Child care center ·
3129 KINGSLEY DR STE 1220, Pearland, TX 77584-8509 ·
License 1779817- 16051
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Upon review of staff files, it was found that staff were allocated more training hours in a day than feasible. It was noted that one staff member completed over 40 hours of Pride Pre-Service Training as well as attended a 16 hour training course in a single documented day. Another staff member was also noted on the date of hire to attended a16 hour training course, as well as administer a 40 hour training program to another staff. |
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| 1 | — |
749.197(a) - Fiscal Requirements Adoption-Must have adoption fee/fee schedule that applies to all clients, includes specific information on birth/parent expenses In a review of the operation's policy, there was no noted fees and fee schedule including information regarding birth/parent expenses. It is also necessary that the operation include additional information as set forth by standards 749.197(b) and 749.197(c). |
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| 3 | — |
749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 In a review of a home study screening, it was found that a household member was not included in the screening with the required information. |
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| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A review of the agency's child mock file shows the file contains a common application from a current CPS case. The common application has been altered, however, still contains current CPS case ID and other confidential and identifying information. A review of the agency's child mock file contains another child and parent's court documents. This agency is a newly established agency and should not have confidential CPS records in their files. In a review of the mock foster home record, it was found that there is a home study for a currently licensed foster home with another agency. The home study contains confidential information about the home and couple. This agency is a newly established agency and should not have confidential records from other agencies in their files. |
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| 2 | — |
749.131(1)(A) - Adoption services policy - Procedures and criteria you will use to evaluate potential adoptive parents There were no noted adoption services policy's regarding adoptive parents. The agency has applied to provide adoption services, the following standards need to be met in the agency's policies: - 749.131(1) - 749.131(1)(A) - 749.131(1)(B) - 749.131(1)(C) - 749.131(2) - 749.131(3) - 749.131(5) - 749.131(6) - 749.131(7) - 749.131(8) |
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| 3 | — |
749.579(1) - Active child record-Ensure record is kept accurate and current Child records were missing TB tests and medical documentation. |
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| 4 | — |
749.2447(22)(C)(v) - Foster Home Screenings- Agency documents ability to provide additional services regulated by licensing In a review of home studies, it was found that the home study did not state or review the homes' ability to provide treatment services. |
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| 4 | — |
749.2447(22)(C)(v) - Foster Home Screenings- Agency documents ability to provide additional services regulated by licensing Upon conducting follow up inspection to determine compliance, the agency did not have an update/addendum that stated or reviewed the homes' ability to provide treatment services. |
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| 2 | — |
749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record The foster parent agreement was signed 10 days after the home was licensed. |
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| 3 | — |
749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications Upon conducting follow up inspection to determine compliance, it was found that the new title/position for the staff member does not meet the requirements for a home developer/recruiter. The tasks that are listed also included tasks that are to be completed/performed by the child placement staff. The staff member does not meet these qualification as noted in inspection #3975200. |
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| 3 | — |
749.2449(c) - Interview For Foster Home Screening- Agency must document efforts to locate the adult child in the home screening. One adult child of the foster parent was not contacted as part of the home screening process. |
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| 3 | — |
749.117(a)(2) - Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child In a review of the discipline policy, there was no information regarding how the operation will utilize trauma informed care into the care, treatment, and management of each child. It is recommended that the operation implement the practices recommended in the trauma informed care trainings into their care of the children placed in their homes. |
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| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation The administrator's personnel file does not include signed and dated statement acknowledging responsibility to report suspected abuse, neglect, or exploitation. In addition, the administrator's personnel file did not include statement signed and dated by the employee documenting a copy of the operational policies has been read. |
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| 3 | — |
749.2381(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The required evaluation wasn't completed. |
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| 3 | — |
749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements Two children were missing TB Tests. |
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| 4 | — |
749.2055(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A foster parent admitted to not using an approved de-escalation technique on a child. |
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| 2 | — |
749.113(6) - Child-care policy - Personal possessions a child is or is not allowed to have, where stored, and search policies In a review, it was noted that there is policy regarding possessions and where they may be stored, however there is no information regarding search policies. |
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| 3 | — |
749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights One child record was missing their written copy of child rights. Two child records had the copy but no child participation was noted. |
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| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted A child's initial service plan was completed 4 days late. |
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| 3 | — |
749.2449(a)(4) - Interview For Foster Home Screening-Must include at least one joint interview with the prospective foster parents In a review of a home study, it was found that there was no joint interview conducted with both foster parents. |
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| 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 In a review of two home studies, it was found that the date of reference was missing. |
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| 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 In a review of a home study, it was noted to be missing the family group interview. |
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| 2 | — |
749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Based on the documentation reviewed, service plans were not being followed. |
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| 3 | — |
749.63(1) - Types of services-Must only provide services listed on permit Upon conducting follow up inspection to determine compliance, it was found that two homes are still listed as Emergency Care Services. |
— |
| 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 Upon conducting follow up inspection to determine compliance, no update/addendum was provided for the adult child interviews. |
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| 4 | — |
749.1133(b)(3) - Admission Assessment-Includes a description of the child's behavior, including appropriate, maladaptive and high-risk behavior In a child's admission assessment, it was noted that the child's behaviors were missing from the admission assessment. |
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| 3 | — |
749.1133(b)(7) - Admission Assessment-must include current mental health & substance abuse status, including available results of evaluations or assessments In a child's admission assessment, it was found that the information from the child's psychological evaluation was not included. |
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| 3 | — |
749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Three child records had their 72-hour plan completed late. |
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| 1 | — |
749.1319(b) - Service plan documentation-The professional service provider must sign and date the plan; must document any disagreement with plan before signing it A child's initial plan was not signed /dated by professional service provider. |
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| 5 | — |
749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment Foster parent yelled at child, grabbed child?s hand trying to put their hands in their mouth telling them to bite themselves, and threaten child with loss of placement if child didn?t behave. |
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| 2 | — |
749.2477(2) - Verification-Before agency can verify a foster home, child placement management staff must sign and date required documentation The home study was not signed nor dated by the child placement management staff. |
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| 1 | — |
749.1313(b) - Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses Child records did not have documentation of advance notice to parents regarding the initial service plan meeting. |
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| 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 In a review of floor plans, it was noted that two were missing dimensions, and all four were missing the specification of indoor areas for children use. |
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| 3 | — |
749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record Two child records did not contain a copy of the signed child right's form. |
— |
| 2 | — |
749.129(2) - Legal risk placement program policy - Criteria used in selecting children for appropriate placements In a review of the operations legal risk policy, there was no information regarding the certain criteria that will be used to ensure that the child is the most appropriate fit for the placement. |
— |
| 3 | — |
749.2449(a)(4) - Interview For Foster Home Screening-Must include at least one joint interview with the prospective foster parents Upon conducting follow up inspection to determine compliance, no update/addendum was provided for the joint interview conducted with both foster parents. |
— |
| 3 | — |
749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications Upon review of a staff file, it was found that the operation's case manager does not meet the professional qualifications as set by minimum standards, option 2. |
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| 3 | — |
749.1111(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level Four child records were missing the orientation. |
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| 5 | — |
749.2961(a)(2) - Weapons-Must determine if each child can use weapons, firearms, explosives, projectiles, toys that explode or shoot In a review of the operation's weapon and firearm policy, there was no statement or criteria to show how it will be determined if a child can use any weapons, firearms, explosives, projectiles, or toys that explode or shoot. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders It was found that a child received a double dosage of a prescribed medication. |
— |
| 4 | — |
749.135 - Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children In a review of the operation's policies, the abuse and neglect policy regarding the following standards was found to be missing: - 749.135(1) - 749.135(2) - 749.135(3) - 749.135(4) - 749.135(5) |
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| 5 | — |
749.105(6) - Personnel Policies - Ensure employees report serious incidents and suspected abuse/neglect and exploitation directly to DFPS In the operation's policy, a statement is needed regarding employees and that they are not to delegate the responsibility to make a report and that the operation is to not require an employee to seek approval to file a report or notify that a report was made. In addition, a review of the operations mandated reporter form, it states that the employee is to report to a program supervisor, director, and to the CEO where the alleged abuse occurred within 24 hours of becoming aware of the incident. |
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| 2 | — |
749.2488(b) - Rights and Responsibilities-Agency and foster parents must sign a copy of rights/responsibilities statement at time home is verified One foster parent agreement was missing the agency signature. |
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| 3 | — |
749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights The operation has not provided signed child rights. |
— |
| 4 | — |
749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Four of the four home records reviewed did not have a third quarter visit completed. |
— |
| 3 | — |
749.2449(a)(7) - Interview For Foster Home Screening- Must include one interview with a family member not living in the home. In a review of a home study, it was missing a family member interview. It was noted that an adult son did provide a reference, but an additional family member is needed. |
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| 3 | — |
749.63(1) - Types of services-Must only provide services listed on permit In a review of licensed it was noted that they are licensed to provide Emergency Care Services as well as Transitional Living Services. The operation does not have these services on their permit. |
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| 3 | — |
749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request The agency did not have an unauthorized summary log available for review. |
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| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records In a review of child files it was found that documents were being back dated. Additionally, in a review of a service plan, the wrong child's name was listed on the first page. |
— |
| 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 In a review of two home studies, it was found that adult children were not interviewed, nor a documentation of attempts. |
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| 4 | — |
749.137(d)(3) - Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements. The operation's policy does not address how staff are qualified to administer screening tools. (what makes them qualified; how did they get qualified, etc). In order to utilize the screening tool, an individual must complete an online training on how to administer the screening tool and have documentation showing the individual is qualified to administer that screening tool. The operation should identify within the suicide policy the designated online training resource for being qualified to administer screening tool. |
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| 5 | — |
749.3133(g) - Swimming Pools-furniture, equipment, large materials must not be close enough to pool area for a child to use them to scale a fence or release a lock Photographs reviewed indicated there was furniture alongside the pool gate. |
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| 4 | — |
749.103(b)(20) - Policies and procedures to submit - Tobacco and e-cigarette In a review of the policies submitted, there is no policy regarding the use of tobacco products and e-cigarettes for children, caregivers, and other adults. Related standards to review: 749.1931(a)-(c) |
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| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking In a review of a foster parent training, the foster parent is missing First Aid. |
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| 3 | — |
749.1111(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level The operation has not provided proof of orientation being completed. |
— |
| 2 | — |
749.139(a) - Agency plans, policies and procedures must indicate date adopted and effective date The agency's policy and procedure does not have documentation of date of adoption nor effective date. |
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| 4 | — |
749.137(d)(5) - Children receiving adopt. services, screening must be conducted immediately when the child exhibits warning signs that necessitate it be conducted. The operation plans to provide adoption services, this standard needs to be addressed and added to the operation's policies. |
— |
| 3 | — |
749.579(1) - Active child record-Ensure record is kept accurate and current The operation has not provided TB Tests and Medical Records. |
— |
| 1 | — |
749.1545 - Medication Records-You must make suitable forms available to caregivers for maintaining adequate records of medications administered to a child The agency mock files do not contain a suitable form for documenting administration of medication. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Incident Report does not contain the child's age, gender, and the other children involved in the incident. |
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| 3 | — |
749.2497(d)(12) - Verification-A transfer or closing summary a statement concerning whether you would recommend the foster home for verification in the future In a review of a closing summary, there was no statement of whether the agency would recommend the foster home for future verification. |
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| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs Photographs reviewed indicated pool gate is only self-latching and not locked. |
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| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child In a review of a serious incident report, it was found that a child exposed himself, made lewd remarks, and kissed another child in the home. This was not reported to Licensing. |
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| 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 In a review of background checks, it was found that a closed home still had an active background. The home closed 6/15/2024. |
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| 3 | — |
749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 The administrator's personnel file does not contain a notarized Licensing Affidavit for Employment. |
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| 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 Individuals who are no longer associated with the agency still have active background checks. |
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| 4 | — |
749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly Four of the four home records reviewed did not have a third quarter visit completed. |
— |
| 3 | — |
749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record Two child records did not contain a copy of the signed child right's form. |
— |
| 1 | — |
749.1319(b) - Service plan documentation-The professional service provider must sign and date the plan; must document any disagreement with plan before signing it A child's initial plan was not signed /dated by professional service provider. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders It was found that a child received a double dosage of a prescribed medication. |
— |
| 4 | — |
749.2055(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A foster parent admitted to not using an approved de-escalation technique on a child. |
— |
| 4 | — |
749.503(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child In a review of a serious incident report, it was found that a child exposed himself, made lewd remarks, and kissed another child in the home. This was not reported to Licensing. |
— |
| 3 | — |
749.579(1) - Active child record-Ensure record is kept accurate and current Child records were missing TB tests and medical documentation. |
— |
| 4 | — |
749.137(d)(3) - Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements. The operation's policy does not address how staff are qualified to administer screening tools. (what makes them qualified; how did they get qualified, etc). In order to utilize the screening tool, an individual must complete an online training on how to administer the screening tool and have documentation showing the individual is qualified to administer that screening tool. The operation should identify within the suicide policy the designated online training resource for being qualified to administer screening tool. |
— |
| 3 | — |
749.579(1) - Active child record-Ensure record is kept accurate and current The operation has not provided TB Tests and Medical Records. |
— |
| 4 | — |
749.2447(22)(C)(v) - Foster Home Screenings- Agency documents ability to provide additional services regulated by licensing Upon conducting follow up inspection to determine compliance, the agency did not have an update/addendum that stated or reviewed the homes' ability to provide treatment services. |
— |
| 4 | — |
749.1133(b)(3) - Admission Assessment-Includes a description of the child's behavior, including appropriate, maladaptive and high-risk behavior In a child's admission assessment, it was noted that the child's behaviors were missing from the admission assessment. |
— |
| 3 | — |
749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements Two children were missing TB Tests. |
— |
| 3 | — |
749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Three child records had their 72-hour plan completed late. |
— |
| 3 | — |
749.117(a)(2) - Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child In a review of the discipline policy, there was no information regarding how the operation will utilize trauma informed care into the care, treatment, and management of each child. It is recommended that the operation implement the practices recommended in the trauma informed care trainings into their care of the children placed in their homes. |
— |
| 2 | — |
749.129(2) - Legal risk placement program policy - Criteria used in selecting children for appropriate placements In a review of the operations legal risk policy, there was no information regarding the certain criteria that will be used to ensure that the child is the most appropriate fit for the placement. |
— |
| 2 | — |
749.131(1)(A) - Adoption services policy - Procedures and criteria you will use to evaluate potential adoptive parents There were no noted adoption services policy's regarding adoptive parents. The agency has applied to provide adoption services, the following standards need to be met in the agency's policies: - 749.131(1) - 749.131(1)(A) - 749.131(1)(B) - 749.131(1)(C) - 749.131(2) - 749.131(3) - 749.131(5) - 749.131(6) - 749.131(7) - 749.131(8) |
— |
| 2 | — |
749.2487(a) - Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record The foster parent agreement was signed 10 days after the home was licensed. |
— |
| 4 | — |
749.103(b)(20) - Policies and procedures to submit - Tobacco and e-cigarette In a review of the policies submitted, there is no policy regarding the use of tobacco products and e-cigarettes for children, caregivers, and other adults. Related standards to review: 749.1931(a)-(c) |
— |
| 2 | — |
749.1323 - Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting Based on the documentation reviewed, service plans were not being followed. |
— |
| 3 | — |
749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted A child's initial service plan was completed 4 days late. |
— |
| 5 | — |
749.2961(a)(2) - Weapons-Must determine if each child can use weapons, firearms, explosives, projectiles, toys that explode or shoot In a review of the operation's weapon and firearm policy, there was no statement or criteria to show how it will be determined if a child can use any weapons, firearms, explosives, projectiles, or toys that explode or shoot. |
— |
| 3 | — |
749.63(1) - Types of services-Must only provide services listed on permit Upon conducting follow up inspection to determine compliance, it was found that two homes are still listed as Emergency Care Services. |
— |
| 4 | — |
749.135 - Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children In a review of the operation's policies, the abuse and neglect policy regarding the following standards was found to be missing: - 749.135(1) - 749.135(2) - 749.135(3) - 749.135(4) - 749.135(5) |
— |
| 3 | — |
749.673 - Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications Upon conducting follow up inspection to determine compliance, it was found that the new title/position for the staff member does not meet the requirements for a home developer/recruiter. The tasks that are listed also included tasks that are to be completed/performed by the child placement staff. The staff member does not meet these qualification as noted in inspection #3975200. |
— |
| 3 | — |
749.2445(c)(1) - Verification-The foster home screening must document required info in 749.2447 In a review of a home study screening, it was found that a household member was not included in the screening with the required information. |
— |
| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation The administrator's personnel file does not include signed and dated statement acknowledging responsibility to report suspected abuse, neglect, or exploitation. In addition, the administrator's personnel file did not include statement signed and dated by the employee documenting a copy of the operational policies has been read. |
— |
| 3 | — |
749.1133(b)(7) - Admission Assessment-must include current mental health & substance abuse status, including available results of evaluations or assessments In a child's admission assessment, it was found that the information from the child's psychological evaluation was not included. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A review of the agency's child mock file shows the file contains a common application from a current CPS case. The common application has been altered, however, still contains current CPS case ID and other confidential and identifying information. A review of the agency's child mock file contains another child and parent's court documents. This agency is a newly established agency and should not have confidential CPS records in their files. In a review of the mock foster home record, it was found that there is a home study for a currently licensed foster home with another agency. The home study contains confidential information about the home and couple. This agency is a newly established agency and should not have confidential records from other agencies in their files. |
— |
| 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 Upon conducting follow up inspection to determine compliance, no update/addendum was provided for the adult child interviews. |
— |
| 3 | — |
749.2497(d)(12) - Verification-A transfer or closing summary a statement concerning whether you would recommend the foster home for verification in the future In a review of a closing summary, there was no statement of whether the agency would recommend the foster home for future verification. |
— |
| 3 | — |
749.553(6) - Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 The administrator's personnel file does not contain a notarized Licensing Affidavit for Employment. |
— |
| 3 | — |
749.2449(c) - Interview For Foster Home Screening- Agency must document efforts to locate the adult child in the home screening. One adult child of the foster parent was not contacted as part of the home screening process. |
— |
| 1 | — |
749.197(a) - Fiscal Requirements Adoption-Must have adoption fee/fee schedule that applies to all clients, includes specific information on birth/parent expenses In a review of the operation's policy, there was no noted fees and fee schedule including information regarding birth/parent expenses. It is also necessary that the operation include additional information as set forth by standards 749.197(b) and 749.197(c). |
— |
| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs Photographs reviewed indicated pool gate is only self-latching and not locked. |
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112 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.