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Page 1: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT

BOARDING HOMES

Page 2: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

FOLLOWING ARE NOT CONSIDERED BOARDING HOME

• Transitional Housing- TDCJ• Half Way House – Penal Institution Connection• Sobering House• Adult Day Care• Assisted Living Facility• Rehab Facility• Independent Living

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Page 3: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

BOARDING HOME- UNLICENSED

• Establishment that furnishes in one or more buildings, lodging to three or more persons with disabilities or elderly persons who are unrelated to the owner of the establishment by blood or marriage; and….

• Provides – community meals, light housework, meal preparation, transportation, grocery shopping, money management, laundry services or assistance with self-administration of medication but does not provide personal care services to the persons.

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Page 4: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

BOARDING HOMES IN HOUSTON

• Usually found in residential areas• Private residences which have been found to have 3-

20+ residents• Not regulated, no oversight or inspections• Code Violations as well as Heath Violations• No staffing requirements

• Education• Criminal background

• Owners often not present at location• Transient – when they become “visible” to authorities

they move• Numerous calls for Emergency Services- HPD/HFD• Not licensed by State of Texas

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Page 5: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

Summary of Complaints

Complaints Documented in Police Reports

Complaints From Social Services Personnel Complaints From Residents

     

Condition of property Condition of property Condition of property

Lack of Staff Lack of Staff Rudeness of staff

To Many Residents for location

To Many Residents for location  

Issue of consumer being evicted

Issue of consumer being put on street

Issue of consumer being put on street

Issue of consumers money or property missing

Issue of consumers money or property missing

Issue of consumers money or property missing

Residents wandering away    

Lack of supervision Lack of supervision  

Quality or Lack of Care Quality or Lack of Care Quality or Lack of Care

Food issues Food issues Food issues

Lack of Trained Care Takers Training of Care Takers  

Consumer being easy victimConsumer being taken

advantage of Being taken advantage of

Lack of Respect for consumer and officers

Lack of respect for consumer and case worker Lack of respect

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Page 6: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

STATE ENFORCEMENTDEPARTMENT OF AGEING AND DISABILITY SERVICES

• State Issues Licenses for:• Adult Day Care• ICF/MR• Nursing Homes• Assisted Living

• The State’s focus is on operations and health conditions, and State licensed facilities provide “Personal Care Services”, :• Administration of medications to residents• Assistance for daily living such as:

• Eating• Bathing• Dressing

• The State performs inspection:• After receiving an initial application• Annually for State Licensed Facilities• In response to reported complaints/ incidents received by state• When notices of violations are issued by the state and follow-up

investigation is required

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Page 7: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

HOUSE BILL 216

• Allows county or municipality to regulate Boarding Homes.• El Paso Ordinance• Dallas Ordinance

• Requires Health and Human Services Commission to develop recommended Model Standards

• Standard 1 Construction and Remodeling• Standard 2 Sanitary and Related Conditions• Standard 3 Reporting and Investigation of Injuries, Incidents

and unusual accidents• Standard 4 Assistance with Self Administration of Medication• Standard 5 Requirement for In-service Training of staff• Standard 6 Assessment and Monitoring

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Page 8: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

CURRENT CITY ENFORCEMENT

• Occupancy Inspection, (PWE) for homes with 16 or more persons- Congregate living

• Kitchen Inspection, (Health Dept.) if more than 10 people

• Fire Inspection for facilities with state license of congregate living

• Currently code enforcement for residential property occurs at time of construction or remodel

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Page 9: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

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Page 10: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

“3 DISTRICT” BOARDING HOME

• Existed in neighborhood approximately 8 years• Houses 16 to 22 residents in two buildings• Multi-use property ( Dental Lab/ Home Repair)• Calls For Service 2010 - 73 (Before Inspection)• Numerous calls from neighbors away from

location • Calls For Service 2011 - 35 (After Inspection-

New Management)

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Page 11: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

WEB FOCUS CFS HISTORY 2010

• 73 Calls For Service

• From: 2010/01/01 to: 2010/12/31

• Street #:

• Street Name• 2010/02/03 17:34 2 INF - Information North 03B10 WELFARE CHECK/CIT

• 2010/02/27 18:11 2 INF - Information North 03B10 SUICIDE/ NO WEAPON/JUST OC

• 2010/03/08 15:28 2 ORI - Report Made North 03B10SUICIDE/ NO WEAPON/JUST OC

• 2010/03/21 20:55 2 INF - Information North 03B10 ANIMAL/ VICIOUS 451K

• 2010/04/20 17:10 2 INF - Information North 03B10 SUICIDE/ NO WEAPON/JUST OC

• 2010/05/23 01:05 3 INF - Information North 03B10 WELFARE CHECK/ CIT

• 2010/06/03 11:47 1 ORI - Report Made North 03B10DISTURBANCE/CIT

• 2010/06/04 19:36 2 INF - Information North 03B10 WELFARE CHECK/ CIT

• 2010/06/04 20:12 2 INF - Information North 03B10 DISTURBANCE/HFD PSYCH PROB/CIT

• 2010/06/23 22:52 3 INF - Information North 03B10 DISTURBANCE/HFD PSYCH PROB/CIT

• 2010/06/30 20:32 2 INF - Information North 03B10 SUICIDE/ NO WEAPON/JUST OC

• 2010/07/15 06:58 1 INF - Information North 03B10 DIST /WEAPONS/CIT

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Page 12: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

INCIDENT REPORTS

• Incident 1- consumer went to hospital was not picked up, found wandering streets , T.C Jester and 610 – 2 AM by patrol unit

• Incident 2- consumer wandering neighborhood ringing door bells, lost

• Incident 3 -consumer in crisis 10 PM, 11;30 PM left location, Missing Person report made by guardian, next morning drowned in bayou behind location

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Page 13: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

ON INSPECTION

• Property did not have Occupancy Permit for Congregate Living• Health Department Inspection needed kitchen• Fire Department Inspection needed• Electrical Violations- repairs needed• Plumbing Violations- repairs needed• Issues with heating and air conditioning to clients rooms• Inadequate fire escape second floor• Smoke Detectors sleeping area• Staffing inadequate no training

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Page 14: PREPARED BY THE MENTAL HEALTH UNIT OF THE HOUSTON POLICE DEPARTMENT BOARDING HOMES.

ORDINANCE PROPOSAL

Proposed ordinance would establish the following:

•Registration/Application•Criminal Background Check on Employees•Inspection/Compliance•Reporting and Records Keeping•Investigation/Enforcement

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