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Kids Grace Child Placement Agency

Name: Kids Grace Child Placement Agency
Address: TX, US

Child care center · , TX · License 1654173- 12351

0Compliance score
Poor

Violation history (500)

Severity	Date	Standard / narrative	Corrected
2	—	749.537(b) - Archived records-Available for Licensing review and reproduction within 48 hours A closing summary for one of the inactive foster homes was requested on 2/6/25 and has not been provided.	—
2	—	749.553(3) - Personnel records-Include current job description One out of the two staff files reviewed did not have a job description.	—
2	—	749.1409(b)(1) - General dental requirements-Child's record must have a copy of the results of the dental exam The child?s dental appointment documentation did not include any results of the dental examination.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records There is a false statement on the closing summary.	—
5	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. One foster parent only completed one hour of annual trauma training.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A foster parent was using a hair dryer to dry soiled bedding, and left it unattended while it was still running.	—
4	—	749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Agency went more than 3 months without a quarterly visit.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review A service plan notification was sent two days prior to the service plan meeting.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission The admission assessment was complete 30 days after a planned placement.	—
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 three home screenings reviewed did not document the method or dates of contact with the foster parents' reference.	—
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 A staff member's background check was run on 08/22/2023. The staff member was employed and paid until April 2024. The background check was made inactive as of 06/18/2024.	Yes
5	—	749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain A 2 year old child in care received an injury to their eye that caused a contusion on 7/11/21. The child did not received medical care for the injury or pain until 7/14/21. The child was prescribe medication for pain.	—
5	—	749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain The caregivers did not seek medical treatment for at least 2 days after a six-month old child sustained a serious injury.	—
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 There is not proof of pay stubs in the home file.	—
3	—	749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended The home screening does not address how previous relationships ended.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A household member does not have an active, eligible background check.	—
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 The home had a previous agency that was not assessed in the home screening.	—
4	—	749.2908(a)(3) - Disaster and Emergency-must conduct a severe weather drill each year During the review of two home records it was not documented that the home has conducted a severe weather drill.	—
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 A former foster parent and household member still have active background checks. The foster home was closed on 4/1/2025.	—
2	—	749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record Of the two foster parent agreements reviewed, one was signed one month after the home was verified and the second was signed over four months after the home was verified.	—
3	—	749.161(a) - Fiscal requirements-Establish and maintain the agency on a sound fiscal basis The agency provided bank statements for their proof of funds that did not show funds equal to at least 3 months of operating expenses.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted A child's initial service plan was not completed within 45 days of being admitted.	—
3	—	749.161(a) - Fiscal requirements-Establish and maintain the agency on a sound fiscal basis The agency has not provided an annual review of financial records conducted by an independent Certified Public Accountant or proof of reserve funds equal to at least three months of operating expenses.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During a Residential Child Care Contracts HM visit, several medications were found to be on the counter and accessible to children.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review The child s parent and foster parents were not given at least two weeks advance notice of the initial service plan meeting.	—
3	—	749.2447(18) - Foster Home Screening-Agency documents the attitude of the prospective foster parents' extended family regarding foster care One of the three foster home screenings reviewed did not discuss the feelings or attitudes of the foster parent's extended family about their decision to foster.	—
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 The agency failed to document a summary of each individual interview in the home screening	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced The first three supervisory quarterly visits were conducted announced, leaving one quarter to be conducted unannounced.	—
4	—	749.1309(b)(1)(H) - Initial Service Plan-For children who exhibit high risk behavior, must include specific information Specific information regarding a child's risk of runaway and plans to address this risk for a child with recent runaway history was not included in the child's service plan.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair Several entities who had visited a foster home expressed concerns regarding the foster home being unclean.	—
3	—	749.511(6) - Serious Incident Documentation-Includes nature of the incident The serious incident report did not have the following documentation: the nature of the events that happened, the age of one child involved and the date of admission for the two children involved.	—
3	—	749.2447(23)(B)(ii) - Foster Home Screenings- address identified risk with home prior to verification if previous risk not addressed The home screening did not thoroughly address previous investigation concerns and non-compliances related to supervision and inappropriate discipline of children when the home was verified with previous child placing agencies.	—
4	—	749.592(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return There was no debriefing documented for an unauthorized absence that was reviewed.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted The initial service plan was not completed within 45 days of admission.	—
3	—	749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding Agency quarterly visits did not evaluate the stressors in the home.	—
4	—	749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans. During a review conducted on 03/11/2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.	—
5	—	749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator The operation has failed to hire a full-time administrator.	—
5	—	749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home A foster parent's criminal history was not included in the home screening.	—
5	—	749.930(c)(1) - Caregiver?s for children receiving childcare, programmatic or PMN services must have 4hrs EBI or 8hrs for emotional disorders, IDD or ASD. Two of the three home files reviewed, one foster parent's EBI training had expired and one foster parent on completed four of the required eight hours of EBI training.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A caregiver was not aware of the bruises on a child in care and could not explain how the bruises occurred.	—
5	—	749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain A child in care did not receive proper medical attention after sustaining an injury to the head.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication logs in both child records reviewed do not have the prescribing health professional's name for any medications.	—
1	—	749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided The service plans do not have a child's signature.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced A foster home did not have 2 unannounced visits conducted during the last year.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years A background check was submitted for a household member 90 days past the person turning 14 years old.	Yes
3	—	749.2447(10) - Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages The foster parent's previous interpersonal relationships are not documented in the home screening.	—
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 family member comes to the home a couple times a month has contact with children in care. Family member does not have a required background check.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. One out of the three home screenings reviewed did not document an interview with a family member that does not currently live in the home. This documentation was also missing from the home's record.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced During the time of inspection two home records only had one unnaunced supervisory visit conducted in 2023.	—
4	—	749.2477(1) - Verification-Before agency can verify foster home, child placement management staff must review and approve home study, screening, and verification The home was verified before Child Placement Management Staff approved the foster home screening.	—
3	—	749.161(a) - Fiscal requirements-Establish and maintain the agency on a sound fiscal basis The agency has not provided proof of funds with bank statements or an annual review that show funds equal to at least 3 months of operating expenses.	—
1	—	749.585(c) - Maintain records-Keep verified foster home records, including a home that did not receive placements, for at least 5 years after foster home is closed The operation did not have foster home records for a foster home that closed in June 2021.	—
3	—	749.2447(6)(B) - Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets Two of three home screenings reviewed did not document how the foster parent's income/assets were obtained.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation A foster parent left a six-month old child unattended in a crib with a hot hair dryer; which resulted in a serious injury that required medical treatment.	—
3	—	749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change Of the three home records reviewed, the quarterly visits do not have documentation on who was present during the visit.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. An incident was not reported withing the required time frames, it was reported 23 hours after the child had left the foster home.	—
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 During the inspection it had been over three months since the people list had been validated in CLASS.	—
5	—	749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator The operation failed to hire a full-time administrator within 60 days of the position becoming vacant.	—
4	—	749.1409(a)(4) - General dental requirements-Child must receive dental care as needed for ongoing maintenance of dental health One of two children files reviewed did not have documentation of a doctor's visit since September 2023.	—
3	—	749.864(a)(2) - Administrative and prof. staff excluding those working only with adoption or PMN services must have 8hrs EBI training within 90 days of employment. A staff member did not have 8 hours of EBI completed as part of their pre service training.	—
4	—	749.592(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return It is not documented in the serious incident report or the unauthorized absence log that debriefing occured after child in care ran away.	—
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 There are 6 background checks needing to be inactivated.	—
2	—	749.1417(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at operation Two of two children reviewed do not have TB test results documented in the file.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. There is not an interview with a family member living outside of the home and not already interviewed in the home screening.	—
4	—	749.1803(c) - Infant requirements-An infant's caregiver must ensure that the environment is safe A foster parent left a hair dryer in a crib with an infant.	—
3	—	749.2449(A)(8) - Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community There is only one interview with an unrelated reference in the home screening.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment A child was left overnight restrained in a car seat without direct supervision. The child was at an increased risk of harm due to the lack of supervision.	—
3	—	749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding The agency has not documented any dicussion with caregivers regarding any stressors or challenging behaviors during their quarterly home visits.	—
5	—	749.2593(a)(5) - Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children The caregiver failed to maintain line-of-sight supervision of a three-year-old child in care when they became distracted; which resulted in the child falling down stairs and sustaining serious injuries.	—
5	—	749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator The operation has failed to hire a full-time administrator.	—
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 Background results restricted a person's ability to be present at the foster home. A caregiver allowed this person to be present and have contact with children.	—
2	—	749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting The foster parent refused to initiate child therapy services as required.	—
3	—	749.2449(a)(6) - Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home 3 of 6 adult children were not interviewed.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted The initial service plan was not completed within 45 days.	—
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 The income was not verified by 60 days of pay stubs.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission The preliminary service plan does not address supervision needs.	—
5	—	749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety The foster parent was not able to properly intervene when a six month old child was injured by a hot hair dryer.	—
4	—	749.2551(a) - Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for up to 6, except as noted in chart below Seven children were living in a single parent foster home which included four foster placements. The verified foster care capacity was limited to three children.	—
3	—	749.161(a) - Fiscal requirements-Establish and maintain the agency on a sound fiscal basis The agency has not provided an annual review of financial records conducted by an independent Certified Public Accountant or documentation to support reserve funds equal to at least three months of operating expenses.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation There was an adult that was present in the home that did not have a cleared background.	—
4	—	749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Of the three home records reviewed, one home was missing one quarterly visit and two homes were missing two quarterly visits to the home.	—
3	—	749.3031(d) - Beds and bedding-linens must be changed when soiled, at least once a week Caregiver used a hair dryer to dry soiled crib bedding instead of cleaning and sanitizing.	—
3	—	749.2447(6)(B) - Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets A foster home study only had 1 paycheck stub and no bank statements or tax return to verify the household income.	—
3	—	749.2447(1) - Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents One of the three foster home files reviewed did not have documentation that verifies the foster parent's age.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. There is not an interview with a family member living outside of the home and not already interviewed in the home screening.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Inappropriate pictures were sent to the school of a child in care.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them The agency did not pay foster parents per their financial agreement.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. An interview with a family member was not included in the home screening.	—
2	—	749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record The foster parents were not given a signed copy of the foster home agreement.	—
3	—	749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children One foster home's home screening recommendation for capacity does match the information in CLASS.	—
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 The individual interviews of the references were not documented in the home screening.	—
3	—	749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission The admission assessment was no completed within 40 days.	—
2	—	749.2447(12) - Foster Home Screening-Agency documents prospective foster parents' attitudes about a foster child's or his biological family's religion One of three home screenings reviewed did not address the foster parents willingness to support a foster child's religious preference.	—
3	—	749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator The agency has been without a licensed administrator for over four months.	—
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 Two children in care did not have a medical exam within the allotted time.	—
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 Proof of income for the past 60 days or two complete calendar months was not documented in the home screening.	—
5	—	749.2447(7)(B)(iii) - Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents Two of the three home screenings reviewed did not discuss any service calls obtained from the foster home's local law enforcement agency.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child in care did not receive their prescription seizure medication as prescribed which resulted in the child having a seizure.	—
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 in care ran away and then notified foster parent about here whereabouts. The child was informed to wait until the other foster children were done with work. The child left again with the adult	—
3	—	749.2449(a)(6) - Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home There is no documentation in the home screening of the interview of one of five adult children.	—

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

Inspections (486)

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

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