Paradigm Treatment Texas

Child in care placed at the operation for 55 days with no TB test.

Two child records reviewed were missing items in children's rights.

2 out of 2 documents reviewed showed medications for clients were taken past the hour scheduled to be taken.

Multiple doors leading to the swimming pool do not have a lock.

When requesting drug tests not all staff was drug tested. HR is allowing staff to set up dates to get drug tested by today and get drug tested by the end of June.

Two staff members were made unaware of 2 residents leaving the home and walking around the facility during their bedtime for about an hour.

New director not added into controlling persons withing 24hrs of DOH.

4 out of 4 records reviewed contained no section for addtional information for child runaways.

4 out of 4 incident reports reviewed did not contain a resolution section.

1 out of 2 records reviewed contained no notarized affidavit.

The operation did not include the address, telephone number, or relationship of the person to whom the child was discharged to on the discharge summary.

4 out of 4 records did not contain the neonatal history recorded in the resident's chart.

4 out of 4 records did not have medical, and dental records documented in the child's record.

4 out of 4 records were missing the vision and hearing exam in the children's record's.

4 out of 4 records did not have the immunization record documented in the resident's record.

The operation did not include the name or information of the person the child was discharged to on the discharge summary.

Four employees do not have cleared fingerprint results from the CBCU and have began employment. Three of four of the employees work directly with the children. One of four of the staff's background checks is showing as inactive in CLASS.

Several fire extinguishers were observed to have low pressure or in the red, no documentation of service date, and one fire extinguisher was last serviced in October 2018,

During the investigation, it was found that a direct care staff administered a prescription medication to a teenager in care that was requested by the child, but this medication was not supposed to be administered to this child because there was no health care professional order for the prescription medication. There were no reported injuries, adverse actions or drug reactions for the child that would have caused harm. It was also found that children in care have been administered two different as needed prescription medications from the same prescription bottle prescribed to the operation as a whole.

The operation continued to care for a teenager in care who has history of trauma related to human trafficking as documented in the child's Biopsychosocial Assessment, however the operation doesn't provide this service.

One staff who has a Provisional background check with conditions was reported to have been working at the operation with direct access to children in care and administering medications to children in care, this staff was working at the operation on 1/27/23.

During the investigation, it was found that one (1) staff who was reported to be an employee of the operation has a pending fingerprint background check but has been working at the operation on an as needed basis as a nurse. Another staff who was reported to be a personal trainer on campus for the children in care who is considered a volunteer of the operation did not have a background check.

A child in care was able to gain access to the operation's medication storage area and obtain another child's prescription medication without any staff witnessing the incident.

A child in care was able to obtain another child's prescription medication due to the medication storage area being left open and unlocked and unattended by staff.

The 2 doors leading to the water heater were not locked. 1 out of 2 doors that contain electrical wires were not locked.

Bedroom facing the pool has a metal structure that can be hazardous for a child if they fall over the balcony.

1 out of 2 staff records reviewed that will be working with residents directly did not have a copy of their TB results.

Three mattresses were missing the cover.

1 out of 4 staff records reviewed was missing their affidavit in their file.

Copy of Clinical Social Worker License not in personnel record.

Fire Inspection was not provided.

Sanitation Inspection was not provided.