Texas › Waxahachie › Heart to Heart Family Services

Heart to Heart Family Services

Child care center · 100 CHAMBERS CIR STE 1010, Waxahachie, TX 75165-7853 · License 1629056- 11671

0Compliance score
Poor

Violation history (200)

Severity	Date	Standard / narrative	Corrected
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair There was mold growing on the bathroom ceiling, the window mini blind, and the air vent. Bugs were observed in the bathroom which did not have installed window screens. Also, it was noticed that a child's bedroom did not have screens installed. Pictures were taken.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visits in 2020 were not signed by the foster parent.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.	—
3	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.	—
3	—	749.503(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.	—
5	—	749.2961(a)(1)(D) - Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock. The ammunition was not locked and was stored in the bedroom nightstand.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child The foster parents were yelling and were using profanity.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment 3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.	—
5	—	749.2445(a) - Verification-Agency must complete a foster home screening prior to verifying the foster home A foster home screening was completed and signed after a verification license was issued.	—
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 Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.	—
4	—	749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts Two of 2, monthly conatct visit notes were reviewed and they were not signed.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child returned home from an unsupervised activity with marijuana.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication logs observed in 2 child files did not have the prescribing health-care professional's name.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.	—
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk There was one dog that did not have the documentation that the vaccinations were current.	—
3	—	749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment A caregiver threatened a child with a firearm during an escalated incident.	—
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 Heart to Heart Family Services has not validated their background checks since 10/05/2024	—
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.	—
5	—	749.1001(c) - Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.	—
3	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.	—
5	—	749.1001(c) - Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visits in 2020 were not signed by the foster parent.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication logs observed in 2 child files did not have the prescribing health-care professional's name.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.	—
3	—	749.503(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.	—
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 Heart to Heart Family Services has not validated their background checks since 10/05/2024	—
3	—	749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child The foster parents were yelling and were using profanity.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair There was mold growing on the bathroom ceiling, the window mini blind, and the air vent. Bugs were observed in the bathroom which did not have installed window screens. Also, it was noticed that a child's bedroom did not have screens installed. Pictures were taken.	—
5	—	749.2961(a)(1)(D) - Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock. The ammunition was not locked and was stored in the bedroom nightstand.	—
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.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment A caregiver threatened a child with a firearm during an escalated incident.	—
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk There was one dog that did not have the documentation that the vaccinations were current.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child returned home from an unsupervised activity with marijuana.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.	—
4	—	749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts Two of 2, monthly conatct visit notes were reviewed and they were not signed.	—
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 Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment 3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.	—
5	—	749.2445(a) - Verification-Agency must complete a foster home screening prior to verifying the foster home A foster home screening was completed and signed after a verification license was issued.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment A caregiver threatened a child with a firearm during an escalated incident.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment 3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child The foster parents were yelling and were using profanity.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visits in 2020 were not signed by the foster parent.	—
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	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.	—
5	—	749.2961(a)(1)(D) - Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock. The ammunition was not locked and was stored in the bedroom nightstand.	—
5	—	749.2445(a) - Verification-Agency must complete a foster home screening prior to verifying the foster home A foster home screening was completed and signed after a verification license was issued.	—
3	—	749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair There was mold growing on the bathroom ceiling, the window mini blind, and the air vent. Bugs were observed in the bathroom which did not have installed window screens. Also, it was noticed that a child's bedroom did not have screens installed. Pictures were taken.	—
3	—	749.503(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.	—
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 Heart to Heart Family Services has not validated their background checks since 10/05/2024	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication logs observed in 2 child files did not have the prescribing health-care professional's name.	—
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk There was one dog that did not have the documentation that the vaccinations were current.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.	—
4	—	749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts Two of 2, monthly conatct visit notes were reviewed and they were not signed.	—
5	—	749.1001(c) - Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child returned home from an unsupervised activity with marijuana.	—
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 Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair There was mold growing on the bathroom ceiling, the window mini blind, and the air vent. Bugs were observed in the bathroom which did not have installed window screens. Also, it was noticed that a child's bedroom did not have screens installed. Pictures were taken.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.	—
5	—	749.2445(a) - Verification-Agency must complete a foster home screening prior to verifying the foster home A foster home screening was completed and signed after a verification license was issued.	—
3	—	749.503(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.	—
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk There was one dog that did not have the documentation that the vaccinations were current.	—
3	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.	—
5	—	749.2961(a)(1)(D) - Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock. The ammunition was not locked and was stored in the bedroom nightstand.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child The foster parents were yelling and were using profanity.	—
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 Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.	—
5	—	749.1001(c) - Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.	—
4	—	749.1291(h) - Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts Two of 2, monthly conatct visit notes were reviewed and they were not signed.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.	—
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.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment 3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.	—
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 Heart to Heart Family Services has not validated their background checks since 10/05/2024	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child returned home from an unsupervised activity with marijuana.	—
3	—	749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visits in 2020 were not signed by the foster parent.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication logs observed in 2 child files did not have the prescribing health-care professional's name.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment A caregiver threatened a child with a firearm during an escalated incident.	—

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

Inspections (128)

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

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