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Children's Hope Residential Services, Inc. - CPA

Child care center · 2402 CANYON LAKE DR, Lubbock, TX 79415-2000 · License 1498650- 8291

0Compliance score
Poor

-

Violation history (168)

SeverityDateStandard / narrativeCorrected
3 749.2807(2) - Foster Home Compliance-must evaluate home when a change in the conditions of the verification or a major life change occurs
The agency did not document or complete an addendum for the home when the home stopped providing care for kinship placements and began accepting placements for unrelated children in care.
4 749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
A foster home had knives that were easily accessible to children in care.
5 749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent stated that they had not been documenting any medication that was administered to the children in care.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 5, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on January 5, 2023. Specifically, the operation was cited for 749.1957(1) Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment. The operation met compliance on January 12, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with MH/H weighted licensing citations.? An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $500.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
Yes
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to act in a manner that would prevent abuse by engaging in inappropriate discipline of a 1 year old child. A second caregiver failed to intervene on behalf of each child's safety by promoting a 3 year old child in care to watch as inappropriate discipline was implemented and failed to intervene for either child's safety.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A 1 year old child in care was disciplined by a caregiver by being forced to hold his arms up in a steady position.
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Serious incident reports did not have the address or telephone number of the foster home.
5 749.4571(b) - Before sharing sleeping space with a kinship child, CPMS must ensure there's no harm risk in sharing, based on the child's service plan/assessment.
A kinship placement admitted to sharing a bed with the child in care.
4 749.3079(3) - Food Storage-food items must be protected from contamination
Raw chicken was left out on a picnic table while camping for at least 45 minutes.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.
5 749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.
2 749.3023(c)(2) - Bedrooms-foster children or any other household members may not use a passageway to other rooms as a bedroom
A child in care and foster parents are sleeping in a room that is used as a passageway
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.
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.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
2 749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
Foster parent removed the bedroom doors.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
Yes
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.
4 749.3079(3) - Food Storage-food items must be protected from contamination
Raw chicken was left out on a picnic table while camping for at least 45 minutes.
2 749.3023(c)(2) - Bedrooms-foster children or any other household members may not use a passageway to other rooms as a bedroom
A child in care and foster parents are sleeping in a room that is used as a passageway
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Serious incident reports did not have the address or telephone number of the foster home.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A 1 year old child in care was disciplined by a caregiver by being forced to hold his arms up in a steady position.
2 749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
Foster parent removed the bedroom doors.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
5 749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.
5 749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to act in a manner that would prevent abuse by engaging in inappropriate discipline of a 1 year old child. A second caregiver failed to intervene on behalf of each child's safety by promoting a 3 year old child in care to watch as inappropriate discipline was implemented and failed to intervene for either child's safety.
5 749.4571(b) - Before sharing sleeping space with a kinship child, CPMS must ensure there's no harm risk in sharing, based on the child's service plan/assessment.
A kinship placement admitted to sharing a bed with the child in care.
3 749.2807(2) - Foster Home Compliance-must evaluate home when a change in the conditions of the verification or a major life change occurs
The agency did not document or complete an addendum for the home when the home stopped providing care for kinship placements and began accepting placements for unrelated children in care.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring
4 749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
A foster home had knives that were easily accessible to children in care.
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.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent stated that they had not been documenting any medication that was administered to the children in care.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 5, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on January 5, 2023. Specifically, the operation was cited for 749.1957(1) Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment. The operation met compliance on January 12, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with MH/H weighted licensing citations.? An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $500.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent stated that they had not been documenting any medication that was administered to the children in care.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 5, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on January 5, 2023. Specifically, the operation was cited for 749.1957(1) Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment. The operation met compliance on January 12, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with MH/H weighted licensing citations.? An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $500.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A 1 year old child in care was disciplined by a caregiver by being forced to hold his arms up in a steady position.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
Yes
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.
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.
5 749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Serious incident reports did not have the address or telephone number of the foster home.
5 749.4571(b) - Before sharing sleeping space with a kinship child, CPMS must ensure there's no harm risk in sharing, based on the child's service plan/assessment.
A kinship placement admitted to sharing a bed with the child in care.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.
4 749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
A foster home had knives that were easily accessible to children in care.
2 749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
Foster parent removed the bedroom doors.
4 749.3079(3) - Food Storage-food items must be protected from contamination
Raw chicken was left out on a picnic table while camping for at least 45 minutes.
5 749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to act in a manner that would prevent abuse by engaging in inappropriate discipline of a 1 year old child. A second caregiver failed to intervene on behalf of each child's safety by promoting a 3 year old child in care to watch as inappropriate discipline was implemented and failed to intervene for either child's safety.
2 749.3023(c)(2) - Bedrooms-foster children or any other household members may not use a passageway to other rooms as a bedroom
A child in care and foster parents are sleeping in a room that is used as a passageway
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.
3 749.2807(2) - Foster Home Compliance-must evaluate home when a change in the conditions of the verification or a major life change occurs
The agency did not document or complete an addendum for the home when the home stopped providing care for kinship placements and began accepting placements for unrelated children in care.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.
5 749.4571(b) - Before sharing sleeping space with a kinship child, CPMS must ensure there's no harm risk in sharing, based on the child's service plan/assessment.
A kinship placement admitted to sharing a bed with the child in care.
2 749.3023(c)(2) - Bedrooms-foster children or any other household members may not use a passageway to other rooms as a bedroom
A child in care and foster parents are sleeping in a room that is used as a passageway
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A 1 year old child in care was disciplined by a caregiver by being forced to hold his arms up in a steady position.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
Yes
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to act in a manner that would prevent abuse by engaging in inappropriate discipline of a 1 year old child. A second caregiver failed to intervene on behalf of each child's safety by promoting a 3 year old child in care to watch as inappropriate discipline was implemented and failed to intervene for either child's safety.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.
2 749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
Foster parent removed the bedroom doors.
5 749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.
5 749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 5, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on January 5, 2023. Specifically, the operation was cited for 749.1957(1) Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment. The operation met compliance on January 12, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with MH/H weighted licensing citations.? An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $500.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Serious incident reports did not have the address or telephone number of the foster home.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent stated that they had not been documenting any medication that was administered to the children in care.
4 749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
A foster home had knives that were easily accessible to children in care.
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.
3 749.2807(2) - Foster Home Compliance-must evaluate home when a change in the conditions of the verification or a major life change occurs
The agency did not document or complete an addendum for the home when the home stopped providing care for kinship placements and began accepting placements for unrelated children in care.
4 749.3079(3) - Food Storage-food items must be protected from contamination
Raw chicken was left out on a picnic table while camping for at least 45 minutes.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.
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.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 5, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on January 5, 2023. Specifically, the operation was cited for 749.1957(1) Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment. The operation met compliance on January 12, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with MH/H weighted licensing citations.? An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $500.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent stated that they had not been documenting any medication that was administered to the children in care.
5 749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.
4 749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
A foster home had knives that were easily accessible to children in care.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medication stored in the fridge was not in a locked container.
2 749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
Foster parent removed the bedroom doors.
5 749.4571(b) - Before sharing sleeping space with a kinship child, CPMS must ensure there's no harm risk in sharing, based on the child's service plan/assessment.
A kinship placement admitted to sharing a bed with the child in care.
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Serious incident reports did not have the address or telephone number of the foster home.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring
5 749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.
4 749.3079(3) - Food Storage-food items must be protected from contamination
Raw chicken was left out on a picnic table while camping for at least 45 minutes.

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

Inspections (64)

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

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