http://www.dfps.state.tx.us/Child_Care/Search_Texas_Child_Care/ppFacilityDetails.asp?ptype=RC&fid=110730
 

Operation Details

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Operation Number:	254498
Operation Type:	Residential Treatment Center
Operation/Caregiver Name:	STAR RANCH RTC
Location Address:	149 Camp Scenic Loop INGRAM, TX 78025
Mailing Address:	149 CAMP SCENIC LOOP INGRAM, TX 78025
Phone Number:	830-367-4868
County:	KERR
Website Address:	www.starranch.org
Email Address:	thults@starranch.org
Administrator/Director Name:	PAUL BROUSE
Type of Issuance:	Full Permit
Issuance Date:	11/20/1993
Conditions on Permit:	No
Days of Operation:	N/A
Total Capacity:	36
Licensed to Serve Ages:	7 - 17
Corrective Action:	Yes
Adverse Action:	No
Temporarily Closed:	No
This operation is scheduled to be inspected every 3-5 months.
For more information on this operation you may contact a local licensing office.

Dec 03- Report- Results pending. Means it's being contested- in Administrative Review.
[For 3 years? What's the problem DFPS?]

Mar 03- Report- one violation found.
A staff person pulled a child by his ankles in an effort to get him to a time out area. The staff's actions indicate the staff failed to use disciplinary measures that were consistent with the facility's policy, that weren't physically damaging, and that there individualized to meet the child's needs.

11 Mar 03- Inspection- 10 violations found.
Keep in mind that three files were randomly selected to review. No ALL files were inspected.

One of the three children's records evaluated was lacking the outcomes of each of the child's prior placements.

One of the three records evaluated was lacking an evaluation of the effectiveness of specific behavior interventions used, as required in the treatment plan review.

One of the three records evaluated was lacking strategies to REDUCE THE NEED FOR BEHAVIOR INTERVENTIONS overall.

The restraint documentation that was reviewed did not include date and time offered to process or the date and time the processing occurred. Two of the restraints reviewed also lacked a description of the actual discussion that took place during the processing period.

The restraint orientation was reviewed and it does not address what THE CHILD MUST DO TO END RESTRAINT nor does it address WHEN THE USE OF A RESTRAINT MUST CEASE.

Upon evaluating restraint documentation from 1/22/04 it appeared by what was documented that the situation that initially prompted the staff to restrain the child DID NOT MEET THE CRITERIA OF AN EMERGENCY SITUATION.

The PRN order for restraints does not include consideration of POTENTIAL MEDICAL OR PSYCHIATRIC CONTRAINDICATIONS.

One of the three records I evaluated had a name of another child/person contained in the objective section of the treatment plan. This also indicates that this section (recreation) of this child's treatment plan was not reviewed. In this same record it had stated in the October treatment plan that this child should visit with his siblings during Christmas. On the February review this same statement was present in the treatment plan review. This should have been removed during the review process because Christmas had passed.

Two of the three records evaluated contained late or missing treatment plan reviews. One of the treatment plan reviews was a month late. The other treatment plan review was two months late.

One of the three children's records evaluated was lacking the child's religous information.


Apr 04- Report-Violations found, results pending.

Jun 04- Report-violation found.
Star Ranch staff failed to properly supervise residents while on an outing to a local recreational center.

Jul 04-Inspection- 3 violations found.
The facility restrooms in most of the cabins had a urine odor. It appeared that the restrooms were not being thoroughly cleaned.

House # 3 Restroom shower and Tub needed to be addressed as the shower lining was cracking and the tub needed to recaulking. In house #4 there was a metal wire hanging from the bottom of a top bunk bed. The rooms in this house (#4) were a bit dosorderly. On the non-contigous home the wall paper in the restroom is needing to be replaced, as there are several portions that are unglued to the wall. Also, In the restroom of this home the plate that is positioned between the shower wall and the cold knob is missing and needs to be replaced. There is a old cabinet in this home that has broken plexiglass exposed and should be repaired or removed.

There was food in the fridge and/or freezer of three of the five homes that was not covered and stored properly.

9 Dec 04- Inspection- Results pending.

27 Dec 04-Report- one violation found.
It was determined that a tray containing several bottles also had two plastic bottles of chocolate syrup that was molded and other containers that did not appear to be of safe quality.

Apr 05- Report- Results pending.

May 05- Report- one violation found.
There was NO RESTRAINT REVIEW for one child who had 4 restraints within 7 days as of 5/9/05.

Jun 05- Report- Results pending.

Sep 05- Inspection- Results pending.


6 Administrative reviews dating back to Mar 03, and results? The most recent in Sept. What could possibly take so long?