Texas › Mission › Buckner Children and Family Services, Inc.

Buckner Children and Family Services, Inc.

Child care center · 3780 N BENTSEN PALM DR, Mission, TX 78574-8207 · License 1652674- 12251

0Compliance score
Poor

Violation history (392)

Severity	Date	Standard / narrative	Corrected
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights There were no child's rights in the file for 2 children in care.	—
3	—	749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents The foster home screening did not have information on a specific person to support the foster family. The home screening did not included a verification of any person identified.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Intake on 2.2.22, SWI#75934234, is a report for child with COVID-19 positive results. This intake does not mention any hospitalization or admission. No other intakes at a later time for hospitalizations/admissions.	—
1	—	749.1109(a)(3) - Placement Agreement-Includes the reason for placement and the anticipated length of time in care There was no documentation on the placemnet agreement regarding the reason for placement.	—
2	—	749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use There was no documatation on two floor plans reviewed that identifies children's area in the house.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parent grabbed child from the arm causing pain.	—
4	—	749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration There was food uncovered and left out on the counter and in the refrigerator.	Yes
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 caregiver failed to provide adequate supervision for toddlers in care.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed Cleaning supplies were observed in the home to be accessible to children in care.	—
2	—	749.3323(a)(1) - Adoption Service Plan-Plan must address the needs of the birth parents, the fetus or child, and the adoptive family The adoption service plan review doesn't include the needs of the adoptive family.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced Files reviewed were missing 2 unannounced supervisory visits in the year period. Additionally, supervisory visit documentation was missing signatures.	—
5	—	749.1463(b)(10) - Administration of Medication-Must not borrow or administer prescription medication to a child that is prescribed to another person Foster parent was giving prescribed medication from another child to child care.	—
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 There was no documentation that demonstrates the date of the reference.	—
3	—	749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam There is missing medical information regarding a medical visit to the doctor.	—
3	—	749.2595(b)(1) - Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent Cameras were being used to supervise children in care prior to the foster parents obtaining consent to do so.	—
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 Individual living in the home does not have a background check.	—
5	—	749.3623(6) - Adoptive Home Screening-Agency documents physical, mental, emotional health status of all in home, including substance abuse history There was no documentation of the health status regarding the other household mebers present at 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 There was no written assessment for foster home's foster care and day care services provided by foster parent.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old Caregiver admitted to co-sleeping with child in care.	—
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking When interviewing foster parent, they admitted that their CPR had expired since January 2022. At the point of the interview in March, foster dad had not taken CPR yet, and his certification had expired January 2022. Documentation agency provided corroborated with this information.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Serious injury resulting in need for medical attention was not reported to licensing.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders Caregiver failed to administer medication as prescribed by a health care professional.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Upon reviewing home files, quarterly visit was foster parent's signatures were missing.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Prescribed medication was not being administered to the child in care.	—
4	—	749.1309(b)(1)(D)(ii) - Initial Service Plan-Caregiver instructions must include specific information about child's level of supervision Instructions for the supervision of the children was not being followed as indicated on the initial service plan.	—
4	—	749.931(b)(2) - Annual Training-Must include 2 hours trauma informed care. One employee annual training for trauma informed care has expired on August 06, 2022.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old Child in care was asleep in foster parents bed.	—
4	—	749.931(b)(3) - Annual Training- Must include 1 hour of normalcy. One employee annual training for normalcy has expired on August 06, 2022.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted There was no service plan for two of the children in care.	—
3	—	749.1541(d) - Medication Record-Must document any non-prescription medication or supplement given and how often the child receives it There was no medication log for the over-the-counter medication that was given to a child in care.	—
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 When I arrived at the residence to perform a follow up for a previous investigation the children opened the front by themselves with no adults present. It took approximately 3 minutes before an adult was present at the front door.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One child medication records has no documentation of the reason for admnistering medication.	—
4	—	749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans Case management did not provide foster parent support and therefore they had to use the daughter to care for the children, the agency delayed being there to assist with the care of the children.	—
5	—	745.8311(b) - Waiver/Variance - Comply w/ each condition while in effect When interviewing case manger it was discovered conditions weren't being met for the variance requested by foster parent documenting the amount of hours the child use in the baby walker and docummentation by case manager regarding the variance on the monthly notes.	—
4	—	749.1291(e)(3) - Contact between child placement staff and child-provides an opportunity for child to express feelings about placement Child was not interviewed regarding the placement.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Three boxes of medication were observed on top of the dining room table.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visit documentation was not signed by foster parents.	—
5	—	749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain Child in care was not provided with medical attention on the day of the injury that required snitches.	—
4	—	749.1803(c) - Infant requirements-An infant's caregiver must ensure that the environment is safe The child was placed on child work table where the infant car seat tilted forward and the child sustained a head injury.	—
4	—	749.1003(b)(1)(A) - Children's rights-Safety & care including right to good care & treatment that meets child's needs The agency staff failed to provide the appropriate support to foster parents and children in care after witnessing a disagreement between the two.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Information was obtained of foster parent yelling and belittling the foster children.	—
4	—	749.2599 - Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13 Toddlers were left in the care of underage babysitter.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission 4/8 child records reviewed reveaed that admission assessments were not preformed before child was assigned placement. Documentation revealed assesments were completed approximatey a month after child was placed in assigend home.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Four agency homes' quarterly reports were missing foster parent's signature.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The foster parent did not adhere to a safety plan when a child in care was left at the home of an individual who was restricted from being unsupervised or providing care for the child.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation 2 year old child in care was left in the care of an unapproved individual by the foster parent. The foster parent was aware that individual was not approved for unsupervised contact with children in care. The child was placed at an increased risk of significant harm when left unsupervised with the individual.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Home visit is missing signature of foster parent present during the agency visit.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Four children's initial service plan were nor completed within the forty-five days.	—
5	—	745.8415 - Licensing may investigate any part of operation affecting health, safety, or well-being of children Inspector with RCCR performed a sampling inspection at the home on 8/17/21. Inspector was not given access to all areas of the home. A citation will be issued due to the non-compliance with Minimum Standards.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Information was obtained of foster parent yelling and belittling the foster children.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old Child in care was asleep in foster parents bed.	—
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 Individual living in the home does not have a background check.	—
5	—	745.8311(b) - Waiver/Variance - Comply w/ each condition while in effect When interviewing case manger it was discovered conditions weren't being met for the variance requested by foster parent documenting the amount of hours the child use in the baby walker and docummentation by case manager regarding the variance on the monthly notes.	—
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 There was no written assessment for foster home's foster care and day care services provided by foster parent.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One child medication records has no documentation of the reason for admnistering medication.	—
5	—	749.3623(6) - Adoptive Home Screening-Agency documents physical, mental, emotional health status of all in home, including substance abuse history There was no documentation of the health status regarding the other household mebers present at the home.	—
2	—	749.3323(a)(1) - Adoption Service Plan-Plan must address the needs of the birth parents, the fetus or child, and the adoptive family The adoption service plan review doesn't include the needs of the adoptive family.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Serious injury resulting in need for medical attention was not reported to licensing.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Four children's initial service plan were nor completed within the forty-five days.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Intake on 2.2.22, SWI#75934234, is a report for child with COVID-19 positive results. This intake does not mention any hospitalization or admission. No other intakes at a later time for hospitalizations/admissions.	—
4	—	749.1291(e)(3) - Contact between child placement staff and child-provides an opportunity for child to express feelings about placement Child was not interviewed regarding the placement.	—
3	—	749.2595(b)(1) - Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent Cameras were being used to supervise children in care prior to the foster parents obtaining consent to do so.	—
5	—	749.1463(b)(10) - Administration of Medication-Must not borrow or administer prescription medication to a child that is prescribed to another person Foster parent was giving prescribed medication from another child to child care.	—
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 caregiver failed to provide adequate supervision for toddlers in care.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed Cleaning supplies were observed in the home to be accessible to children in care.	—
4	—	749.1803(c) - Infant requirements-An infant's caregiver must ensure that the environment is safe The child was placed on child work table where the infant car seat tilted forward and the child sustained a head injury.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Supervisory visit documentation was not signed by foster parents.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation 2 year old child in care was left in the care of an unapproved individual by the foster parent. The foster parent was aware that individual was not approved for unsupervised contact with children in care. The child was placed at an increased risk of significant harm when left unsupervised with the individual.	—
2	—	749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use There was no documatation on two floor plans reviewed that identifies children's area in the house.	—
4	—	749.1309(b)(1)(D)(ii) - Initial Service Plan-Caregiver instructions must include specific information about child's level of supervision Instructions for the supervision of the children was not being followed as indicated on the initial service plan.	—
4	—	749.2599 - Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13 Toddlers were left in the care of underage babysitter.	—
5	—	749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain Child in care was not provided with medical attention on the day of the injury that required snitches.	—
4	—	749.931(b)(2) - Annual Training-Must include 2 hours trauma informed care. One employee annual training for trauma informed care has expired on August 06, 2022.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Four agency homes' quarterly reports were missing foster parent's signature.	—
4	—	749.931(b)(3) - Annual Training- Must include 1 hour of normalcy. One employee annual training for normalcy has expired on August 06, 2022.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights There were no child's rights in the file for 2 children in care.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Prescribed medication was not being administered to the child in care.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parent grabbed child from the arm causing pain.	—
3	—	749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents The foster home screening did not have information on a specific person to support the foster family. The home screening did not included a verification of any person identified.	—
4	—	749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans Case management did not provide foster parent support and therefore they had to use the daughter to care for the children, the agency delayed being there to assist with the care of the children.	—
3	—	749.1541(d) - Medication Record-Must document any non-prescription medication or supplement given and how often the child receives it There was no medication log for the over-the-counter medication that was given to a child in care.	—
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 There was no documentation that demonstrates the date of the reference.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Upon reviewing home files, quarterly visit was foster parent's signatures were missing.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Three boxes of medication were observed on top of the dining room table.	—
5	—	745.8415 - Licensing may investigate any part of operation affecting health, safety, or well-being of children Inspector with RCCR performed a sampling inspection at the home on 8/17/21. Inspector was not given access to all areas of the home. A citation will be issued due to the non-compliance with Minimum Standards.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old Caregiver admitted to co-sleeping with child in care.	—
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 When I arrived at the residence to perform a follow up for a previous investigation the children opened the front by themselves with no adults present. It took approximately 3 minutes before an adult was present at the front door.	—
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking When interviewing foster parent, they admitted that their CPR had expired since January 2022. At the point of the interview in March, foster dad had not taken CPR yet, and his certification had expired January 2022. Documentation agency provided corroborated with this information.	—
3	—	749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam There is missing medical information regarding a medical visit to the doctor.	—
4	—	749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration There was food uncovered and left out on the counter and in the refrigerator.	Yes
4	—	749.1003(b)(1)(A) - Children's rights-Safety & care including right to good care & treatment that meets child's needs The agency staff failed to provide the appropriate support to foster parents and children in care after witnessing a disagreement between the two.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders Caregiver failed to administer medication as prescribed by a health care professional.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission 4/8 child records reviewed reveaed that admission assessments were not preformed before child was assigned placement. Documentation revealed assesments were completed approximatey a month after child was placed in assigend home.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit Home visit is missing signature of foster parent present during the agency visit.	—
1	—	749.1109(a)(3) - Placement Agreement-Includes the reason for placement and the anticipated length of time in care There was no documentation on the placemnet agreement regarding the reason for placement.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted There was no service plan for two of the children in care.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced Files reviewed were missing 2 unannounced supervisory visits in the year period. Additionally, supervisory visit documentation was missing signatures.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The foster parent did not adhere to a safety plan when a child in care was left at the home of an individual who was restricted from being unsupervised or providing care for the child.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old Caregiver admitted to co-sleeping with child in care.	—
4	—	749.1309(b)(1)(D)(ii) - Initial Service Plan-Caregiver instructions must include specific information about child's level of supervision Instructions for the supervision of the children was not being followed as indicated on the initial service plan.	—

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

Inspections (208)

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

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