Prime Residential Care

It was found during an inspection that walls were in malrepair ,needed paint,blinds were broken in the living room downstairs, and there was exposed wires from an smoke dectector in a childs bedroom.

It was found during an inspection that the second story banister was unstable and spindles were missing.

It is alleged that the caregiver did not arrange suitable transportation home from the workplace for a child in care.

A child's admission assessment was not in the child record as required.

There is no indication that the child's rights were reviewed with the child and that they understood their rights as the form was not signed by the child and did not indicate a reason why it was not signed.

The operation had rubbing alcohol and a cleaning agent in the kitchen accessible to children.

In the laundry area and hallway it was observed that the ceiling is bubbled up and has mold.

Medication logs reviewed, indicated medication was not provided to child in care as prescribed. In addition, there was no medical log for child's inhaler.

Based on the information gathered, staff did not appropriately handle a situation regarding administration of medication leading to a restraint.

Based on the information reviewed, it was determined staff conducted a restraint that caused impairment in child's breathing.

Based on information gathered, it was determined one staff member uses profanity towards the children in care.

Based on the information gathered, it was determined that staff does not inform children in care why they are being restrained when a restraint occurs.

The log did not indicate the date of the unauthorized absence.

The operation waited 3 days to report an injury before going to the doctor.

The operation was made aware of the need for medical attention to an injury to a child on 9/16/24. Medical care was not provided until 9/18/2024.

There were multiple staff files with no training record to reflect the required components.

Serious Incidents are missing physical address, telephone number of the operation, the age of the child, and follow up information after the incident.

The unauthorized absence evaluation is nonexistent.

During the walkthrough of the inspection, blinds were missing from the window in the downstairs bedroom close to the kitchen.

While reviewing staff records it was noted that reference checks were missing from a staff record.

During the walkthrough, we observed the emergency evacuation plan lacked a designated meeting spot outside in case of fire or inside for inclement weather.

During the walkthrough, we observed an upstairs window that lacked a screen.

The showers do not have hot water and only has cold running water.

There were multiple holes in the wall observed in one of the bedrooms upstairs, in addition one of the bedroom upstairs was observed with a broken window with shattered glass.

The gas stove was malfunctioning in that it emmitted a clicking noise.

Sinks in the bathrooms throughout the operation were observed without soap or anything for the children to dry their hands with.

A bottle of Multi Purpose cleaner was found in an unlocked cabinet in the kitchen.

The operations last Gas Inspection was conducted on 04/03/2021.

There was not a trigger review conducted for a child that had run away 3 times within a 60 day period.

The Unauthorized Absence log does not mention how long the children were gone.

Caregivers failed to institute a safety plan for two residents who both had high risk behaviors for sexually acting out and sexual aggression despite noting the plan would be put in place in the children's service plans. The two children were also placed in bedrooms directly across from each other despite the operation's knowledge of their alleged previous sexual interactions at their shared previous placement.

Video footage reviewed during inspection showed a staff member sitting down engaged on their phone while two children in care walked up to another child and assaulted him by slapping, shoving, and punching them.

Staff member was using profane language towards children in care.

Two staff members sleep during night shifts.

Staff has not completed 4 hours of EBI ever 6 months.

There is no documentation to show that a staff member has completed pre-service EBI training.

A child took automobile keys from an unlocked drawer and drove off with another resident. The automobile belonged to the operation.

During the inspection, it was observed that multiple items in the freezer and the pantry were not properly stored. Expired items were also observed in the freezer and pantry as well.

During the inspection, a pile of trash bags were observed outside of the home in the backyard. The trash was not in a trash can. The trash had a distinct smell and flies were surrounding the garbage.

During the inspection, multiple were observed in the walls of the operation in various places. At least three holes bigger than the size of large fists were observed in the walls of more than one bedroom upstairs and behind the doors of at least one bathroom. There was one exceptionally large hole in onoe bedroom where planks of wood were exposed through the hole on the other side of the wall. Pieces of the wall were observed on the floor of the bedroom. Missing rail posts on the stairway were also observed in two different places. Lighter fluid was observed outside of the residence in the backyard near the trash.

A child on 1:1 supervision was not being adequately supervised. A child in care on 1:1 supervision stated he is not always supervised 1:1.

Child in cares service plan stated the wrong name in several sections.

In review of multiple medication records, it has been found that multiple med logs do not match the count of the pills in the pill packs and bottles.

Both fire extinguishers in the kitchen area are out of compliance, as the last fire inspection for extinguisher was conducted in February 2022

a staff member made the choice to have a child in care get out of the car to follow another child in care to convince him to get in the car instead of contacting the operation/ law enforcement that she knew where the child in care was.

Staff provided resident with a cellphone.

Staff did not follow the operations policy in regard to cellphone use.

Medication directions advise that medication is to be taken every 3 hours but medication has been administered once daily.

While counting medications, it was found for multiple medications, there was more medication is missing from the pill packs, than recording as administered on the medication logs.

Each medication log is missing the reason the residence are receiving the medications.

Light fixtures has wires expose and it hanging from the ceiling.

There are two residence under the age on 10 and under the height of 4'9 that require booster seats when being transported, the operation, does not have booster seats for either child.

A child in care was inappropriately restrained leading to injuries.

A child in care was restrained by a staff in a prone position.

A child in care was restrained in a manner that obstructed the child's breathing.

Three of 4 children had knowledge that the incident took and the children were left unsupervised.

Resident does not have documentation for a TB exam.

The operation has not developed an unauthorized absence log.

Medication log is missing the reason the medication is being taken on each of the medication logs.

Medication log shows that a child's last AM pill was given on 4/4/22 with a remaining 6 pills. The medication pack shows 5 pills are remaining. Documentation does not show that the pill was given or refused.

Fire extinguisher inspection expired Jan 2022

Operation needs evacuation drill forms.

In review of the two staff files the items list below were missing: A copy of the record of tuberculosis screening, A statement signed and dated by the employee documenting that the employee has read a copy of the operational policies required A statement signed and dated by the employee indicating the employee must immediately report any suspected incident of child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or administrator?s designee A current job description Documentation showing the date of employment

The policies need to reflect detailed information on child care policies.

In two bedrooms there were exposed screws found

Schedule two medication need to be a a location where they can be double locked.

The policy lacks detail on what the volunteers role at the facility will initial

The facility lacks required postings.

The policy lack plans to provide a backup care giver in case of an emergency.

The chairs on the back patio has crack in them and are not clean.

The facility has not had a health inspection conducted.