Child care center ·
302 N HEATHERWILDE BLVD STE 200, Pflugerville, TX 78660-3676 ·
License 1555382- 10171
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
749.153(a)(3)(A) - Notfication - Change in child-placing agency administrator
The agency changed administrators on 12.22.21 but failed to notify Licensing within the 2 day timeframe. Licensing was notified of the change 1.13.22. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Child in care acted inappropriately towards another child in care due to foster parents not following safety plan initiated by agency. Safety plan was put in place due to child having inappropriate behaviors and foster parents still placed the child in the same bedroom which led to child exposing themselves to another child in care. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
In reviewing background checks it was found an active employee was inactived in August 2020. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
The foster parent tested positive for covid on 1/6/22 and the incident was not reported to the hotline until 1/11/22 when HHS employee called the foster parent to get clarification regarding the information in the self- report. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
When reviewing child files, it was observed that 1 child?s medication dosage increased for a prescribed medication during the middle of June but was not updated on the medication log to show the dosage change. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection, it was found that one regular/frequent visitor did not have a background check completed. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Two children in care contracted a communicable disease on 1/11/22 and it was not reported to licensing until 1/17/22, which is not within the required 24 hour time-frame for reporting. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One regular/frequent visitor who comes to the foster home approximately 4 times in a 30 day period did not have a background check completed. |
— |
| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
During the course of the investigation it was determined the caregiver did not intervene appropriately when the child obtained a penny, put it in his mouth, and swallowed it. As a result the child of this action, the child had medical procedure to retrieve the object from his stomach. |
— |
| 1 | — |
749.2470(9)(E) - Verification Certificate- Specifies the ages and gender(s) of foster children for which the home is verified
The foster home's license documents the home is only licensed for female placements. However, during the sampling visit, it was determined there is a male placed in the home. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
From documentation reviewed, the hotline report was received three days after the child's positive covid test result. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
Two service plans for children in care were not completed by their due date of 05.01.2023. |
— |
| 1 | — |
749.121(4) - Rights & responsibilities of CPA and foster parents - Reimbursement
No documents provided by the agency note a specific time frame on when the foster parents are to be reimbursed by the agency. |
— |
| 4 | — |
749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year
Two fire evaluations were expired. One on March 2023 and the other as of December 2022. One health evaluation was expired as of December 2022. |
— |
| 3 | — |
749.161(a)(1) - Fiscal requirements - Pay employees timely
Through interviews with staff, it was determined that staff have not been receiving pay for hours worked between March and May. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation it was found caregivers have yelled and cussed at children in care. |
— |
| 2 | — |
749.2488(c) - Rights and Responsibilities-The foster home must have a copy of the signed rights/responsibilities statement
There were no signatures/dates on the foster parent rights and responsibilities the foster parents provided during inspection. The agency provided a separate copy of the rights and responsibilities via email after the inspection, which had an electronic signature for foster parent, but no date of when it was signed. Along with this, the foster home developer's signature was dated 5/23/22. The foster parent rights/responsibilities reviewed in the home on the agency record keeping system showed the date for the form as 5/21/23. It was reported that foster parent completed this on 5/21/23 and had yet to receive a signed copy as of today, 3.29.23. |
— |
| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
It was identified during the course of this investigation that law enforcement responded to an incident at a foster home, the caregiver acknowledged being aware that law enforcement responded to their residence, and a report was not received by Licensing within 24 hours of the caregiver becoming aware of law enforcement's presence at the foster home. |
— |
| 4 | — |
749.519(a) - AP Within five days after you receive notification of a deficiency as described in 749.517 you must notify the parents of each child admitted.
The agency was cited for the child's right standard on 2.14.23. The agency was reminded to send the parent notification but has still not completed it as of 3.6.23. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
An adult caregiver contracted a communicable disease on 01.27.2022 and licensing was not made aware. |
— |
| 4 | — |
749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
During the inspection, the water to one of the toilets used by children in care was turned off as a result of it leaking. The sink was also filled will standing water. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A case manager signed off on a service plan that occurred on 11.21.22. The case managers last day at the agency was 10.28.22. After a conversation with the foster parents, it was determined that no service plan meeting took place on 11.21.23 that they were aware of. However, it was documented that the foster parents participated. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
When reviewing child files, 1 child file showed missing dates for the 31st for May and July medication logs. When reviewing files, it was also observed that 1 child file was missing 5 signatures for medicine being administered for 2 prescribed medications (reference 749.1541(c)(6)). |
— |
| 3 | — |
749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them
Through interviews, it was determined that foster families are not receiving payments. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications and other non-prescription medications were unlocked during the inspection. This was corrected at inspection. It was also reported that an epinephrine injector is kept in the foster parent's purse to use for in case of an emergency, which is unlocked. Foster parent reported this will be corrected and locked up. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
During the course of the investigation, it was determined a child in care did not receive medical care until at least 12 hours after the child swallowed an object. The child was taken to the Emergency Room and was admitted for a medical procedure to retrieve the object from his stomach. |
— |
| 4 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
There was excess furniture outside and metal supplies observed accessible to children in care that posed risk to children during outdoor play. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
After reviewing documentation, a child in care tested positive for COVID-19 and this was reported two days after receiving positive results. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was identified during the course of this investigation that a child in care was threatened with corporal punishment by at least one adult household member, who acknowledged being an approved caregiver for children in care. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
A child in care contracted a communicable disease on 01.27.2022 and licensing was not made aware within the required timeframe. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation, it was determined that caregivers yell at the children in care on occasion. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was found that the operation is not maintaining a true and accurate service plan for the child in care. A service plan was completed on 3/25/23 for the child when a meeting was not held on this day. There has not been a service plan meeting as of yet. A notification was sent on 3/24/23 to foster parent for a meeting to be held on 4/7/23. |
— |
| 5 | — |
749.3133(f)(1) - Swimming Pools- Doors that lead from home to pool must have a door alarm.
During the inspection, it was observed that the door leading from the house to the pool was unlocked and did not have an alarm. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
During the inspection, the fire extinguisher was observed to have expired on 7.9.21. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
COVID test results verify that a child in care tested positive on 11.2.21 and again on 11.6.21. The child's DFPS caseworker and Statewide Intake were not notified of the test results until 11.10.21, eight days after the first positive test result for the child. The SIR for this incident was not completed until six days after Lonestar became aware of the positive COVID results on 11.9.21. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was identified an individual regularly/frequently present at a verified agency home, while children were in care, did not have an eligibility determination by CBCU allowing this person to be present at the agency home. |
— |
| 5 | — |
749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
During the walk through of the home, a loaded BB gun was observed unsecured on the back porch. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
It was found during the course of the investigation a foster parent tested positive for COVID but did not report for 10 day. |
— |
| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs
During the inspection it was observed that two outside gates surrounding the pool were unlocked. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
A child in care suffered from a broken nose and contusion on her head when she swam into the side of the concrete pool face first. The child was taken to the ER on 5-7, the day of the injury. The incident was not reported within the required 24 hour time-frame for reporting, but was reported on 5-10-22. |
— |
| 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
During the inspection, it was reported that one CM left the agency in January 2023, but is still showing as "active" in background checks. |
— |
| 3 | — |
749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
10 charts were reviewed and 9 all had items missing. Licensing Affidavits, Reporting A/N, Job Descriptions, proof of qualifications, Drug Screen, proof of age, etc. |
— |
| 3 | — |
749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
The acknowledgement of Child's Rights was signed 7 months after the child was placed in the foster home. |
— |
| 3 | — |
749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
When reviewing files, 2 children in care medication logs showed 5 out of 8 prescribed medications not listing the prescribing physician and 3 medications did not provide a reason for the medication (reference 749.1541(c)(3)). |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
2 out of 2 children indicted that physical discipline was used in the foster home. Both were consistent when interviewed as well in a DFPS case. |
— |
| 5 | — |
749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
During the walk through of the home, a loaded BB gun was observed unsecured on the back porch. |
— |
| 4 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
There was excess furniture outside and metal supplies observed accessible to children in care that posed risk to children during outdoor play. |
— |
| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
During the course of the investigation it was determined the caregiver did not intervene appropriately when the child obtained a penny, put it in his mouth, and swallowed it. As a result the child of this action, the child had medical procedure to retrieve the object from his stomach. |
— |
| 4 | — |
749.519(a) - AP Within five days after you receive notification of a deficiency as described in 749.517 you must notify the parents of each child admitted.
The agency was cited for the child's right standard on 2.14.23. The agency was reminded to send the parent notification but has still not completed it as of 3.6.23. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
It was found during the course of the investigation a foster parent tested positive for COVID but did not report for 10 day. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation it was found caregivers have yelled and cussed at children in care. |
— |
| 3 | — |
749.161(a)(1) - Fiscal requirements - Pay employees timely
Through interviews with staff, it was determined that staff have not been receiving pay for hours worked between March and May. |
— |
| 5 | — |
749.3133(f)(1) - Swimming Pools- Doors that lead from home to pool must have a door alarm.
During the inspection, it was observed that the door leading from the house to the pool was unlocked and did not have an alarm. |
— |
| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
It was identified during the course of this investigation that law enforcement responded to an incident at a foster home, the caregiver acknowledged being aware that law enforcement responded to their residence, and a report was not received by Licensing within 24 hours of the caregiver becoming aware of law enforcement's presence at the foster home. |
— |
| 3 | — |
749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them
Through interviews, it was determined that foster families are not receiving payments. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was identified during the course of this investigation that a child in care was threatened with corporal punishment by at least one adult household member, who acknowledged being an approved caregiver for children in care. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
An adult caregiver contracted a communicable disease on 01.27.2022 and licensing was not made aware. |
— |
| 3 | — |
749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
When reviewing files, 2 children in care medication logs showed 5 out of 8 prescribed medications not listing the prescribing physician and 3 medications did not provide a reason for the medication (reference 749.1541(c)(3)). |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
The foster parent tested positive for covid on 1/6/22 and the incident was not reported to the hotline until 1/11/22 when HHS employee called the foster parent to get clarification regarding the information in the self- report. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was identified an individual regularly/frequently present at a verified agency home, while children were in care, did not have an eligibility determination by CBCU allowing this person to be present at the agency home. |
— |
| 1 | — |
749.121(4) - Rights & responsibilities of CPA and foster parents - Reimbursement
No documents provided by the agency note a specific time frame on when the foster parents are to be reimbursed by the agency. |
— |
| 4 | — |
749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year
Two fire evaluations were expired. One on March 2023 and the other as of December 2022. One health evaluation was expired as of December 2022. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Child in care acted inappropriately towards another child in care due to foster parents not following safety plan initiated by agency. Safety plan was put in place due to child having inappropriate behaviors and foster parents still placed the child in the same bedroom which led to child exposing themselves to another child in care. |
— |
| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs
During the inspection it was observed that two outside gates surrounding the pool were unlocked. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
A child in care contracted a communicable disease on 01.27.2022 and licensing was not made aware within the required timeframe. |
— |
| 4 | — |
749.153(a)(3)(A) - Notfication - Change in child-placing agency administrator
The agency changed administrators on 12.22.21 but failed to notify Licensing within the 2 day timeframe. Licensing was notified of the change 1.13.22. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
In reviewing background checks it was found an active employee was inactived in August 2020. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
During the course of the investigation, it was determined a child in care did not receive medical care until at least 12 hours after the child swallowed an object. The child was taken to the Emergency Room and was admitted for a medical procedure to retrieve the object from his stomach. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
During the inspection, the fire extinguisher was observed to have expired on 7.9.21. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A case manager signed off on a service plan that occurred on 11.21.22. The case managers last day at the agency was 10.28.22. After a conversation with the foster parents, it was determined that no service plan meeting took place on 11.21.23 that they were aware of. However, it was documented that the foster parents participated. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
Two service plans for children in care were not completed by their due date of 05.01.2023. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications and other non-prescription medications were unlocked during the inspection. This was corrected at inspection. It was also reported that an epinephrine injector is kept in the foster parent's purse to use for in case of an emergency, which is unlocked. Foster parent reported this will be corrected and locked up. |
— |
| 3 | — |
749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
The acknowledgement of Child's Rights was signed 7 months after the child was placed in the foster home. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
COVID test results verify that a child in care tested positive on 11.2.21 and again on 11.6.21. The child's DFPS caseworker and Statewide Intake were not notified of the test results until 11.10.21, eight days after the first positive test result for the child. The SIR for this incident was not completed until six days after Lonestar became aware of the positive COVID results on 11.9.21. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was found that the operation is not maintaining a true and accurate service plan for the child in care. A service plan was completed on 3/25/23 for the child when a meeting was not held on this day. There has not been a service plan meeting as of yet. A notification was sent on 3/24/23 to foster parent for a meeting to be held on 4/7/23. |
— |
| 1 | — |
749.2470(9)(E) - Verification Certificate- Specifies the ages and gender(s) of foster children for which the home is verified
The foster home's license documents the home is only licensed for female placements. However, during the sampling visit, it was determined there is a male placed in the home. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One regular/frequent visitor who comes to the foster home approximately 4 times in a 30 day period did not have a background check completed. |
— |
| 2 | — |
749.2488(c) - Rights and Responsibilities-The foster home must have a copy of the signed rights/responsibilities statement
There were no signatures/dates on the foster parent rights and responsibilities the foster parents provided during inspection. The agency provided a separate copy of the rights and responsibilities via email after the inspection, which had an electronic signature for foster parent, but no date of when it was signed. Along with this, the foster home developer's signature was dated 5/23/22. The foster parent rights/responsibilities reviewed in the home on the agency record keeping system showed the date for the form as 5/21/23. It was reported that foster parent completed this on 5/21/23 and had yet to receive a signed copy as of today, 3.29.23. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of the investigation, it was determined that caregivers yell at the children in care on occasion. |
— |
| 4 | — |
749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
During the inspection, the water to one of the toilets used by children in care was turned off as a result of it leaking. The sink was also filled will standing water. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Two children in care contracted a communicable disease on 1/11/22 and it was not reported to licensing until 1/17/22, which is not within the required 24 hour time-frame for reporting. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the inspection, it was found that one regular/frequent visitor did not have a background check completed. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
From documentation reviewed, the hotline report was received three days after the child's positive covid test result. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
A child in care suffered from a broken nose and contusion on her head when she swam into the side of the concrete pool face first. The child was taken to the ER on 5-7, the day of the injury. The incident was not reported within the required 24 hour time-frame for reporting, but was reported on 5-10-22. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
2 out of 2 children indicted that physical discipline was used in the foster home. Both were consistent when interviewed as well in a DFPS case. |
— |
| 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
During the inspection, it was reported that one CM left the agency in January 2023, but is still showing as "active" in background checks. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
When reviewing child files, it was observed that 1 child?s medication dosage increased for a prescribed medication during the middle of June but was not updated on the medication log to show the dosage change. |
— |
| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
After reviewing documentation, a child in care tested positive for COVID-19 and this was reported two days after receiving positive results. |
— |
| 3 | — |
749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
10 charts were reviewed and 9 all had items missing. Licensing Affidavits, Reporting A/N, Job Descriptions, proof of qualifications, Drug Screen, proof of age, etc. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
When reviewing child files, 1 child file showed missing dates for the 31st for May and July medication logs. When reviewing files, it was also observed that 1 child file was missing 5 signatures for medicine being administered for 2 prescribed medications (reference 749.1541(c)(6)). |
— |
| 1 | — |
749.121(4) - Rights & responsibilities of CPA and foster parents - Reimbursement
No documents provided by the agency note a specific time frame on when the foster parents are to be reimbursed 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
A child in care suffered from a broken nose and contusion on her head when she swam into the side of the concrete pool face first. The child was taken to the ER on 5-7, the day of the injury. The incident was not reported within the required 24 hour time-frame for reporting, but was reported on 5-10-22. |
— |
| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
It was identified during the course of this investigation that law enforcement responded to an incident at a foster home, the caregiver acknowledged being aware that law enforcement responded to their residence, and a report was not received by Licensing within 24 hours of the caregiver becoming aware of law enforcement's presence at the foster home. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was identified an individual regularly/frequently present at a verified agency home, while children were in care, did not have an eligibility determination by CBCU allowing this person to be present at the agency home. |
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| 3 | — |
749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
10 charts were reviewed and 9 all had items missing. Licensing Affidavits, Reporting A/N, Job Descriptions, proof of qualifications, Drug Screen, proof of age, etc. |
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| 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
During the inspection, it was reported that one CM left the agency in January 2023, but is still showing as "active" in background checks. |
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| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
COVID test results verify that a child in care tested positive on 11.2.21 and again on 11.6.21. The child's DFPS caseworker and Statewide Intake were not notified of the test results until 11.10.21, eight days after the first positive test result for the child. The SIR for this incident was not completed until six days after Lonestar became aware of the positive COVID results on 11.9.21. |
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| 4 | — |
749.153(a)(3)(A) - Notfication - Change in child-placing agency administrator
The agency changed administrators on 12.22.21 but failed to notify Licensing within the 2 day timeframe. Licensing was notified of the change 1.13.22. |
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| 3 | — |
749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Two children in care contracted a communicable disease on 1/11/22 and it was not reported to licensing until 1/17/22, which is not within the required 24 hour time-frame for reporting. |
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| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was identified during the course of this investigation that a child in care was threatened with corporal punishment by at least one adult household member, who acknowledged being an approved caregiver for children in care. |
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224 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.