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TexasHouston › 1 Care Premier Services LLC

1 Care Premier Services LLC

Child care center · 340 N SAM HOUSTON PKWY E STE A247, Houston, TX 77060-3305 · License 1681265- 13191

0Compliance score
Poor

-

Violation history (240)

SeverityDateStandard / narrativeCorrected
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
The foster home was over capacity with 6 foster placements and 1 adopted placement in the home.
4 749.1111(b)(6) - Child Orientation-Include policies on emergency behavior intervention; include child's input on preferred de-escalation techniques
7 of 7 child records reviewed did not notate the child's preferred method of de-escalation. The section was left blank.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
A child's medication log did not have the strength and dosage documented.
2 749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
A child's service plan review did not have the signature of the professional service provider. Refer 749.1319(b).
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
The provided Medication Logs do not contain the prescribed dosage of medication. July log has medication strength as .1mg and give ,5mg June has .5mg pill and give .1mg Actual prescription: Clonidine HCL .1mg oral tablet Take .5 tablet (.05mg total) by mouth every night. Prescribed quantity: 15 tablets (30 day supply).
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child's right to be free of neglectful supervision was not upheld when a caregiver encouraged a child to AWOL, leave the state of Texas, and maintained contact with the child but encouraged her not to return. This standard was found deficient as part of a DFPS Investigation.
3 749.2449(a)(2) - Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
Two foster home screenings did not include interviews with the children in care, in the home, at the time of the home screening.
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Fire extinguishers located in the kitchen and upstairs were last serviced 10/2022.
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In seven records reviewed the prescribing physician's name and the reason for the medication was missing from the medication administration forms.
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
The home screening only indicated one community reference interview was conducted.
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
A caregiver failed to secure the front door of the home, causing a 5-year-old nonverbal, Autistic child to run away from the home for one and a half hours.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A household member providing supervision/care to children placed in the home does not have an appropriate Background Check.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One file did not include the date the home screening was signed by the CPMS and had an illegible signature for the person who did the home study; there was an inconsistency between the budget/income form and the income verification.
3 749.1003(b)(3)(F) - Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use
A caregiver failed to provide hygiene items to children in a timely manner.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
A child was prescribed psychotropic medication. The child either did not receive their medication or was administered the incorrect dosage.
5 745.619 - Background Check Requirements - Submit All Identifying Information
An out-of-state background check was not requested on a person whose application included living out of state in the last five years.
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
Several medication logs did not document the reason for the medication provided to a child.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
The Caregiver for a 5-year-old child in care was unaware that the child had been missing from the home for one and a half hours.
5 749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
The foster parent was found to be overmedicating the child in care, and admitted to the error during their face to face interview. In addition, the case manager reviewed medication logs in both June and July and did not note the error in dosage.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The treatment services in the home screening and the treatment services on the agency home's main page were inconsistent; the date of contact/interview with references was not noted in the home screening.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A caregiver interfered with an ongoing investigation when she was purposely dishonest to RCCR and law enforcement regarding her knowledge and ongoing contact with a child she encouraged to AWOL from the State of Texas.
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)
The health status for one child in the home was not noted.
2 749.1133(c)(3) - Admission Assessment-Includes child's birth and neonatal history
4 of 4 records reviewed did not include the child's birth and neonatal history; 1 of 4 records did not include (c)(7) the child's previous placements and (c)(9) the child's skills and special interest.
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 prudent judgement when encouraging a child to AWOL from the state of Texas and not return. The caregiver continued to have contact with the child, while she was AWOL, and sent her documents to get enrolled in school while on AWOL.
3 749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
It was found that one file did not include a home study addendum or update for changes with pets, frequent visitors, and vehicles.
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 foster parent has had an inactive background check since May 2024.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to intervene and ensure a child?s safety when she encouraged the child to AWOL, leave the state and not return. The caregiver also failed to intervene timely when two children were fighting, leading to another child breaking up the fight.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The foster parent admitted to breaking a phone in the presence of children in care and to utilizing reading the Bible and writing summaries as punishment.
4 749.2908(a)(1) - Disaster and Emergency- foster homes must discuss the plans and procedures for handling emergencies
Documentation was missing for the discussion of the plans and procedures for fire and severe weather emergencies. Documentation did not include the time a fire drill was conducted at the foster home.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
A caregiver used profane language towards a child in care, via text message.
3 749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
It was found that one file did not include a home study addendum or update for changes with pets, frequent visitors, and vehicles.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to intervene and ensure a child?s safety when she encouraged the child to AWOL, leave the state and not return. The caregiver also failed to intervene timely when two children were fighting, leading to another child breaking up the fight.
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 foster parent has had an inactive background check since May 2024.
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
Several medication logs did not document the reason for the medication provided to a child.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
A caregiver used profane language towards a child in care, via text message.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
The Caregiver for a 5-year-old child in care was unaware that the child had been missing from the home for one and a half hours.
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In seven records reviewed the prescribing physician's name and the reason for the medication was missing from the medication administration forms.
5 749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
The foster parent was found to be overmedicating the child in care, and admitted to the error during their face to face interview. In addition, the case manager reviewed medication logs in both June and July and did not note the error in dosage.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
A child's medication log did not have the strength and dosage documented.
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
The home screening only indicated one community reference interview was conducted.
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 prudent judgement when encouraging a child to AWOL from the state of Texas and not return. The caregiver continued to have contact with the child, while she was AWOL, and sent her documents to get enrolled in school while on AWOL.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The treatment services in the home screening and the treatment services on the agency home's main page were inconsistent; the date of contact/interview with references was not noted in the home screening.
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
A caregiver failed to secure the front door of the home, causing a 5-year-old nonverbal, Autistic child to run away from the home for one and a half hours.
2 749.1133(c)(3) - Admission Assessment-Includes child's birth and neonatal history
4 of 4 records reviewed did not include the child's birth and neonatal history; 1 of 4 records did not include (c)(7) the child's previous placements and (c)(9) the child's skills and special interest.
2 749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
A child's service plan review did not have the signature of the professional service provider. Refer 749.1319(b).
4 749.2908(a)(1) - Disaster and Emergency- foster homes must discuss the plans and procedures for handling emergencies
Documentation was missing for the discussion of the plans and procedures for fire and severe weather emergencies. Documentation did not include the time a fire drill was conducted at the foster home.
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Fire extinguishers located in the kitchen and upstairs were last serviced 10/2022.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
A child was prescribed psychotropic medication. The child either did not receive their medication or was administered the incorrect dosage.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A household member providing supervision/care to children placed in the home does not have an appropriate Background Check.
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
The foster home was over capacity with 6 foster placements and 1 adopted placement in the home.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child's right to be free of neglectful supervision was not upheld when a caregiver encouraged a child to AWOL, leave the state of Texas, and maintained contact with the child but encouraged her not to return. This standard was found deficient as part of a DFPS Investigation.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
The provided Medication Logs do not contain the prescribed dosage of medication. July log has medication strength as .1mg and give ,5mg June has .5mg pill and give .1mg Actual prescription: Clonidine HCL .1mg oral tablet Take .5 tablet (.05mg total) by mouth every night. Prescribed quantity: 15 tablets (30 day supply).
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)
The health status for one child in the home was not noted.
4 749.1111(b)(6) - Child Orientation-Include policies on emergency behavior intervention; include child's input on preferred de-escalation techniques
7 of 7 child records reviewed did not notate the child's preferred method of de-escalation. The section was left blank.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One file did not include the date the home screening was signed by the CPMS and had an illegible signature for the person who did the home study; there was an inconsistency between the budget/income form and the income verification.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The foster parent admitted to breaking a phone in the presence of children in care and to utilizing reading the Bible and writing summaries as punishment.
3 749.1003(b)(3)(F) - Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use
A caregiver failed to provide hygiene items to children in a timely manner.
3 749.2449(a)(2) - Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
Two foster home screenings did not include interviews with the children in care, in the home, at the time of the home screening.
5 745.619 - Background Check Requirements - Submit All Identifying Information
An out-of-state background check was not requested on a person whose application included living out of state in the last five years.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A caregiver interfered with an ongoing investigation when she was purposely dishonest to RCCR and law enforcement regarding her knowledge and ongoing contact with a child she encouraged to AWOL from the State of Texas.
3 749.1003(b)(3)(F) - Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use
A caregiver failed to provide hygiene items to children in a timely manner.
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 foster parent has had an inactive background check since May 2024.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child's right to be free of neglectful supervision was not upheld when a caregiver encouraged a child to AWOL, leave the state of Texas, and maintained contact with the child but encouraged her not to return. This standard was found deficient as part of a DFPS Investigation.
5 749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
A child was prescribed psychotropic medication. The child either did not receive their medication or was administered the incorrect dosage.
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In seven records reviewed the prescribing physician's name and the reason for the medication was missing from the medication administration forms.
3 749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
It was found that one file did not include a home study addendum or update for changes with pets, frequent visitors, and vehicles.
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 prudent judgement when encouraging a child to AWOL from the state of Texas and not return. The caregiver continued to have contact with the child, while she was AWOL, and sent her documents to get enrolled in school while on AWOL.
5 749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed
The foster parent was found to be overmedicating the child in care, and admitted to the error during their face to face interview. In addition, the case manager reviewed medication logs in both June and July and did not note the error in dosage.
5 745.619 - Background Check Requirements - Submit All Identifying Information
An out-of-state background check was not requested on a person whose application included living out of state in the last five years.
4 749.1111(b)(6) - Child Orientation-Include policies on emergency behavior intervention; include child's input on preferred de-escalation techniques
7 of 7 child records reviewed did not notate the child's preferred method of de-escalation. The section was left blank.
4 749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
A caregiver used profane language towards a child in care, via text message.
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)
The health status for one child in the home was not noted.
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Fire extinguishers located in the kitchen and upstairs were last serviced 10/2022.
4 749.2908(a)(1) - Disaster and Emergency- foster homes must discuss the plans and procedures for handling emergencies
Documentation was missing for the discussion of the plans and procedures for fire and severe weather emergencies. Documentation did not include the time a fire drill was conducted at the foster home.
5 749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
A caregiver failed to intervene and ensure a child?s safety when she encouraged the child to AWOL, leave the state and not return. The caregiver also failed to intervene timely when two children were fighting, leading to another child breaking up the fight.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
The provided Medication Logs do not contain the prescribed dosage of medication. July log has medication strength as .1mg and give ,5mg June has .5mg pill and give .1mg Actual prescription: Clonidine HCL .1mg oral tablet Take .5 tablet (.05mg total) by mouth every night. Prescribed quantity: 15 tablets (30 day supply).
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
The Caregiver for a 5-year-old child in care was unaware that the child had been missing from the home for one and a half hours.
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
The foster home was over capacity with 6 foster placements and 1 adopted placement in the home.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
A child's medication log did not have the strength and dosage documented.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The treatment services in the home screening and the treatment services on the agency home's main page were inconsistent; the date of contact/interview with references was not noted in the home screening.
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
The home screening only indicated one community reference interview was conducted.
3 749.2449(a)(2) - Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
Two foster home screenings did not include interviews with the children in care, in the home, at the time of the home screening.
5 745.621(b)(3) - Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check
A household member providing supervision/care to children placed in the home does not have an appropriate Background Check.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The foster parent admitted to breaking a phone in the presence of children in care and to utilizing reading the Bible and writing summaries as punishment.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A caregiver interfered with an ongoing investigation when she was purposely dishonest to RCCR and law enforcement regarding her knowledge and ongoing contact with a child she encouraged to AWOL from the State of Texas.
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
A caregiver failed to secure the front door of the home, causing a 5-year-old nonverbal, Autistic child to run away from the home for one and a half hours.
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
Several medication logs did not document the reason for the medication provided to a child.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One file did not include the date the home screening was signed by the CPMS and had an illegible signature for the person who did the home study; there was an inconsistency between the budget/income form and the income verification.
2 749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
A child's service plan review did not have the signature of the professional service provider. Refer 749.1319(b).
2 749.1133(c)(3) - Admission Assessment-Includes child's birth and neonatal history
4 of 4 records reviewed did not include the child's birth and neonatal history; 1 of 4 records did not include (c)(7) the child's previous placements and (c)(9) the child's skills and special interest.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
One file did not include the date the home screening was signed by the CPMS and had an illegible signature for the person who did the home study; there was an inconsistency between the budget/income form and the income verification.
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 foster parent has had an inactive background check since May 2024.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The treatment services in the home screening and the treatment services on the agency home's main page were inconsistent; the date of contact/interview with references was not noted in the home screening.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
A caregiver interfered with an ongoing investigation when she was purposely dishonest to RCCR and law enforcement regarding her knowledge and ongoing contact with a child she encouraged to AWOL from the State of Texas.
2 749.1133(c)(3) - Admission Assessment-Includes child's birth and neonatal history
4 of 4 records reviewed did not include the child's birth and neonatal history; 1 of 4 records did not include (c)(7) the child's previous placements and (c)(9) the child's skills and special interest.
4 749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage
A child's medication log did not have the strength and dosage documented.
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
A caregiver failed to secure the front door of the home, causing a 5-year-old nonverbal, Autistic child to run away from the home for one and a half hours.
3 749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
It was found that one file did not include a home study addendum or update for changes with pets, frequent visitors, and vehicles.
2 749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
A child's service plan review did not have the signature of the professional service provider. Refer 749.1319(b).
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
Fire extinguishers located in the kitchen and upstairs were last serviced 10/2022.

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

Inspections (120)

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

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