A Better Choice ABC LLC

A contract employee does not have an employee file.

A contract employee did not have an eligible background check.

Staff file is missing the form 2912.

Staff was missing the first aid trianing.

The length of training hours is not included on all training certificates.

The pre-employment affidavit for applicants were not completed before employees were hired and is missing information on the form.

The facility has a lot of dirt around the windows. There are cracked tiles that are also coming up. There is a hole in a step, broken window blinds, paint is peeling in a bedroom, a broken window, cracked walls, and black marks on a wall.

It was discovered that a child attempted suicide and it was not reported to state wide intake. The child was also arrested during the same incident which is also reportable and was not reported.

Employee files were missing the required list five years of employment history, verification of employment and reference checks.

Fire extinguishers are past due for their annual inspection.

A child did not have a completed admission assessment in their record.

Caregivers did not provide adequate supervision to children which led to an altercation among children and resulted in a serious injury.

This standard was found deficient as part of a DFPS Investigation.

A child was seriously injured, and the incident was not reported.

A serious incident report is missing the names of the staff involved.

Caregivers did not intervene when children in care were injured during an altercation.

The following information was missing from an employee file: The date of hire, the proof of education, and a signed statement showing that they must document and report incident of child abuse/neglect

The employee's file did not include contact names and information for reference checks, reference checks and information required for the reference checks, and an assessment of applicant's suitability to work with or around children.

It was discovered that a child's medication count did not match the medication log. During the follow up inspection, there was another medication that had a count that did not match the medication log.

During the follow up inspection, it was discovered that the medication record was not updated within two hours of administering the medication.

The pill count for multiple children's medications did not match what was documented on the medication log.

It was discovered that a child's medication count did not match the medication log.

During the inspection it was determined that a staff is not following the restrictions placed by CBCU.

A caregiver has transported children while driver s license is expired.

The name and signature of the person dispensing the laxative was not provided only the initials were present.

The date and time the incident was reported to the legal parent and/or law enforcement was notified was not noted on a serious incident report.

A child was not given their morning medication.

During the investigation inspection, it was discovered that staff did not adhere to the restrictions placed by CBCU.

During the walk through when examining the medication logs, the pill count for one of the children's medications did not match what was documented on the child's medication log.

During the investigation inspection, it was discovered that some of a child's medications are being stored in a weekly pill container outside of the original container.

During the walk through for the investigation inspection, one child's medication logs were filled out for the rest of the month. The date of the inspection was on 11/26.

During the investigation inspection, the unauthorized absence log was not provided to licensing staff upon request.

There were no signatures on the preliminary service plans that were reviewed.

On both of the incident reports reviewed, neither one documented information about the other child involved.

It was determined that the service plan reviews were not being conducted for a child in care placed at the operation for more than 180 days.

The following informaton is missing from the serious incidet reports: The address of the operation, the phone number of the operation, the time of the incident, the age of the child, the gender of the child, the placement date of the child, and the resolution of the incident.

During the review of children's records, it was discoverd that the children's service plans were not in the child's file.

An out of state back ground check was not completed for an employee who moved to Texas in 2020.

One of the three employee files did not have the contact attempts made prior to being hired.

Two children in care, both age 14 were involved in inappropriate sexualized behavior while placed at the operation, and the caregiver was unaware of the children's activity.

One of the two children at the operation were not supervised in accordance with the information that is described and documented in the child's information data.

A caregiver failed to provide appropriate supervision for two children in care which allowed the children to engage in inappropriate contact while placed at the operation.

Both child files reviewed did not list the religion for the child in care in the admissions.

Both child files reviewed did not have the suicide prevention assessment for children age 10 and over. Both children are over the age of 10.

The incident report did not have a physical address, telephone number or the name of the operation on the incident form.

A caregiver fought and hit a child in care in the face.

It was determined that staff did not demonstrate self-control and maintain appropriate boundaries causing a child's behavior to escalate.

17-year-old child in care with a history of aggressive behaviors was escalated by a caregiver resulting in a physical altercation and the child's arrest.

One of the two files reviewed did not have the contact numbers of the siblings.

One of the two childrens medication log did not match the number of pills in the pill packs.

The medication log did not have the cumulative totals listed. There was no medication log, The time, name of medication and dosage amount was llisted on the childs daily notes.

One of the two employee files reviewed did not have the background check requested.

Both employee files reviewed did not have the date of hire in the employee file

One of the two employee files reviewed did not contain a job description.

Both employee files reviewed did not have the drivers license. One of them did not have the license or job description. The second employee file indicated that the employee would be assisting in driving, but did not have a vailid Texas driving license.

The operation supplied the updated financials for the 3 month and 12 month as well as a bank statement

Both employee files did not contain documentation regarding the tuberculosis screenng or results.

The Admissions policy did not include the statement "medication the children are taking"