Texas › Terrell › REACH Child Placing Agency

REACH Child Placing Agency

Child care center · 113 STATE HIGHWAY 205, Terrell, TX 75160-2313 · License 1688821- 13491

0Compliance score
Poor

Violation history (260)

Severity	Date	Standard / narrative	Corrected
3	—	749.511 - Serious Incident Documentation-Documented in written report There was no incident report made by the operation for the police being called to the home.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk through, medication was observed not locked away in a locked container.	—
4	—	749.3079(1) - Food Storage-food items must be covered and stored off the floor During walkthrough inspection, seal bags of chips, fruit bars, and fruits cups were stored on floor of the pantry. This was corrected at inspection, when foster mother removed food from the floor.	Yes
3	—	749.511(6) - Serious Incident Documentation-Includes nature of the incident While reviewing the serious incident report it was observed there was no documentation of the circumstances surrounding the incident.	—
4	—	749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions while reviewing child records 2 out of 2 child files reviewed did not have documentation of Immunization records.	—
5	—	749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home The agency failed to properly document a caretakers full criminal history in the home study.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline The foster parent failed to make the self-report as required.	—
3	—	749.1291(g) - Contact between child placement staff and child-significant and documented in child's record The monthly contacts did not document information that addressed how the foster parents interact with the child. The monthly contacts also contained the same information from the previous month.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation A 4 year old child in care was placed at significant risk of harm by a caretaker who was under the influence of alcohol and psychotropic medications	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Documentation of the Dental visits was not placed in the children's files in appropriate time.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders One of the prescribed medications for a child in care was not administered per the label instructions.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants During the walk through a baby walker was observed in the living room that is used for the infant in care.	—
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 A caretaker used alcohol while supervising a child in care, which could have possibly caused the child to be placed at risk of harm.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parents used profane language towards a child in care.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 2 of the 2 employment files reviewed did not have "none" written on the notarized affidavit concerning incidents involving children as required.	—
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 sustained a critical injury (fractured shoulder) in the caregiver's home. The caregiver(s) failed to seek professional medical care for the child's injury within the required time frame as prescribed by Minimum Standards.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During an inspection of the home, it was discovered that the caretaker had prescription medication and animal medication in an unlocked portable refrigerator in the bedroom	—
3	—	749.511(9) - Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any While reviewing the serious incident report it was observed there was no documentation of the treating licensing physician name, findings or any treatments.	—
3	—	749.2908(b) - Disaster and Emergency-foster home must document discussions and drills, including date and time of each 2 out of 2 files reviewed did not have discussions documented of drills including date and time of each.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights 2 of 2 child files reviewed did not have a sign copy of the child's rights located in file as required by minimum standards.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old The home did not have a medication log for review during the inspection.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years The caregiver(s) home screening failed to document the accurate address for the caregiver(s) home. The caregiver(s) home screening also does not address Law Enforcement's response to the home for family violence incidents that occurred on 05/20/2025, 07/28/2025, 09/30/2025.	—
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 home screening failed to document a caregiver's mental health status.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A person has moved into the home without having a background check submitted.	—
5	—	749.2965(a) - Weapons-During home study, ask about weapons, firearms, explosives, projectiles; if present in home, review policies/requirements with foster parents During this investigation a caretaker reported that there was a firearm in the home, there is no record in the home screening or addendums, that a firearm existed.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A 4-year-old child could have been harmed when a caretaker attacked another caretaker who was holding the child.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During the walk through, cleaning chemicals were observed on the floor and in the cabinet in the upstairs bathroom.	Yes
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old A caregiver admitted to co-sleeping with an infant in care on a mattress on the floor. The mattress was viewed by the DFPS investigator in the caregiver's bedroom.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current 1 of 2 medicaiton logs reviewed did not contain updated and accurate information.	—
3	—	749.511(2) - Serious Incident Documentation-Includes time and date of incident While reviewing a serious incident report there was no record of a date of the incident recorded on the report.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 2 of 2 foster home files reviewed did not have required signatures by foster parents for quarterly visits.	—
3	—	749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form A review of an employee file did not have required notarized affidavit.	—
3	—	749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements while reviewing child records 2 out of 2 child files reviewed did not have documentation of TB test or results.	—
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 foster home screening did not identify or document previous risk in the home including an investigation that involved a child under 6 with a serious injury.	—
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 adopted 15 year-old child does not have a current background check.	—
4	—	749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions while reviewing child records 2 out of 2 child files reviewed did not have documentation of Immunization records.	—
4	—	749.3079(1) - Food Storage-food items must be covered and stored off the floor During walkthrough inspection, seal bags of chips, fruit bars, and fruits cups were stored on floor of the pantry. This was corrected at inspection, when foster mother removed food from the floor.	Yes
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current 1 of 2 medicaiton logs reviewed did not contain updated and accurate information.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During an inspection of the home, it was discovered that the caretaker had prescription medication and animal medication in an unlocked portable refrigerator in the bedroom	—
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 sustained a critical injury (fractured shoulder) in the caregiver's home. The caregiver(s) failed to seek professional medical care for the child's injury within the required time frame as prescribed by Minimum Standards.	—
3	—	749.2908(b) - Disaster and Emergency-foster home must document discussions and drills, including date and time of each 2 out of 2 files reviewed did not have discussions documented of drills including date and time of each.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights 2 of 2 child files reviewed did not have a sign copy of the child's rights located in file as required by minimum standards.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A 4-year-old child could have been harmed when a caretaker attacked another caretaker who was holding the child.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Documentation of the Dental visits was not placed in the children's files in appropriate time.	—
3	—	749.511(6) - Serious Incident Documentation-Includes nature of the incident While reviewing the serious incident report it was observed there was no documentation of the circumstances surrounding the incident.	—
3	—	749.511 - Serious Incident Documentation-Documented in written report There was no incident report made by the operation for the police being called to the home.	—
5	—	749.2965(a) - Weapons-During home study, ask about weapons, firearms, explosives, projectiles; if present in home, review policies/requirements with foster parents During this investigation a caretaker reported that there was a firearm in the home, there is no record in the home screening or addendums, that a firearm existed.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation A 4 year old child in care was placed at significant risk of harm by a caretaker who was under the influence of alcohol and psychotropic medications	—
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 foster home screening did not identify or document previous risk in the home including an investigation that involved a child under 6 with a serious injury.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants During the walk through a baby walker was observed in the living room that is used for the infant in care.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A person has moved into the home without having a background check submitted.	—
3	—	749.511(2) - Serious Incident Documentation-Includes time and date of incident While reviewing a serious incident report there was no record of a date of the incident recorded on the report.	—
3	—	749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form A review of an employee file did not have required notarized affidavit.	—
5	—	749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home The agency failed to properly document a caretakers full criminal history in the home study.	—
3	—	749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements while reviewing child records 2 out of 2 child files reviewed did not have documentation of TB test or results.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders One of the prescribed medications for a child in care was not administered per the label instructions.	—
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 A caretaker used alcohol while supervising a child in care, which could have possibly caused the child to be placed at risk of harm.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old The home did not have a medication log for review during the inspection.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline The foster parent failed to make the self-report as required.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years The caregiver(s) home screening failed to document the accurate address for the caregiver(s) home. The caregiver(s) home screening also does not address Law Enforcement's response to the home for family violence incidents that occurred on 05/20/2025, 07/28/2025, 09/30/2025.	—
3	—	749.1291(g) - Contact between child placement staff and child-significant and documented in child's record The monthly contacts did not document information that addressed how the foster parents interact with the child. The monthly contacts also contained the same information from the previous month.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 2 of the 2 employment files reviewed did not have "none" written on the notarized affidavit concerning incidents involving children as required.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk through, medication was observed not locked away in a locked container.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During the walk through, cleaning chemicals were observed on the floor and in the cabinet in the upstairs bathroom.	Yes
3	—	749.511(9) - Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any While reviewing the serious incident report it was observed there was no documentation of the treating licensing physician name, findings or any treatments.	—
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 adopted 15 year-old child does not have a current background check.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old A caregiver admitted to co-sleeping with an infant in care on a mattress on the floor. The mattress was viewed by the DFPS investigator in the caregiver's bedroom.	—
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 home screening failed to document a caregiver's mental health status.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parents used profane language towards a child in care.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 2 of 2 foster home files reviewed did not have required signatures by foster parents for quarterly visits.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 2 of 2 foster home files reviewed did not have required signatures by foster parents for quarterly visits.	—
4	—	749.1421(b) - Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions while reviewing child records 2 out of 2 child files reviewed did not have documentation of Immunization records.	—
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 foster home screening did not identify or document previous risk in the home including an investigation that involved a child under 6 with a serious injury.	—
5	—	749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home The agency failed to properly document a caretakers full criminal history in the home study.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants During the walk through a baby walker was observed in the living room that is used for the infant in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk through, medication was observed not locked away in a locked container.	—
3	—	749.511 - Serious Incident Documentation-Documented in written report There was no incident report made by the operation for the police being called to the home.	—
3	—	749.511(2) - Serious Incident Documentation-Includes time and date of incident While reviewing a serious incident report there was no record of a date of the incident recorded on the report.	—
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 adopted 15 year-old child does not have a current background check.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During an inspection of the home, it was discovered that the caretaker had prescription medication and animal medication in an unlocked portable refrigerator in the bedroom	—
3	—	749.2908(b) - Disaster and Emergency-foster home must document discussions and drills, including date and time of each 2 out of 2 files reviewed did not have discussions documented of drills including date and time of each.	—
3	—	749.1291(g) - Contact between child placement staff and child-significant and documented in child's record The monthly contacts did not document information that addressed how the foster parents interact with the child. The monthly contacts also contained the same information from the previous month.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parents used profane language towards a child in care.	—
3	—	749.511(6) - Serious Incident Documentation-Includes nature of the incident While reviewing the serious incident report it was observed there was no documentation of the circumstances surrounding the incident.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During the walk through, cleaning chemicals were observed on the floor and in the cabinet in the upstairs bathroom.	Yes
4	—	749.3079(1) - Food Storage-food items must be covered and stored off the floor During walkthrough inspection, seal bags of chips, fruit bars, and fruits cups were stored on floor of the pantry. This was corrected at inspection, when foster mother removed food from the floor.	Yes
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current 1 of 2 medicaiton logs reviewed did not contain updated and accurate information.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years The caregiver(s) home screening failed to document the accurate address for the caregiver(s) home. The caregiver(s) home screening also does not address Law Enforcement's response to the home for family violence incidents that occurred on 05/20/2025, 07/28/2025, 09/30/2025.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation A 4 year old child in care was placed at significant risk of harm by a caretaker who was under the influence of alcohol and psychotropic medications	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old The home did not have a medication log for review during the inspection.	—
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 home screening failed to document a caregiver's mental health status.	—
5	—	749.2965(a) - Weapons-During home study, ask about weapons, firearms, explosives, projectiles; if present in home, review policies/requirements with foster parents During this investigation a caretaker reported that there was a firearm in the home, there is no record in the home screening or addendums, that a firearm existed.	—
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 sustained a critical injury (fractured shoulder) in the caregiver's home. The caregiver(s) failed to seek professional medical care for the child's injury within the required time frame as prescribed by Minimum Standards.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 2 of the 2 employment files reviewed did not have "none" written on the notarized affidavit concerning incidents involving children as required.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights 2 of 2 child files reviewed did not have a sign copy of the child's rights located in file as required by minimum standards.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A 4-year-old child could have been harmed when a caretaker attacked another caretaker who was holding the child.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders One of the prescribed medications for a child in care was not administered per the label instructions.	—
5	—	749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old A caregiver admitted to co-sleeping with an infant in care on a mattress on the floor. The mattress was viewed by the DFPS investigator in the caregiver's bedroom.	—
3	—	749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form A review of an employee file did not have required notarized affidavit.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A person has moved into the home without having a background check submitted.	—

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

Inspections (124)

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

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