Texas › Duncanville › Paradigm of Excellence

Paradigm of Excellence

Child care center · 204 N MAIN ST STE 102, Duncanville, TX 75116-3600 · License 1775676- 15991

0Compliance score
Poor

Violation history (448)

Severity	Date	Standard / narrative	Corrected
2	—	749.153(a)(1)(A) - Notification - At least 30 days in advance - Change in legal structure of operation or governing body Information provided does not meet Minimum standards.	—
3	—	749.1309(b)(1)(F) - Initial Service Plan-If child is 14 years old or older, include plans for experiential life skills training The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.	—
3	—	749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 Employee affidavit was not notarized.	—
2	—	749.1189(1) - Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission The emergency admission assessment was not completed at the time of admission. It was completed two days later.	—
3	—	749.931(a)(2) - Annual Training-Child placement staff with one year of child-placing experience and all child placement management staff must complete 20hrs. One out of one employee files reviewed had their annual training certificates past due by a month.	—
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 out of one home files reviewed did not document the group interview conducted with all the household members.	—
3	—	749.137(c)(2)(B) - Suicide Training- Curriculum for suicide prevention training must include understanding safety planning. The operation suicide policies do not show that the training must understand the safety planning.	—
4	—	749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation. One out of one employee file reviewed did not have documentation for this training.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver admitted to yelling at a child in care.	—
4	—	749.2597(1) - Supervision-Caregivers counted in ratio who supervise children in a transitional living program must reside within close proximity of the children Standard used in polices is incorrect.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.	—
1	—	749.101(1) - Plans to submit - Operation plan Information provided does not meet Minimum standard requirements.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was observed on the desk in the master bedroom.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years It was discovered that a biological child living in the home turned 14 and a background check was not conducted.	—
3	—	749.1951(b)(1) - Disciplinary Measures-Must be consistent with agency policies & procedures Standard used in policies is incorrect.	—
4	—	749.635(3)(E)(ii) - CPA administrator responsibilities- Ensure the investigation of reports of minimum standards violations, upon our request Standard used in policies is incorrect.	—
5	—	749.3041(8) - Physical Environment-Foster home must ensure that house is free of rodents and insects There were ants observed inside the foster home.	—
1	—	749.101(1)(A) - Plans to submit - Operation plan - location and telephone #s for all offices, including branches Operation plan did not include location of operation and phone number for operation.	—
3	—	749.2595(b)(2) - Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.	—
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 chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.	—
4	—	749.931(b)(3) - Annual Training- Must include 1 hour of normalcy. One out of one employee file reviewed did not have documentation for this training.	—
4	—	749.2497(b) - Verification-transfer summary must be completed by 10th day after agency receives written request to transfer It was determined that the agency did not provide a transfer summary to another agency.	—
3	—	749.103(a) - Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules Policies in place are a reflection of minimum standards and do not include procedures in place.	—
5	—	749.105(6) - Personnel Policies - Ensure employees report serious incidents and suspected abuse/neglect and exploitation directly to DFPS Standard used in policies is incorrect.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was left on the nightstand in the caregiver's bedroom.	—
4	—	749.1003(b)(1)(A) - Children's rights-Safety & care including right to good care & treatment that meets child's needs A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.	—
3	—	749.2497(d)(4) - Verification-Transfer/closing summary must include # of children fostered, type of tmt. services provided and reason for discharge. The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.	—
3	—	749.107 - Conflict of interest policy required Information provided for conflict-of-interest polices is not accurate to 749.107.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Documents were not in staff files and had to be requested from agency staff.	—
2	—	749.153(b) - Notification - Report foster or adoptive placements not made by parents or CPA as soon as aware to Texas Abuse and Neglect Hotline Standard used in polices is incorrect.	—
3	—	749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home The agency failed to make self-reports of a youth being arrested or police responding to the foster home.	—
5	—	749.137(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide. The operation suicide policies do not show where a child will meet with an MH Professional	—
3	—	749.105(3)(C) - Personnel Policies - Develop professional staffing plan that describes how staff or service providers support clients through branch offices Professional Staffing Plan was not included as part of the personnel policies.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.	—
3	—	749.137(c)(1)(B)(ii) - Suicide Training- FP's verified to care for children five years of age or older must complete the training every two years. The operation suicide policies do not show that Foster Parents must complete the training every two years.	—
4	—	749.137(g)(2)(F) - You must conduct a review of lessons learned from the child?s suicide attempt. The operation suicide policies do not address the lessons learned from a suicide attempt	—
3	—	749.2447(1) - Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents Standard used in polices is incorrect.	—
3	—	749.103(b)(11) - Policies and procedures to submit - Additional policies for foster parents that provide treatment services Definition of Treatment Services is incorrect.	—
4	—	749.1563(a) - Medication Error-If prescription medication, contact health-care professional immediately & follow health-care professional's recommendations Medication errors were not recorded in one of two child files reviewed.	—
3	—	749.137(c)(1)(B)(i) - Suicide Training- FP's verified to care for children five years of age or older must complete the training within a year of verification. The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.	—
4	—	749.2815(c)(1) - Supervisory Visits-Document and evaluate any changes to household members, frequent visitors, or persons providing support as caregivers Supervisory visit from does not include names of all present during the visit.	—
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. A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.	—
4	—	749.1463(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions Medication for a child in care was observed not to be stored in the original containers, but rather in a divided pill box.	—
3	—	749.105(7) - Personnel Policies- Ensure that persons working with children or with access to child info are informed in writing of confidentiality requirements Standard used in policies is incorrect.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Supervisory visits were not filed within 30 days.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that the signature on the preliminary service plan was not signed by the caregiver.	—
3	—	749.137(c)(2)(C) - Suicide Training- Curriculum for suicide prevention training must include understanding suicide screening. The operation suicide policies must be understood by those taking the training.	—
4	—	749.135 - Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children Operation did not provide Abuse and Neglect policies.	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position A caregiver stated that they discipline children by making them squat for two minutes.	—
2	—	749.531(1) - Records protection policies - how paper and electronic records will be protected from destruction and loss Operation did not provide plan/policies and procedure how the operation will protect operation records.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans A child is not being supervised as stated in the child's service plan.	—
4	—	749.137(e)(2)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is a potential risk for suicide. The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal	—
2	—	749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.	—
3	—	749.155(1) - Operational Responsibilities- Maintain liability insurance coverage in the amount of $300,000 for each occurrence of negligence. The operation does not have liability insurance.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was left on the nightstand in the caregiver's bedroom.	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position A caregiver stated that they discipline children by making them squat for two minutes.	—
4	—	749.635(3)(E)(ii) - CPA administrator responsibilities- Ensure the investigation of reports of minimum standards violations, upon our request Standard used in policies is incorrect.	—
3	—	749.103(b)(11) - Policies and procedures to submit - Additional policies for foster parents that provide treatment services Definition of Treatment Services is incorrect.	—
4	—	749.137(e)(2)(E) - You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is a potential risk for suicide. The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal	—
2	—	749.1189(1) - Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission The emergency admission assessment was not completed at the time of admission. It was completed two days later.	—
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 chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that the signature on the preliminary service plan was not signed by the caregiver.	—
3	—	749.155(1) - Operational Responsibilities- Maintain liability insurance coverage in the amount of $300,000 for each occurrence of negligence. The operation does not have liability insurance.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child A caregiver admitted to yelling at a child in care.	—
3	—	749.137(c)(1)(B)(ii) - Suicide Training- FP's verified to care for children five years of age or older must complete the training every two years. The operation suicide policies do not show that Foster Parents must complete the training every two years.	—
4	—	749.2597(1) - Supervision-Caregivers counted in ratio who supervise children in a transitional living program must reside within close proximity of the children Standard used in polices is incorrect.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Supervisory visits were not filed within 30 days.	—
1	—	749.101(1) - Plans to submit - Operation plan Information provided does not meet Minimum standard requirements.	—
3	—	749.2449(a)(5) - Interview For Foster Home Screening-Must include at least one family group interview with all family members living in the home One out of one home files reviewed did not document the group interview conducted with all the household members.	—
4	—	749.931(b)(3) - Annual Training- Must include 1 hour of normalcy. One out of one employee file reviewed did not have documentation for this training.	—
3	—	749.137(c)(2)(B) - Suicide Training- Curriculum for suicide prevention training must include understanding safety planning. The operation suicide policies do not show that the training must understand the safety planning.	—
3	—	749.103(a) - Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules Policies in place are a reflection of minimum standards and do not include procedures in place.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.	—
3	—	749.137(c)(1)(B)(i) - Suicide Training- FP's verified to care for children five years of age or older must complete the training within a year of verification. The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.	—
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. A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans A child is not being supervised as stated in the child's service plan.	—
5	—	749.137(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide. The operation suicide policies do not show where a child will meet with an MH Professional	—
4	—	749.135 - Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children Operation did not provide Abuse and Neglect policies.	—
4	—	749.2497(b) - Verification-transfer summary must be completed by 10th day after agency receives written request to transfer It was determined that the agency did not provide a transfer summary to another agency.	—
3	—	749.107 - Conflict of interest policy required Information provided for conflict-of-interest polices is not accurate to 749.107.	—
4	—	749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation. One out of one employee file reviewed did not have documentation for this training.	—
3	—	749.1951(b)(1) - Disciplinary Measures-Must be consistent with agency policies & procedures Standard used in policies is incorrect.	—
2	—	749.153(a)(1)(A) - Notification - At least 30 days in advance - Change in legal structure of operation or governing body Information provided does not meet Minimum standards.	—
4	—	749.1563(a) - Medication Error-If prescription medication, contact health-care professional immediately & follow health-care professional's recommendations Medication errors were not recorded in one of two child files reviewed.	—
3	—	749.2447(1) - Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents Standard used in polices is incorrect.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.	—
3	—	749.105(3)(C) - Personnel Policies - Develop professional staffing plan that describes how staff or service providers support clients through branch offices Professional Staffing Plan was not included as part of the personnel policies.	—
3	—	749.2595(b)(2) - Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.	—
2	—	749.153(b) - Notification - Report foster or adoptive placements not made by parents or CPA as soon as aware to Texas Abuse and Neglect Hotline Standard used in polices is incorrect.	—
3	—	749.1309(b)(1)(F) - Initial Service Plan-If child is 14 years old or older, include plans for experiential life skills training The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.	—
5	—	749.3041(8) - Physical Environment-Foster home must ensure that house is free of rodents and insects There were ants observed inside the foster home.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years It was discovered that a biological child living in the home turned 14 and a background check was not conducted.	—
3	—	749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home The agency failed to make self-reports of a youth being arrested or police responding to the foster home.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Documents were not in staff files and had to be requested from agency staff.	—
2	—	749.3023(c)(1) - Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.	—
4	—	749.2815(c)(1) - Supervisory Visits-Document and evaluate any changes to household members, frequent visitors, or persons providing support as caregivers Supervisory visit from does not include names of all present during the visit.	—

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

Inspections (128)

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

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