| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Children in care reported that a child in care was spanked by a person that frequently visits the home. The person that frequently visits the home states that she threatens to spank the children in care. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
Pictures taken during the inspection part of the investigation, show the home to be dirty and in need of cleaning. Along with the testimonies from the children's CVS worker, the LPS worker and the Casa worker who support this statement. |
— |
| 3 | — |
749.509(a) - Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
The foster parents failed to report a communicable disease to licensing within 24 hours. |
— |
| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
It was determined a 2y/o child in care was bitten by the caregiver in an effort to teach the child not to bite. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/14/2025 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 02/28/2025. Specifically, the operation was cited for 749.2453(a)(2) During the investigation, it was determined that an addendum to the home screening was not completed when a member of the family moved in. - 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. |
— |
| 4 | — |
749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
The operations' Child Placement Management staff failed to implement a safety plan immediately to provide a safe environment for the child. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for the child's record review did not have documentation of the initial service plan being completed within the 45 day time frame. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/07/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 03/05/2024. Specifically, the operation was cited for 749.2447(7)(A) It was found that a staff person treated a child in care unfairly by giving unnecessary discipline and/or excessive consequences to this child. - 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. |
— |
| 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
An investigation review showed that a caregiver failed to maintain children's supervision plan which resulted in sexualized behavior. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Licensing was not made aware of a child's fractured finger within the allotted 24-hour timeframe. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 5, 2023, 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. |
— |
| 5 | — |
749.3147 - Hot Tub-When not in use, a hot tub must be enclosed per the requirements of 749.3133 or must be covered with a locking cover
During a heightened monitoring inspection completed on 10/24/25, it was noted that a hot tub did not have a locking cover. The hot tub had cover that was not locking and sagged in the middle due to standing water. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Six out of Six children interviewed reported being yelled at by the caregiver when they get in trouble. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During an investigation inspection, over the counter medication, diabetic supplies, and prescribed medication was observed stored accessible to children in the foster parent nightstand. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster parent failed to exercise prudent judgment when they permitted a secondary foster caregiver to drive under the suspected influence of drugs, then left the same child for 30 minutes unattended with secondary foster caregiver after caregiver's admission of drug use. Further the foster parent allowed child's continued access to the secondary caregiver to pick up the child from school. |
— |
| 4 | — |
749.2905(a) - Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
In one of the home records reviewed the health inspection was conducted 4/5/24. The previous health inspection was conducted 3/21/23. The documentation shows it to have been conducted 14 days past due. |
Yes |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 8/26/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; |
— |
| 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 an investigation, a foster home did not report a serious incident within required time frames. |
— |
| 4 | — |
749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
The foster children and a caseworker have `witnessed Ms. Thompson smoking inside the house. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The foster care documentation for medication ended on August 9th, 2021. Ms. Russell would like to make her own logs for documentation. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a sampling inspection completed on 03/03/26, lighter fluid, lighters, and insect killer were found stored accessible to children. Before leaving the home, foster parents stored the items appropriately to reduce potential risks to children. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/17/2026, 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. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/09/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 08/19/2024. Specifically, the operation was cited for 749.2593(a)(2). During the investigation, it was found that a caregiver failed to supervise children in care, resulting in inappropriate contact with a household member. - 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. |
— |
| 1 | — |
749.2470(9)(F) - Verification Certificate- Specifies the types of services the foster home will provide
During a sampling inspection, the verification certificate included treatment services for PMN however the home screening does not verify the home to provide the services. |
— |
| 3 | — |
749.1003(b)(3)(E) - Children's rights-Adhere to child's right to send and receive uncensored mail, have telephone conversations, visitors and keep a personal journal
Children in care were denied the right to call their CPS caseworker. |
— |
| 4 | — |
749.939(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
A review of four foster/adoptive parent training records for three homes showed there was online training completed but not instructor led. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
One of the boys' twin beds did not have a mattress protector. |
— |
| 5 | — |
749.2961(a)(1)(A) - Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
Weapons were reportedly in a locked closet, but mom did not have a key. Ammunition was in a large drawer in the hall way - without a lock |
— |
| 2 | — |
749.1331(1) - Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
One of two service plans reviewed for children was not completed timely. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/15/2025 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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 |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
In one of the records reviewed there was no documentation for the initial service plan. The plan was due 5/7/23.. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a sampling inspection lighter fluid was observed stored within reach of children in the home. |
— |
| 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 has used corporal punishment on a child in care. The siblings have also been threatened with a belt, but they have not been spanked. |
— |
| 5 | — |
749.2961(a)(1)(A) - Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
A gun was found in the master closet/bathroom by the biological child. The gun has been secured in a locked box- separate from the ammunition by the time I arrived. |
— |
| 4 | — |
749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
Foster caregivers took a child in care to a party where drugs were present, one foster parent ingested cocaine, and then transported the child in a vehicle under the influence. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Arrayah's queen size bed did not have a mattress protector. |
— |
| 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 got into a physical altercation with an adopted adult who resides in the home. |
— |
| 3 | — |
749.1131 - You must complete a non-emergency admission assessment prior to admission
Two of two children's admission assessments for non-emergency admission were not completed prior to admission. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 2/28/2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 weighted licensing citations. |
— |
| 3 | — |
749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission
In one of the child's records reviewed there was no documentation completed for the admissions assessment. The child was admitted to the placement 3/12/24 as an emergency placement. The assessment was due to be completed by 4/21/24. |
— |
| 3 | — |
749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
A home screening did not address the other household members attitude, involvement, acceptance of the plan of providing foster care. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During a sampling inspection, several over the counter medications were not stored locked. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
There was mold in the shower. The caregiver also failed to clean blood in the vehicle from OV menstrual cycle days after the incident. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The foster parent allowed a relative to be present at their home without notifying the CPA. |
— |
| 4 | — |
749.2905(a) - Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
In one of the home records reviewed the health inspection was conducted 4/5/24. The previous health inspection was conducted 3/21/23. The documentation shows it to have been conducted 14 days past due. |
Yes |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster parent failed to exercise prudent judgment when they permitted a secondary foster caregiver to drive under the suspected influence of drugs, then left the same child for 30 minutes unattended with secondary foster caregiver after caregiver's admission of drug use. Further the foster parent allowed child's continued access to the secondary caregiver to pick up the child from school. |
— |
| 3 | — |
749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
A home screening did not address the other household members attitude, involvement, acceptance of the plan of providing foster care. |
— |
| 3 | — |
749.1003(b)(3)(E) - Children's rights-Adhere to child's right to send and receive uncensored mail, have telephone conversations, visitors and keep a personal journal
Children in care were denied the right to call their CPS caseworker. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The foster parent allowed a relative to be present at their home without notifying the CPA. |
— |
| 1 | — |
749.2470(9)(F) - Verification Certificate- Specifies the types of services the foster home will provide
During a sampling inspection, the verification certificate included treatment services for PMN however the home screening does not verify the home to provide the services. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/15/2025 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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 |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 8/26/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; |
— |
| 3 | — |
749.1187(a) - Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission
In one of the child's records reviewed there was no documentation completed for the admissions assessment. The child was admitted to the placement 3/12/24 as an emergency placement. The assessment was due to be completed by 4/21/24. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During an investigation inspection, over the counter medication, diabetic supplies, and prescribed medication was observed stored accessible to children in the foster parent nightstand. |
— |
| 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
An investigation review showed that a caregiver failed to maintain children's supervision plan which resulted in sexualized behavior. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for the child's record review did not have documentation of the initial service plan being completed within the 45 day time frame. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a sampling inspection lighter fluid was observed stored within reach of children in the home. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/07/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 03/05/2024. Specifically, the operation was cited for 749.2447(7)(A) It was found that a staff person treated a child in care unfairly by giving unnecessary discipline and/or excessive consequences to this child. - 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. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Six out of Six children interviewed reported being yelled at by the caregiver when they get in trouble. |
— |
| 5 | — |
749.3147 - Hot Tub-When not in use, a hot tub must be enclosed per the requirements of 749.3133 or must be covered with a locking cover
During a heightened monitoring inspection completed on 10/24/25, it was noted that a hot tub did not have a locking cover. The hot tub had cover that was not locking and sagged in the middle due to standing water. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
One of the boys' twin beds did not have a mattress protector. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During a sampling inspection, several over the counter medications were not stored locked. |
— |
| 4 | — |
749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
The foster children and a caseworker have `witnessed Ms. Thompson smoking inside the house. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Children in care reported that a child in care was spanked by a person that frequently visits the home. The person that frequently visits the home states that she threatens to spank the children in care. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The foster care documentation for medication ended on August 9th, 2021. Ms. Russell would like to make her own logs for documentation. |
— |
| 3 | — |
749.1131 - You must complete a non-emergency admission assessment prior to admission
Two of two children's admission assessments for non-emergency admission were not completed prior to admission. |
— |
| 4 | — |
749.663(a)(5) - Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
The operations' Child Placement Management staff failed to implement a safety plan immediately to provide a safe environment for the child. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Arrayah's queen size bed did not have a mattress protector. |
— |
| 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 got into a physical altercation with an adopted adult who resides in the home. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a sampling inspection completed on 03/03/26, lighter fluid, lighters, and insect killer were found stored accessible to children. Before leaving the home, foster parents stored the items appropriately to reduce potential risks to children. |
— |
| 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 an investigation, a foster home did not report a serious incident within required time frames. |
— |
| 5 | — |
749.2961(a)(1)(A) - Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
A gun was found in the master closet/bathroom by the biological child. The gun has been secured in a locked box- separate from the ammunition by the time I arrived. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
Pictures taken during the inspection part of the investigation, show the home to be dirty and in need of cleaning. Along with the testimonies from the children's CVS worker, the LPS worker and the Casa worker who support this statement. |
— |
| 5 | — |
749.2961(a)(1)(A) - Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
Weapons were reportedly in a locked closet, but mom did not have a key. Ammunition was in a large drawer in the hall way - without a lock |
— |
| 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 has used corporal punishment on a child in care. The siblings have also been threatened with a belt, but they have not been spanked. |
— |
| 4 | — |
749.939(d) - Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
A review of four foster/adoptive parent training records for three homes showed there was online training completed but not instructor led. |
— |
| 4 | — |
749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
Foster caregivers took a child in care to a party where drugs were present, one foster parent ingested cocaine, and then transported the child in a vehicle under the influence. |
— |
| 2 | — |
749.1331(1) - Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
One of two service plans reviewed for children was not completed timely. |
— |
| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
It was determined a 2y/o child in care was bitten by the caregiver in an effort to teach the child not to bite. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 2/28/2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 weighted licensing citations. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
In one of the records reviewed there was no documentation for the initial service plan. The plan was due 5/7/23.. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/17/2026, 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. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
There was mold in the shower. The caregiver also failed to clean blood in the vehicle from OV menstrual cycle days after the incident. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/09/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 08/19/2024. Specifically, the operation was cited for 749.2593(a)(2). During the investigation, it was found that a caregiver failed to supervise children in care, resulting in inappropriate contact with a household member. - 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. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 5, 2023, 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. |
— |
| 3 | — |
749.509(a) - Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
The foster parents failed to report a communicable disease to licensing within 24 hours. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Licensing was not made aware of a child's fractured finger within the allotted 24-hour timeframe. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 03/14/2025 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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: Your operation received a high-weighted citation in a pattern/trend category on 02/28/2025. Specifically, the operation was cited for 749.2453(a)(2) During the investigation, it was determined that an addendum to the home screening was not completed when a member of the family moved in. - 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. |
— |
| 3 | — |
749.1131 - You must complete a non-emergency admission assessment prior to admission
Two of two children's admission assessments for non-emergency admission were not completed prior to admission. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During a sampling inspection, several over the counter medications were not stored locked. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
One of the boys' twin beds did not have a mattress protector. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 2/28/2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 weighted licensing citations. |
— |
| 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 an investigation, a foster home did not report a serious incident within required time frames. |
— |
| 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 got into a physical altercation with an adopted adult who resides in the home. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Children in care reported that a child in care was spanked by a person that frequently visits the home. The person that frequently visits the home states that she threatens to spank the children in care. |
— |
| 5 | — |
749.3147 - Hot Tub-When not in use, a hot tub must be enclosed per the requirements of 749.3133 or must be covered with a locking cover
During a heightened monitoring inspection completed on 10/24/25, it was noted that a hot tub did not have a locking cover. The hot tub had cover that was not locking and sagged in the middle due to standing water. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 5, 2023, 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. |
— |
| 2 | — |
749.1331(1) - Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
One of two service plans reviewed for children was not completed timely. |
— |
| 5 | — |
749.2961(a)(1)(A) - Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
A gun was found in the master closet/bathroom by the biological child. The gun has been secured in a locked box- separate from the ammunition by the time I arrived. |
— |
| 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
An investigation review showed that a caregiver failed to maintain children's supervision plan which resulted in sexualized behavior. |
— |
280 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.