Child care center ·
629 FARLEY ST, Waxahachie, TX 75165-2701 ·
License 197760- 244
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Of the 14 serious incident reports reviewed, eight had missing information that was not documented in the report. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
One caregiver's criminal history was not discussed or assessed in the foster home screening. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Several individuals were not inactivated within the required time frame. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 3, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
A swimming pool area does not have a fence or wall preventing unsupervised access. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication was observed unlocked on the kitchen counter, on the bathroom counter in the parent's room, and on the night stand in the parent's room. |
— |
| 3 | — |
749.1951(b)(5) - Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
The caregiver did not use appropriate discipline with the children in care for an incident that occurred. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Two fire extinguishers in the home were due to be serviced in August of 2021. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A caregiver's criminal history and all background check information was not documented and assessed in the home screening. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 6, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
One of two serious incident reports reviewed did not report to the hotline timely. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 1, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
It was determined a caregiver repeatedly yelled at a youth in care as a form of discipline. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Caregivers did not document a serious incident involving a child needing to be rescued by the Coast Guard or report it to the agency. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did not address who would be the foster parents support system during unexpected events or crisis. |
— |
| 2 | — |
749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
1 of 2 home studies reviewed did not have the date or method for the aduld child's interview. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was discovered that there was an overnight guest that did not have a completed background check. There is also a babysitter of the children that did not have a background check. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were stored in locked closet but not in a locked container. |
— |
| 3 | — |
749.1309(b)(1)(D)(vi) - Initial Service Plan-include specific information on behavior intervention techniques
The youth's service plan did not include specific information regarding de-escalation methods for the caregivers to use. |
— |
| 4 | — |
749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate
A caregiver attempted to physically control and intimidate a youth in care when the youth attempted to leave the room. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
CPR/First Aid for two foster parents expired on 5/23/2023 and has not been renewed. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 25, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
A swimming pool area does not have a fence or wall preventing unsupervised access. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 3, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were stored in locked closet but not in a locked container. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
CPR/First Aid for two foster parents expired on 5/23/2023 and has not been renewed. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 6, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Of the 14 serious incident reports reviewed, eight had missing information that was not documented in the report. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Several individuals were not inactivated within the required time frame. |
— |
| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did not address who would be the foster parents support system during unexpected events or crisis. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
It was determined a caregiver repeatedly yelled at a youth in care as a form of discipline. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
One caregiver's criminal history was not discussed or assessed in the foster home screening. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Two fire extinguishers in the home were due to be serviced in August of 2021. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
One of two serious incident reports reviewed did not report to the hotline timely. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Caregivers did not document a serious incident involving a child needing to be rescued by the Coast Guard or report it to the agency. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A caregiver's criminal history and all background check information was not documented and assessed in the home screening. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 1, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 25, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 3 | — |
749.1951(b)(5) - Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
The caregiver did not use appropriate discipline with the children in care for an incident that occurred. |
— |
| 4 | — |
749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate
A caregiver attempted to physically control and intimidate a youth in care when the youth attempted to leave the room. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication was observed unlocked on the kitchen counter, on the bathroom counter in the parent's room, and on the night stand in the parent's room. |
— |
| 2 | — |
749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
1 of 2 home studies reviewed did not have the date or method for the aduld child's interview. |
— |
| 3 | — |
749.1309(b)(1)(D)(vi) - Initial Service Plan-include specific information on behavior intervention techniques
The youth's service plan did not include specific information regarding de-escalation methods for the caregivers to use. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was discovered that there was an overnight guest that did not have a completed background check. There is also a babysitter of the children that did not have a background check. |
— |
| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
A swimming pool area does not have a fence or wall preventing unsupervised access. |
— |
| 3 | — |
749.1951(b)(5) - Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
The caregiver did not use appropriate discipline with the children in care for an incident that occurred. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Of the 14 serious incident reports reviewed, eight had missing information that was not documented in the report. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A caregiver's criminal history and all background check information was not documented and assessed in the home screening. |
— |
| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did not address who would be the foster parents support system during unexpected events or crisis. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was discovered that there was an overnight guest that did not have a completed background check. There is also a babysitter of the children that did not have a background check. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Several individuals were not inactivated within the required time frame. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 3, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
One of two serious incident reports reviewed did not report to the hotline timely. |
— |
| 3 | — |
749.1309(b)(1)(D)(vi) - Initial Service Plan-include specific information on behavior intervention techniques
The youth's service plan did not include specific information regarding de-escalation methods for the caregivers to use. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
One caregiver's criminal history was not discussed or assessed in the foster home screening. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Two fire extinguishers in the home were due to be serviced in August of 2021. |
— |
| 4 | — |
749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate
A caregiver attempted to physically control and intimidate a youth in care when the youth attempted to leave the room. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Caregivers did not document a serious incident involving a child needing to be rescued by the Coast Guard or report it to the agency. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 1, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
CPR/First Aid for two foster parents expired on 5/23/2023 and has not been renewed. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
It was determined a caregiver repeatedly yelled at a youth in care as a form of discipline. |
— |
| 2 | — |
749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
1 of 2 home studies reviewed did not have the date or method for the aduld child's interview. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication was observed unlocked on the kitchen counter, on the bathroom counter in the parent's room, and on the night stand in the parent's room. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 6, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 25, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were stored in locked closet but not in a locked container. |
— |
| 3 | — |
749.1309(b)(1)(D)(vi) - Initial Service Plan-include specific information on behavior intervention techniques
The youth's service plan did not include specific information regarding de-escalation methods for the caregivers to use. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 25, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication was observed unlocked on the kitchen counter, on the bathroom counter in the parent's room, and on the night stand in the parent's room. |
— |
| 4 | — |
749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate
A caregiver attempted to physically control and intimidate a youth in care when the youth attempted to leave the room. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were stored in locked closet but not in a locked container. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Caregivers did not document a serious incident involving a child needing to be rescued by the Coast Guard or report it to the agency. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
One of two serious incident reports reviewed did not report to the hotline timely. |
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| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
It was determined a caregiver repeatedly yelled at a youth in care as a form of discipline. |
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| 3 | — |
749.1951(b)(5) - Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
The caregiver did not use appropriate discipline with the children in care for an incident that occurred. |
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| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
A swimming pool area does not have a fence or wall preventing unsupervised access. |
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| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
One caregiver's criminal history was not discussed or assessed in the foster home screening. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 6, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
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| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did not address who would be the foster parents support system during unexpected events or crisis. |
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| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Several individuals were not inactivated within the required time frame. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 1, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. |
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| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A caregiver's criminal history and all background check information was not documented and assessed in the home screening. |
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| 2 | — |
749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
1 of 2 home studies reviewed did not have the date or method for the aduld child's interview. |
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| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Two fire extinguishers in the home were due to be serviced in August of 2021. |
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| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
CPR/First Aid for two foster parents expired on 5/23/2023 and has not been renewed. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was discovered that there was an overnight guest that did not have a completed background check. There is also a babysitter of the children that did not have a background check. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 3, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
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| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Of the 14 serious incident reports reviewed, eight had missing information that was not documented in the report. |
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| 2 | — |
749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
1 of 2 home studies reviewed did not have the date or method for the aduld child's interview. |
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| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Of the 14 serious incident reports reviewed, eight had missing information that was not documented in the report. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Caregivers did not document a serious incident involving a child needing to be rescued by the Coast Guard or report it to the agency. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 25, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection it was discovered that there was an overnight guest that did not have a completed background check. There is also a babysitter of the children that did not have a background check. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A caregiver's criminal history and all background check information was not documented and assessed in the home screening. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 3, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
CPR/First Aid for two foster parents expired on 5/23/2023 and has not been renewed. |
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160 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.