Autistic Treatment Center

Licensing observed a package of ground beef left out in the kitchen sink, which felt warm enough to conclude it had been left out longer than necessary for cooking/thawing.

748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication

748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

Staff did not conduct required bed check, and two children ran away from the home.

07-17-2024. The assigned inspector conducted an on site unannounced follow up inspection and observed the operation to be clean and the bathrooms to be without standing water and there are new bathmats. The only hazard was wasps nests under the over hang at Tavern Oaks House.

06-06-2024. The assigned inspector conducted an unannounced on site follow up inspection. The bathroom tile is Tavern Oaks still has water on it because the edge of the shower has insufficient height to prevent water spreading to the floor during showers. A direct care staff cleaned the floor during the inspection. The hole in the Waddesdon Bluff bathroom wall is still there however the operation purchased a protective plate during the inspection. The operation has a meeting with a contractor on 06-18-2024 to repair paint chipping on the wall. The Tavern Oaks bathroom wall felt stronger and there was less of an odor in the bathroom. The inspector observed the outside areas of both houses clean with no brush. Air vents, tile and the kithcen cabinet were in compliance. In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.

Residential Child Care Regulation observed and photographed a bee's nest by the main entrance to Waddesdon Bluff.

Residential Child Care Regulation observed and photographed expired milk jugs in the Tavern Oaks house.

Residential Child Care Regulation observed and photographed food, including uncovered bananas stored on the pantry floor in Waddesdon Bluff.

In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.

Residential Child Care Regulation observed and photographed a fire extinguisher in Tavern Oaks House with tag ripped off.

Residnetial Child Care Regulation observed and photographed a mop bucket with standing water on the deck outside Tavern Oaks House.

The operation's emergency evacuation did not include the name of staff to secure essential personal items, such as medications in an emergency evacuation.

Bed in the bedroom in Waddeson Bluff did not have mattress on it.

In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.

An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctors orders.

Documentation for recreational & leisure activities nor activity calendar was available for review during the course of this investigation.

Medication errors were not documented for a controlled medication.

An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctor's orders.

03-01-2024. The operation replied with a letter dated 06-09-2021 indicating annual testing is not required, however, did not provide documentation of any gas tests between 01-04-2021 and 01-04-2023. Standard left pending. The operation has until 03/03/2024 to provide documentation of a gas leak inspection and gas service from no later than 01-04-2023.

03-01-2024. The operation provided confirmation documentation that they have a health inspection scheduled for 03-08-2024 but did not provide documentation of any health inspection completed between 11-28-2022 and 11-28-2023. The standard is left pending and the operation has until 03-03-2024 to provide documentation that there was an annual health inspection prior to 11-28-2023.

Of the two homes, five restrooms total did not have hand towel, paper towels, or a hand dryer to assist with handwashing.

Sanitation inspection was last conducted on 10/22/2021, a request to the city to conduct a new sanitation inspection was done on 11/16/2022. The sanitation inspection for both homes under the license have expired inspections, they were both due on 10/22/2022.

Operation was aware of the incident involving a staff member who did not use appropriate judgement when supervising children in care and failed to report the incident to licensing or document in a serious incident report.

Licensing observed and photographed a broken plastic storage container on the back porch of Tavern Oaks house with broken plastic shards. Staff removed all broken plastic pieces.

As of 07-19-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.

Licensing observed ratio at Tavern Oaks house to be one staff with six children in care.

Licensing observed chemicals marked keep out of reach of children stored in an unlocked kitchen sink cabinet.

Licensing observed two sour cream containers to be expired as of 06-06-2022 which staff removed.

07-01-2022 The operation EBI training certificates showing the employee files reviewed in the inspection had some EBI training over the last 12 months, however not the required 4 hours every six months. The standard is left pending and the operation has until 07-03-2022 to provide the training records.

A caregiver was found to be sleeping during the overnight shift without any other awake staff on shift.

As of 04-22-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.

Wires hanging in the boys closet, could pose potential hazard.

Screws missing on screen in child's bedroom so screen was not secured on window. Bottom of door rotting.

The facility did not meet required visitation rights between child in care and parent since December 2021.

Operation staff indicated there a child in care had fractures which were not reported to the DFPS hotline.

On a medication log, the medication was not written according to the prescription label.

The medication count for a child in care was not documented correctly.

the registration inspection sticker on the vehicle at the Waddedson Bluff home expired 12/20