Texas › Houston › Light Restoration Child Placing Agency

Light Restoration Child Placing Agency

Child care center · 7322 SOUTHWEST FWY STE 1176, Houston, TX 77074-2118 · License 1675499- 12831

0Compliance score
Poor

Violation history (392)

Severity	Date	Standard / narrative	Corrected
4	—	749.3031(a) - Beds and bedding-each child shall have his own bed and mattress A child was found to be sleeping on a cot.	—
2	—	749.1305 - Preliminary Service Planning-the placement staff must develop, sign, and date the preliminary service plan 2 out of 4 preliminary service plans reviewed were only signed by the foster parents.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone Employee was hired on 8/1/2023 and as of 8/30/2023 there is no active background check.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Child Care Licensing arrived for an unannounced team inspection at 11:30am. Due to issues with operation trying to transfer files electronically the requested files to complete the inspection were not provided to Licensing until 2:15p.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them The agency did not pay a foster timely per their agreement.	—
4	—	749.2801(b) - Evaluating Foster Home-foster home evaluated for compliance with all applicable rules every 2 years and when extending time-limited verification The agency has not conducted the 2 year annual evaluation verification for two of four homes reviewed.	—
5	—	749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child Three children stated that the foster parent would pull their hair and/or pinch their ear.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A 72-hour admission service plan was completed 4 days late. The child was admitted on 6/22/2023 and the assessment was not completed until 6/29/2023.	—
4	—	749.503(a)(2)(A) - Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A serious incident was not reported to Licensing until 4 days after it occurred.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Children in care reported the foster mother yells at them in the home.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the review of a child's file, different business name was noticed inside a child's file. The name noticed is Light Accommodation CPA instead of Light Restoration CPA.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity The foster parent continued to allow a child to stay home during the day, to attend virtual school, while she went to work despite numerous reports to the agency that the child was leaving the home without permission.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair A block of knives was observed on the kitchen counter. The foster parent placed them on the top pantry shelf during the visit, making them inaccessible.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks A 9-year-old child with a history of sexually acting out is sharing a room with her 2-year-old brother.	—
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 Former Administrator is still active in background checks.	—
2	—	749.551(a) - Personnel records-Active records maintained at the agency or office where person works An active employee listed as a Case Aide who has access to confidential records, an active background check and conducts monthly visits with foster families does not a personnel record on file.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through it was observed that 1 out of 3 beds was missing a mattress cover.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old A child's medication record was not provided for review upon request.	—
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 under the kitchen sink accessible to children. Household detergents were seen on top of the washer. Propane gas used for cooking was also observed on the outside patio. The foster parent corrected the concerns during the visit.	—
2	—	749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom There is no door on a household member's bedroom area for privacy.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity It was determined children in care were left unsupervised for an extended period of time (approximately 18 hours).	—
3	—	749.2605(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan Supervision instructions outlined on the service plans for two children in care were not followed by foster mom.	—
4	—	749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care. The agency did not make any attempts to contact a separated spouse to assess if he would have access to the children in care. The home screening also didn't verify how long the spouses had been separated.	—
3	—	749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications An employee listed as a case aid worker is conducting case manager duties.	—
4	—	749.1541(c)(1) - Medication Record-Must include child's full name Three of three records were missing the following information: (1)Child?s full name,(2)Prescribing health-care professional?s name,(3)Reason medication was prescribed,(4)Medication strength, and dosage, (5)Date (day, month, and year) and the time the medication was administered,(6)Name and signature of the person who administered the medication,(7)Child?s refusal to accept medication,(8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that the caregiver is treating.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of one childs file, multiple dates of admission was observed. The date of assessment under the admission assessment page says 3-4-23 while the date of admission in the childs intake page says 3-4-24	Yes
3	—	749.153(a)(1)(B) - Notification - At least 30 days in advance - Change in agency location The agency reported moving the office to a new address, after the new location was already in use.	—
4	—	749.153(a)(3)(A) - Notfication - Change in child-placing agency administrator CCR was not notified of changes in operation's Administrator.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The foster parent left children in care with a babysitter that does not have a background check.	—
3	—	749.151(8) - Operational responsibilities - Prepare annual budget and control expenditures to ensure as required The agency was not able to provide an annual budget for this year.	Yes
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Children in care reported and foster mother confirmed that she punched a hole in the wall when upset. Foster mother also attempted to forcefully remove a child in care's nose piercing when the child refused to do so.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child's medication record stated that a medication that should have been given twice a day, once in the AM and once in the PM, was given twice in the AM from October 1-15, 2021.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Medication was not stored in the original container for the children. Container was not labeled. The home was closed.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Foster Parent did not complete an annual training within 12 months of the last one taken.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission It was determined that the agency is completing all non-emergency admission assessments the day of admission.	—
5	—	745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901 A member of the governing who's holds the title of Administrator has not been added to the Controlling Person's List. The Administrator started with the agency on 8/1/2023.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld It was determined that the foster mom would provide a child sandwiches as a form of punishment while other kids got a full meal.	—
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 was no interview with one adopted child.	—
3	—	749.1501(2) - Medication Self-Administration-Self-medication program must be in child's service plan, including any requirements for caregiver supervision Foster parent allowed the children in the home to self-administer medication. The home was closed.	—
3	—	749.1461(b) - Administration of Medication-Must obtain written, signed, & dated consent, for a new psychotropic medication Two children files reviewed did not have written approval prior to Psychotropic medication being administered.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced 3 out of 3 foster home files reviewed did not document at least two unannounced supervisory visits.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Foster parent did not ensure medication was taken as prescribed due to allowing the children to self-medicate. The home was closed.	—
3	—	749.1335(2) - Service Plan Review and Update-To review and update a service plan, identify child's new needs and strategies or techniques to meet these needs A child's service plan did not have any information noted in the goals or progress area of the supervision section despite the foster parent 's reports that the child was continuously leaving the home without permission.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of a childs file, multiple date of birth were noted. The date of birth for the child in the intake is different from the date of birth in the preliminary service plan. This was corrected by the operation.	Yes
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 An employee the operation reports has no longer been associated with the operation since 10/26/2023 was not inactivated from background checks until 11/16/2023.	—
5	—	749.983 - First-aid-CPR renewal-Each caregiver must complete any new first-aid training or CPR training, as required to maintain a current certification It was observed that the CPR training expired on 1/20/2024.	—
4	—	749.2908(a) - Disaster and Emergency- foster homes must practice disaster and emergency plans each year Two of the four home reviewed have not conducted drills for annual year.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A child's medication records contained several errors including: the child's name being misspelled, date medication was administered was missing, inaccurate dosage listed and inaccurate treating physician's name.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The foster parent's 14-year-old grandchild, a frequent visitor, does not have a cleared background check.	—
3	—	749.2605(b)(9) - Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan Supervision instructions outlined on the service plans for two children in care were not followed by foster mom.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A 72-hour admission service plan was completed 4 days late. The child was admitted on 6/22/2023 and the assessment was not completed until 6/29/2023.	—
2	—	749.1305 - Preliminary Service Planning-the placement staff must develop, sign, and date the preliminary service plan 2 out of 4 preliminary service plans reviewed were only signed by the foster parents.	—
3	—	749.151(8) - Operational responsibilities - Prepare annual budget and control expenditures to ensure as required The agency was not able to provide an annual budget for this year.	Yes
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Children in care reported the foster mother yells at them in the home.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A child's medication records contained several errors including: the child's name being misspelled, date medication was administered was missing, inaccurate dosage listed and inaccurate treating physician's name.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Child Care Licensing arrived for an unannounced team inspection at 11:30am. Due to issues with operation trying to transfer files electronically the requested files to complete the inspection were not provided to Licensing until 2:15p.	—
3	—	749.1335(2) - Service Plan Review and Update-To review and update a service plan, identify child's new needs and strategies or techniques to meet these needs A child's service plan did not have any information noted in the goals or progress area of the supervision section despite the foster parent 's reports that the child was continuously leaving the home without permission.	—
3	—	749.1461(b) - Administration of Medication-Must obtain written, signed, & dated consent, for a new psychotropic medication Two children files reviewed did not have written approval prior to Psychotropic medication being administered.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld It was determined that the foster mom would provide a child sandwiches as a form of punishment while other kids got a full meal.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced 3 out of 3 foster home files reviewed did not document at least two unannounced supervisory visits.	—
3	—	749.1501(2) - Medication Self-Administration-Self-medication program must be in child's service plan, including any requirements for caregiver supervision Foster parent allowed the children in the home to self-administer medication. The home was closed.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Medication was not stored in the original container for the children. Container was not labeled. The home was closed.	—
4	—	749.2908(a) - Disaster and Emergency- foster homes must practice disaster and emergency plans each year Two of the four home reviewed have not conducted drills for annual year.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission It was determined that the agency is completing all non-emergency admission assessments the day of admission.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Foster parent did not ensure medication was taken as prescribed due to allowing the children to self-medicate. The home was closed.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The foster parent left children in care with a babysitter that does not have a background check.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through it was observed that 1 out of 3 beds was missing a mattress cover.	—
3	—	749.153(a)(1)(B) - Notification - At least 30 days in advance - Change in agency location The agency reported moving the office to a new address, after the new location was already in use.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. Foster Parent did not complete an annual training within 12 months of the last one taken.	—
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 An employee the operation reports has no longer been associated with the operation since 10/26/2023 was not inactivated from background checks until 11/16/2023.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair A block of knives was observed on the kitchen counter. The foster parent placed them on the top pantry shelf during the visit, making them inaccessible.	—
5	—	745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901 A member of the governing who's holds the title of Administrator has not been added to the Controlling Person's List. The Administrator started with the agency on 8/1/2023.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone Employee was hired on 8/1/2023 and as of 8/30/2023 there is no active background check.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity The foster parent continued to allow a child to stay home during the day, to attend virtual school, while she went to work despite numerous reports to the agency that the child was leaving the home without permission.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Children in care reported and foster mother confirmed that she punched a hole in the wall when upset. Foster mother also attempted to forcefully remove a child in care's nose piercing when the child refused to do so.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old A child's medication record was not provided for review upon request.	—
3	—	749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications An employee listed as a case aid worker is conducting case manager duties.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity It was determined children in care were left unsupervised for an extended period of time (approximately 18 hours).	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During the review of a child's file, different business name was noticed inside a child's file. The name noticed is Light Accommodation CPA instead of Light Restoration CPA.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The foster parent's 14-year-old grandchild, a frequent visitor, does not have a cleared background check.	—
4	—	749.153(a)(3)(A) - Notfication - Change in child-placing agency administrator CCR was not notified of changes in operation's Administrator.	—
4	—	749.1541(c)(1) - Medication Record-Must include child's full name Three of three records were missing the following information: (1)Child?s full name,(2)Prescribing health-care professional?s name,(3)Reason medication was prescribed,(4)Medication strength, and dosage, (5)Date (day, month, and year) and the time the medication was administered,(6)Name and signature of the person who administered the medication,(7)Child?s refusal to accept medication,(8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that the caregiver is treating.	—
4	—	749.503(a)(2)(A) - Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A serious incident was not reported to Licensing until 4 days after it occurred.	—
4	—	749.3031(a) - Beds and bedding-each child shall have his own bed and mattress A child was found to be sleeping on a cot.	—
2	—	749.3023(c)(3) - Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom There is no door on a household member's bedroom area for privacy.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of one childs file, multiple dates of admission was observed. The date of assessment under the admission assessment page says 3-4-23 while the date of admission in the childs intake page says 3-4-24	Yes
5	—	749.983 - First-aid-CPR renewal-Each caregiver must complete any new first-aid training or CPR training, as required to maintain a current certification It was observed that the CPR training expired on 1/20/2024.	—
4	—	749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care. The agency did not make any attempts to contact a separated spouse to assess if he would have access to the children in care. The home screening also didn't verify how long the spouses had been separated.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current During the review of a childs file, multiple date of birth were noted. The date of birth for the child in the intake is different from the date of birth in the preliminary service plan. This was corrected by the operation.	Yes
2	—	749.551(a) - Personnel records-Active records maintained at the agency or office where person works An active employee listed as a Case Aide who has access to confidential records, an active background check and conducts monthly visits with foster families does not a personnel record on file.	—
4	—	749.2801(b) - Evaluating Foster Home-foster home evaluated for compliance with all applicable rules every 2 years and when extending time-limited verification The agency has not conducted the 2 year annual evaluation verification for two of four homes reviewed.	—
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 Former Administrator is still active in background checks.	—
3	—	749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them The agency did not pay a foster timely per their agreement.	—
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 under the kitchen sink accessible to children. Household detergents were seen on top of the washer. Propane gas used for cooking was also observed on the outside patio. The foster parent corrected the concerns during the visit.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks A 9-year-old child with a history of sexually acting out is sharing a room with her 2-year-old brother.	—
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 was no interview with one adopted child.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child's medication record stated that a medication that should have been given twice a day, once in the AM and once in the PM, was given twice in the AM from October 1-15, 2021.	—
5	—	749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child Three children stated that the foster parent would pull their hair and/or pinch their ear.	—
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 An employee the operation reports has no longer been associated with the operation since 10/26/2023 was not inactivated from background checks until 11/16/2023.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced 3 out of 3 foster home files reviewed did not document at least two unannounced supervisory visits.	—

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

Inspections (224)

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

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