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TexasRound Rock › Therapeutic Family Life

Therapeutic Family Life

Child care center · 551 S INTERSTATE 35 STE 323, Round Rock, TX 78664-2820 · License 256263- 105

0Compliance score
Poor

-

Violation history (96)

SeverityDateStandard / narrativeCorrected
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for 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 March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for the foster home.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for the foster home.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for 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 March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for the foster home.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for the foster home.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for 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 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
1 749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
Two supervisory visits were completed but not added to the home record.
3 749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
A caregiver's adult son who lived in the home was arrested on 10/5/24. This was not self-reported to Licensing until 10/7/24.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
Two of four medication logs did not have administration times documented for PRN medication.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 11, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 the heightened monitoring plan, 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 March 7, 2025, 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 medium-high weighted citation in a pattern/trend category on March 7, 2025, Specifically, the operation was cited for 749.1957(8) Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child. The operation met compliance on PENDING. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Three children were not supervised by a caregiver according to their service plan directives.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was documented in the supervisory visit logs that two inelgible persons were listed for emergency contacts for 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) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
During the course of the investigation, it was determined that the caregiver cursed at a child in care during an argument the child and caregiver were having
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 8, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an unannounced HM inspection, a home that has a toddler placed was observed to be disorganized and included clutter. This was not isolated in one specific area of the home. The countertops had piles of various items and there was no clear counter space. The dining room table was in disarray with items. In the hallway, there was an office space was in disarray and unorganized with piled items. In the exterior, there were items stored on patio trash can filled with wood, (2) gasoline cans (per foster parent the cans were empty), (5) large metal cans filled with goat food in the backyard. Shed that was open, and door was broken with hinges off. Photographs were taken.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 13, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

Inspections (96)

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

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