Texas › Red Oak › Essential Foundation Inc

Essential Foundation Inc

Child care center · 105 E RED OAK RD, Red Oak, TX 75154-4748 · License 1770736- 15911

0Compliance score
Poor

Violation history (352)

Severity	Date	Standard / narrative	Corrected
4	—	749.2655(2) - Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery A caregiver admitted to being married for 1 month. The home screening from May 2024 and the home's verification were not updated.	—
3	—	749.1311(a)(3) - Initial Service Planning Team-If child receiving treatment services include at least two professionals A child in care receiving services for emotional disorder did not have two professional signatures on the initial service plans.	—
5	—	749.1309(b)(1)(H)(ii) - Initial Service Plan-For children who exhibit high risk behavior, must include safety contract to maintain child's safety A child with a history of self-harm and suicidal ideations was not provided a safety contact at placement or with the initial service plan.	Yes
3	—	749.1541(d) - Medication Record-Must document any non-prescription medication or supplement given and how often the child receives it 1 of 2 case files did not record that a sleep aid supplement was provided to a child in care.	Yes
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. The home screening did not include a reference from a family member living outside the home.	—
5	—	745.4151(c)(8)(A) - Documentation-Applicants and employees must be provided a copy of drug testing policy and sign a consent to these terms of employment The CPA did not have a pre-screening drug test for an employee with the date of hire 1/3/2024. The deficiency was corrected at inspection the facility provided a copy of the prescreening drug test dated 1/8/2024.	Yes
1	—	749.2470(9)(F) - Verification Certificate- Specifies the types of services the foster home will provide One of the two home files reviewed listed Pervasive Development Disability as a treatment service provided but the operation's permit does not include PDD as a treatment service provided by the agency.	—
1	—	749.2470(9)(A) - Verification Certificate- Specifies the name of the foster home One of the two home files reviewed had a permit that did not match the verification in CLASS. The permit in the file stated ages 0-13 and CLASS verification has 0-17	—
4	—	749.2447(22)(A) - Foster Home Screening-Agency documents prospective foster parent's ability to work with specific kinds of behaviors, backgrounds, special needs 1 of 2 home screenings reviewed did not document an evaluation of how the determination was made to place children with the family.	—
2	—	749.2470(3)(B) - Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc Both home files reviewed did not have pictures of the outside of the home. One file did not have any outside pictures and the other file only had pictures of the front yard.	—
4	—	749.137(d)(4)(B)(i) - Suicide Screening- Must be conducted at admission for children under 10 yrs if info. given at admission shows a history of suicide attempts/thoughts. The child file reviewed indicates that the child has high risk behaviors including suicidal ideation and self-harm.	—
3	—	749.511(10) - Serious Incident Documentation-Includes resolution of the incident The serious incident report did not have the resolution listed on the file	—
4	—	749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance During HHSC review, it was noted that caregiver vehicle was Infinity QX60 during the time of the incident with the pictures in one case, Per Manufacture instruction, the vehicle can only seat 7 individuals. During the time of the incident according to the police report there were eight individuals in the home.	—
1	—	749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided Initial service plans are not signed or noted of why not signed by child	—
5	—	745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901 The agency did not have all board members listed as controlling person.	—
2	—	749.1309(b)(1)(A)(v) - Initial Service Plan-Must include educational needs and plans for follow-up 1 child's service plan did not document an education plan.	Yes
4	—	749.2908(a)(2) - Disaster and Emergency-must conduct a fire drill each year, so children are able to exit home within 3 minutes The foster home file reviewed did not have a fire drill completed. There were tornado drills completed but no fire drill.	—
4	—	749.1403 - Frequency of medical care-A health-care professional determines the need and frequency for ongoing maintenance of medical care and treatment 2 of 9 child files reviewed did not support that the CANS assessment requirement for MH Case Management, Skills Training, and Drug and Alcohol assessments were obtained.	Yes
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Several agency staff provided inaccurate information during the course of the investigation.	—
3	—	749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication A medication to decrease depression and anxiety is being given to a child in care. For certain days it is unknown who provided the medication.	Yes
3	—	749.1309(a) - Initial Service Plan-Base initial service plan on needs identified in admission assessment and integrate trauma informed care A medical assessment recommended specific mental health, substance use, and psychiatric evaluations. The specific plan was not documented.	Yes
5	—	749.2447(7)(B)(ii) - Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years One of the two foster home screening reviewed did not document the law enforcement calls with the foster parent.	—
3	—	749.2447(6)(B) - Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets The home screen did not assess the assets that were mentioned.	—
3	—	749.1101(a) - Admission-Only admit children and young adults who meet admission policy and whose needs can be met by the agency/foster home The agency admitted a child and placed them in a foster home who's has a diagnosis and requires treatment services the agency is not permitted for.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event The employee file reviewed did not have the affidavit for application, report suspected abuse, or statement of operation policies in the file. The employee's date of hire is listed as January 18, 2023	—
3	—	749.1309(b)(1)(C) - Initial Service Plan-Must include recent info from current caregiver's evaluation of child's behavior and functioning One service plan did not document input from the caregiver's interactions with the child.	Yes
4	—	749.1541(c)(8) - Medication Record-Must include reasons for administering PRN psychotropic medication, or nonprescription medication for a child under 5 years old The benefit of giving medication to manage mood disorders and allergies was not documented in 1 child's file.	Yes
2	—	749.553(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position 2 of 2 case files reviewed did not contain information to support how the employees met the education and the work experience requirements.	—
3	—	749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding The reviewed supervisory visits did not include the stress levels in the home, nor the challenging behaviors or methods for responding to them.	—
4	—	749.1309(b)(1)(H) - Initial Service Plan-For children who exhibit high risk behavior, must include specific information A child's placement documentation indicates destruction of property is a high-risk factor. Mitigating that risk was not addressed on the service plan.	Yes
3	—	749.2447(6)(B)(iii) - Foster Home Screening-Document and assess for prospective foster parents a monthly itemized household expense report The foster home budget did not address the child support income and the itemized expense provided by the foster parent did not match the home study income/bills listed.	—
3	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) One of the home files reviewed did not have the mental health history for the biological son.	—
3	—	749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family One of the two homes reviewed did not have the documents from 4 of the 5 previous agencies.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years A house hold member did not have background check on file.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A foster parent's paramour was frequently present at the operational home without a background check.	Yes
3	—	749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended The home screen does not address the previous or current relationships of the caregiver.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A foster home was verified prior to receiving notification from CBCU that a foster parent's status was eligible. Children are in placement. 1 caregiver's status is provisional.	—
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.	Yes
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed 3 child files from November through January did not document why psychotropic medications were stopped or skipped.	Yes
2	—	749.1331(2) - Service Plan Review and Update-Review and update plan for children receiving treatment services for ED, ASD or PMN 90 days from date of last plan A child recieving treatment services for Emotional disorders did not have a 90 day service review.	—
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 frequent visitor to the home did not have a background check on file at the time of the inspection.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation 1 case record lists a person as an employee. The background check is run as a volunteer.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current 2 out of 11 medication logs reviewed included information that was not accurately presented. This included errors in regard to documentation of the medication given	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver's paramour brandished a gun while the caregiver and children in care were in the vehicle. The foster parent did not ensure that the paramour was safe to be around children prior to allowing access.	—
3	—	749.579(1) - Active child record-Ensure record is kept accurate and current 2 out of 11 medication logs reviewed included information that was not accurately presented. This included errors in regard to documentation of the medication given	—
1	—	749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided Initial service plans are not signed or noted of why not signed by child	—
3	—	749.1541(d) - Medication Record-Must document any non-prescription medication or supplement given and how often the child receives it 1 of 2 case files did not record that a sleep aid supplement was provided to a child in care.	Yes
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed 3 child files from November through January did not document why psychotropic medications were stopped or skipped.	Yes
5	—	749.1309(b)(1)(H)(ii) - Initial Service Plan-For children who exhibit high risk behavior, must include safety contract to maintain child's safety A child with a history of self-harm and suicidal ideations was not provided a safety contact at placement or with the initial service plan.	Yes
3	—	749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding The reviewed supervisory visits did not include the stress levels in the home, nor the challenging behaviors or methods for responding to them.	—
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 frequent visitor to the home did not have a background check on file at the time of the inspection.	—
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.	Yes
1	—	749.2470(9)(F) - Verification Certificate- Specifies the types of services the foster home will provide One of the two home files reviewed listed Pervasive Development Disability as a treatment service provided but the operation's permit does not include PDD as a treatment service provided by the agency.	—
3	—	749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. The home screening did not include a reference from a family member living outside the home.	—
4	—	749.1309(b)(1)(H) - Initial Service Plan-For children who exhibit high risk behavior, must include specific information A child's placement documentation indicates destruction of property is a high-risk factor. Mitigating that risk was not addressed on the service plan.	Yes
3	—	749.511(10) - Serious Incident Documentation-Includes resolution of the incident The serious incident report did not have the resolution listed on the file	—
3	—	749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended The home screen does not address the previous or current relationships of the caregiver.	—
3	—	749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication A medication to decrease depression and anxiety is being given to a child in care. For certain days it is unknown who provided the medication.	Yes
3	—	749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse) One of the home files reviewed did not have the mental health history for the biological son.	—
4	—	749.1403 - Frequency of medical care-A health-care professional determines the need and frequency for ongoing maintenance of medical care and treatment 2 of 9 child files reviewed did not support that the CANS assessment requirement for MH Case Management, Skills Training, and Drug and Alcohol assessments were obtained.	Yes
5	—	749.2447(7)(B)(ii) - Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years One of the two foster home screening reviewed did not document the law enforcement calls with the foster parent.	—
3	—	749.1101(a) - Admission-Only admit children and young adults who meet admission policy and whose needs can be met by the agency/foster home The agency admitted a child and placed them in a foster home who's has a diagnosis and requires treatment services the agency is not permitted for.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A foster parent's paramour was frequently present at the operational home without a background check.	Yes
2	—	749.2470(3)(B) - Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc Both home files reviewed did not have pictures of the outside of the home. One file did not have any outside pictures and the other file only had pictures of the front yard.	—
4	—	749.137(d)(4)(B)(i) - Suicide Screening- Must be conducted at admission for children under 10 yrs if info. given at admission shows a history of suicide attempts/thoughts. The child file reviewed indicates that the child has high risk behaviors including suicidal ideation and self-harm.	—
3	—	749.2447(6)(B)(iii) - Foster Home Screening-Document and assess for prospective foster parents a monthly itemized household expense report The foster home budget did not address the child support income and the itemized expense provided by the foster parent did not match the home study income/bills listed.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver's paramour brandished a gun while the caregiver and children in care were in the vehicle. The foster parent did not ensure that the paramour was safe to be around children prior to allowing access.	—
1	—	749.2470(9)(A) - Verification Certificate- Specifies the name of the foster home One of the two home files reviewed had a permit that did not match the verification in CLASS. The permit in the file stated ages 0-13 and CLASS verification has 0-17	—
2	—	749.553(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position 2 of 2 case files reviewed did not contain information to support how the employees met the education and the work experience requirements.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event The employee file reviewed did not have the affidavit for application, report suspected abuse, or statement of operation policies in the file. The employee's date of hire is listed as January 18, 2023	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation 1 case record lists a person as an employee. The background check is run as a volunteer.	—
4	—	749.1541(c)(8) - Medication Record-Must include reasons for administering PRN psychotropic medication, or nonprescription medication for a child under 5 years old The benefit of giving medication to manage mood disorders and allergies was not documented in 1 child's file.	Yes
4	—	749.2908(a)(2) - Disaster and Emergency-must conduct a fire drill each year, so children are able to exit home within 3 minutes The foster home file reviewed did not have a fire drill completed. There were tornado drills completed but no fire drill.	—
2	—	749.1309(b)(1)(A)(v) - Initial Service Plan-Must include educational needs and plans for follow-up 1 child's service plan did not document an education plan.	Yes
3	—	749.1311(a)(3) - Initial Service Planning Team-If child receiving treatment services include at least two professionals A child in care receiving services for emotional disorder did not have two professional signatures on the initial service plans.	—
5	—	745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901 The agency did not have all board members listed as controlling person.	—
3	—	749.1309(a) - Initial Service Plan-Base initial service plan on needs identified in admission assessment and integrate trauma informed care A medical assessment recommended specific mental health, substance use, and psychiatric evaluations. The specific plan was not documented.	Yes
4	—	749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance During HHSC review, it was noted that caregiver vehicle was Infinity QX60 during the time of the incident with the pictures in one case, Per Manufacture instruction, the vehicle can only seat 7 individuals. During the time of the incident according to the police report there were eight individuals in the home.	—
2	—	749.1331(2) - Service Plan Review and Update-Review and update plan for children receiving treatment services for ED, ASD or PMN 90 days from date of last plan A child recieving treatment services for Emotional disorders did not have a 90 day service review.	—
3	—	749.2447(6)(B) - Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets The home screen did not assess the assets that were mentioned.	—
4	—	749.2447(22)(A) - Foster Home Screening-Agency documents prospective foster parent's ability to work with specific kinds of behaviors, backgrounds, special needs 1 of 2 home screenings reviewed did not document an evaluation of how the determination was made to place children with the family.	—
4	—	749.2655(2) - Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery A caregiver admitted to being married for 1 month. The home screening from May 2024 and the home's verification were not updated.	—
3	—	749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family One of the two homes reviewed did not have the documents from 4 of the 5 previous agencies.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years A house hold member did not have background check on file.	—
5	—	745.4151(c)(8)(A) - Documentation-Applicants and employees must be provided a copy of drug testing policy and sign a consent to these terms of employment The CPA did not have a pre-screening drug test for an employee with the date of hire 1/3/2024. The deficiency was corrected at inspection the facility provided a copy of the prescreening drug test dated 1/8/2024.	Yes
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Several agency staff provided inaccurate information during the course of the investigation.	—
3	—	749.1309(b)(1)(C) - Initial Service Plan-Must include recent info from current caregiver's evaluation of child's behavior and functioning One service plan did not document input from the caregiver's interactions with the child.	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A foster home was verified prior to receiving notification from CBCU that a foster parent's status was eligible. Children are in placement. 1 caregiver's status is provisional.	—
3	—	749.511(10) - Serious Incident Documentation-Includes resolution of the incident The serious incident report did not have the resolution listed on the file	—
4	—	749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance During HHSC review, it was noted that caregiver vehicle was Infinity QX60 during the time of the incident with the pictures in one case, Per Manufacture instruction, the vehicle can only seat 7 individuals. During the time of the incident according to the police report there were eight individuals in the home.	—
4	—	749.2655(2) - Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery A caregiver admitted to being married for 1 month. The home screening from May 2024 and the home's verification were not updated.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years A house hold member did not have background check on file.	—
1	—	749.1321(b)(2) - Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided Initial service plans are not signed or noted of why not signed by child	—
3	—	749.1311(a)(3) - Initial Service Planning Team-If child receiving treatment services include at least two professionals A child in care receiving services for emotional disorder did not have two professional signatures on the initial service plans.	—
5	—	745.8411(a) - Responsibilities - Not interfere with an inspection or investigation Several agency staff provided inaccurate information during the course of the investigation.	—
4	—	749.137(d)(4)(B)(i) - Suicide Screening- Must be conducted at admission for children under 10 yrs if info. given at admission shows a history of suicide attempts/thoughts. The child file reviewed indicates that the child has high risk behaviors including suicidal ideation and self-harm.	—
3	—	749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended The home screen does not address the previous or current relationships of the caregiver.	—
4	—	749.2908(a)(2) - Disaster and Emergency-must conduct a fire drill each year, so children are able to exit home within 3 minutes The foster home file reviewed did not have a fire drill completed. There were tornado drills completed but no fire drill.	—
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.	Yes
3	—	749.2447(6)(B)(iii) - Foster Home Screening-Document and assess for prospective foster parents a monthly itemized household expense report The foster home budget did not address the child support income and the itemized expense provided by the foster parent did not match the home study income/bills listed.	—

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

Inspections (120)

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

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