Saint Francis Ministries - Residential Texas

A caregiver used an inappropriate form of EBI when a child in care was drug by her feet in a supine position.

A caregiver at the operation failed to follow operation policies when overnight bed checks were not conducted as required every 10 minutes.

A caregiver utilized tobacco products during shift when job responsibilities included providing supervision for children in care.

Caregivers failed to ensure the safety and supervision of a child in care when she left the operation without permission 4 separate times during a 12 hour period of time.

Caregivers aware of a child's frequent elopements left the child unsupervised for at least 8-10 minutes allowing the child ample time to leave without permission.

The child's service plan was not updated with correct information regarding runaway prevention.

The operation did not report the absence of a child in care for more than six hours to the hotline.

A child in care was absent from the operation for more than 6 hours before it the incident was reported to law enforcement.

The child's service plans reviewed did not include high risk behaviors.

A child in care was absent from the operation for more than 6 hours before it the incident was reported to the parent.

A child in care was absent from the operation for more than 2 hours before it the incident was reported to the parent.

The operation did not report the absence of a child in care to the hotline within two hours of notifying law enforcement.

A child in care was absent from the operation for more than 2 hours before it the incident was reported to law enforcement.

Three out of three service plans reviewed did not contain specific information related to normalcy activities at the operation.

Multiple medication errors were not approprpiately documented.

Two staff conducting routing visual supervision of a child in care failed to intervene when the child had attempted self-harm by tying a plastic bag around their neck.

A caregiver implemented a personal restraint in a public venue, in view of onlookers to intervene in an unauthorized absence after the child had left the facility and law enforcement had been notified. There was no immediate danger to the child.

A caregiver at the operation with restricted duties was providing sole supervision for a child in care.

A child in care returned from runaway status and the search conducted by staff was not documented in the child record.

Operation staff failed to follow policy regarding cell phone and social media usage while on duty and in the presence of children in care.

A caregiver failed to use prudent judgement when she allowed a child in care to put lotion on her ankles and feet and failed to use appropriate language after being provoked by a child in care.

A caregiver failed to provide appropriate supervision and a child in care was able to use outside objects to climb on the roof of the operation.

A caregiver failed to use reasonable judgement when a child in care obtained access to the caregiver's cell phone and viewed inappropriate pictures.

Overnight caregivers did not conduct bed checks during sleeping hours according to operation policies.

An operation staff reported that the initial suicide prevention screening was completed but not documented.

A caregiver had possession of a vape on the unit. The vape fell out of her pocket and became accessible to children in care.

Agency staff did not intervene immediately when a suicidal child ran out of the facility and self-harmed with glass.

Three out of three child records reviewed did not contain information related to previous dental status or upcoming dental appointments that have been scheduled.

The operation was unable to access the employee training records for licensing immediate review.

The operation did not have appropriate documentation related to fire and severe weather drills.

A child in care intervened in a physical altercation between two other children in care by restraining the aggressing child and escorting the aggressing child away from the victim.

A suicide risk screening conducted verbally on May 7, 2023 was not documented until June 2, 2023.

Medication logs did not contain accurate medication count for prescription medication.

One record reviewed did not contain detailed information regarding the emergency discharge of a child in care.

A medication record showed that a child in care did not receive a prescribed medication for 4 consecutive days.

Three records reviewed did not have an admission assessment was not completed prior to admission. The professional level service provider must sign and date the admission assessment prior to admission.

Two children with histories of elopement and suspected of planning an elopement were allowed to participate in outdoor activities from which they eloped on two separate dates. Caregivers failed to consider the risk of allowing the children to participate in the activities.

Two of two admission assessments reviewed lacked the legal status, current medical status, dental status, mental health status, substance abuse history, developmental function, education needs, services that will be provided, goals of placement, parent?s expectations of placement, and/or the child's understanding of placement as required under subsection b of this standard.