| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
One of the four child files reviewed had a medication record that did not include the reason why the medication was prescribed. |
— |
| 3 | — |
749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
One of the 8 home filed evaluated had a home that did not have a family reference listed. The other required references were in the file but not a part of the home screening. |
— |
| 4 | — |
749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
One of the four adoption / foster child files evaluated did not have a current immunization records on file. |
— |
| 2 | — |
749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Several trainings evaluated in all four staff training files did not have the trainings qualifications listed on the certificate. |
— |
| 4 | — |
749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position
It was reported and confirmed by foster parent that a child in care was made to perform an inappropriate physical activity as a form of discipline. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A Contact Note Report, dated 07/26/2021, provided by the operation noted that the foster father had been exposed at work to an individual that was positive for COVID-19. Foster father tested for COVID-19 on 07/25/2021 and on 07/26/2021, the test results returned positive. On that same Contact Note Report, it was documented that the operation advised the family to call the Texas Abuse and Neglect Hotline to inform the Department that a member of the home was positive for COVID-19, yet it was not reported until 07/28/2021. |
— |
| 5 | — |
749.1003(b)(4)(A)(iv) - Children's rights-Adhere to the child's rights to be free from being denied food, sleep, toileting facilities, mail, or family visits as punishment
It was reported and confirmed by foster parents that they deprived meals from the children in care until they had completed their chores and/or homework. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Several of the serious incident reports had missing information. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
During the course of the investigation, it was determined that the situation was not an emergency and therefore restraints were not warranted. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Documentation reports that a child in care as well as an adult were diagnosed with Covid-19 and were not reported to the Hotline timely. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through information gathered, it was determined and confirmed that a foster parent subject children in care to yelling due to anger and frustration. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the walk through medications were found in an unlocked cabinet and on the bathroom sink for the parents in their room. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, caregiver admitted to posting about incident on social media. |
— |
| 1 | — |
749.1371(1) - Discharge or Transfer Summary-Must include date and circumstances of the discharge or transfer
One of the two foster home did not have a discharge summery for a child who was discharge then came back into care. |
— |
| 4 | — |
749.2063(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
Caregivers admitted to attempting to get phone from victim child. They admitted to blocking door and preventing child from leaving. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Through documentation, it was determined that 1 child in care was not administered a prescription medication according to the instructions. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During the invesigation investigation, the medication log was observed to be blank. This was corrected at the inspection when the caregiver completed the medication logs for the child in care. |
Yes |
| 4 | — |
749.3039(e)(2) - Trampolines-must have shock-absorbing pads covering the springs, hooks and frame
It was found that the trampoline in the home did not have padding on it. |
— |
| 4 | — |
749.2599(3) - Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR
During an unannounced investigation, a 16 year old was babysitting a 1 year old child in care and is not CPR certified. |
— |
| 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
Of the 18 serious incidents reviewed four were related to restraints. None of the four reports had all of the required documentation. |
— |
| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
When doing an investigation, a child was left in the care of a child who was not CPR certfified and under the age of 21, which is against the CPA policy. |
— |
| 5 | — |
749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
One of the children in care is not taking their prescription medication as prescribed by the doctor. |
— |
| 3 | — |
749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
One of the four adoption/ foster child files did not have an admissions assessment in the child file. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
During the review, it was observed that the serious incident report did not include the victim?s age, sex, admission date, current address, and telephone number. |
— |
| 4 | — |
749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
It was reported and confirmed by foster parents, that they cursed in the presence of the children in care. |
— |
| 3 | — |
749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
One of the 8 files evaluated did not list the health status of the children in the home. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
It was found that the netting and metal poles had been removed from the trampoline in the home leaving the metal holes with sharp edges exposed. The child in care fell on one of the metal pole holes while on the trampoline and hit their cheek resulting in a cut and received medical care. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
It was found that a child in care sustained an arm injury on 4/4/24 at approx. 10:00 am while playing at the gym at school, however the child wasn't seen by a doctor until 4/6/24 around noon time in which it was discovered the child had an arm fracture. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Several of the serious incident reports had missing information. |
— |
| 4 | — |
749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
It was reported and confirmed by foster parents, that they cursed in the presence of the children 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
Through documentation, it was determined that 1 child in care was not administered a prescription medication according to the instructions. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
During the course of the investigation, it was determined that the situation was not an emergency and therefore restraints were not warranted. |
— |
| 5 | — |
749.1003(b)(4)(A)(iv) - Children's rights-Adhere to the child's rights to be free from being denied food, sleep, toileting facilities, mail, or family visits as punishment
It was reported and confirmed by foster parents that they deprived meals from the children in care until they had completed their chores and/or homework. |
— |
| 4 | — |
749.3039(e)(2) - Trampolines-must have shock-absorbing pads covering the springs, hooks and frame
It was found that the trampoline in the home did not have padding on it. |
— |
| 1 | — |
749.1371(1) - Discharge or Transfer Summary-Must include date and circumstances of the discharge or transfer
One of the two foster home did not have a discharge summery for a child who was discharge then came back into care. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
It was found that the netting and metal poles had been removed from the trampoline in the home leaving the metal holes with sharp edges exposed. The child in care fell on one of the metal pole holes while on the trampoline and hit their cheek resulting in a cut and received medical care. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During the invesigation investigation, the medication log was observed to be blank. This was corrected at the inspection when the caregiver completed the medication logs for the child in care. |
Yes |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A Contact Note Report, dated 07/26/2021, provided by the operation noted that the foster father had been exposed at work to an individual that was positive for COVID-19. Foster father tested for COVID-19 on 07/25/2021 and on 07/26/2021, the test results returned positive. On that same Contact Note Report, it was documented that the operation advised the family to call the Texas Abuse and Neglect Hotline to inform the Department that a member of the home was positive for COVID-19, yet it was not reported until 07/28/2021. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
During the review, it was observed that the serious incident report did not include the victim?s age, sex, admission date, current address, and telephone number. |
— |
| 3 | — |
749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
One of the 8 home filed evaluated had a home that did not have a family reference listed. The other required references were in the file but not a part of the home screening. |
— |
| 3 | — |
749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
One of the four adoption/ foster child files did not have an admissions assessment in the child file. |
— |
| 4 | — |
749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
One of the four adoption / foster child files evaluated did not have a current immunization records on file. |
— |
| 4 | — |
749.2063(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
Caregivers admitted to attempting to get phone from victim child. They admitted to blocking door and preventing child from leaving. |
— |
| 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
Of the 18 serious incidents reviewed four were related to restraints. None of the four reports had all of the required documentation. |
— |
| 4 | — |
749.2599(3) - Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR
During an unannounced investigation, a 16 year old was babysitting a 1 year old child in care and is not CPR certified. |
— |
| 4 | — |
749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position
It was reported and confirmed by foster parent that a child in care was made to perform an inappropriate physical activity as a form of discipline. |
— |
| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
When doing an investigation, a child was left in the care of a child who was not CPR certfified and under the age of 21, which is against the CPA policy. |
— |
| 3 | — |
749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
One of the 8 files evaluated did not list the health status of the children in the home. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Documentation reports that a child in care as well as an adult were diagnosed with Covid-19 and were not reported to the Hotline timely. |
— |
| 2 | — |
749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Several trainings evaluated in all four staff training files did not have the trainings qualifications listed on the certificate. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
It was found that a child in care sustained an arm injury on 4/4/24 at approx. 10:00 am while playing at the gym at school, however the child wasn't seen by a doctor until 4/6/24 around noon time in which it was discovered the child had an arm fracture. |
— |
| 5 | — |
749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
One of the children in care is not taking their prescription medication as prescribed by the doctor. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
One of the four child files reviewed had a medication record that did not include the reason why the medication was prescribed. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, caregiver admitted to posting about incident on social media. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through information gathered, it was determined and confirmed that a foster parent subject children in care to yelling due to anger and frustration. |
— |
| 4 | — |
749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
It was reported and confirmed by foster parents, that they cursed in the presence of the children in care. |
— |
| 1 | — |
749.1371(1) - Discharge or Transfer Summary-Must include date and circumstances of the discharge or transfer
One of the two foster home did not have a discharge summery for a child who was discharge then came back into care. |
— |
| 5 | — |
749.1003(b)(4)(A)(iv) - Children's rights-Adhere to the child's rights to be free from being denied food, sleep, toileting facilities, mail, or family visits as punishment
It was reported and confirmed by foster parents that they deprived meals from the children in care until they had completed their chores and/or homework. |
— |
| 3 | — |
749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
One of the 8 home filed evaluated had a home that did not have a family reference listed. The other required references were in the file but not a part of the home screening. |
— |
| 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
Of the 18 serious incidents reviewed four were related to restraints. None of the four reports had all of the required documentation. |
— |
| 2 | — |
749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Several trainings evaluated in all four staff training files did not have the trainings qualifications listed on the certificate. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
It was found that the netting and metal poles had been removed from the trampoline in the home leaving the metal holes with sharp edges exposed. The child in care fell on one of the metal pole holes while on the trampoline and hit their cheek resulting in a cut and received medical care. |
— |
| 5 | — |
749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
One of the children in care is not taking their prescription medication as prescribed by the doctor. |
— |
| 4 | — |
749.3039(e)(2) - Trampolines-must have shock-absorbing pads covering the springs, hooks and frame
It was found that the trampoline in the home did not have padding on it. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
It was found that a child in care sustained an arm injury on 4/4/24 at approx. 10:00 am while playing at the gym at school, however the child wasn't seen by a doctor until 4/6/24 around noon time in which it was discovered the child had an arm fracture. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
Several of the serious incident reports had missing information. |
— |
| 4 | — |
749.2063(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
Caregivers admitted to attempting to get phone from victim child. They admitted to blocking door and preventing child from leaving. |
— |
| 4 | — |
749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
One of the four adoption / foster child files evaluated did not have a current immunization records on file. |
— |
| 3 | — |
749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
One of the 8 files evaluated did not list the health status of the children in the home. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A Contact Note Report, dated 07/26/2021, provided by the operation noted that the foster father had been exposed at work to an individual that was positive for COVID-19. Foster father tested for COVID-19 on 07/25/2021 and on 07/26/2021, the test results returned positive. On that same Contact Note Report, it was documented that the operation advised the family to call the Texas Abuse and Neglect Hotline to inform the Department that a member of the home was positive for COVID-19, yet it was not reported until 07/28/2021. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
During the review, it was observed that the serious incident report did not include the victim?s age, sex, admission date, current address, and telephone number. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through information gathered, it was determined and confirmed that a foster parent subject children in care to yelling due to anger and frustration. |
— |
| 3 | — |
749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
One of the four adoption/ foster child files did not have an admissions assessment in the child file. |
— |
| 4 | — |
749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position
It was reported and confirmed by foster parent that a child in care was made to perform an inappropriate physical activity as a form of discipline. |
— |
| 4 | — |
749.2599(3) - Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR
During an unannounced investigation, a 16 year old was babysitting a 1 year old child in care and is not CPR certified. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During the invesigation investigation, the medication log was observed to be blank. This was corrected at the inspection when the caregiver completed the medication logs for the child in care. |
Yes |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
One of the four child files reviewed had a medication record that did not include the reason why the medication was prescribed. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
During the course of the investigation, it was determined that the situation was not an emergency and therefore restraints were not warranted. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Documentation reports that a child in care as well as an adult were diagnosed with Covid-19 and were not reported to the Hotline timely. |
— |
| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
When doing an investigation, a child was left in the care of a child who was not CPR certfified and under the age of 21, which is against the CPA policy. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, caregiver admitted to posting about incident on social media. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Through documentation, it was determined that 1 child in care was not administered a prescription medication according to the instructions. |
— |
| 4 | — |
749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position
It was reported and confirmed by foster parent that a child in care was made to perform an inappropriate physical activity as a form of discipline. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
During the review, it was observed that the serious incident report did not include the victim?s age, sex, admission date, current address, and telephone number. |
— |
| 2 | — |
749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
Several trainings evaluated in all four staff training files did not have the trainings qualifications listed on the certificate. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of the investigation, caregiver admitted to posting about incident on social media. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
It was found that the netting and metal poles had been removed from the trampoline in the home leaving the metal holes with sharp edges exposed. The child in care fell on one of the metal pole holes while on the trampoline and hit their cheek resulting in a cut and received medical care. |
— |
| 4 | — |
749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
It was reported and confirmed by foster parents, that they cursed in the presence of the children in care. |
— |
| 1 | — |
749.1371(1) - Discharge or Transfer Summary-Must include date and circumstances of the discharge or transfer
One of the two foster home did not have a discharge summery for a child who was discharge then came back into care. |
— |
| 3 | — |
749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
One of the 8 files evaluated did not list the health status of the children in the home. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Through documentation, it was determined that 1 child in care was not administered a prescription medication according to the instructions. |
— |
| 4 | — |
749.2063(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
Caregivers admitted to attempting to get phone from victim child. They admitted to blocking door and preventing child from leaving. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A Contact Note Report, dated 07/26/2021, provided by the operation noted that the foster father had been exposed at work to an individual that was positive for COVID-19. Foster father tested for COVID-19 on 07/25/2021 and on 07/26/2021, the test results returned positive. On that same Contact Note Report, it was documented that the operation advised the family to call the Texas Abuse and Neglect Hotline to inform the Department that a member of the home was positive for COVID-19, yet it was not reported until 07/28/2021. |
— |
| 4 | — |
749.3039(e)(2) - Trampolines-must have shock-absorbing pads covering the springs, hooks and frame
It was found that the trampoline in the home did not have padding on it. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
During the course of the investigation, it was determined that the situation was not an emergency and therefore restraints were not warranted. |
— |
| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
When doing an investigation, a child was left in the care of a child who was not CPR certfified and under the age of 21, which is against the CPA policy. |
— |
| 4 | — |
749.2599(3) - Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR
During an unannounced investigation, a 16 year old was babysitting a 1 year old child in care and is not CPR certified. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Documentation reports that a child in care as well as an adult were diagnosed with Covid-19 and were not reported to the Hotline timely. |
— |
| 5 | — |
749.1003(b)(4)(A)(iv) - Children's rights-Adhere to the child's rights to be free from being denied food, sleep, toileting facilities, mail, or family visits as punishment
It was reported and confirmed by foster parents that they deprived meals from the children in care until they had completed their chores and/or homework. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Through information gathered, it was determined and confirmed that a foster parent subject children in care to yelling due to anger and frustration. |
— |
129 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.