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Best Care 4 Kidz Inc

Child care center · 16100 CAIRNWAY DR STE 365, Houston, TX 77084-3584 · License 1715499- 14412

0Compliance score
Poor

-

Violation history (248)

SeverityDateStandard / narrativeCorrected
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
Caregivers were not implementing the service plan supervision requirements when they stated they were home, but did not see, when a child received a carpet burn on his chest from being dragged across the carpet by another child in care.
4 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
The home screening did not initially include one of the adult caregivers information; the request for any addendums only addressed the caregiver becoming a household member; there was no mention of the mandatory perspectives on specific topics such as supporting religious differences, being mindful of biological family, personal childhood experiences.
4 749.2449(b) - Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
One of two reviewed home screenings did not contain an interview with all household members present.
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
During an investigation monitoring visit to the home, a child not placed at the home was discovered living in the home 6 days a week which resulted to the foster home going above it approved total capacity
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
During an inspection conducted on 2/27/2025. It was determined that an agency home did not have two quarterly unannounced visits for year 2024.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Inaccurately documented dates of actions, children's paperwork, and documents from a previous agency were observed.
1 749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
5 of 5 service plan reviews did not include the child's signature.
2 749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
The verification was amended during the course of an open investigation; and back dated to one month prior.
3 749.931(c)(1) - Annual Training- Must include one hour of training on prevention, recognition, and reporting on child abuse, neglect, and exploitation.
One of the four foster parent files was observed to be delinquent in this annual training, last taken 02/05/2023.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Multiple medication logs were observed not to be up to date with documentation of adminstered doses.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
It was found through the course of the investigation that foster parent was not cooperative with the Child Care Investigator.
4 749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During an inspection at a foster home, medication logs for one child were incorrectly documented and others were blank.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
It was observed that foster parent was not abiding by a child's service plan. According to the plan, child is to receive 1 on 1 supervision at all times but foster parent admitting that child has not been receiving 1 on 1 supervision since last month.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found through the course of the investigation that the foster parent admitted to spanking a child in care.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
During an investigation it was found that a child whose service plan requires 168 hours per week of nursing care was not receiving the required level of nursing services.
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
The caregiver has a total of four PMN children; two of which are total needs. The is a one caregiver household; with no 24 hr assistance.
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
The single fire extinguisher present in the home has no indication of being serviced within the last annual year.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children are placed in the foster home. However, foster parent who is a registered nurse accepted another nursing assignment through another agency caring for a special needs child at her home 6 days a week without her CPA notice.
4 749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care.
The caregivers content that they have always worked very closely together in fostering children in care. Both caregivers in the home on a very regular basis. Initially only one foster parent was verified.
3 749.2449(A)(8) - Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
In the home study only one community reference was documented.
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
Four of five children in the home stated they do not get a snack if they are in trouble. Both Caregivers gave an example of a reason a child would not be provided a snack being their refusal to come downstairs for snack, when prompted.
1 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Three children's ISP was not signed by all members of the CMPS.
4 749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Two of two children interviewed confirmed they felt the foster parents treat their biological child better than the foster children placed in the home are treated.
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
According to placement contract, initial service plan and reviewed service plan, a child placed at the foster home requires 1 on 1 supervision at all times. However, foster parent stopped proving the child with the 1 on 1 supervision without notifying or receiving approval from her CPA that signed the placement agreement with a State Agency.
3 749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification
One of two reviewed home screenings did not document an assessment of information obtained for verification.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
During the review of a serious incident report, it was found that the incident was reported to Licensing four days after the incident took place.
3 749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
The Clinical Coordinator does not have adequate professional experience.
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
Foster Parent left the 2-year-old unattended for 20-25 minutes while she went to get another child from the bus stop.
2 749.3075(b) - Food service practices for children receiving treatment for PMN or ID-toddler or older child must eat or be fed in the dining area
A PMN toddler child was observed being fed in the bedroom.
3 749.1013(a)(2) - Child Rights contact others-Not listen to or screen the child's telephone calls without permission from CPMS or parents
Two of two children in care reported that their conversations with approved contacts are monitored. The legal parent nor the service plan indicated approved monitoring.
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 deficient as part of a DFPS Investigation.
3 749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
The Clinical Coordinator does not have adequate professional experience.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
It was observed that foster parent was not abiding by a child's service plan. According to the plan, child is to receive 1 on 1 supervision at all times but foster parent admitting that child has not been receiving 1 on 1 supervision since last month.
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
Caregivers were not implementing the service plan supervision requirements when they stated they were home, but did not see, when a child received a carpet burn on his chest from being dragged across the carpet by another child in care.
1 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Three children's ISP was not signed by all members of the CMPS.
4 749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care.
The caregivers content that they have always worked very closely together in fostering children in care. Both caregivers in the home on a very regular basis. Initially only one foster parent was verified.
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
The single fire extinguisher present in the home has no indication of being serviced within the last annual year.
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
Four of five children in the home stated they do not get a snack if they are in trouble. Both Caregivers gave an example of a reason a child would not be provided a snack being their refusal to come downstairs for snack, when prompted.
1 749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
5 of 5 service plan reviews did not include the child's signature.
4 749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During an inspection at a foster home, medication logs for one child were incorrectly documented and others were blank.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Multiple medication logs were observed not to be up to date with documentation of adminstered doses.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Inaccurately documented dates of actions, children's paperwork, and documents from a previous agency were observed.
2 749.3075(b) - Food service practices for children receiving treatment for PMN or ID-toddler or older child must eat or be fed in the dining area
A PMN toddler child was observed being fed in the bedroom.
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
According to placement contract, initial service plan and reviewed service plan, a child placed at the foster home requires 1 on 1 supervision at all times. However, foster parent stopped proving the child with the 1 on 1 supervision without notifying or receiving approval from her CPA that signed the placement agreement with a State Agency.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
During an investigation it was found that a child whose service plan requires 168 hours per week of nursing care was not receiving the required level of nursing services.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
It was found through the course of the investigation that foster parent was not cooperative with the Child Care Investigator.
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
During an investigation monitoring visit to the home, a child not placed at the home was discovered living in the home 6 days a week which resulted to the foster home going above it approved total capacity
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
Foster Parent left the 2-year-old unattended for 20-25 minutes while she went to get another child from the bus stop.
4 749.2449(b) - Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
One of two reviewed home screenings did not contain an interview with all household members present.
3 749.931(c)(1) - Annual Training- Must include one hour of training on prevention, recognition, and reporting on child abuse, neglect, and exploitation.
One of the four foster parent files was observed to be delinquent in this annual training, last taken 02/05/2023.
4 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
The home screening did not initially include one of the adult caregivers information; the request for any addendums only addressed the caregiver becoming a household member; there was no mention of the mandatory perspectives on specific topics such as supporting religious differences, being mindful of biological family, personal childhood experiences.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
During the review of a serious incident report, it was found that the incident was reported to Licensing four days after the incident took place.
2 749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
The verification was amended during the course of an open investigation; and back dated to one month prior.
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
During an inspection conducted on 2/27/2025. It was determined that an agency home did not have two quarterly unannounced visits for year 2024.
3 749.2449(A)(8) - Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
In the home study only one community reference was documented.
4 749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Two of two children interviewed confirmed they felt the foster parents treat their biological child better than the foster children placed in the home are treated.
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
The caregiver has a total of four PMN children; two of which are total needs. The is a one caregiver household; with no 24 hr assistance.
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 deficient as part of a DFPS Investigation.
3 749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification
One of two reviewed home screenings did not document an assessment of information obtained for verification.
3 749.1013(a)(2) - Child Rights contact others-Not listen to or screen the child's telephone calls without permission from CPMS or parents
Two of two children in care reported that their conversations with approved contacts are monitored. The legal parent nor the service plan indicated approved monitoring.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found through the course of the investigation that the foster parent admitted to spanking a child in care.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children are placed in the foster home. However, foster parent who is a registered nurse accepted another nursing assignment through another agency caring for a special needs child at her home 6 days a week without her CPA notice.
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
Four of five children in the home stated they do not get a snack if they are in trouble. Both Caregivers gave an example of a reason a child would not be provided a snack being their refusal to come downstairs for snack, when prompted.
4 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
The home screening did not initially include one of the adult caregivers information; the request for any addendums only addressed the caregiver becoming a household member; there was no mention of the mandatory perspectives on specific topics such as supporting religious differences, being mindful of biological family, personal childhood experiences.
3 749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
The Clinical Coordinator does not have adequate professional experience.
4 749.2401(b) - If the requirements in subsection (a) of this section are not met, you must verify both spouses to provide foster care.
The caregivers content that they have always worked very closely together in fostering children in care. Both caregivers in the home on a very regular basis. Initially only one foster parent was verified.
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
Foster Parent left the 2-year-old unattended for 20-25 minutes while she went to get another child from the bus stop.
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
The caregiver has a total of four PMN children; two of which are total needs. The is a one caregiver household; with no 24 hr assistance.
5 749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children are placed in the foster home. However, foster parent who is a registered nurse accepted another nursing assignment through another agency caring for a special needs child at her home 6 days a week without her CPA notice.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Multiple medication logs were observed not to be up to date with documentation of adminstered doses.
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 deficient as part of a DFPS Investigation.
4 749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Two of two children interviewed confirmed they felt the foster parents treat their biological child better than the foster children placed in the home are treated.
5 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
It was found through the course of the investigation that foster parent was not cooperative with the Child Care Investigator.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
It was observed that foster parent was not abiding by a child's service plan. According to the plan, child is to receive 1 on 1 supervision at all times but foster parent admitting that child has not been receiving 1 on 1 supervision since last month.
1 749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
5 of 5 service plan reviews did not include the child's signature.
2 749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
The verification was amended during the course of an open investigation; and back dated to one month prior.
3 749.2445(c)(2) - Verification-The foster home screening must document an assessment of information obtained for verification
One of two reviewed home screenings did not document an assessment of information obtained for verification.
3 749.1013(a)(2) - Child Rights contact others-Not listen to or screen the child's telephone calls without permission from CPMS or parents
Two of two children in care reported that their conversations with approved contacts are monitored. The legal parent nor the service plan indicated approved monitoring.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Inaccurately documented dates of actions, children's paperwork, and documents from a previous agency were observed.
4 749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
During an investigation it was found that a child whose service plan requires 168 hours per week of nursing care was not receiving the required level of nursing services.
3 749.931(c)(1) - Annual Training- Must include one hour of training on prevention, recognition, and reporting on child abuse, neglect, and exploitation.
One of the four foster parent files was observed to be delinquent in this annual training, last taken 02/05/2023.
4 749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During an inspection at a foster home, medication logs for one child were incorrectly documented and others were blank.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
During the review of a serious incident report, it was found that the incident was reported to Licensing four days after the incident took place.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was found through the course of the investigation that the foster parent admitted to spanking a child in care.
2 749.3075(b) - Food service practices for children receiving treatment for PMN or ID-toddler or older child must eat or be fed in the dining area
A PMN toddler child was observed being fed in the bedroom.
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
According to placement contract, initial service plan and reviewed service plan, a child placed at the foster home requires 1 on 1 supervision at all times. However, foster parent stopped proving the child with the 1 on 1 supervision without notifying or receiving approval from her CPA that signed the placement agreement with a State Agency.
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
During an inspection conducted on 2/27/2025. It was determined that an agency home did not have two quarterly unannounced visits for year 2024.
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
Caregivers were not implementing the service plan supervision requirements when they stated they were home, but did not see, when a child received a carpet burn on his chest from being dragged across the carpet by another child in care.
4 749.2449(b) - Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
One of two reviewed home screenings did not contain an interview with all household members present.
3 749.2449(A)(8) - Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
In the home study only one community reference was documented.
1 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Three children's ISP was not signed by all members of the CMPS.
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
During an investigation monitoring visit to the home, a child not placed at the home was discovered living in the home 6 days a week which resulted to the foster home going above it approved total capacity
4 749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
The single fire extinguisher present in the home has no indication of being serviced within the last annual year.
1 749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
5 of 5 service plan reviews did not include the child's signature.
4 749.2449(b) - Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
One of two reviewed home screenings did not contain an interview with all household members present.
4 749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
During an inspection at a foster home, medication logs for one child were incorrectly documented and others were blank.
1 749.1309(b)(1)(N) - Initial Service Plan-Must include signatures of service planning team members
Three children's ISP was not signed by all members of the CMPS.
4 749.2447(14) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
The home screening did not initially include one of the adult caregivers information; the request for any addendums only addressed the caregiver becoming a household member; there was no mention of the mandatory perspectives on specific topics such as supporting religious differences, being mindful of biological family, personal childhood experiences.
4 749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Two of two children interviewed confirmed they felt the foster parents treat their biological child better than the foster children placed in the home are treated.
2 749.3075(b) - Food service practices for children receiving treatment for PMN or ID-toddler or older child must eat or be fed in the dining area
A PMN toddler child was observed being fed in the bedroom.

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

Inspections (144)

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

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