South Texas Adolescent Rehabilitation & Education - STARE

During files being reviewed during inspection, a staff member file did not have a tuberculosis screening showing the employee is free of contagious TB.

During the inspection a staff member file was observed to have no current record of TB screening conducted prior to re-hire.

It was found during the inspection that a job description was not included in staffs' file.

During inspection staff members files were reviewed and there was no current drug test prior to date of hire and re-hire.

During inspection staff files observed did not have signed affidavits prior to hire and re-hire.

It was found during the inspection that the annual fire drill was not completed per the log that was reviewed.

Multiple mattresses on the top bunks were observed to have the bottoms ripped out of them.

An contract worker does not have an active background check.

One of the 16 seats in the van the children are transported in has a seat belt that does not buckle.

Two showers at the operation had mildrew built up around the showers corners.

Staff is using profane language towards children and around children.

In review of seven child medication records, there were four discrepancies found in the pill count vs. the medication log.

Three of three children files reviewed did not consist of an updated service plan.

The logs to document the nightly checks that were required for the safety plan were pre-filled. One staff admitted that logs were regularly pre-filled.

A safety plan requiring two staff members be present at night was not followed when there was only one staff member inside the operation for a period of time on .

Both staff were interviewed multiple times and continued to be inconsistent with their stories about the whereabouts of one of the staff.

The operation has not had a sanitation/Health inspection completed.

The operation has not developed an unauthorized absence log.

First aid/ CPR certification expired 6/1/22.

Operation did not report the Serious incident timely to the hotline timely. The child sustained injury on March 7th and was taken to the doctor on March 8th. The doctor refereed the child for an Xray of his hand on March 11th and the Xray was completed on March 14th and the result indicated the child sustained fracture to his finger and was referred to orthopedic for a higher level of care. The operation did not report the incident to the hotline until March 21st which is 14 days after the incident.

The backyard of the operation has two broken wooden planks on the fence

The shower in one of the bathrooms has mold and the sink in that same bathroom is not draining properly.

The last row in the 12 passenger van had one seat belt that would not pull out and one of the seats buckle is broken