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The Sanctuary Foster Care Services

Child care center · 1350 NASA PKWY STE 210, Houston, TX 77058-2800 · License 1697949- 13751

0Compliance score
Poor

Violation history (200)

Severity	Date	Standard / narrative	Corrected
4	—	749.2053 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver allowed an unqualified household member to assist in administering a restraint.	—
3	—	749.2453(c) - A CPA must complete a foster home screening update that is needed under 749.307(a) before issuing a new verification certificate There are no updates on home study indicating an adoption or changes in foster care capacity.	—
4	—	749.137(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. There was no documentation that verifies agency completed weekly screening post hospitalization.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Foster child was in possession of their psychotropic medication while in transition to overnight care.	—
3	—	749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission Based on a review of documentation, it was determined a child's Emergency Admission Assessment was not completed.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment An unnecessary form of discipline such as pouring ice was used to awaken a child in care who was not complying with the request to get up out of bed.	—
5	—	749.4577(c) - Kinship caregivers must secure foster children in proper car seats, booster seats, or safety belts based on age, size, and manufacturer instructions. A foster child was transported in a vehicle without a car seat.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of six child records did not have their medical and dental visits in the children's electronic files during the review..	Yes
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through the inspector observed two mattresses on the floor. The FP stated that the bunk beds were taken down on this past Sunday 10/10/21. (photos taken)	—
3	—	749.2381(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. During a review of the agency's documentation, it was determined the agency did not have an overall Annual Evaluation as related to Emergency Behavior Intervention available for licensing review. The agency provided a copy of the Emergency Behavior Intervention policies and procedures; however, the agency did not have an Annual Emergency Behavior Intervention Review completed.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During assessment on background checks it was observed that the background check list had not been validated since May 2023.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event During the inspection 6 out of 6 employees? files that did not have required documentation in the file within 30 days.	—
4	—	749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair During the walk through the inspector observed the bathroom (upstairs) was not clean, the foster boys bedroom was observed to be not clean. The backyard area was observed to have debris (boxes, tree shrubs and loose bricks on the side of the house). Photos taken.	—
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking One staff's file responsible for transporting children was observed with only an adult first aid certificate on file.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Foster parent put the medication in child's backpack and instructed her to give the medication to the respite caregiver, which resulted in the child having unsupervised access to her medications and overdosing. This act placed the child at substantial risk of harm as she temporarily lost consciousness several times and had to seek emergency medical care.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity Foster parent did not provide adequate supervision to children in care that required check ins every hour as per service plan.	—
4	—	749.137(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization. Documentation was not provided to verified that child placement management meet with the child in care within 24 hours from discharge.	—
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 child in care to have unsupervised access to their medications knowing this child's history of self-harming behaviors.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health A child with a diagnosis of hip dysplasia did not get their appointment scheduled, nor were they seen by the recommended doctor in a timely manner.	—
4	—	749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child Caregiver was not made aware of pertinent information to properly care for the child in care.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months A caregiver used prohibited sleeping bedding/equipment in the crib with an infant.	—
3	—	749.939(a)(3) - Training Criteria-Instructor-led training and self-instructional training must include an evaluation or assessment. In 10 out of 10 files reviewed there was no evaluation or assessments for any of the trainings that were completed.	—
2	—	749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Foster parent did not follow service plan when they left youth at home alone. Safety plan states that youth in care should never be left at home alone.	—
2	—	749.127(9) - Babysitter/Overnight care/Respite care providers policy - Procedures for agency review and approval of arrangements Agency did not approve and document placement of child in care.	—
4	—	749.2625(1)(B) - Respite- must share medication regimen and medication instructions with the babysitter, respite or overnight provider Foster parent failed to advised respite placement that the child was taking medication and the regimen for the medication.	—
2	—	749.127(9) - Babysitter/Overnight care/Respite care providers policy - Procedures for agency review and approval of arrangements Agency did not approve and document placement of child in care.	—
3	—	749.2381(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. During a review of the agency's documentation, it was determined the agency did not have an overall Annual Evaluation as related to Emergency Behavior Intervention available for licensing review. The agency provided a copy of the Emergency Behavior Intervention policies and procedures; however, the agency did not have an Annual Emergency Behavior Intervention Review completed.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months A caregiver used prohibited sleeping bedding/equipment in the crib with an infant.	—
3	—	749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission Based on a review of documentation, it was determined a child's Emergency Admission Assessment was not completed.	—
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 child in care to have unsupervised access to their medications knowing this child's history of self-harming behaviors.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Foster parent put the medication in child's backpack and instructed her to give the medication to the respite caregiver, which resulted in the child having unsupervised access to her medications and overdosing. This act placed the child at substantial risk of harm as she temporarily lost consciousness several times and had to seek emergency medical care.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health A child with a diagnosis of hip dysplasia did not get their appointment scheduled, nor were they seen by the recommended doctor in a timely manner.	—
3	—	749.2453(c) - A CPA must complete a foster home screening update that is needed under 749.307(a) before issuing a new verification certificate There are no updates on home study indicating an adoption or changes in foster care capacity.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event During the inspection 6 out of 6 employees? files that did not have required documentation in the file within 30 days.	—
4	—	749.137(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. There was no documentation that verifies agency completed weekly screening post hospitalization.	—
4	—	749.137(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization. Documentation was not provided to verified that child placement management meet with the child in care within 24 hours from discharge.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Foster child was in possession of their psychotropic medication while in transition to overnight care.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment An unnecessary form of discipline such as pouring ice was used to awaken a child in care who was not complying with the request to get up out of bed.	—
4	—	749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair During the walk through the inspector observed the bathroom (upstairs) was not clean, the foster boys bedroom was observed to be not clean. The backyard area was observed to have debris (boxes, tree shrubs and loose bricks on the side of the house). Photos taken.	—
4	—	749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child Caregiver was not made aware of pertinent information to properly care for the child in care.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity Foster parent did not provide adequate supervision to children in care that required check ins every hour as per service plan.	—
2	—	749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Foster parent did not follow service plan when they left youth at home alone. Safety plan states that youth in care should never be left at home alone.	—
5	—	749.4577(c) - Kinship caregivers must secure foster children in proper car seats, booster seats, or safety belts based on age, size, and manufacturer instructions. A foster child was transported in a vehicle without a car seat.	—
3	—	749.939(a)(3) - Training Criteria-Instructor-led training and self-instructional training must include an evaluation or assessment. In 10 out of 10 files reviewed there was no evaluation or assessments for any of the trainings that were completed.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During assessment on background checks it was observed that the background check list had not been validated since May 2023.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of six child records did not have their medical and dental visits in the children's electronic files during the review..	Yes
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking One staff's file responsible for transporting children was observed with only an adult first aid certificate on file.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through the inspector observed two mattresses on the floor. The FP stated that the bunk beds were taken down on this past Sunday 10/10/21. (photos taken)	—
4	—	749.2053 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver allowed an unqualified household member to assist in administering a restraint.	—
4	—	749.2625(1)(B) - Respite- must share medication regimen and medication instructions with the babysitter, respite or overnight provider Foster parent failed to advised respite placement that the child was taking medication and the regimen for the medication.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of six child records did not have their medical and dental visits in the children's electronic files during the review..	Yes
5	—	749.4577(c) - Kinship caregivers must secure foster children in proper car seats, booster seats, or safety belts based on age, size, and manufacturer instructions. A foster child was transported in a vehicle without a car seat.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment An unnecessary form of discipline such as pouring ice was used to awaken a child in care who was not complying with the request to get up out of bed.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through the inspector observed two mattresses on the floor. The FP stated that the bunk beds were taken down on this past Sunday 10/10/21. (photos taken)	—
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 child in care to have unsupervised access to their medications knowing this child's history of self-harming behaviors.	—
4	—	749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child Caregiver was not made aware of pertinent information to properly care for the child in care.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Foster child was in possession of their psychotropic medication while in transition to overnight care.	—
2	—	749.127(9) - Babysitter/Overnight care/Respite care providers policy - Procedures for agency review and approval of arrangements Agency did not approve and document placement of child in care.	—
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking One staff's file responsible for transporting children was observed with only an adult first aid certificate on file.	—
2	—	749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Foster parent did not follow service plan when they left youth at home alone. Safety plan states that youth in care should never be left at home alone.	—
3	—	749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission Based on a review of documentation, it was determined a child's Emergency Admission Assessment was not completed.	—
4	—	749.2053 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver allowed an unqualified household member to assist in administering a restraint.	—
4	—	749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair During the walk through the inspector observed the bathroom (upstairs) was not clean, the foster boys bedroom was observed to be not clean. The backyard area was observed to have debris (boxes, tree shrubs and loose bricks on the side of the house). Photos taken.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event During the inspection 6 out of 6 employees? files that did not have required documentation in the file within 30 days.	—
3	—	749.939(a)(3) - Training Criteria-Instructor-led training and self-instructional training must include an evaluation or assessment. In 10 out of 10 files reviewed there was no evaluation or assessments for any of the trainings that were completed.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During assessment on background checks it was observed that the background check list had not been validated since May 2023.	—
4	—	749.137(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. There was no documentation that verifies agency completed weekly screening post hospitalization.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health A child with a diagnosis of hip dysplasia did not get their appointment scheduled, nor were they seen by the recommended doctor in a timely manner.	—
3	—	749.2453(c) - A CPA must complete a foster home screening update that is needed under 749.307(a) before issuing a new verification certificate There are no updates on home study indicating an adoption or changes in foster care capacity.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months A caregiver used prohibited sleeping bedding/equipment in the crib with an infant.	—
4	—	749.2625(1)(B) - Respite- must share medication regimen and medication instructions with the babysitter, respite or overnight provider Foster parent failed to advised respite placement that the child was taking medication and the regimen for the medication.	—
4	—	749.137(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization. Documentation was not provided to verified that child placement management meet with the child in care within 24 hours from discharge.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Foster parent put the medication in child's backpack and instructed her to give the medication to the respite caregiver, which resulted in the child having unsupervised access to her medications and overdosing. This act placed the child at substantial risk of harm as she temporarily lost consciousness several times and had to seek emergency medical care.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity Foster parent did not provide adequate supervision to children in care that required check ins every hour as per service plan.	—
3	—	749.2381(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. During a review of the agency's documentation, it was determined the agency did not have an overall Annual Evaluation as related to Emergency Behavior Intervention available for licensing review. The agency provided a copy of the Emergency Behavior Intervention policies and procedures; however, the agency did not have an Annual Emergency Behavior Intervention Review completed.	—
4	—	749.2053 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A caregiver allowed an unqualified household member to assist in administering a restraint.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of six child records did not have their medical and dental visits in the children's electronic files during the review..	Yes
4	—	749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair During the walk through the inspector observed the bathroom (upstairs) was not clean, the foster boys bedroom was observed to be not clean. The backyard area was observed to have debris (boxes, tree shrubs and loose bricks on the side of the house). Photos taken.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors During the walk through the inspector observed two mattresses on the floor. The FP stated that the bunk beds were taken down on this past Sunday 10/10/21. (photos taken)	—
4	—	749.137(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization. Documentation was not provided to verified that child placement management meet with the child in care within 24 hours from discharge.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list During assessment on background checks it was observed that the background check list had not been validated since May 2023.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity Foster parent did not provide adequate supervision to children in care that required check ins every hour as per service plan.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months A caregiver used prohibited sleeping bedding/equipment in the crib with an infant.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health A child with a diagnosis of hip dysplasia did not get their appointment scheduled, nor were they seen by the recommended doctor in a timely manner.	—
4	—	749.2625(1)(B) - Respite- must share medication regimen and medication instructions with the babysitter, respite or overnight provider Foster parent failed to advised respite placement that the child was taking medication and the regimen for the medication.	—
2	—	749.127(9) - Babysitter/Overnight care/Respite care providers policy - Procedures for agency review and approval of arrangements Agency did not approve and document placement of child in care.	—
3	—	749.2381(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. During a review of the agency's documentation, it was determined the agency did not have an overall Annual Evaluation as related to Emergency Behavior Intervention available for licensing review. The agency provided a copy of the Emergency Behavior Intervention policies and procedures; however, the agency did not have an Annual Emergency Behavior Intervention Review completed.	—
5	—	749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking One staff's file responsible for transporting children was observed with only an adult first aid certificate on file.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event During the inspection 6 out of 6 employees? files that did not have required documentation in the file within 30 days.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment An unnecessary form of discipline such as pouring ice was used to awaken a child in care who was not complying with the request to get up out of bed.	—
4	—	749.137(f)(2)(A) - Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer. There was no documentation that verifies agency completed weekly screening post hospitalization.	—
3	—	749.939(a)(3) - Training Criteria-Instructor-led training and self-instructional training must include an evaluation or assessment. In 10 out of 10 files reviewed there was no evaluation or assessments for any of the trainings that were completed.	—
3	—	749.2453(c) - A CPA must complete a foster home screening update that is needed under 749.307(a) before issuing a new verification certificate There are no updates on home study indicating an adoption or changes in foster care capacity.	—
3	—	749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission Based on a review of documentation, it was determined a child's Emergency Admission Assessment was not completed.	—
5	—	749.4577(c) - Kinship caregivers must secure foster children in proper car seats, booster seats, or safety belts based on age, size, and manufacturer instructions. A foster child was transported in a vehicle without a car seat.	—
2	—	749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Foster parent did not follow service plan when they left youth at home alone. Safety plan states that youth in care should never be left at home alone.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication Foster child was in possession of their psychotropic medication while in transition to overnight care.	—
4	—	749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child Caregiver was not made aware of pertinent information to properly care for the child in care.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Foster parent put the medication in child's backpack and instructed her to give the medication to the respite caregiver, which resulted in the child having unsupervised access to her medications and overdosing. This act placed the child at substantial risk of harm as she temporarily lost consciousness several times and had to seek emergency medical care.	—
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 child in care to have unsupervised access to their medications knowing this child's history of self-harming behaviors.	—

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

Inspections (120)

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

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