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Ascension Child and Family Services

Child care center · 9898 BISSONNET ST STE 425, Houston, TX 77036-8025 · License 1554365- 10131

0Compliance score
Poor

Violation history (500)

Severity	Date	Standard / narrative	Corrected
5	—	749.3041(8) - Physical Environment-Foster home must ensure that house is free of rodents and insects Multiple reports of rodents and cockroaches in the home.	—
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records During the course of the investigation, specific financial documents were requested and not provided by the agency.	—
4	—	749.2801(b) - Evaluating Foster Home-foster home evaluated for compliance with all applicable rules every 2 years and when extending time-limited verification Documentation of agency submitted corrective action plan was not provided upon request.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During the inspection, raid and disinfecting wipes were observed on the kitchen counter and dining table.	Yes
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of a childs file, it was observd that child was placed on 8-23-24 but service plan completed on 9-23-24 about a month after placement says REVIEW instead of INITIAL. Date of birth in another childs admission assessment form says 9-3-24 instead of 9-3-17.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The service plan reviewed indicated the wrong spelling of the child's name throughout the plan. Additionally, the placement date was inaccurate.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Foster parent purchased electronics from youth in care.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving An employee was not inactivated within the seven-day timeframe of leaving the operation.	—
5	—	749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access. The back door of the foster home that serves as one side of the barrier to the pool, was observed to be unlocked, allowing children in care access to the pool area.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted The childs initial service plan reviewed was not completed timely.	—
4	—	749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child A child disclosed that she was inappropriately touched by another child in the home on 3/10/2023 however this was not reported to the Hotline until 3/13/2023.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing The agency could not provide the monthly home contact visits for the month of September and October.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation It was determined that the foster mom does have her husband living with her without a background check.	—
2	—	749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom Foster mother admitted during the initial time of the interview to removing bedroom door of a child in care because child was staying up night playing games which increases the home electric bill. Victim child, foster parent fiance who resides in the home confirmed the door was removed. Licensing staff also confirmed the door was removed by foster parent because she did not see the door during the visit at the home.	—
4	—	749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care. The operation did not follow subsection (a) to verify one spouse.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During an investigation review, photos were observed of chemicals on a child?s bathroom counter and bedroom dresser.	—
2	—	749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan The childs parent was notified of a service planning meeting 6 days prior to the meeting.	—
2	—	749.1251(a) - Pre-placement visits-A child over six months of age must visit the foster home at least once before placement A child placed in non-emergency placement did not have any preplacement visit.	—
3	—	749.863(a)(1) - Caregivers must have 8 hrs pre-service; one FP must have training before a child is placed, other FP must complete in 90 days of child being placed. 3 Foster parents files reviewed today did not complete the required 8 hours pre service training before children are placed in the homes.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of one childs file, multiple dates of birth were noticed. Date of birth in the childs 30 days service plan is different from date of birth in the childs binder cover, last reviewed service plan and medical consenter form.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review During the course of this investigation, it was found that 3 out of 7 child's records contained notification of service plans that were not sent out timely.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted According to information in child's initial service plan, child was placed on 7-8-25 but initial service plan was completed on 11-7-25. Service plan was completed 122 days after placement.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them Documents continue to be unavailable to assess accurate payments to foster parents.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the inspection, it was observed that several records were not accurate. Specifically, the background check monthly log did not reflect changes for a former household member who should no longer be listed as a frequent visitor. Additionally, another child's dental and medical documentation was not up to date. The child list and service plan review indicated a child as a child specific contract however this information is inaccurate per the operation.	—
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records Documents continue to be unavailable to accurately assess reserve funds equaling up to three months of operating expenses.	—
3	—	749.1311(a)(3) - Initial Service Planning Team-If child receiving treatment services include at least two professionals During the review of one childs file, it was noted that the child receieves treatment services such as Therapy and QMHP but there was only one professional level service provider that participated in the creation of the childs initial service plan.	—
3	—	749.831(a) - Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care 3 foster parent home reviewed did not complete the required orientation with the CPA prior to children being placed at the home.	—
2	—	749.161(b)(2)(A) - Fiscal requirements - Make available for Licensing annual review of your financial records conducted by independent CPA Financial records documentation was not provided by the operation during the inspection.	—
4	—	749.503(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child During an investigation, children in care reported abuse concerns to staff and this was not reported to the hotline.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 There is a cook that frequents the home and does not have an active background check.	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation A personnel record reviewed did not have signed and dated agreement to report Abuse and Neglect to the hotline, agency administrator or designee.	—
2	—	749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged Two discharge summaries reviewed did not include the required components, to include the address, telephone number, or name of the person the children were discharged to.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage Three out of seven children's medication logs for the months January, February, or March reviewed had incorrect dosages and one of seven had a missing reason for a medication in January.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Documentation of agency submitted corrective action plan was not provided upon request.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Several records reviewed had inaccurate date inforamtion including: A child's 72-hour service plan does not accurately reflect the child's admission date. An appointment record for the same child was inaccurately dated. A home screening had an inaccurate date for the Service Call record.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk through, the medication was open and unlocked. This was corrected during inspection.	Yes
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records The reserve funds equaling up to three months of operating expenses were not provided by the agency.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization The report was made beyond the 24hr time frame reporting requirement.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. This standard was found deficient as part of an abuse and neglect investigation.	—
3	—	749.161(a)(1) - Fiscal requirements - Pay employees timely A document was not provided to accurately assess timely payment to employees.	—
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records Documents continue to be unavailable to accurately assess reserve funds equaling up to three months of operating expenses.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the review of a staff file, the staff employment start date in providers portal says 11-13-1971 instead of 11-12-25	—
3	—	749.2595(b)(2) - Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use During a walkthrough of the home, RCCI observed there to be video / audio monitors in each foster child's bedroom. CVS did not approve.	—
1	—	749.1313(b) - Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses During the course of this investigation, it was found that 2 out of 7 child's records were missing documentation of any notification provided to the parents regarding service plan meetings.	—
3	—	749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child During an investigation review, youth interviewed expressed a babysitter hit multiple children with a ruler as a form of discipline.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The operation allowed an individual to move back into the home without receiving notification from CBCU regarding eligibility.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event During HM inspection, task 2 and task 4 were not compliant. In reviewing the documentation, the log for task 2 was not completed for November and December. The documentation for task 4 was not signed by foster parent or reviewed by a secondary reviewer.	—
4	—	749.2801(b) - Evaluating Foster Home-foster home evaluated for compliance with all applicable rules every 2 years and when extending time-limited verification The foster home evaluation did not include an accurate review of the foster home. The evaluation indicated that the foster home is currently residing in a hotel due to a house fire, an incident that occurred 4 years ago.	—
2	—	749.161(b)(2)(B) - Fiscal requirements - Make available for Licensing proof of reserve funds equal to 3 months of agency operating expenses Documentation of multiple financial records continue to be unavailable for review.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Foster parent failed to use self-control when he made a threatening statement to a child in care.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the course of the investigation, it was found that a staff member admitted to falsifying home contact visits. Staff member used visits to the office completed by foster parents as a home visit contact.	—
1	—	749.1321(d) - Sharing Initial Service Plan-Document in child's record that a copy or summary of the service plan was provided to his parents During the course of this investigation, it was found that 6 our of 7 child's records reviewed did not have proper documentation of summaries to the parents, notifying them of the service plan meeting.	—
3	—	749.503(e)(6)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency. The foster parent was not forthcoming to licensing when a part of an investigation under another state entity.	—
3	—	749.161(a)(1) - Fiscal requirements - Pay employees timely Documents continue to be unavailable to accurately assess timely payment to employees.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The children in the home have been alone with unauthorized caregivers.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During an investigation review, photos were observed of over-the-counter medication accessible on a child?s bathroom counter.	—
2	—	749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record The foster home was not able to provide the signed agreement during a sampling inspection.	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 During an investigation review, a babysitter that was providing care inside the agency home to children in care did not have a background check.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A home study was reviewed for a sampling, it was noted that there are a lot of inconsistences relating to many areas such as the financials, jobs, whether the home has a pool or not, about the family having direct care with fostering, age/gender preferences, how long they have been married, etc.	—
4	—	749.2801(b) - Evaluating Foster Home-foster home evaluated for compliance with all applicable rules every 2 years and when extending time-limited verification Documentation of agency submitted corrective action plan was not provided upon request.	—
5	—	749.1291(a) - Contact between child placement staff and children-except for child with PMN needs, monthly FTF contact; no longer than 60 days without a visit During the course of the investigation, it was found that a home went without a visit since July 2025. Additionally, staff admitted to falsifying visits and not completing them.	—
4	—	749.1807(a)(1) - Infant requirements-Cribs must have firm, flat mattress that snugly fits the sides crib, it must not be supplemented with additional foam or pads A playpen did not have an appropriate mattress and sheet but instead had bedroom pillows.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them A document was not provided as requested to assess accurate payment to foster parents.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During a review of a child's service plan, it was found that dates for a psychological evaluation, a dental visit, and medication review were incorrect.	—
3	—	749.161(a)(1) - Fiscal requirements - Pay employees timely Documents continue to be unavailable to accurately assess timely payment to employees.	—
2	—	749.1015(a) - Child Rights searches-Child's possessions free of unreasonable searches and unreasonable removal of personal items During an investigation, a child's personal belonging was searched, and a retrieved item was not returned.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment During an investigation a child in care was choked and another child witnessed this incident.	—
2	—	749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged Documentation of agency submitted corrective action plan was not provided upon request.	—
5	—	749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety Through the course of the investigation it was determined that the foster parent left three children unattended in a car for approximately 3 hours.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Documentation of agency submitted corrective action plan was not provided upon request.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them Documents continue to be unavailable to assess accurate payments to foster parents.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The operation failed to ensure that a monthly home visits were conducted and documented accurately.	—
3	—	749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form Staff filed reviewed did not have a notarized affidavit or signature.	—
4	—	749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair The wooden dresser in the child's room did not have drawers which left metal tracks exposed.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Documentation of multiple financial records continue to be unavailable for review. A monthly home visit for a child in care was not provided by the agency.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Multiple financial records were requested and not provided for review.	—
4	—	749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair Four arms on 2 of the couches we heavily damaged.	—
2	—	749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged Documentation of agency submitted corrective action plan was not provided upon request.	—
4	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. During the course of this investigation, it was found that 1 out 2 foster parent's trauma informed care training documentation was not found/complete for the FY 2023.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The background check list hasn't been validated since March 11, 2024.	—
2	—	749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom At the time of the investigation inspection, it was confirmed that the bedroom door had been reinstalled.	Yes
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted The child's service plan reviewed was completed over a month after it was due.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission The agency could not provide documentation regarding the three children's placement in care for review.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Documentation of multiple financial records continue to be unavailable for review.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing New home does not have home study available for immediate review for Inspector.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. During an investigation review, children interviewed said the foster parent used timeouts that required holding a physical position, and the foster parent threatened to spank a child with a belt.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The operation has not validated the background check list since May.	—
4	—	749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans. During a review conducted on 4/9/2026 it was determined that: the Administrator failed to ensure compliance with the current HM Plan; and 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring	—
3	—	749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures Caregivers failed to follow operation's policy regarding social media and posted images of the children in care.	—
5	—	749.3041(8) - Physical Environment-Foster home must ensure that house is free of rodents and insects The foster home was treated by a pest company for insects and roaches however the home continued to have a pest problem due to not following the pest company's instructions and recommendations to de-clutter the home.	—
2	—	749.2633(a) - Respite-Foster home may not provide respite services for more than 14 consecutive days or more than 60 days annually A child in care was able to remain in respite for more than 14 days.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation The staff file provided by the operation did not include the signed statement.	—
4	—	749.2445(b) - Verification-Agency child placement management staff must review and approve each foster home screening. The foster home screening provided didn't include the CPMS signature to indicate approval.	—
3	—	749.2449(a)(2) - Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home A sampling inspection was conducted and the following it was noted that there is no individual interview or group interview with the foster parents' biological child.	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation Staff file reviewed did not include a statement ensuring they report suspected abuse and neglect.	—
5	—	749.1469(a)(1) - Administration of Medication-Must follow label. It was determined that the foster parent did not follow the over-the-counter medication instructions when administering medication to two children in care under the age of twelve.	—
4	—	749.2591(a)(1) - Supervision-Child placement management staff must ensure that supervision accounts for the specific needs of the children in care in each home Foster parents failed to follow the supervision plan outlined in the child's service plan.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Several individuals interviewed reported that caregiver would use physical discipline as a form of punishment.	—
1	—	749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided The service plan reviewed did not include the child's signature or documentation of refusal.	—

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

Inspections (400)

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

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