| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
749.2557(a) - AP Capacity-Foster homes may not exceed the total capacity stated on the home's verification
The verification did not accurately reflect the number of children in the home. |
— |
| 4 | — |
749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants
A developmental baby walker was being utilized in a foster home with a 13-month-old infant. |
— |
| 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
An adult was taking the children away unsupervised. This person did not have a background check. |
— |
| 4 | — |
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.
The EBI training was not completed timely. |
— |
| 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 changed from frequent visitor to a household member and the background check was not rerun. The background check has since been reran. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
The agency and caregivers failed to report sexual abuse to the abuse, neglect, and exploitation hotline within the timeframe. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
One employee file did not have a drug screening completed. |
— |
| 4 | — |
749.635(3)(D) - CPA administrator responsibilities-Ensure persons whose behavior or health status presents a danger to children not allowed at agency or foster home
1 of 2 case files reviewed had a positive drug test result. The positive result was not justified or explained. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
Two children engaged in a physical altercation and one child sustained an injury. The caregiver did not implement de-escalation techniques. |
— |
| 4 | — |
749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
A foster parent reported utilizing a developmental baby walker with a toddler (25 months old) in the home. Manufacturer's instructions indicate that use of this baby walker must be discontinued when a child can walk unassisted or climb out of the product. |
— |
| 3 | — |
749.511(10) - Serious Incident Documentation-Includes resolution of the incident
There was a serious incident report that did not state the outcome of the incident. |
— |
| 5 | — |
749.1003(b)(4)(A)(ii) - Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
A caregiver admitted to threatening and spanking children in care on their hands as a form of discipline. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on [6/24/2025], it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a High weighed citation in a pattern/trend category on [1/30/25]. Specifically, the operation was cited for 745.621(b)(3) Renewal background checks submitted -A household member changed from frequent visitor to a household member and the background check was not rerun. The background check has since been reran. The operation met compliance on 4/2/25. Select those that apply, delete the other(s): - 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 Select appropriate standard, delete the other: Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $ 100. |
— |
| 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
The background checks for two foster parents were not inactivated within 7 days of verification relinquishment |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
There were weed killer and cleaning products on the floor in the garage, toilets, and bathroom cleaners in the unlocked cabinet under the sink in the master bathroom. Pictures were taken. |
— |
| 3 | — |
749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
The foster children, the foster parents, and their children (who are under the age of 16) collaborated that the foster children were disciplined by the foster parents' children, who were not an approved caregiver. |
— |
| 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
Three reference interviews did not have the date of the interview. |
— |
| 2 | — |
749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
There were several trainings adminstered by adminstrator that did not include credientials. |
— |
| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
A home is providing services for ED and PDD. The home study did not verify/approve the home for ED or PDD. An addendum was not provided for the change of services. |
— |
| 3 | — |
749.2595(b)(2) - Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use
A video camera was used in the foster children's bedroom without written approval in a child's service plan or prior approval from the person who has legal authority to give consent. |
— |
| 3 | — |
749.571 - Client records-Maintain master records for all clients that are individualized, current, and complete
A child's medical records was incomplete. |
— |
| 5 | — |
749.1841(b) - Toddler requirements-A toddler's caregiver must ensure that the environment is safe
The A/C in the home has been inoperable for several days causing the home to have elevated temperatures placing children at risk. |
— |
| 2 | — |
749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
A service plan review was completed on 12/04/2025. The plan's effective date was set for 03/04/2026. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
Two holes were found in the wall near the garage door. |
— |
| 2 | — |
749.153(a)(4) - Notification - Foster home's verification status as required by 749.2489
Agency staff did not notify Licensing of a change to a foster home's address within two working days. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to pick up a child in care from daycare timely because she was under the influence of alcohol. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 12/23/2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a medium high weighed citation in a pattern/trend category on 09/16/2024. Specifically, the operation was cited for 749.2599 Two household members under the age of 16 and not approved babysitters were watching the foster children without an adult present. The operation met compliance on 10/02/2024. - 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. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 5 | — |
749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
A child in care was required to have visual checks every hour and close supervision to prevent altercations. The caregiver did not implement the service plan which resulted in a physical injury. |
— |
| 3 | — |
749.2301(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
A restraint was used on a child. A post discussion did not occur after the event. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During a heightened monitoring visit to an agency home on 12/19/23, it was learned that a daily vitamin was being given to a child in the home, but the administration was not being documented. In addition, foster mom indicated a child was given allergy medication the prior week but she had not yet documented the administration. |
— |
| 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
The floor plan did not have the dimensions of all liveable rooms. |
— |
| 3 | — |
749.513(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to foster home, if so how long child gone from foster home
The serious incident report did not document the length of time the child was missing. |
— |
| 3 | — |
749.2453(d)(1) - A CPA must do the following when updating a foster home screening- assess the appropriateness of any current placement of children in the foster home
The addendum did not assess if the household members income, if it will be utilized, why there is no rent on the expenses, and how the newborn will affect the budget. An interview with the household member was not completed. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The criminal history for one caregiver was not discussed and assessed in the home screening. |
— |
| 5 | — |
749.2965(a) - Weapons-During home study, ask about weapons, firearms, explosives, projectiles; if present in home, review policies/requirements with foster parents
Law Enforcement and a caregiver reported weapons in the home. The home study did not document there were weapons in the home. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 5 | — |
745.8411(b)(1) - Responsibilities - Admits authorized representatives
A foster parent did not allow an authorized representative involved in conducting the investigation to interview her or observe her residence. |
— |
| 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
Two household members under the age of 16 and not approved babysitters were watching the foster children without an adult present. |
— |
| 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.
Two caregivers did not have current EBI training and one staff member did not have current normalcy training or Reporting Suspected Abuse and Neglect of a Child. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During a home visit, it was discovered that there was no completed medication log even though the children in care are currently taking medication. |
— |
| 5 | — |
749.1841(b) - Toddler requirements-A toddler's caregiver must ensure that the environment is safe
A large plastic bucket with water inside is in the master bathroom tub and is accessible to a child, resulting in a child's possible drowning. On top of the hot water heater and around the water heater there are flammable items being stored. Pictures were taken. |
— |
| 2 | — |
749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
A foster parent is using a den/"TV room" as their bedroom. The room has only three walls and is open to the kitchen area, which does not allow privacy. |
— |
| 4 | — |
749.2477(1) - Verification-Before agency can verify foster home, child placement management staff must review and approve home study, screening, and verification
A home was licensed before the home study was approved by the child placement management staff. |
— |
| 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
When the home screening update was completed, there was one month s proof of income (pay stub) provided for a caregiver who changed employment. |
— |
| 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 foster home was closed on 1/13/2026 and the background checks for the foster parents of this home have not been inactivated. . |
— |
| 4 | — |
749.2447(22)(A) - Foster Home Screening-Agency documents prospective foster parent's ability to work with specific kinds of behaviors, backgrounds, special needs
The foster home is providing treatment services for ED, PDD and Mental Retardation. The home study did not document a discussion with the caregivers or document that the agency evaluate the home to provide ED, PDD and Mental Retardation. |
— |
| 2 | — |
749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
The service plan for the child lacked the signatures of all necessary participants. |
— |
| 5 | — |
749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
A caregiver failed to provide a safe environment for children in care when she allowed another caregiver to remain in the home, around children in care, after he had been drinking and engaged in a violent episode, resulting in law enforcement being called to the home. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 1 | — |
749.535(b) - Active records-Copies kept by foster parents submitted to the agency within 15 days from the end of each month and filed in the child's record
In February, a child received medication. However, the medication log for February was missing from the child's binder. Consequently, the agency needed to reach out to the caregiver to obtain a copy of the February medication log. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Child records were reviewed. one out of two showed that medication was administrated more frequently than as ordered by doctor. Doctor stated that medication should be given once per day while foster parent gave medication twice per day intermittently throughout the month of May 2023. |
— |
| 1 | — |
749.2488(a)(5) - Rights and Responsibilities-Foster parents and agency have responsibility to communicate with each other in timely and effective manner
Foster parent failed to report significant occurrences in the home to her agency in a timely or effective manner. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 5 | — |
749.1813(a)(5) - Prohibited equipment for infants-Children may not sleep on beanbags, waterbeds, or foam pads
During the inspection at the home, a 1 month old infant was observed sleeping on a couch with additional pillows and a blanket. |
— |
| 3 | — |
749.503(e)(6)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency.
The agency did not notify Licensing when a foster home had an open Child Protective Investigation regarding their biological children. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
In the unlocked master bedroom, the unlocked master bathroom was stored in the unlocked bathroom cabinet underneath the sink multiple bottles of poisons (Bleach and Raid Ant Killer). Pictures were taken. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
3 of the 10 supervisory visits read had identical information. |
— |
| 5 | — |
749.1841(b) - Toddler requirements-A toddler's caregiver must ensure that the environment is safe
A baby gate with small chockable parts was not installed and accessible to children in the hallway. The small parts were on the floor. Furthermore, several rooms, including a child's bedroom, did not have electrical outlet covers installed. Also, a protective cover was not installed on a light fixture in the caregiver's office. Pictures were taken. |
— |
| 3 | — |
749.2447(23)(B)(i) - Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
The home had several serious investigations from a prior agency that were not address in the home screening. This was noted as sampling concern in 9/2021, and was not corrected. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
The foster parent was not able to provide the December medication log for two children who were administered medication. |
— |
| 4 | — |
749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced
The three quarterly summaries for the year 2023 were all announced. |
— |
| 4 | — |
749.3079(6) - Food Storage-food items must be covered when stored in the refrigerator
There was food uncovered in the refrigerator and corrected at inspection. Caregiver covered the food appropriately. |
Yes |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver in the home failed to maintain self-control while children were present in the home, as the caregiver got upset, punched a hole in the wall, and threw a space heater into a mirror. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 3 | — |
749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them
A foster parent was paid 31 days late for care provided in November. |
— |
| 4 | — |
749.2491(a)(2) - Verification for different services-Assessment of home must include home's capacity to provide each service and supervise all children appropriately
The agency increased capacity in August 25, 2021, the justification or assessment was not indicated in the addendum. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 29, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on December 3, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on December 3, 2025. Specifically, the operation was cited for standard 749.2447(7)(A) Foster Home Screening-Agency documents background check results for any person frequent and present in the home. Compliance was met on December 23, 2025. ? 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. ? Operation was unable to meet compliance with High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $100. |
— |
| 3 | — |
749.2453(a)(2) - You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
The home screening addendum did not reflect the major life change in the foster family. |
— |
| 4 | — |
749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
2 of 2 children's medication logs reviewed showed that the time the medication was provided was not on the forms. |
— |
| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
The caregiver was not able to intervene in a timely manner which and an injury to a child occurred. |
— |
| 3 | — |
749.2447(6)(B)(ii) - Foster Home Screening-Document and assess for each prospective parent copy of 2 bank statements and/or previous year's tax return
The foster home screening did not document or assess the caregiver's proof of income. |
— |
| 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
Background checks were last validated on 03/15/2023 |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The agency received notification of a caregiver's criminal history on 07/16/2021. The history was not discussed on the home screening. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A home was licensed to provide treatment services (Mental and Behavioral health, Complex Medical Needs/Medical Fragile Support Services, and Intellectual or Developmental Disability/Autism Spectrum Disorder. The home study did not approve the home to provide treatment services. |
— |
| 1 | — |
749.535(b) - Active records-Copies kept by foster parents submitted to the agency within 15 days from the end of each month and filed in the child's record
A child was taking Cefdenir in January. The foster parent provided the medication log for Cefdenir in May. |
— |
| 5 | — |
749.1841(b) - Toddler requirements-A toddler's caregiver must ensure that the environment is safe
A large plastic bucket with water inside is in the master bathroom tub and is accessible to a child, resulting in a child's possible drowning. On top of the hot water heater and around the water heater there are flammable items being stored. Pictures were taken. |
— |
| 4 | — |
749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
2 of 2 children's medication logs reviewed showed that the time the medication was provided was not on the forms. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
The agency and caregivers failed to report sexual abuse to the abuse, neglect, and exploitation hotline within the timeframe. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
Two holes were found in the wall near the garage door. |
— |
| 4 | — |
749.2491(a)(2) - Verification for different services-Assessment of home must include home's capacity to provide each service and supervise all children appropriately
The agency increased capacity in August 25, 2021, the justification or assessment was not indicated in the addendum. |
— |
| 3 | — |
749.511(10) - Serious Incident Documentation-Includes resolution of the incident
There was a serious incident report that did not state the outcome of the incident. |
— |
| 5 | — |
749.1003(b)(4)(A)(ii) - Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
A caregiver admitted to threatening and spanking children in care on their hands as a form of discipline. |
— |
| 5 | — |
749.1841(b) - Toddler requirements-A toddler's caregiver must ensure that the environment is safe
The A/C in the home has been inoperable for several days causing the home to have elevated temperatures placing children at risk. |
— |
| 2 | — |
749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
A foster parent is using a den/"TV room" as their bedroom. The room has only three walls and is open to the kitchen area, which does not allow privacy. |
— |
| 3 | — |
749.571 - Client records-Maintain master records for all clients that are individualized, current, and complete
A child's medical records was incomplete. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
The foster parent was not able to provide the December medication log for two children who were administered medication. |
— |
| 1 | — |
749.535(b) - Active records-Copies kept by foster parents submitted to the agency within 15 days from the end of each month and filed in the child's record
A child was taking Cefdenir in January. The foster parent provided the medication log for Cefdenir in May. |
— |
| 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 changed from frequent visitor to a household member and the background check was not rerun. The background check has since been reran. |
— |
| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
A home is providing services for ED and PDD. The home study did not verify/approve the home for ED or PDD. An addendum was not provided for the change of services. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on [6/24/2025], it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a High weighed citation in a pattern/trend category on [1/30/25]. Specifically, the operation was cited for 745.621(b)(3) Renewal background checks submitted -A household member changed from frequent visitor to a household member and the background check was not rerun. The background check has since been reran. The operation met compliance on 4/2/25. Select those that apply, delete the other(s): - 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 Select appropriate standard, delete the other: Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $ 100. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver in the home failed to maintain self-control while children were present in the home, as the caregiver got upset, punched a hole in the wall, and threw a space heater into a mirror. Operation failed to provide a compliance plan and as a result will be recited. |
— |
| 5 | — |
745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
One employee file did not have a drug screening completed. |
— |
| 4 | — |
749.2055(a)(2) - Emergency Behavior Intervention-Basis for EBI is emergency situation or to administer medication
Two children engaged in a physical altercation and one child sustained an injury. The caregiver did not implement de-escalation techniques. |
— |
| 3 | — |
749.2595(b)(2) - Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use
A video camera was used in the foster children's bedroom without written approval in a child's service plan or prior approval from the person who has legal authority to give consent. |
— |
| 3 | — |
749.513(3)(D) - Serious Incident -Unauthorized absence of a child ?document whether child returned to foster home, if so how long child gone from foster home
The serious incident report did not document the length of time the child was missing. |
— |
| 3 | — |
749.2447(6)(B)(ii) - Foster Home Screening-Document and assess for each prospective parent copy of 2 bank statements and/or previous year's tax return
The foster home screening did not document or assess the caregiver's proof of income. |
— |
| 3 | — |
749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
The foster children, the foster parents, and their children (who are under the age of 16) collaborated that the foster children were disciplined by the foster parents' children, who were not an approved caregiver. |
— |
| 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
The floor plan did not have the dimensions of all liveable rooms. |
— |
| 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
Background checks were last validated on 03/15/2023 |
— |
| 2 | — |
749.153(a)(4) - Notification - Foster home's verification status as required by 749.2489
Agency staff did not notify Licensing of a change to a foster home's address within two working days. |
— |
| 3 | — |
749.161(a)(2) - Fiscal requirements - Pay foster parents per your agreement with them
A foster parent was paid 31 days late for care provided in November. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During a heightened monitoring visit to an agency home on 12/19/23, it was learned that a daily vitamin was being given to a child in the home, but the administration was not being documented. In addition, foster mom indicated a child was given allergy medication the prior week but she had not yet documented the administration. |
— |
| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
The caregiver was not able to intervene in a timely manner which and an injury to a child occurred. |
— |
| 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
Three reference interviews did not have the date of the interview. |
— |
360 inspection record(s) on file from TX-HHSC.