Miracal's Place

During the walkthrough the blinds in the dinning common area were observed not on the middle windowpane and were on the floor. The blinds in the bedrooms were not in good repair.

During the inspection while viewing the unauthorized log it does not include the date and time the absence was discovered.

During the inspection 3 out of 4 staff files viewed employment history check results were not present in staff files.

During the inspection while viewing staff files a job description was missing, no verification of background check, no hire date were missing from staff file.

During the inspection it was observed when reviewing staff files that 2 out of 4 records viewed form 2985 is not signed by the employee although it was notarized. Form 2912 is also missing

During the inspection while viewing the unauthorized absense log it was observed that the log did not contain a triggered review after a child in care ran away three times.

During the inspection while viewing staff files 1 out of 4 files viewed did not contain results of the employment history check.

During the inspection while viewing staff files 2 out of the 4 files viewed did not contain reference checks in the staff files.

During the inspection it was observed that the toilet in the bathroom upstairs is broken. The seat is not properly attached to the base of the toilet.

During the inspection when reviewing staff files, none of the files contained documentation of staff performance

During the inspection viewing the medication log four out of four child records did not include the correct remaining count on the medication log.

During the inspection while reviewing the unauthorized log it was noted that there was no evaluation of absences in the past 6 months at the operation.

During the inspection while viewing the medication log it was observed that two out of four child records reviewed did not contain documentation of PRN medications administered.

A child in care was not having their religious needs met and was denied going to church due to the operation's staffing.

There was no suicide screening conducted.

Three out of three youth files reviewed did not include documentation showing a 2 week advance notice to parents regarding the youth's service plan meetings.

This standard was found deficient as a result of a DFPS investigation.

A caregiver didn't demonstrate prudent judgement when they did not report a sighting of a youth in care on AWOL status that later was placed in a hazardous situation.

A caregiver engaged in a physical altercation with a youth in care.

A youth in care was found to be physically abused by a caregiver.

Upon reviewing the emergency drill log, it was found that the drill dated 5/6/2023 was over the 3-minute allotted time.

During the physical walkthrough the freezer was observed to not have a thermometer.

An incident occurred and an incident report was completed regarding suicide which included making verbal threats and a physical attempt on 3/26/23 however it was not reported to Licensing until 3/27/23 when the child was actually hospitalized.

During the inspection, a fence in the backyard was observed to have two loose boards with multiple nails exposed creating a risk of harm. Two spots on the kitchen floor were also observed to have missing wooden floorboards. One electrical wall plug on the kitchen island was also observed to be loose and hanging off the wall.

One caregiver who administers psychotropic medication does not have an updated training.

One staff member file reviewed had an expired CPR/First Aid training.

One out of four youth records reviewed did not have the medical consent form signed.

Three of 5 children stated staff was used. A/N investigator confirmed this during an investigation. Three of 5 children indicated favoritism. Two of 5 children stated belittling language was present.

During the walk through the medicine closet's outer and inner locks were observed to be unlocked. Pictures were taken of the unlocked medicine closet.

During the walk through chemicals were observed accessible to kids in care under the kitchen sink. Pictures were taken of the unlocked cleaning supplies under the kitchen sink.