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TexasMissouri City › Empowering Angels Group, LLC

Empowering Angels Group, LLC

Child care center · 3634 GLENN LAKES LN STE 195, Missouri City, TX 77459-4184 · License 1783421- 16111

0Compliance score
Poor

-

Violation history (256)

SeverityDateStandard / narrativeCorrected
2 749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
In 2 out of 2 files reviewed multiple training completion certificates did not indicate the trainer's qualifications.
4 749.939(c)(3)(A) - Training Criteria- Training must require each participant to demonstrate knowledge and competency of the training material in writing.
It was observed that not all trainings conducted had a demonstration of knowledge and competency in writing.
3 749.763(a) - A volunteer or contractor that performs an employee function must meet the same requirements as an employee who performs that function
A contractor file was observed to not be meeting the same requirements as an employee of the operation such as trainings were not filed, an affidavit was not notarized, no job description and no drug screening was observed.
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
Three of four foster home records reviewed did not have any unannounced quarterly visits in file.
3 749.1803(d) - Infant requirements-Items necessary for diaper changing kept out of reach of children
The operational policies do not include anything in the policies to ensure that the items necessary for diaper changing are kept out of the reach of children.
2 749.1189(1) - Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission
In one of the files in which a child was placed as an emergency admission placement there was no documentation regarding the circumstances necessitating the emergency admission.
2 749.1331(3) - Service Plan Review and Update-Review/update plan for child receiving treatment services for ID every 180 days in 1st year of care
There is no indication in the operational policies for when the service plan is to be reviewed or updated for children receiving treatment services for ID. The policy states "For a child receiving treatment services the plan must be reviewed at least 90 days from the date of the last plan." which is only applicable for children receiving treatment services for ED and Autism Spectrum Disorder.
3 749.1131 - You must complete a non-emergency admission assessment prior to admission
The operational policy states that the admission assessment for all children no matter what level of care will be completed with full participation of the treatment team within 30 days of admission..
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
Review of Backgrounds showed an employee was no longer employed as of 2/7/25 and the background check was not inactivated.
Yes
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In 2 child files reviewed the medication logs were not filled out to their entirety and ommited the prescribing health care preofessional's name. One of the medication logs also did not have the strength of the medication.
2 749.1107(a)(2) - Child Admission Records-Include name, address, phone number of managing conservator, caregivers, medical consenters, and anyone allowed to take child
The admissions & placement operational policies for this subchapter does not include the information required for the children?s files and several other components.
2 749.1363(a)(1) - Non-emergency Discharge or Transfer-Must involve at least one of child's current caregivers in the planning
The operational policies do not include for at least one of the current caregivers in the planning or indicate that at least one of the professional service providers will be involved as indicated in 749.1363(a)(2).
3 749.2305(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI
The incident report does not detail what caregiver was involved in the EBI or what circumstances led to the EBI, it does not describe what took place and only states that a short personal hold was done for 1 min. 30 seconds.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
During the inspection, I observed the medication log missing portions of the medication record such as month, date, and year, making it unclear when medications were administered.
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
In the operational policies there is no indication of when the service plan is to be implemented.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The home study reviewed indicated that there was an additional caregiver however the agency informed and confirmed with the foster parent that the individual listed in the home study is not a caregiver.
2 749.101(2)(A) - Plans to submit - Fiscal plan - estimated operating costs for first 3 months
There?s no consideration in the budget for required identified staff such as child placement staff and child placement management staff salaries.
3 749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
It was observed that a foster home screening was approved however did not have an evaluation of the information obtained to make a recommendation pertaining to the capacity # the home should be licensed for.
3 749.592(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
There was no documentation that the required debriefing took place with its required components.
4 749.1135(2)(A)(i) - Treatment Services Admission-ID: Admission assessment includes psychological evaluation with psychometric testing, including child's diagnosis
The operational policies indicate that if intending to provide treatment services for a child with ID, the admission assessment must include a psychological evaluation completed within 14 months of the date of admission. However, at the time of admission the admission assessment must include a written, dated, and signed Psychological evaluation with psychometric testing, including the child?s diagnosis. Another psychological evaluation must take place within 14 months of admission.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Caregiver's medication was observed on top of the night stand in the master bedrooms, with additional medications found inside the same night stand drawer, which was unlocked.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operational policies regarding admission assessment requirements for children receiving treatment services references children with autism and ED however does not mention ID which is inconsistent with what the operation is applying for.
4 749.1807(a)(4) - Infant requirements-All cribs must have secure mattress support hangers, and no loose hardware or improperly installed or damaged parts
The operational policies does not address 749.1807(a)(4)-749.1807(a)(8) which is regarding specifics pertaining to cribs.
2 749.1251(a) - Pre-placement visits-A child over six months of age must visit the foster home at least once before placement
Pre-placement visits are not taking place with non-emergency placements.
3 749.2521(a)(1) - Temporary Verification-Agency may only issue a temporary verification after agency inspects the new location
The operational policies regarding temporary verifications are not specific to all the information required in 749.2521 - 749.2539.
5 749.1807(c) - Infant requirements-Caregivers must never leave children in the crib with the side down
In the operational polices a lot of the standards related to infants sleeping and cribs are not included.
2 749.1007(b)(1) - Child Rights education-Foster parents and caregivers attend and participate in school staffings, conferences, and education meetings
The child rights subchapter only details the child right?s form; there is no mention of all child right?s.
2 749.1373(b)(1)(D) - Discharge Documentation-Discharge summary must include recommendations about services to meet the child's remaining needs
The operational policies do not include anything regarding 749.1373 pertaining to what information will be provided to the next placement or caregiver.
3 749.137(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The suicide policy is missing information addressing suicide deaths.
4 749.1371(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a discharge summary there is no documentation regarding the medication the child is taking.
4 749.503(a)(1)(A) - Serious Incident-Report to Licensing no later than 2 hours after the incident when child dies in care
The subchapter for reporting serious incidents is not addressed through policy in detail to include time frames. There is mention in several different locations that serious incidents and ANE should be reported to the hotline.
4 749.2051(a)(1) - Emergency Behavior Intervention-Use short personal restraint only if agency policies permit and requirements of this subchapter are met
The operation's EBI policy does not allow the use of EBI however a caregiver used EBI on a child in care.
3 749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
It was observed that a foster home screening was approved however did not have an evaluation of the information obtained to make a recommendation pertaining to the capacity # the home should be licensed for.
4 749.1135(2)(A)(i) - Treatment Services Admission-ID: Admission assessment includes psychological evaluation with psychometric testing, including child's diagnosis
The operational policies indicate that if intending to provide treatment services for a child with ID, the admission assessment must include a psychological evaluation completed within 14 months of the date of admission. However, at the time of admission the admission assessment must include a written, dated, and signed Psychological evaluation with psychometric testing, including the child?s diagnosis. Another psychological evaluation must take place within 14 months of admission.
2 749.101(2)(A) - Plans to submit - Fiscal plan - estimated operating costs for first 3 months
There?s no consideration in the budget for required identified staff such as child placement staff and child placement management staff salaries.
2 749.1251(a) - Pre-placement visits-A child over six months of age must visit the foster home at least once before placement
Pre-placement visits are not taking place with non-emergency placements.
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
Review of Backgrounds showed an employee was no longer employed as of 2/7/25 and the background check was not inactivated.
Yes
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
During the inspection, I observed the medication log missing portions of the medication record such as month, date, and year, making it unclear when medications were administered.
4 749.2051(a)(1) - Emergency Behavior Intervention-Use short personal restraint only if agency policies permit and requirements of this subchapter are met
The operation's EBI policy does not allow the use of EBI however a caregiver used EBI on a child in care.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Caregiver's medication was observed on top of the night stand in the master bedrooms, with additional medications found inside the same night stand drawer, which was unlocked.
2 749.1331(3) - Service Plan Review and Update-Review/update plan for child receiving treatment services for ID every 180 days in 1st year of care
There is no indication in the operational policies for when the service plan is to be reviewed or updated for children receiving treatment services for ID. The policy states "For a child receiving treatment services the plan must be reviewed at least 90 days from the date of the last plan." which is only applicable for children receiving treatment services for ED and Autism Spectrum Disorder.
2 749.1107(a)(2) - Child Admission Records-Include name, address, phone number of managing conservator, caregivers, medical consenters, and anyone allowed to take child
The admissions & placement operational policies for this subchapter does not include the information required for the children?s files and several other components.
4 749.1371(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a discharge summary there is no documentation regarding the medication the child is taking.
4 749.939(c)(3)(A) - Training Criteria- Training must require each participant to demonstrate knowledge and competency of the training material in writing.
It was observed that not all trainings conducted had a demonstration of knowledge and competency in writing.
4 749.1807(a)(4) - Infant requirements-All cribs must have secure mattress support hangers, and no loose hardware or improperly installed or damaged parts
The operational policies does not address 749.1807(a)(4)-749.1807(a)(8) which is regarding specifics pertaining to cribs.
4 749.503(a)(1)(A) - Serious Incident-Report to Licensing no later than 2 hours after the incident when child dies in care
The subchapter for reporting serious incidents is not addressed through policy in detail to include time frames. There is mention in several different locations that serious incidents and ANE should be reported to the hotline.
3 749.763(a) - A volunteer or contractor that performs an employee function must meet the same requirements as an employee who performs that function
A contractor file was observed to not be meeting the same requirements as an employee of the operation such as trainings were not filed, an affidavit was not notarized, no job description and no drug screening was observed.
3 749.592(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
There was no documentation that the required debriefing took place with its required components.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operational policies regarding admission assessment requirements for children receiving treatment services references children with autism and ED however does not mention ID which is inconsistent with what the operation is applying for.
3 749.2521(a)(1) - Temporary Verification-Agency may only issue a temporary verification after agency inspects the new location
The operational policies regarding temporary verifications are not specific to all the information required in 749.2521 - 749.2539.
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In 2 child files reviewed the medication logs were not filled out to their entirety and ommited the prescribing health care preofessional's name. One of the medication logs also did not have the strength of the medication.
5 749.1807(c) - Infant requirements-Caregivers must never leave children in the crib with the side down
In the operational polices a lot of the standards related to infants sleeping and cribs are not included.
3 749.1803(d) - Infant requirements-Items necessary for diaper changing kept out of reach of children
The operational policies do not include anything in the policies to ensure that the items necessary for diaper changing are kept out of the reach of children.
3 749.1131 - You must complete a non-emergency admission assessment prior to admission
The operational policy states that the admission assessment for all children no matter what level of care will be completed with full participation of the treatment team within 30 days of admission..
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
In the operational policies there is no indication of when the service plan is to be implemented.
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
Three of four foster home records reviewed did not have any unannounced quarterly visits in file.
2 749.1189(1) - Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission
In one of the files in which a child was placed as an emergency admission placement there was no documentation regarding the circumstances necessitating the emergency admission.
2 749.1363(a)(1) - Non-emergency Discharge or Transfer-Must involve at least one of child's current caregivers in the planning
The operational policies do not include for at least one of the current caregivers in the planning or indicate that at least one of the professional service providers will be involved as indicated in 749.1363(a)(2).
3 749.2305(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI
The incident report does not detail what caregiver was involved in the EBI or what circumstances led to the EBI, it does not describe what took place and only states that a short personal hold was done for 1 min. 30 seconds.
2 749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
In 2 out of 2 files reviewed multiple training completion certificates did not indicate the trainer's qualifications.
3 749.137(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The suicide policy is missing information addressing suicide deaths.
2 749.1373(b)(1)(D) - Discharge Documentation-Discharge summary must include recommendations about services to meet the child's remaining needs
The operational policies do not include anything regarding 749.1373 pertaining to what information will be provided to the next placement or caregiver.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The home study reviewed indicated that there was an additional caregiver however the agency informed and confirmed with the foster parent that the individual listed in the home study is not a caregiver.
2 749.1007(b)(1) - Child Rights education-Foster parents and caregivers attend and participate in school staffings, conferences, and education meetings
The child rights subchapter only details the child right?s form; there is no mention of all child right?s.
2 749.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
In 2 out of 2 files reviewed multiple training completion certificates did not indicate the trainer's qualifications.
2 749.1331(3) - Service Plan Review and Update-Review/update plan for child receiving treatment services for ID every 180 days in 1st year of care
There is no indication in the operational policies for when the service plan is to be reviewed or updated for children receiving treatment services for ID. The policy states "For a child receiving treatment services the plan must be reviewed at least 90 days from the date of the last plan." which is only applicable for children receiving treatment services for ED and Autism Spectrum Disorder.
3 749.2305(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI
The incident report does not detail what caregiver was involved in the EBI or what circumstances led to the EBI, it does not describe what took place and only states that a short personal hold was done for 1 min. 30 seconds.
2 749.1363(a)(1) - Non-emergency Discharge or Transfer-Must involve at least one of child's current caregivers in the planning
The operational policies do not include for at least one of the current caregivers in the planning or indicate that at least one of the professional service providers will be involved as indicated in 749.1363(a)(2).
4 749.1135(2)(A)(i) - Treatment Services Admission-ID: Admission assessment includes psychological evaluation with psychometric testing, including child's diagnosis
The operational policies indicate that if intending to provide treatment services for a child with ID, the admission assessment must include a psychological evaluation completed within 14 months of the date of admission. However, at the time of admission the admission assessment must include a written, dated, and signed Psychological evaluation with psychometric testing, including the child?s diagnosis. Another psychological evaluation must take place within 14 months of admission.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Caregiver's medication was observed on top of the night stand in the master bedrooms, with additional medications found inside the same night stand drawer, which was unlocked.
3 749.2521(a)(1) - Temporary Verification-Agency may only issue a temporary verification after agency inspects the new location
The operational policies regarding temporary verifications are not specific to all the information required in 749.2521 - 749.2539.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The home study reviewed indicated that there was an additional caregiver however the agency informed and confirmed with the foster parent that the individual listed in the home study is not a caregiver.
2 749.1007(b)(1) - Child Rights education-Foster parents and caregivers attend and participate in school staffings, conferences, and education meetings
The child rights subchapter only details the child right?s form; there is no mention of all child right?s.
2 749.1251(a) - Pre-placement visits-A child over six months of age must visit the foster home at least once before placement
Pre-placement visits are not taking place with non-emergency placements.
5 749.1807(c) - Infant requirements-Caregivers must never leave children in the crib with the side down
In the operational polices a lot of the standards related to infants sleeping and cribs are not included.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operational policies regarding admission assessment requirements for children receiving treatment services references children with autism and ED however does not mention ID which is inconsistent with what the operation is applying for.
4 749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly
Three of four foster home records reviewed did not have any unannounced quarterly visits in file.
3 749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
In 2 child files reviewed the medication logs were not filled out to their entirety and ommited the prescribing health care preofessional's name. One of the medication logs also did not have the strength of the medication.
3 749.1803(d) - Infant requirements-Items necessary for diaper changing kept out of reach of children
The operational policies do not include anything in the policies to ensure that the items necessary for diaper changing are kept out of the reach of children.
4 749.1807(a)(4) - Infant requirements-All cribs must have secure mattress support hangers, and no loose hardware or improperly installed or damaged parts
The operational policies does not address 749.1807(a)(4)-749.1807(a)(8) which is regarding specifics pertaining to cribs.
4 749.503(a)(1)(A) - Serious Incident-Report to Licensing no later than 2 hours after the incident when child dies in care
The subchapter for reporting serious incidents is not addressed through policy in detail to include time frames. There is mention in several different locations that serious incidents and ANE should be reported to the hotline.
4 749.1371(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
In a discharge summary there is no documentation regarding the medication the child is taking.
4 749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered
During the inspection, I observed the medication log missing portions of the medication record such as month, date, and year, making it unclear when medications were administered.
3 749.1131 - You must complete a non-emergency admission assessment prior to admission
The operational policy states that the admission assessment for all children no matter what level of care will be completed with full participation of the treatment team within 30 days of admission..
3 749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
It was observed that a foster home screening was approved however did not have an evaluation of the information obtained to make a recommendation pertaining to the capacity # the home should be licensed for.
4 749.939(c)(3)(A) - Training Criteria- Training must require each participant to demonstrate knowledge and competency of the training material in writing.
It was observed that not all trainings conducted had a demonstration of knowledge and competency in writing.
3 749.137(g)(1)(A) - You must create a Postvention Team, Written Action Plan and Protocols.
The suicide policy is missing information addressing suicide deaths.
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
Review of Backgrounds showed an employee was no longer employed as of 2/7/25 and the background check was not inactivated.
Yes
2 749.1373(b)(1)(D) - Discharge Documentation-Discharge summary must include recommendations about services to meet the child's remaining needs
The operational policies do not include anything regarding 749.1373 pertaining to what information will be provided to the next placement or caregiver.
3 749.592(c) - Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
There was no documentation that the required debriefing took place with its required components.
2 749.101(2)(A) - Plans to submit - Fiscal plan - estimated operating costs for first 3 months
There?s no consideration in the budget for required identified staff such as child placement staff and child placement management staff salaries.
4 749.2051(a)(1) - Emergency Behavior Intervention-Use short personal restraint only if agency policies permit and requirements of this subchapter are met
The operation's EBI policy does not allow the use of EBI however a caregiver used EBI on a child in care.
3 749.763(a) - A volunteer or contractor that performs an employee function must meet the same requirements as an employee who performs that function
A contractor file was observed to not be meeting the same requirements as an employee of the operation such as trainings were not filed, an affidavit was not notarized, no job description and no drug screening was observed.
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
In the operational policies there is no indication of when the service plan is to be implemented.
2 749.1107(a)(2) - Child Admission Records-Include name, address, phone number of managing conservator, caregivers, medical consenters, and anyone allowed to take child
The admissions & placement operational policies for this subchapter does not include the information required for the children?s files and several other components.
2 749.1189(1) - Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission
In one of the files in which a child was placed as an emergency admission placement there was no documentation regarding the circumstances necessitating the emergency admission.
3 749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
It was observed that a foster home screening was approved however did not have an evaluation of the information obtained to make a recommendation pertaining to the capacity # the home should be licensed for.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The home study reviewed indicated that there was an additional caregiver however the agency informed and confirmed with the foster parent that the individual listed in the home study is not a caregiver.
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
In the operational policies there is no indication of when the service plan is to be implemented.
2 749.1107(a)(2) - Child Admission Records-Include name, address, phone number of managing conservator, caregivers, medical consenters, and anyone allowed to take child
The admissions & placement operational policies for this subchapter does not include the information required for the children?s files and several other components.

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

Inspections (80)

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

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