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Texas Family Initiative LLC

Child care center · , TX · License 1559663- 10431

0Compliance score
Poor

-

Violation history (414)

SeverityDateStandard / narrativeCorrected
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 agency background has not been validated since 8/25/22.		 —
3— 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
Four of the five child files reviewed did not address supervision in the child's preliminary service plan.		 —
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 people list was last verified 5/22/2024.		 —
3— 749.503(c) - Serious Incident - Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child in care had 2 unauthorized absences from a foster home that were not documented as a serious incident.		 —
3— 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
There were no signatures of fosterparent after the visit were completed.		 —
3— 749.1309(b) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
The service plan does not include the child's legal status or visitation plan and the reason for removal/placement is not discussed		 —
4— 749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
Five out of six supervision home visit documentation reviewed had no signature of acknowledgement from child placement management or case manager.		 —
4— 749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
Case manager did not complete weekly phone call with foster parent as per their service plan support to caregivers in two of the four weeks for the month of November.		 —
1— 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Four of the child files reviewed contained service plans that were missing signatures.		 —
3— 749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
The supervisory visits did not have the names of household memebers present at the vist.		 —
2— 749.1409(b)(2) - General dental requirements-Child's record must have a written record of each dental exam noting follow-up treatment recommended and appointments
A childs record states that a dental follow up exam is scheduled for 2/28/22 but there is no documentation for that appointment.		 —
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 injury of a child in care was reported to the statewide hotline past the 24-hour time frame.		 —
3— 749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
Two out of two children files reviewed did not have verification that they had a TB test completed.		 —
4— 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walk through of the foster home, the home was observed to be unkept and the foster parents' bedroom smelled like dog urine.		 —
2— 749.1309(b)(1)(A)(v) - Initial Service Plan-Must include educational needs and plans for follow-up
The service plan does not address how the child's educational needs would be addressed.		 —
2— 749.153(a)(2)(B) - Notfication - At least 15 days in advance - Changes to policies and procedures required by 749.103(b)
On June 11, 2021 TFI submitted policies and procedures indicating that TFI would create paper files for all foster family homes and children in care. Those files were said to be stored in each family s branch by July 15, 2021. At inspection Child Care Regulatory were informed that files would have to be printed after requested.		 —
5— 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
One foster home screening reviewed did not document that local law enforcement was contacted regarding service calls to the home.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed to be unlocked during the inspection of the home.		 —
3— 749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
One foster home screening did not document what information was requested and assessed from the home's previous agency.		 —
4— 749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The foster parent allowed a child in care to drive and transport other children without a valid license.		 —
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
Foster parent status is showing as active although they are no longer associated with the agency.		 —
3— 749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
The annual unauthorized absence summary log was not provided for the 2 unauthorized absences of a child in care.		 —
3— 749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447
The home screening did not address and document all the required information per minimum requirements.		 —
4— 749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
One child mentioned the caregiver yells at them.		 —
3— 749.537(a) - Active records-Available for immediate review and reproduction by Licensing
Agency staff were not able to provide active records for immediate review.		 —
2— 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Two of the home screenings reviewed did not include the summary of the individual, joint or family interviews.		 —
4— 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
One of the home studies reviewed did not address the foster parent's feeling concerning children who have been abused or neglected.		 —
4— 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 days.		 —
3— 749.503(e)(1)(A) - Serious Incident-Report to CCR no later than 24 hrs after an incident that renders agency or foster home unsafe or unsanitary
The foster home is unsanitary due to flooding for nine weeks. The incident was not reported to the Hotline.		 —
4— 749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 days.		 —
3— 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
Child was admitted on 01/07/2024 at 1:00 pm and does not have a preliminary service plan within the 72 hours' time frame.		 —
3— 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
One foster home reviewed had supervisory visits that were not signed by both foster parents when present.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
There was a medication bottle observed to be unlocked during the inspection of the home.		 —
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
One out of two files did not have the child's rights signed by the 8 year old child in care.		 —
5— 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
Two of the home screenings reviewed did not address that law enforcement was contacted and the information was reviewed.		 —
5— 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Caregivers disciplined children in care by hitting them with a belt resulting in marks and bruises to their persons.		 —
3— 749.2447(1) - Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
Two of three foster home screenings reviewed did not document how the foster parent's age was verified.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medication was found unlocked in the master bathroom cabinet. The caregivers moved the medication to a locked safe.		 Yes
4— 749.911(b)(1) - Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
The CPR training was done online per the certificate.		 —
3— 749.537(a) - Active records-Available for immediate review and reproduction by Licensing
Agency's home files, child files, and staff files were not immediately available upon request.		 —
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
A frequent visitor to a foster home did not have a current background check. It was inactive as of 2/13/25.		 —
2— 749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged
The discharge summary did not document the name, address, phone number and relationship the child was released to. The time of the discharge discussed with the child was also not documented.		 —
4— 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Child was admitted on 09/03/2023 and she has not received an initial medical exam, previous medical exam was done on 08/18/2022.		 —
5— 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster parent demonstrated to the investigator how he put his hands around the child in care's neck. Foster parent also tested very high on an alcohol screening. Foster parent is the Soley caregiver for the children in care.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed to be unlocked during the inspection of the home.		 —
3— 749.2493(4) - Day Care in a Foster Family Home-May provide day care if the agency completes a written assessment, signed by child placement management staff
The foster home has a day-care license and residential childcare license. There was no assessment completed or approved by Residential Child-Care and Child Day-Care Divisions of Licensing.		 —
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.		 —
2— 749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
During the inspection it was found that a home member is sleeping in the home's living room.		 —
3— 749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
The first and second quarterly visits do not document the names of all household members present during the visit.		 —
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 a sampling inspection at a foster home it was found that two grandparents that live next door and visit the home a few times a week did not have background checks done.		 —
3— 749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
A child's file did not contain proof the a TB exam was completed.		 —
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 agency background has not been validated since 8/25/22.		 —
3— 749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
The supervisory visits did not have the names of household memebers present at the vist.		 —
5— 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Caregivers disciplined children in care by hitting them with a belt resulting in marks and bruises to their persons.		 —
4— 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walk through of the foster home, the home was observed to be unkept and the foster parents' bedroom smelled like dog urine.		 —
3— 749.503(e)(1)(A) - Serious Incident-Report to CCR no later than 24 hrs after an incident that renders agency or foster home unsafe or unsanitary
The foster home is unsanitary due to flooding for nine weeks. The incident was not reported to the Hotline.		 —
3— 749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
A child's file did not contain proof the a TB exam was completed.		 —
3— 749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
The first and second quarterly visits do not document the names of all household members present during the visit.		 —
1— 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Four of the child files reviewed contained service plans that were missing signatures.		 —
3— 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
One foster home reviewed had supervisory visits that were not signed by both foster parents when present.		 —
2— 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Two of the home screenings reviewed did not include the summary of the individual, joint or family interviews.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed to be unlocked during the inspection of the home.		 —
4— 749.911(b)(1) - Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
The CPR training was done online per the certificate.		 —
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
A frequent visitor to a foster home did not have a current background check. It was inactive as of 2/13/25.		 —
3— 749.537(a) - Active records-Available for immediate review and reproduction by Licensing
Agency's home files, child files, and staff files were not immediately available upon request.		 —
3— 749.2447(1) - Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
Two of three foster home screenings reviewed did not document how the foster parent's age was verified.		 —
5— 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
One foster home screening reviewed did not document that local law enforcement was contacted regarding service calls to the home.		 —
4— 749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 days.		 —
3— 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
There were no signatures of fosterparent after the visit were completed.		 —
4— 749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
Case manager did not complete weekly phone call with foster parent as per their service plan support to caregivers in two of the four weeks for the month of November.		 —
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 injury of a child in care was reported to the statewide hotline past the 24-hour time frame.		 —
4— 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 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.		 —
4— 749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The foster parent allowed a child in care to drive and transport other children without a valid license.		 —
4— 749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
One child mentioned the caregiver yells at them.		 —
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 people list was last verified 5/22/2024.		 —
2— 749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged
The discharge summary did not document the name, address, phone number and relationship the child was released to. The time of the discharge discussed with the child was also not documented.		 —
3— 749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447
The home screening did not address and document all the required information per minimum requirements.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medication was found unlocked in the master bathroom cabinet. The caregivers moved the medication to a locked safe.		 Yes
2— 749.1409(b)(2) - General dental requirements-Child's record must have a written record of each dental exam noting follow-up treatment recommended and appointments
A childs record states that a dental follow up exam is scheduled for 2/28/22 but there is no documentation for that appointment.		 —
2— 749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
During the inspection it was found that a home member is sleeping in the home's living room.		 —
2— 749.153(a)(2)(B) - Notfication - At least 15 days in advance - Changes to policies and procedures required by 749.103(b)
On June 11, 2021 TFI submitted policies and procedures indicating that TFI would create paper files for all foster family homes and children in care. Those files were said to be stored in each family s branch by July 15, 2021. At inspection Child Care Regulatory were informed that files would have to be printed after requested.		 —
5— 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
Two of the home screenings reviewed did not address that law enforcement was contacted and the information was reviewed.		 —
3— 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
Child was admitted on 01/07/2024 at 1:00 pm and does not have a preliminary service plan within the 72 hours' time frame.		 —
3— 749.2493(4) - Day Care in a Foster Family Home-May provide day care if the agency completes a written assessment, signed by child placement management staff
The foster home has a day-care license and residential childcare license. There was no assessment completed or approved by Residential Child-Care and Child Day-Care Divisions of Licensing.		 —
3— 749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
One foster home screening did not document what information was requested and assessed from the home's previous agency.		 —
3— 749.503(c) - Serious Incident - Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
A child in care had 2 unauthorized absences from a foster home that were not documented as a serious incident.		 —
3— 749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
Two out of two children files reviewed did not have verification that they had a TB test completed.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed to be unlocked during the inspection of the home.		 —
3— 749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
The annual unauthorized absence summary log was not provided for the 2 unauthorized absences of a child in care.		 —
5— 749.1521(1) - Medication Storage-Store medication in a locked container
There was a medication bottle observed to be unlocked during the inspection of the home.		 —
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
Foster parent status is showing as active although they are no longer associated with the agency.		 —
4— 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
One of the home studies reviewed did not address the foster parent's feeling concerning children who have been abused or neglected.		 —
5— 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster parent demonstrated to the investigator how he put his hands around the child in care's neck. Foster parent also tested very high on an alcohol screening. Foster parent is the Soley caregiver for the children in care.		 —
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 a sampling inspection at a foster home it was found that two grandparents that live next door and visit the home a few times a week did not have background checks done.		 —
2— 749.1309(b)(1)(A)(v) - Initial Service Plan-Must include educational needs and plans for follow-up
The service plan does not address how the child's educational needs would be addressed.		 —
3— 749.1309(b) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
The service plan does not include the child's legal status or visitation plan and the reason for removal/placement is not discussed		 —
4— 749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
Five out of six supervision home visit documentation reviewed had no signature of acknowledgement from child placement management or case manager.		 —
4— 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Child was admitted on 09/03/2023 and she has not received an initial medical exam, previous medical exam was done on 08/18/2022.		 —
3— 749.537(a) - Active records-Available for immediate review and reproduction by Licensing
Agency staff were not able to provide active records for immediate review.		 —

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

Inspections (198)

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

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