Child care center ·
15030 N ELDRIDGE PKWY STE C, Cypress, TX 77429-3326 ·
License 1703088- 13891
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
It was determined that a medication log did not contain the reason for which the medicine was prescribed. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
It was determined that the foster parents had alcoholic beverages in a room sometimes accessible to the residents. |
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| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documentation requested from the agency contained inaccurate information. |
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| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
During the initial contact at the foster home, VIVANCE 40 MG medication log from June 1st, through June 15th, 2025, were reviewed and it indicated that foster mother was administering VIVANCE medication to the child at night instead of morning as was prescribed by the doctor. Foster mother admitted not receiving prior authorization from the doctor before changing medication administration schedule. Photos of med logs from June 1st through June 15th was taken confirming medication was administered at night instead of morning and uploaded in class. |
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| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
A foster parent's criminal history from 2021 was not documented in the home study that was done in 2022. |
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| 3 | — |
749.1301(f) - Preliminary Service Planning-Implement and follow the preliminary service plan
It was determined that the foster parent did not follow the required supervision that was in the service plan. |
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| 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
Upon review of records, it was noted that TB test was not present in the child's file |
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| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
This standard was found to be deficient as part of a DFPS investigation. |
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| 1 | — |
749.3033 - Personal storage-each child must have accessible storage space for his clothing and personal possessions
Children?s clothing is being stored in tote bags and bins and not hung up in a closet or folded in drawers. Pictures taken by RCCI indicate there is room in closet(s) for clothes to be hung. |
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| 4 | — |
749.930(a)(2) - Annual Training-Caregivers caring for children receiving services for emotional disorders, Intellectual disabilities, or ASD must have 25hrs.
One of four foster homes did not have 25 hours of annual trainings. |
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| 3 | — |
749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
One supervisory visit reviewed did not contain methods for responding to the home stating that there was moderate level of stress. |
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| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Victim child suffered seizure while at school and was transported to hospital via the ambulance for further medical care. |
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| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
The foster home screening nor addendums provided include additional household members. |
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| 4 | — |
749.539 - Operation records- foster home disaster and emergency plans must be maintained at the agency, relevant branch office, or central designated location
One of four records reviewed did not contain a disaster and emergency plan. |
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| 2 | — |
749.1305 - Preliminary Service Planning-the placement staff must develop, sign, and date the preliminary service plan
One of four child records reviewed did not contain a signature or date for the preliminary or admission assessment. |
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| 4 | — |
749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
One of two medication records reviewed did not have the time for which the medication was administered. |
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| 3 | — |
749.1309(b)(1)(A)(vii) - Initial Service Plan-must include therapeutic needs and plans for testing and follow up
The service plan indicated that the child should receive weekly therapy but foster mom admitted that child had missed a month. |
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| 4 | — |
749.2908(a)(3) - Disaster and Emergency-must conduct a severe weather drill each year
There were no weather drills to observe. |
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| 3 | — |
749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication
Four of four medication logs did not contain a name and signature of the person. |
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| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was determined the foster family?s biological child has been bathing and caring for 3 foster children who are all under the age of 6 years old. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walkthrough of the home, the back yard fence was observed to be leaning and 3 of the fence wood were missing. 3 large ant piles were observed at the back yard. Also, One exposed eletrical outlet was observed in the kitchen and the oven door was observed to be damaged. |
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| 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 of two records reviewed did not contain the results from the drug screening. |
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| 2 | — |
749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record
One of two foster homes reviewed did not contain the foster home agreement. |
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| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
The caregiver threatened to beat the child. |
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| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
At the home visit on 06/05/23, the foster parent stated that she had not started the medication logs for June yet because her case manager had not provided the logs to her. |
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| 3 | — |
749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
The Serious Incident Report contains inaccurate information. The report is also missing pertinent information. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was determined that a biological son did not have a background check during the time of a sampling inspection. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
This standard was found to be deficient as part of a DFPS investigation. |
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| 4 | — |
749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
It was determined that a foster parent did not include the time that each medication was administered. |
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| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The foster parent is not using medication logs to document the administration of medication therefor is missing most of the requirements for medication record documentation. |
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| 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
One of the cribs was observed with toys and pillows while the infant was sleeping during the walk through |
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| 5 | — |
749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
During the course of the investigation it was determined that a child in care was left unsupervised by foster mom while hospitalized. |
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| 5 | — |
749.1003(b)(4)(A)(iv) - Children's rights-Adhere to the child's rights to be free from being denied food, sleep, toileting facilities, mail, or family visits as punishment
A child in care was denied food due to their behavior on different occasions. |
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| 3 | — |
749.2815(d) - Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
Upon review of records there was not a completed supervisory visit located for the 1st quarter of Jan - March. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Caregivers failed to adhere to a child's rights to be free of abuse, neglect, and/or exploitation as defined in Texas Family Code 261.401 when the foster mom did not know that a child under six years old was missing from her home for over an hour. |
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| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Corporal punishment was used on a child in care in the form of spanking on the arm with an open hand. |
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| 5 | — |
749.137(c)(1) - Foster parents and employees must complete at least one hour of annual suicide prevention training.
Three of four staff records reviewed had suicide prevention training that were submitted late. One of four foster parent records reviewed did not contain a training for suicide prevention. |
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| 3 | — |
749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
Four of the five preliminary plans reviewed were completed after the 72 hours. Three of five admission assessments reviewed were completed after the admission date. |
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| 3 | — |
749.2635(1) - Babysitting, Overnight, and Respite-Child may be placed in home not licensed if home is not subject to regulation by Licensing
Children in care were left in an unlicensed home as a respite placement. |
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| 4 | — |
749.2908(a) - Disaster and Emergency- foster homes must practice disaster and emergency plans each year
One home did not contain a disaster plan and one home does not have practiced fire drills. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Caregivers failed to adhere to a child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when they physically abused a child in care by punching them in the face and dragging them on the ground, both leaving an injury. |
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| 5 | — |
749.2447(7)(B)(iii) - Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents
It was determined that the police were called to the home for a domestic dispute but there is no information on what the dispute was about. |
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| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
Upon review of records, it was noted that an amended verification was given on 02/01/2023. There is no home study addendum to reflect the change |
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| 5 | — |
749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
The caregiver was not cognizant of inappropriate behaviors exhibited by children in care during activities and hygiene routines. |
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| 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
Two of two child records was missing child rights. |
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| 4 | — |
749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Upon review of records, it was noted that initial medical exam was not located in child's file nor was the dental, vision, or hearing. |
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| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The reason for the prescription is not documented on most of the child's medication logs for March, April, and May 2023. |
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| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
During the sampling inspection at your home on 4-12-26, one pool was observed without fence or wall, and 3 children were observed in the pool area during my inspection at the home. The CPA has been making effort to get the pool fixed. However, it has been more than 2 months the home was licensed and the pool repair work has not been completed. The pool was observed to be covered with tarpaulin, very dirty and the ground of the pool is not visible. |
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| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
It is a concern that a resident was left home alone at the time RCCI arrived at the home on 8/2/23. The service plan says she is of age to be left home on her own, however, the child specific contract does not allow unsupervised time. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Children?s medications were not properly stored and locked. |
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| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
Two of two employee records contained a statement saying that they would report ANE within 24 hours to the program coordinator or supervisor and if they didn't hear back would then report to the hotline. |
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| 4 | — |
749.2447(13) - Foster Home Screening-Agency documents prospective foster parents' values, feelings, and practices in regard to child care and discipline
A foster home study does not include information regarding the discipline methods used by the foster parent with their biological children; specifically, the use of physical discipline which is prohibited with foster youth. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
749.635(2)? The licensed administrator must ensure the operation complies with the current heightened monitoring plan. Narrative: During a review conducted on 03/11/2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the 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: -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, including having an open investigation. |
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| 4 | — |
749.3079(3) - Food Storage-food items must be protected from contamination
Eggs where stored in the refrigerator broken and uncovered. This was corrected at inspection when the foster parent removed the eggs from the refrigerator. |
Yes |
| 4 | — |
749.503(a)(8)(A) - Serious Incident-Report to CCR the unauthorized absence of a child developmentally/chrono 6 to 12 yo w/in 2 hrs of notifying LE if still missing
It was determined that the foster parent did not report a runaway that occurred on July 28. |
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| 3 | — |
749.579(1) - Active child record-Ensure record is kept accurate and current
During the review of 2 children files, multiple date of placements were observed in the children file. The operation corrected the inaccurate information. |
Yes |
| 3 | — |
749.1003(b)(3)(G) - Children's rights-Adhere to the child's right to have comfortable personal clothing, suitable to his age and size and comparable with peers
Children in care were observed to be in clothing that was not clean and shoes that were worn and ill fitting. One child in care was reported to have worn the same clothes to school multiple days in a row. |
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| 4 | — |
749.2911 - Smoke Detectors-must be installed and maintained according to the manufacturer's or fire authority's instructions
During the walkthrough of the home, one of the smoke detector inside the roome was observed to be beeping and a part of the smoke detector has been removed. |
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| 4 | — |
749.3031(a) - Beds and bedding-each child shall have his own bed and mattress
During the investigation it was determined two children in care have been sharing the same bed due to an air mattress no longer being useable due to being punctured. It was also determined tone of the foster parent's biological children will also share a bed with the foster children. |
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| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Foster parent did not report incident timely when child was under the influence and required medical attention. |
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| 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
It was determined that foster parents punched a resident in the mouth causing a scratch and pulled them along a concrete ground which caused a scratch to the knee. |
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| 5 | — |
749.2902(a)(2) - Health Safety Measures --Each foster home must be evaluated by CPA using DFPS checklist
One of two homes reviewed did not contain a copy of the health checklist. |
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| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
There is no medication log for Vyvanse for the month of March 2023. The child?s placement date is 03/15/23. The child?s medication log for Vyvanse for the month of April 2023 showed that the child was given Vyvanse on 04/01/23 through 04/20/23. There is no documentation for 04/21/23 through 04/30/23 that shows the prescription was administered even though it was filled on 04/07/23. The child?s medication log for Vyvanse for the month of May 2023 showed that the child was given Vyvanse on 05/22/23 through 05/31/23. |
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| 5 | — |
745.621(a)(1) - Initial background checks submitted - At the time you submit your application
At the time of the inspection, there was not a background check completed for respite provider. |
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| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A child in care reported that a foster parent pulled their hair, bent their fingers, and hit the child on the head. An adult family member of the child in care saw another child hit the child on the head and the foster parent did not intervene. |
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| 3 | — |
749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
One of two employees did not have an affidavit on record. |
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| 3 | — |
749.503(a)(10)(B) - Serious Incident-Report to parents no later than 24 hours after awareness that their child contracts/is exposed to reportable communicable disease
It was determined that the operation did not inform all DFPS caseworkers that children in care were exposed to COVID. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
Foster home was observed to be very cluttered. There are safety concerns regarding child's proofing issues. |
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| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
According to the child in care?s Health Passport, her prescription for Vyvanse, a psychotropic medication, was filled on 03/01/23, 04/07/23, and 06/09/23. According to a note written on the medical form by the foster parent on 05/10/23, the child?s prescription for Vyvanse had run out. At the home visit on 05/26/23, the child?s prescription for Vyvanse was out. The prescription was not filled until 06/09/23. |
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| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
It was determined that the police were called to the home and this was not reported to Licensing. |
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| 4 | — |
749.1003(b)(4)(A)(v) - Children's rights-Adhere to the child's rights to be free from being subjected to remarks that belittle or ridicule the child or the child's family
The caregiver called the child names. |
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| 3 | — |
749.553(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
One of two employee records reviewed did not contain a TB test or a job description. |
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| 3 | — |
749.1521(5) - Medication Storage-Keep medication storage area(s) clean & orderly
The medication was stored in a box and included the children's current medication, discontinued medication and the caregivers medication. |
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| 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 child in care was observed to be left in the home with nurses without caregivers present. |
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| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
The foster parent failed to comply with the child?s service plan. |
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| 4 | — |
749.3145(1) - Wading/splashing pools-(less than two feet of water) must be stored out of children's reach, when not in use
One kiddie / wading pool not in use was observed at children's reach at the foster home yard. |
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| 4 | — |
749.1403 - Frequency of medical care-A health-care professional determines the need and frequency for ongoing maintenance of medical care and treatment
During the course of the investigation, it was determined the foster parent and child did not complete the 2-week follow up visit with PCP, as recommended by the hospital physician on 10/25/2024. |
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| 2 | — |
749.1331(2) - Service Plan Review and Update-Review and update plan for children receiving treatment services for ED, ASD or PMN 90 days from date of last plan
The service plan was not updated. |
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| 3 | — |
749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
One supervisory visit reviewed did not contain a signature from the foster parent. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During a walk through of the residence. It was observed the the medication was not properly double locked. |
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| 4 | — |
749.1309(b)(1)(H) - Initial Service Plan-For children who exhibit high risk behavior, must include specific information
There was no information as to if the child has high risk behaviors and the plan was missing signatures. |
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| 4 | — |
749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language
Foster parent's friends used abusive and profane language towards a child in care. |
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| 4 | — |
749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
One of three home reviewed did not have the times of for when medication was administered. |
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| 5 | — |
749.1957(14) - Other Prohibited Discipline-Withholding food that meets the child's nutritional requirements
A child in care is denied desserts as a form of punishment. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
This standard was found to be deficient as part of a DFPS investigation. |
— |
| 2 | — |
749.2447(12)(A) - Foster Home Screening-Evaluate and document prospective foster parents' willingness to respect and encourage a child's religious affiliation
One home screening reviewed did not contain the parents willingness to respect/encourage a child's religion outside of their own. |
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| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
While at a holiday gathering, the foster parent did not intervene when another adult started threatening the foster child. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Photographs show prescription medications in Ziplock bags in the refrigerator?s door. |
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| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
It was determined that the foster parents had a lump sum of marijuana in the home during a home visit conducted by RCCI. |
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| 3 | — |
749.1311(b) - Initial Service Planning Team-The child, if app., parents and foster parents must be invited to the meeting to develop the service plan
There was no service plan meeting invitation to the conservatorship worker for the initial service plan or first service plan review which took place in February 2024. |
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| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
Multiple medication logs reviewed did not contain the reason the medication was prescribed. |
— |
| 3 | — |
749.609 - TB screening-Caregivers, employees, contract staff, volunteers and members of foster home screened for TB before having contact with children in care
One of two foster parent records does not have documentation of a TB test. |
— |
| 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
One family record reviewed did not contain proof of income for both parents. |
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| 3 | — |
749.2449(a)(6) - Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home
One home screening reviewed did not contain an interview by a child that did not live in the home. Another home did not have an attempt to interview an adult child. |
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| 4 | — |
749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
Five of five records reviewed did not contain supervisory visits. |
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| 2 | — |
749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
An initial service plan was not completed. There was no participation from the conservatorship worker for the initial service plan and first service plan review. |
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| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
On page 3 of the case manager's notes for May 2023, the case manager documented on 06/05/23 that the child's medication logs were current. The child's medication logs for May are only completed for May 21 or May 22 through May 31. There is no documentation that medications were administered prior to May 21. |
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| 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
The foster mom did not provide adequate supervision which led to a four year being able to leave the home and wander the neighborhood. |
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| 5 | — |
749.4569(a) - A kinship foster home must ensure that indoor and outdoor space and equipment does not pose a safety risk to kinship foster children.
During the sampling inspection at your home on 4-12-26, the backyard was observed to be very cluttered which poses safety concern to the children living in the home. Loose bricks were observed around the pool, barbecue pot, loose water hose, damaged cabinets and ladder were observed at the backyard. |
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| 4 | — |
749.137(f)(2)(C) - Post hospitalization protocols must include removing harmful objects, chemicals, or substances that a child could use to carry out a suicide attempt.
According to prior hospitalization for victim child on 6/23 - 7/5 a safety plan was to be created to ensure the safety of the child. Safety plan was not received, and no protocols were received from this prior incident. |
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433 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.