Texas › Fort Worth › ACH Child and Family Services

ACH Child and Family Services

Child care center · 3712 WICHITA ST, Fort Worth, TX 76119-2866 · License 236098- 323

0Compliance score
Poor

Violation history (464)

Severity	Date	Standard / narrative	Corrected
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The caregiver failed to follow a child's service plan regarding supervision around water.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A foster parent hit a child in care on his back with her hand. The foster parent also spanked two children in care.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Foster parent left a bowl of hot noodles on the kitchen counter and accessible to a child in care; and the child pulled the bowl down causing second degree burns. Foster parent was advised and provided a child safe gate to create a safe environment, but required consistent prompting before follow through.	—
4	—	749.3137(a) - Swimming Ratio-Based on age of youngest child in the group Three children were left in the care of 1 adult. The youngest child in the group was 2 years old.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child in care had a burn on his arm and the foster parent is unaware of how it happened.	—
4	—	749.2908(a)(3) - Disaster and Emergency-must conduct a severe weather drill each year There is no documentation for severe weather drills completed in foster homes.	—
5	—	749.1673(c) - Supportive device-Supportive devices that include tying or depriving or limiting the use of a child's hands or feet may not be used An infants arms were tied down with straps to restrict movement.	—
4	—	749.2599 - Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13 A 14-year-old child was babysitting a child in care.	—
4	—	749.2599 - Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13 A 12-year-old child was babysitting children in care.	—
4	—	749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Two of the foster home files did not have a quarterly visit conducted timely.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A child had a substantial critical injury that was reported 32 hours after the incident.	—
1	—	749.1319(b) - Service plan documentation-The professional service provider must sign and date the plan; must document any disagreement with plan before signing it A child's service plan is missing the date the professional service provider signed the plan.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation There was no background check on file for a frequent visitor to the home.	—
3	—	749.1311(b) - Initial Service Planning Team-The child, if app., parents and foster parents must be invited to the meeting to develop the service plan All 5 children in care were not given the opportunity to participate in their own service plan.	—
3	—	749.1541(d) - Medication Record-Must document any non-prescription medication or supplement given and how often the child receives it There was no documentation to support ointment was provided as recommended by a health care professional.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed A can of Raid Ant and Roach Killer as well as a bag of Fire Ant Killer granules were stored on the back patio and accessible to children.	—
5	—	749.3141(2) - Life jackets-child must wear a life jacket when the child is in more than two feet of water and does not know how to swim The child in care did not have a life jacket on while in the swimming pool.	—
4	—	749.1291(f) - Contact between child placement staff and child-non/pre-verbal child, length of contact sufficient to observe placement is meeting needs The four monthly contacts reviewed did not appear to be sufficient enough to observe the child' placement needs. The contact also did not document enough sufficient information.	—
3	—	749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A child in care had a communicable disease that was not reported to the hotline.	—
5	—	749.2151(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force A caregiver implemented a restraint not permitted and used excessive physical force that resulted in the child having bruising to the shoulders and bicep.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver threatened to hit a child in care with a back scratcher.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A caregiver placed medication on the kitchen table for children in care and left it there without ensuring the children took it.	—
3	—	749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication The medication record was not updated for 18 days in the month of February when medication was administered to the child in care.	—
3	—	749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change The two quarterly contacts reviewed did not document the names of the household members who were present during the visit. Also, both foster parents did not sign the quarterly inspection form.	—
4	—	749.931(a)(1) - Annual Training-Child placement staff with less than one year of child-placing experience must complete 30hrs. Employee did not have enough training hours in her file. Employee is needing to complete 4 hours of training.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation A 4 month old child received injuries after a caregiver used an inappropriate belt restraint.	—
5	—	749.2593(a)(5) - Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children It was determined that the foster parent was leaving children in care alone at the home with a household member, and not following the supervision requirements documented in the children's service plans.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container There was unlocked medication in the garage refrigerator.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Two agency home records were observed to have expired trainings related to Preventing and Recognizing Sexual Abuse, Trauma Informed Care and Psychotropic Medication Training. The trainings were not completed within a 12-month period.	—
3	—	749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number Several serious incident reports did not have the foster home physical address or telephone number documented.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The background check for 2 foster parents were inactive.	—
4	—	749.2907(A)(1) - Emergency Plans-Each foster home must have written plans and procedures for handling potential disasters and emergencies Two of the four homes reviewed did not have a designated place documented to evacuate to.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Two agency home records were observed to have expired trainings related to Preventing and Recognizing Sexual Abuse, Trauma Informed Care and Psychotropic Medication Training. The trainings were not completed within a 12-month period.	—
5	—	749.2961(a)(1)(D) - Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock. Weapons without trigger locks were stored in the same locked box as the ammunition. Note: This was corrected at inspection due to the weapons and ammunition being separated into two different locked boxes.	Yes
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline There were 21 serious incidents that the foster parent did not report directly to the hotline but they were reported by the agency.	—
4	—	749.1807(a)(1) - Infant requirements-Cribs must have firm, flat mattress that snugly fits the sides crib, it must not be supplemented with additional foam or pads A 3-month-old infant's bassinet contained extra padding.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation During the walk through of the home, the inspector was denied access to the master bedroom and master bathroom of the home.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A person identified as a frequent visitor does not have an active and eligible background check.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Both foster parents were marked as present for the supervisory visit but only one foster parent signed the document.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks Children in care were left outside of the home after walking home from school, due to the caregiver not being home yet.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Schedule II medication only had a single lock and was not double locked.	—
3	—	749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home The caregiver did not report an arrest of a child in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container There was a box full of medications not locked up.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months During the walk through of the home, an infant's crib was observed to have the following inside the crib: pillow, blanket, toys, and a bumper pad around all sides of the crib.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event There were 4 documents not filed in 3 different child records within 30 days of the event.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication A caregiver left medication out on the kitchen table for 2 children in care, which resulted in 1 child ingesting both of their medications.	—
3	—	749.2307(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent. A caregiver did not inform the parent of a child in care after implementing emergency behavior intervention.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Several medications were unlocked in the kitchen on a shelf and on top of the refrigerator.	—
3	—	749.2305(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention A caregiver did not document the use of emergency behavior intervention (EBI) after implementing EBI with a child in care.	—
3	—	749.1309(b)(1)(E) - Initial Service Plan-For children 13 years old or older, must include a plan for education in required areas Service Plan missing components related to ?749.1309 (b)(1)(E)(i-v) as it relates to educating the child on Healthy interpersonal relationships, Healthy boundaries, Pro-social communication skills, Sexually transmitted diseases and Human reproduction.	—
3	—	749.2815(c) - Supervisory Visits-Document and evaluate all required information The supervisory form did not document any changes in household members, major life changes or the foster home disaster/emergency plan as well as the challenging behaviors for children in care or stress levels for caregivers.	—
4	—	749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year The fire and health inspection for one home was not conducted timely.	—
4	—	749.911(b)(1) - Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing One caregiver had CPR training through an online source without hands-on experience.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 Both foster parents did not have an active background check at the time of the inspection.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation.	—
4	—	749.1803(c) - Infant requirements-An infant's caregiver must ensure that the environment is safe An infant was placed on the kitchen countertop in a Bumbo seat and fell out of the seat and on to the floor hitting his head.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional A child in care did not receive follow up treatment timely and as recommended by a medical professional.	—
5	—	749.4475(a)(3) - Be bare, except for a tight-fitting sheet, for an infant who is younger than twelve months of age; and Infants in care have blankets inside their crib while sleeping.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container There was a box full of medications not locked up.	—
3	—	749.1309(b)(1)(E) - Initial Service Plan-For children 13 years old or older, must include a plan for education in required areas Service Plan missing components related to ?749.1309 (b)(1)(E)(i-v) as it relates to educating the child on Healthy interpersonal relationships, Healthy boundaries, Pro-social communication skills, Sexually transmitted diseases and Human reproduction.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A child had a substantial critical injury that was reported 32 hours after the incident.	—
4	—	749.2599 - Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13 A 14-year-old child was babysitting a child in care.	—
4	—	749.911(b)(1) - Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing One caregiver had CPR training through an online source without hands-on experience.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation During the walk through of the home, the inspector was denied access to the master bedroom and master bathroom of the home.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container There was unlocked medication in the garage refrigerator.	—
3	—	749.2305(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention A caregiver did not document the use of emergency behavior intervention (EBI) after implementing EBI with a child in care.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Schedule II medication only had a single lock and was not double locked.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 Both foster parents did not have an active background check at the time of the inspection.	—
4	—	749.1291(f) - Contact between child placement staff and child-non/pre-verbal child, length of contact sufficient to observe placement is meeting needs The four monthly contacts reviewed did not appear to be sufficient enough to observe the child' placement needs. The contact also did not document enough sufficient information.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months During the walk through of the home, an infant's crib was observed to have the following inside the crib: pillow, blanket, toys, and a bumper pad around all sides of the crib.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication A caregiver left medication out on the kitchen table for 2 children in care, which resulted in 1 child ingesting both of their medications.	—
4	—	749.3137(a) - Swimming Ratio-Based on age of youngest child in the group Three children were left in the care of 1 adult. The youngest child in the group was 2 years old.	—
3	—	749.1311(b) - Initial Service Planning Team-The child, if app., parents and foster parents must be invited to the meeting to develop the service plan All 5 children in care were not given the opportunity to participate in their own service plan.	—
3	—	749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change The two quarterly contacts reviewed did not document the names of the household members who were present during the visit. Also, both foster parents did not sign the quarterly inspection form.	—
5	—	749.3141(2) - Life jackets-child must wear a life jacket when the child is in more than two feet of water and does not know how to swim The child in care did not have a life jacket on while in the swimming pool.	—
3	—	749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home The caregiver did not report an arrest of a child in care.	—
4	—	749.1803(c) - Infant requirements-An infant's caregiver must ensure that the environment is safe An infant was placed on the kitchen countertop in a Bumbo seat and fell out of the seat and on to the floor hitting his head.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A caregiver threatened to hit a child in care with a back scratcher.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed A can of Raid Ant and Roach Killer as well as a bag of Fire Ant Killer granules were stored on the back patio and accessible to children.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Both foster parents were marked as present for the supervisory visit but only one foster parent signed the document.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks Children in care were left outside of the home after walking home from school, due to the caregiver not being home yet.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Two agency home records were observed to have expired trainings related to Preventing and Recognizing Sexual Abuse, Trauma Informed Care and Psychotropic Medication Training. The trainings were not completed within a 12-month period.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The caregiver failed to follow a child's service plan regarding supervision around water.	—
4	—	749.2908(a)(3) - Disaster and Emergency-must conduct a severe weather drill each year There is no documentation for severe weather drills completed in foster homes.	—
5	—	749.2151(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force A caregiver implemented a restraint not permitted and used excessive physical force that resulted in the child having bruising to the shoulders and bicep.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Several medications were unlocked in the kitchen on a shelf and on top of the refrigerator.	—
4	—	749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Two of the foster home files did not have a quarterly visit conducted timely.	—
3	—	749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease A child in care had a communicable disease that was not reported to the hotline.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A foster parent hit a child in care on his back with her hand. The foster parent also spanked two children in care.	—
1	—	749.1319(b) - Service plan documentation-The professional service provider must sign and date the plan; must document any disagreement with plan before signing it A child's service plan is missing the date the professional service provider signed the plan.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A caregiver placed medication on the kitchen table for children in care and left it there without ensuring the children took it.	—
5	—	749.4475(a)(3) - Be bare, except for a tight-fitting sheet, for an infant who is younger than twelve months of age; and Infants in care have blankets inside their crib while sleeping.	—
4	—	749.1807(a)(1) - Infant requirements-Cribs must have firm, flat mattress that snugly fits the sides crib, it must not be supplemented with additional foam or pads A 3-month-old infant's bassinet contained extra padding.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child in care had a burn on his arm and the foster parent is unaware of how it happened.	—
5	—	749.1673(c) - Supportive device-Supportive devices that include tying or depriving or limiting the use of a child's hands or feet may not be used An infants arms were tied down with straps to restrict movement.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline There were 21 serious incidents that the foster parent did not report directly to the hotline but they were reported by the agency.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A person identified as a frequent visitor does not have an active and eligible background check.	—
4	—	749.931(a)(1) - Annual Training-Child placement staff with less than one year of child-placing experience must complete 30hrs. Employee did not have enough training hours in her file. Employee is needing to complete 4 hours of training.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Two agency home records were observed to have expired trainings related to Preventing and Recognizing Sexual Abuse, Trauma Informed Care and Psychotropic Medication Training. The trainings were not completed within a 12-month period.	—

Severity 5 = most serious. Source: official state record.

Inspections (320)

320 inspection record(s) on file from TX-HHSC.

Nearby alternatives

Facility	Score	City	Distance
University Christian Weekday School	4	Fort Worth	—
The Gladney Center For Adoption	0	Fort Worth	—
Christs Haven For Children	0	Fort Worth	—
La Petite Academy	0	Fort Worth	—
North Fort Worth Head Start and CDC	0	Fort Worth	—
Marquita KinderCare	0	Fort Worth	—

Licensed facilities near this one, highest compliance score first.

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.