No violations found. All areas in compliance.
No violations
- routine#862207990
No violations found. All areas in compliance.
No violations
- complaint#862348852
No violations found. All areas in compliance.
No violations
- routine#862207989
No violations found. All areas in compliance.
No violations
- routine#862207988
No violations found. All areas in compliance.
No violations
- self-report#862348851
No violations found. All areas in compliance.
No violations
- complaint#862348850
1 violation found (1 high severity).
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HighA direct care staff has been working at the operation without an active background check. This staff's background check was inactivated as of 6/16/22. [The operation was recently cited for background check results on 3/17/22].
745.641Corrected 2022-08-02 - routine#862207987
No violations found. All areas in compliance.
No violations
- self-report#862348849
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 was able to obtain staff's prescription medication from a staff member's personal backpack while at the operation.
748.685(a)(4)Corrected 2022-08-09 - complaint#862348848
No violations found. All areas in compliance.
No violations
- routine#862207986
2 violations found (2 medium severity).
Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
Medium1 child's file documented the child had a dental exam 7 months prior to being placed, however, the operation did not have documentation to prove this exam took place.
748.1225(b)Corrected 2022-06-23Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
Medium2 out of 3 affidavits for employment were completed after the date of hire.
748.505(b)(4)Corrected 2022-06-23 - routine#862207985
No violations found. All areas in compliance.
No violations
- complaint#862348847
No violations found. All areas in compliance.
No violations
- complaint#862348846
No violations found. All areas in compliance.
No violations
- complaint#862348845
No violations found. All areas in compliance.
No violations
- complaint#862348844
No violations found. All areas in compliance.
No violations
- routine#862207984
No violations found. All areas in compliance.
No violations
- complaint#862348843
No violations found. All areas in compliance.
No violations
- routine#862207983
No violations found. All areas in compliance.
No violations
- complaint#862348842
No violations found. All areas in compliance.
No violations
- self-report#862348841
No violations found. All areas in compliance.
No violations
- complaint#862348840
No violations found. All areas in compliance.
No violations
- routine#862207982
No violations found. All areas in compliance.
No violations
- routine#862207981
No violations found. All areas in compliance.
No violations
- complaint#862348839
No violations found. All areas in compliance.
No violations
- routine#862207980
1 violation found (1 high severity).
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HighWhile reviewing the operations background checks, it was observed that a Psychatrist has an inactive background check as of 03/17/20. This Psychatrist is currently employed with this operation.
745.641Corrected 2022-03-22 - routine#862207979
No violations found. All areas in compliance.
No violations
- self-report#862348838
No violations found. All areas in compliance.
No violations
- self-report#862348837
No violations found. All areas in compliance.
No violations
- complaint#862348836
3 violations found (3 high severity).
EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HighA staff member?s actions were noted to have escalated a situation, which ultimately resulted in at least one child in care being inappropriately restrained.
748.2551(a)Corrected 2022-05-27Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighA staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint.
748.1101(b)(1)(B)Corrected 2022-05-27Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HighA staff member was noted to have placed a limb (hand and arm) around a child?s neck.
748.2461(b)(3)Corrected 2022-05-27 - complaint#862348835
No violations found. All areas in compliance.
No violations
- complaint#862348834
2 violations found (1 high, 1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumPhysician Progress Notes completed for 4 weeks did not have the correct medications for the client being treated. The medications were from a previous client and were not deleted when the template was used for the next client.
748.151(3)Corrected 2022-04-27Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
HighA child in care was injected with Medroxyprogesterone 150MG on 1.31.22 without consent from their medical consenter.
748.2003(a)Corrected 2022-04-27 - complaint#862348833
No violations found. All areas in compliance.
No violations
- routine#862207978
No violations found. All areas in compliance.
No violations
- self-report#862348832
1 violation found (1 high severity).
Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HighA child in care did not receive medical care as needed for an injury when the child had an incident on 1/8/22 of punching walls and did not have an X ray of his hand until 1/11/22, where it was discovered the child had a fractured finger. Following X-rays the child did not see a doctor for their fractured finger until 1/25/22.
748.1531(a)(2)Corrected 2022-03-25 - routine#862207977
No violations found. All areas in compliance.
No violations
- routine#862207976
No violations found. All areas in compliance.
No violations
- routine#862207975
No violations found. All areas in compliance.
No violations
- self-report#862348831
No violations found. All areas in compliance.
No violations
- self-report#862348830
No violations found. All areas in compliance.
No violations
- routine#862207974
No violations found. All areas in compliance.
No violations
- self-report#862348829
No violations found. All areas in compliance.
No violations
- complaint#862348828
No violations found. All areas in compliance.
No violations
- routine#862207973
No violations found. All areas in compliance.
No violations
- complaint#862348827
No violations found. All areas in compliance.
No violations
- complaint#862348826
No violations found. All areas in compliance.
No violations
- self-report#862348825
No violations found. All areas in compliance.
No violations
- routine#862207972
No violations found. All areas in compliance.
No violations
- self-report#862348824
No violations found. All areas in compliance.
No violations
- routine#862207971
No violations found. All areas in compliance.
No violations
- routine#862207970
No violations found. All areas in compliance.
No violations
- self-report#862348823
No violations found. All areas in compliance.
No violations
- self-report#862348822
1 violation found (1 high severity).
Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly
HighHand sanitizer was left accessible to a child in care who then ingested the hand sanitizer.
748.3421(3)Corrected 2021-11-23 - complaint#862348821
No violations found. All areas in compliance.
No violations
- routine#862207969
No violations found. All areas in compliance.
No violations
- routine#862207968
No violations found. All areas in compliance.
No violations
- self-report#862348820
No violations found. All areas in compliance.
No violations
- complaint#862348819
No violations found. All areas in compliance.
No violations
- complaint#862348818
No violations found. All areas in compliance.
No violations
- routine#862207967
2 violations found (2 medium severity).
Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
MediumOne of three staff files reviewed did not have a signed/dated statement indicating the employee is responsible for reporting suspected child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline, and to the operation?s administrator or administrator?s designee.
748.363(8)Corrected 2021-09-22Triggered Reviews-Must include the same items that must be included and documented in an initial service plan
MediumA child in care was restrained five times in a six day period. The triggered review documentation associated with these incidents did not include all elements of an initial service plan, or a review of the records/orders associated with the emergency behavior interventions.
748.2907(1)Corrected 2021-09-22 - complaint#862348817
1 violation found (1 high severity).
Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HighStaff did not demonstrate continuity of care with a child that was displaying multiple physical symptoms. The child went to the emergency room on 8/2/21. Multiple staff that worked with the child in the week following their emergency room visit were not informed of how to monitor the child or what the ER discharge paperwork reported would prompt a need for immediate medical attention. In a week the child continued to lose weight and medical issues progressively worsened.
748.685(c)(5)Corrected 2022-03-11 - complaint#862348816
No violations found. All areas in compliance.
No violations
- complaint#862348815
No violations found. All areas in compliance.
No violations
- complaint#862348814
No violations found. All areas in compliance.
No violations
- routine#862207966
No violations found. All areas in compliance.
No violations
- complaint#862348813
No violations found. All areas in compliance.
No violations
- routine#862207965
5 violations found (4 medium, 1 low severity).
Initial Service Plan-Include cultural identity needs, including assisting children in connecting with their culture in the community
MediumThree of the three child files reviewed did not have specific information about how each child's cultural identity needs would be met. There was a generic statement in all three records about having weekly meeting with the unit manager to address cultural identity issues.
748.1337(b)(1)(A)(viii)Corrected 2021-07-02Initial Service Plan-Include dental needs, including scheduled dental exams and plans for recommended follow-up treatment
MediumTwo of three child files reviewed did not have dental needs addressed in their master treatment plan.
748.1337(b)(1)(A)(ii)Corrected 2021-07-02Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
LowOne of three master treatment plans reviewed did not have documentation that parents were notified two weeks in advance of the meeting.
748.1341(a)Corrected 2021-07-02Placement agreement - Must be signed by parent
MediumThree out of three child records reviewed did not have a placement agreement with parent's signature.
748.1207(b)Corrected 2021-07-02Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
MediumOne of three staff files reviewed did not have a signed and dated statement that they must immediately report suspected child abuse, neglect, or exploitation.
748.363(8)Corrected 2021-07-02 - complaint#862348812
No violations found. All areas in compliance.
No violations
- routine#862207964
No violations found. All areas in compliance.
No violations
- self-report#862348811
No violations found. All areas in compliance.
No violations
- routine#862207963
No violations found. All areas in compliance.
No violations
- complaint#862348810
No violations found. All areas in compliance.
No violations
- complaint#862348809
No violations found. All areas in compliance.
No violations
- self-report#862348808
1 violation found (1 high severity).
Emergency Behavior Intervention-Never used as a means to get a child to comply
HighA child in care was restrained when they were peeling paint off a wall and would not listen to staff when asked to stop
748.2463(3)Corrected 2021-07-01 - complaint#862348807
No violations found. All areas in compliance.
No violations
- routine#862207962
No violations found. All areas in compliance.
No violations
- routine#862207961
3 violations found (1 high, 2 medium severity).
EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
MediumIn two instances of EBI documentation in one child's file the following was missing: de-escalation attempted before/during; who administered intervention; explanation of behaviors necessary for child s release; and the actions to facilitate child s return to normal activities.
748.2855(a)Corrected 2021-03-11EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
MediumA child in care was involved in six emergency behavior interventions in January and February 2021. In two of those interventions there is no documentation to show that a post discussion took place with the child.
748.2851(b)Corrected 2021-03-11Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighDocumentation showed a child should have had 9 pills of their PRN medication. Only 8 pills were in the child's medication box and there is no documentation showing a pill was lost or dropped.
748.2151(d)Corrected 2021-03-04 - routine#862207960
No violations found. All areas in compliance.
No violations
- self-report#862348806
No violations found. All areas in compliance.
No violations
- complaint#862348805
No violations found. All areas in compliance.
No violations
- complaint#862348804
No violations found. All areas in compliance.
No violations
- complaint#862348803
No violations found. All areas in compliance.
No violations
- self-report#862348802
No violations found. All areas in compliance.
No violations
- complaint#862348801
No violations found. All areas in compliance.
No violations
- self-report#862348800
No violations found. All areas in compliance.
No violations
- self-report#862348799
No violations found. All areas in compliance.
No violations
- complaint#862348798
1 violation found (1 high severity).
Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HighIt was identified during the course of this investigation that a child in care was physically struck by at least two peers during two separate incidents, each incident occurring on two consecutive days. The child in care who was physically struck was moved to another area within the operation subsequent to the first incident as part of a safety plan, however, was again physically struck, unprovoked, by at least two peers, at least one of which was involved in the first incident, after being placed in the same location as these children.
748.685(b)(4)Corrected 2021-03-26 - complaint#862348797
No violations found. All areas in compliance.
No violations
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