Texas › Laredo › Homes In Harmony, Foster And Adoption Agency, LLC

Homes In Harmony, Foster And Adoption Agency, LLC

Child care center · 6999 MCPHERSON RD STE 109, Laredo, TX 78041-6450 · License 1710372- 14191

0Compliance score
Poor

Violation history (500)

Severity	Date	Standard / narrative	Corrected
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair The home was observed to be unkept and clutter through out the most of the rooms.	—
5	—	745.8411(b)(2) - Responsibilities - Provides access to all areas of the operation Foster parent did not allow the child's Court Appointed Special Advocate to visit the home to observe the child.	—
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 Household member did not have a background check completed.	—
3	—	749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications Two case manager files did not have documented, monthly, case-related conferences on file.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors The three cribs mattress were observed with no covers.	—
2	—	749.573(a) - Client records-Maintain child's active master case record at the office where the staff managing the child's placement is located Child master case record is not at office where the staff managing the child's placement is located.	—
5	—	749.1309(b)(1)(H)(i) - Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others During review of records, child's file did not address specific services/ plans to minimize risk for high risk behavior in service plan.	—
5	—	749.2593(a)(1) - Supervision-The caregiver must know which children they are responsible for Foster children were left with an unapproved caregiver.	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation The signed statement was not included in the two staff files.	—
5	—	749.3133(h) - Swimming Pools-at least two life-saving devices available, 1 additional life-saving device must be available for each 2,000 sq ft of water surface There were no life-saving devices in the pool area.	—
3	—	749.2815(c) - Supervisory Visits-Document and evaluate all required information Two of three homes reviewed did not have supervisory visits for quarter 2 or 3.	—
3	—	749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family The agency did no assess the background information requested and received for the prospective foster family from the transferring agency.	—
2	—	749.2470(3)(B) - Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc Two of homes files were missing photos for the hom.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Training certficates were dated same day of the monitoring inspection.	—
2	—	749.1003(a) - Children's rights-A child's rights are cumulative of any other rights granted by law or other Licensing rules Four children flies were missing the following information: Caregiver signature, child signature, Children rights form, and one file was signed with the wrong child name.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional During the review of child's medical records, there was no follow up on recommendation by health care proffesional	—
2	—	749.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record Two of the four home files had no documentation regarding Orientation for foster parents.	—
3	—	749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication Medication log observed during the home inspection demonstrated medication administered was not being recorded within the 24 hours.	—
4	—	749.1605(3) - Agency does not employ professional who prescribes psychotropic meds-Agency obtains a signed consent from consenter acknowledging info provided Child was prescribed psychotropic medication prior to meeting the set requirements.	—
5	—	749.3133(h) - Swimming Pools-at least two life-saving devices available, 1 additional life-saving device must be available for each 2,000 sq ft of water surface There were no life-saving devices in the pool area.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Active records were not present at operation.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair Living room electrical outlet did not have a child safety outlet.	—
2	—	749.1543(b) - Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record During the inspection and review of child's records the monthly medical records were incomplete.	—
5	—	749.4557(a) - A kinship foster home must have a working smoke detector in the kitchen, hallways or open areas outside sleeping rooms and on each level of a home with multiple levels. The smoke alarm in the first bedroom requires change of batteries.	—
4	—	749.1291(d)(1) - Contact between child placement staff and children-ensure child is safe In reviewing 2 children files, there was no documentations of contacts made with children in care stating that they felt safe or if needs are being met.	—
3	—	749.1501(2) - Medication Self-Administration-Self-medication program must be in child's service plan, including any requirements for caregiver supervision There was no documentation reviewed on a child's service plan that stated child was allowed to self-medicate and document the required supervision of caregiver.	—
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 Three children in care were being supervised in the home by an individual who did not have a background check.	—
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 that was self-administering medication admits there were times she had forgotten to take her medication.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Several home trainings were invalid due to unapproved electronic signatures.	—
4	—	749.635(3)(C) - CPA administrator responsibilities-Handles personnel matters, including hiring, assigning duties, supervision, evaluation and termination Staff hired for 4/13/22 was assigned to provide tranings and a case load.	—
4	—	749.1291(e)(2) - Contact between child placement staff and child-provides opportunity to meet in private Monthly contact documentation did not describe private conversations or interviews held with children in the home.	—
4	—	749.2551(c) - Capacity- 1 parent FH or 2 parent with 1 parent absent for extended periods may care for up to 6, except as noted in chart below There are 6 children in the foster home including one infant.	—
4	—	749.2625(1) - Respite-must share specific needs of a child with the babysitter, overnight care, or respite care provider Two respite care providers admitted the agency did not share information regarding specific needs/care of children being placed in respite.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Foster parent was missing training in file.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health Medical records for child in care, showed that medical recommendation were not followed.	—
2	—	749.2470(3)(B) - Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc Three homes files reviewed had no photos of the outiside of the home.	—
5	—	HRC42.04412(a) - Interference with an investigation Caregiver did not allow inspector to conduct investigation. Several phone call attempts went unanswered. Additionally, I was unable to conduct home inspection. Caregiver did not allow to be interviewed or have the home inspected after several attempts.	—
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 Household member and frequent visitors did not have a background check completed.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medications were not stored appropriately. Medications were observed sitting on the kitchen counter.	Yes
4	—	749.939(c)(1)(D) - EBI training led by instructor who?s able to document knowledge of methods for evaluating participant knowledge of material and physical techniques Foster parent obtained emergency behavior intervention training from a staff recently hired who did not meet qualifications.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health Foster parent delayed medical attention to child, after OTC medication did not improve child's diaper rash.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Home study did not reflect correct information on the foster family.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit The Form used to document Supervisory Visits was not signed by the Foster Parents for a visit conducted at this particular Foster Home for the Month of May 2022.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The agency was made aware of 2 frequent visitors that did not have background checks on 10/20/2022, but the agency did not follow through with running background checks.	—
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 Child's signature was missing on children rights form.	—
4	—	749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans The agency failed to provide foster parent support services during a family emergency.	—
4	—	749.3079(1) - Food Storage-food items must be covered and stored off the floor During the walk through of the home, several food cantainers were observed to be on the floor. Some of the food items were next to the dirty dog pad.	—
2	—	749.1371(3) - Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged Discharge summary did not include items under 749.1371.	Yes
5	—	749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage During an investigation/inspection it was found that a weapon and ammunition are kept in the same locked storage, when the agency's policy require the weapon and ammunition in stored separately.	—
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 Agency failed to have a staff member conduct a TB test prior to having contact with children.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 Two staff files were reviewed and had missing affidavit.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two medication logs provided had contradicting information as to whether child in care was administered medication as prescribed.	—
3	—	749.553(4) - Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position There was no evidence to support the staff's qualification for job position.	—
2	—	749.553(7) - Personnel records-Include statement signed and dated by the employee that he has read a copy of the operational policies The signed statement regarding reporting suspect abuse/neglect were not in the two staff files that were reviwed.	—
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 were no medication logs for medication that was administered to the child while in placement.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Home study did not reflect correct information on the foster family. Child's medical records had inconsistence with the name.	—
3	—	749.1003(b)(3)(F) - Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use Child in care was observed wearing the same clothing to school for three days in a row and was not bathing on a regular basis.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair Small dead cockroaches and missing tiles were observed in the living room.	—
3	—	749.669(2) - Child placement management staff responsibilities-Review, approve, sign and date initial and subsequent placement documents Three of four child's files reviewed were missing CPMS signature and in addition one home study reviewed was not dated.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks The foster mother covered a child's mouth and the foster parents drove the child around to see unhoused individuals to show him gratefulness, these are two different incidents.	—
4	—	749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered Medical logs were reviewed for 8 children in care and 5 were not documented as required.	—
5	—	749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs Gate leading to pool area was not locked.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 All staff files reviewed did not have notarized licensing affidavit.	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation One of two staff files that were reviewed had missing document regarding the need to report the suspect abuse or neglect of a child.	—
3	—	749.2447(6)(B) - Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets Three foster home files did not have income documentation to verify income.	—
2	—	749.2623(1) - Respite-Agency must notify the child's parent before placing the child in respite child-care services The Agency staff did not notify the managing conservator prior to moving the foster children into respite care.	—
3	—	749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening Agency home verified on 6/13/2025 did not have a new home screening verified.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Caregiver failed to use prudent judgement when denying administrator access to children resulting in police involvement. Additionally, caregiver failed to use self-control while in the presence of children in care. Caregiver failed to use prudent judgement and self control by denying agency staff access to the children at the home and needing police involvement.	—
2	—	749.553(3) - Personnel records-Include current job description Job description was not included in the two staff files that were reviewed.	—
4	—	749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision During walk through of to pair of sciccors were observed in the daughter's bedroom Three butter knifes were observed in the kitchen sink along with another pair of scissor.	—
3	—	749.2449(a)(5) - Interview For Foster Home Screening-Must include at least one family group interview with all family members living in the home During the inspection and reviewing of the home screening, a family group interview was not conducted.	—
3	—	749.553(8) - Personnel records- Include signed and dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation All files reviewed did not have a statement that any abuse, neglect or exploitations will be reported by the employee.	—
2	—	749.2447(5) - Foster Home Screening-Agency documents prospective foster parents' residence history and their citizenship status During the inspection and review of home screening the length of time spent in each address was not documented.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders Foster parent confirmed medication was not administered to child in care as prescribed.	—
4	—	749.930(b) - Annual Training- Two parent foster homes must collectively meet the required number of annual training hours. The foster parents annual trainings were not completed.	—
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 Home screening did not have the complete documentation for the interviews that were conducted.	—
4	—	749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision During walk through of the home, a razor was observed in a restroom that is acessible to a child.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Foster parent failed to provide a safe environment by allowing an individual with a criminal background to have access to the foster home and foster children and not disclosing it to the agency.	—
4	—	749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans Foster parent was unaware of the specific measures needed to be followed of safety plan implemented.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Individual having unsupervised access to the child did not have a background check done.	—
3	—	749.3031(b) - Beds and bedding-beds must be clean and comfortable The child's lower bunk bed was observed with no cover.	—
4	—	749.1819(b)(1) - Infant requirements-Caregiver must hold infants while feeding them if the infant is birth through six months old During the visit to the home, infant was observed to be fed while strapped in the car seat.	—
2	—	749.573(a) - Client records-Maintain child's active master case record at the office where the staff managing the child's placement is located Child master case record is not at office where the staff managing the child's placement is located.	—
3	—	749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications Two case manager files did not have documented, monthly, case-related conferences on file.	—
2	—	749.1543(b) - Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record During the inspection and review of child's records the monthly medical records were incomplete.	—
3	—	749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening Agency home verified on 6/13/2025 did not have a new home screening verified.	—
4	—	749.1605(3) - Agency does not employ professional who prescribes psychotropic meds-Agency obtains a signed consent from consenter acknowledging info provided Child was prescribed psychotropic medication prior to meeting the set requirements.	—
3	—	749.2449(a)(5) - Interview For Foster Home Screening-Must include at least one family group interview with all family members living in the home During the inspection and reviewing of the home screening, a family group interview was not conducted.	—
3	—	749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation One of two staff files that were reviewed had missing document regarding the need to report the suspect abuse or neglect of a child.	—
4	—	749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair The home was observed to be unkept and clutter through out the most of the rooms.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Home study did not reflect correct information on the foster family.	—
2	—	749.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record Two of the four home files had no documentation regarding Orientation for foster parents.	—
2	—	749.2623(1) - Respite-Agency must notify the child's parent before placing the child in respite child-care services The Agency staff did not notify the managing conservator prior to moving the foster children into respite care.	—
3	—	749.553(4) - Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position There was no evidence to support the staff's qualification for job position.	—
3	—	749.537(a) - Active records-Available for immediate review and reproduction by Licensing Active records were not present at operation.	—
3	—	749.1003(b)(3)(F) - Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use Child in care was observed wearing the same clothing to school for three days in a row and was not bathing on a regular basis.	—
4	—	749.2625(1) - Respite-must share specific needs of a child with the babysitter, overnight care, or respite care provider Two respite care providers admitted the agency did not share information regarding specific needs/care of children being placed in respite.	—
2	—	749.553(7) - Personnel records-Include statement signed and dated by the employee that he has read a copy of the operational policies The signed statement regarding reporting suspect abuse/neglect were not in the two staff files that were reviwed.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Training certficates were dated same day of the monitoring inspection.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Several home trainings were invalid due to unapproved electronic signatures.	—

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

Inspections (296)

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

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