Texas › Mckinney › Direction61:3

Direction61:3

Child care center · 3286 COUNTY ROAD 168, Mckinney, TX 75071-7010 · License 1731439- 15071

0Compliance score
Poor

Violation history (368)

Severity	Date	Standard / narrative	Corrected
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One home file reviewed did not have two unannounced quarterlies conducted.	—
5	—	745.621(a)(4) - AP Initial background checks submitted - At the time a person applies to be a foster or adoptive parent A foster parent has background check completed with an incorrect role status of the staff.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization The injury sustained by the child in care was not reported to Licensing within the required 24 hours.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI information for quarter 4.	—
3	—	749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication There were no medication records for the month of November when the Investigator reviewed the logs for any of the children. Also, the daily administration time was not documented on the medications reviewed.	—
3	—	749.2903(b) - Fire Inspection-Inspection or fire safety evaluation must be documented for each FFH not serving PMN children One of three home files reviewed did not include the phone number of the person who conducted the fire inspection.	—
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 A child living in a foster home did not have a required background check completed timely. The background check was also not completed under the correct role.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. There was not an interview with a family member that lived outside of the home documented.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of three home studies reviewed contained statements that were identical word-for-word. In one of two child files reviewed the admission assessment was signed and dated for a future date. One of three home studies reviewed documented the wrong address for the foster parent.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 One of two employee files reviewed did not have a signed and notarized affidavit. This was filled out and provided during the inspection.	Yes
3	—	749.509(a) - Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline There were two serious incidents that were not reported to the hotline.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Foster children were forced to sleep in the living room for five days, because another child in the home continued smoking marijuana. The caregiver was aware of the situation and failed to provide a safe environment.	—
3	—	749.663(a)(3)(A) - Child placement staff responsibilities-Developing and updating service plans of a foster child Four of four service plans reviewed were not updated and missing vital information.	—
3	—	749.592(a)(1) - Unauthorized Absence - The debriefing should include the circumstances that led to the unauthorized absence There was no documentation provided that indicated that a debriefing was held with the child to determine the reason for the unauthorized absence.	—
2	—	749.1373(b)(2) - Discharge Documentation-Release copies of child's background information, progress notes for past 60 days The discharge charge summary does not document that the child's background information.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. Operation did not submit EBI information for quarter 3.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name A child's medication log was missing the prescribing doctor's name.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years The home screening did not document the request from law enforcement by the agency. In addition, the agency did not discuss with the foster parents any service calls to the home.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years Two of two home screenings reviewed did not document if service call information was requested from law enforcement for the past two years.	—
2	—	749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use The floor plan did not have dimensions or indicate which rooms are for child use.	—
3	—	749.1291(g) - Contact between child placement staff and child-significant and documented in child's record One foster youth file contact did not document meeting in private.	—
3	—	749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 One foster home screening reviewed was missing required information.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. The two foster parents' annual Psychotropic Medication Trainings were 97 and 6 days late.	—
3	—	749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 The home screening did not address and document all the required information per minimum requirements. The following standards were not documented and assessed in the home screening: income verification of the foster parents, foster parents' previous relationships, asking foster parents of LE calls to the home, and no information on the previous CPA.	—
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 One home screening did not summarize each interview individually with the adult children of the foster parent. Two home screenings did not include the date or method of contact for community member interviews.	—
4	—	749.1309(b)(1)(D)(ii) - Initial Service Plan-Caregiver instructions must include specific information about child's level of supervision Four of four service plans reviewed did not include each child's level of supervision.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The operation last validated the background checks for their people list five months ago.	—
3	—	749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation was not following their search policies.	—
4	—	749.1111(c)(1) - Child's Orientation-Must include information on how to make complaints to outside agencies One child record reviewed did not document the child's ability to make any outcries outside the agency.	—
5	—	749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety A caregiver left four foster children with high-risk behaviors alone in the home without an adult present.	—
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 One of two home screenings reviewed did not contain a joint family interview with all household members.	—
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 One foster home file did not include the date the interviews were conducted.	—
3	—	749.2447(10) - Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages One of three home studies reviewed did not address the quality of the relationship the foster parent had with her husband, and three children.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI data for the second quarter of 2025.	—
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 One of three home studies reviewed did not include a summary of the foster parents interview or who was present during the interview.	—
3	—	749.2449(a)(6) - Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home One of three home studies reviewed did not include interviews with the foster parent's children.	—
2	—	749.2447(5)(A) - Foster Home Screening-Agency must document the length of time spent at each residence for the past 10 years One foster home screening did not include 10 years of residential history.	—
3	—	749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request After reviewing several documents that the agency indicated has all the information regarding an annual summary log, not all of the information required was found on these documents.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years Two home screenings reviewed did not include documentation that the service call information from law enforcement was gathered by the agency.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months The home screening does not indicate how many pay checks or how many bank statements were used 749.2447(6)(B)(ii), nor does it indicate the foster parents' employment status.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event One child in care record did not have mediation record, medical and dental examination records where not in the file during inspection but the documentation was obtained later during the inspection.	—
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 The home screening did not have a summary of the group interview.	—
3	—	749.2902(b) - Health Safety Measures-Each health inspection or evaluation must be documented, including name and phone number of person who conducted it Three of three home files reviewed did not include the phone number of the person who completed the Health Inspection. Two of the three Health Inspections did not include the title of the person who inspected the home.	—
3	—	749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening The agency did not conduct an entirely new home screening for a family that transferred from another child placing agency. Many sections were identical to the previous agency's home screening	—
4	—	749.2931(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers A foster child was able to continue smoking marijuana for at least five days in the foster home.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline A foster parent did not report directly to the Texas Abuse and Neglect Hotline after an unauthorized absence of 2 children in care.	—
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 One foster home file did not include the date the interviews were conducted.	—
4	—	749.1309(b)(1)(D)(ii) - Initial Service Plan-Caregiver instructions must include specific information about child's level of supervision Four of four service plans reviewed did not include each child's level of supervision.	—
3	—	749.663(a)(3)(A) - Child placement staff responsibilities-Developing and updating service plans of a foster child Four of four service plans reviewed were not updated and missing vital information.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years Two home screenings reviewed did not include documentation that the service call information from law enforcement was gathered by the agency.	—
4	—	749.2931(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers A foster child was able to continue smoking marijuana for at least five days in the foster home.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. There was not an interview with a family member that lived outside of the home documented.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization The injury sustained by the child in care was not reported to Licensing within the required 24 hours.	—
3	—	749.2447(10) - Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages One of three home studies reviewed did not address the quality of the relationship the foster parent had with her husband, and three children.	—
2	—	749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use The floor plan did not have dimensions or indicate which rooms are for child use.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years The home screening did not document the request from law enforcement by the agency. In addition, the agency did not discuss with the foster parents any service calls to the home.	—
3	—	749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation was not following their search policies.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name A child's medication log was missing the prescribing doctor's name.	—
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 The home screening did not have a summary of the group interview.	—
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 One of three home studies reviewed did not include a summary of the foster parents interview or who was present during the interview.	—
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 One of two home screenings reviewed did not contain a joint family interview with all household members.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI information for quarter 4.	—
2	—	749.1373(b)(2) - Discharge Documentation-Release copies of child's background information, progress notes for past 60 days The discharge charge summary does not document that the child's background information.	—
3	—	749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication There were no medication records for the month of November when the Investigator reviewed the logs for any of the children. Also, the daily administration time was not documented on the medications reviewed.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The operation last validated the background checks for their people list five months ago.	—
4	—	749.1111(c)(1) - Child's Orientation-Must include information on how to make complaints to outside agencies One child record reviewed did not document the child's ability to make any outcries outside the agency.	—
3	—	749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 One foster home screening reviewed was missing required information.	—
3	—	749.2449(a)(6) - Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home One of three home studies reviewed did not include interviews with the foster parent's children.	—
3	—	749.592(a)(1) - Unauthorized Absence - The debriefing should include the circumstances that led to the unauthorized absence There was no documentation provided that indicated that a debriefing was held with the child to determine the reason for the unauthorized absence.	—
3	—	749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request After reviewing several documents that the agency indicated has all the information regarding an annual summary log, not all of the information required was found on these documents.	—
3	—	749.933(a)(2) - Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care. The two foster parents' annual Psychotropic Medication Trainings were 97 and 6 days late.	—
3	—	749.1291(g) - Contact between child placement staff and child-significant and documented in child's record One foster youth file contact did not document meeting in private.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 One of two employee files reviewed did not have a signed and notarized affidavit. This was filled out and provided during the inspection.	Yes
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Two of three home studies reviewed contained statements that were identical word-for-word. In one of two child files reviewed the admission assessment was signed and dated for a future date. One of three home studies reviewed documented the wrong address for the foster parent.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Foster children were forced to sleep in the living room for five days, because another child in the home continued smoking marijuana. The caregiver was aware of the situation and failed to provide a safe environment.	—
3	—	749.2447(6)(B)(i) - Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months The home screening does not indicate how many pay checks or how many bank statements were used 749.2447(6)(B)(ii), nor does it indicate the foster parents' employment status.	—
5	—	749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years Two of two home screenings reviewed did not document if service call information was requested from law enforcement for the past two years.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI data for the second quarter of 2025.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline A foster parent did not report directly to the Texas Abuse and Neglect Hotline after an unauthorized absence of 2 children in care.	—
3	—	749.509(a) - Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline There were two serious incidents that were not reported to the hotline.	—
5	—	749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety A caregiver left four foster children with high-risk behaviors alone in the home without an adult present.	—
3	—	749.2903(b) - Fire Inspection-Inspection or fire safety evaluation must be documented for each FFH not serving PMN children One of three home files reviewed did not include the phone number of the person who conducted the fire inspection.	—
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 One home screening did not summarize each interview individually with the adult children of the foster parent. Two home screenings did not include the date or method of contact for community member interviews.	—
2	—	749.2447(5)(A) - Foster Home Screening-Agency must document the length of time spent at each residence for the past 10 years One foster home screening did not include 10 years of residential history.	—
3	—	749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening The agency did not conduct an entirely new home screening for a family that transferred from another child placing agency. Many sections were identical to the previous agency's home screening	—
5	—	745.621(a)(4) - AP Initial background checks submitted - At the time a person applies to be a foster or adoptive parent A foster parent has background check completed with an incorrect role status of the staff.	—
3	—	749.2902(b) - Health Safety Measures-Each health inspection or evaluation must be documented, including name and phone number of person who conducted it Three of three home files reviewed did not include the phone number of the person who completed the Health Inspection. Two of the three Health Inspections did not include the title of the person who inspected the home.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event One child in care record did not have mediation record, medical and dental examination records where not in the file during inspection but the documentation was obtained later during the inspection.	—
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 A child living in a foster home did not have a required background check completed timely. The background check was also not completed under the correct role.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. Operation did not submit EBI information for quarter 3.	—
3	—	749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 The home screening did not address and document all the required information per minimum requirements. The following standards were not documented and assessed in the home screening: income verification of the foster parents, foster parents' previous relationships, asking foster parents of LE calls to the home, and no information on the previous CPA.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One home file reviewed did not have two unannounced quarterlies conducted.	—
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 A child living in a foster home did not have a required background check completed timely. The background check was also not completed under the correct role.	—
3	—	749.2903(b) - Fire Inspection-Inspection or fire safety evaluation must be documented for each FFH not serving PMN children One of three home files reviewed did not include the phone number of the person who conducted the fire inspection.	—
3	—	749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening The agency did not conduct an entirely new home screening for a family that transferred from another child placing agency. Many sections were identical to the previous agency's home screening	—
4	—	749.1111(c)(1) - Child's Orientation-Must include information on how to make complaints to outside agencies One child record reviewed did not document the child's ability to make any outcries outside the agency.	—
2	—	749.2447(5)(A) - Foster Home Screening-Agency must document the length of time spent at each residence for the past 10 years One foster home screening did not include 10 years of residential history.	—
3	—	749.509(a) - Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline There were two serious incidents that were not reported to the hotline.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI data for the second quarter of 2025.	—
3	—	749.2383(b) - Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter. The agency did not submit EBI information for quarter 4.	—

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

Inspections (152)

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

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