Child care center ·
5333 EVERHART RD STE 150B, Corpus Christi, TX 78411-4835 ·
License 546152- 513
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Caregiver is required to have children within hearing distance to ensure children in care?s safety. |
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| 4 | — |
749.1291(d)(1) - Contact between child placement staff and children-ensure child is safe
In reviewing 3 children files, there was no documentation of contacts made where children were asked questions to ensure a safety plan is being followed. |
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| 3 | — |
749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment
Children in care disclosed that the foster parent would threaten to take them to a mental hospital. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 2, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
The kitchen window of the home was broken with sharp glass exposed. |
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| 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
The Agency did not run a background checks on a frequent visitor. |
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| 4 | — |
749.1541(c)(1) - Medication Record-Must include child's full name
The caregiver is not giving a child in care a medication as it is prescribed. The caregiver is not keeping a log for the medication. |
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| 4 | — |
749.1521(6) - Medication Destruction-Remove discontinued medication immediately & store it in separate locked area until destroyed within 30 days
Discontinued medication was observed in the home's refrigerator. |
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| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
A household member, who has provided babysitting duties does not have the required training set forth by the Operations babysitter Policy. |
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| 5 | — |
749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Children in care disclosed that the foster parent left them home alone multiple times on different occasions. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Refrigerated medication was observed unlocked next to a condiment item in the refrigerator door. |
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| 3 | — |
749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator
At the time of the inspection the agency did not have a designated full time Child Care Administrator. |
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| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
Foster parent failed to intervene when an adult household member held a knife to a child's throat. |
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| 5 | — |
749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
Foster parent was not accountable for a child's on-going activity when a child was able to access and ingest prescription medication. |
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| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
A child in care had access to prescribed medication. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 8, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received both a medium-high and high weighted citation in a pattern/trend category on April 1, 2025. Specifically, the operation was cited for 749.3041(7) Med-High, Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, and 749.1521(1) High, Medication Storage-Store medication in a locked container. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on March 9, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on March 9, 2023. Specifically, the operation was cited for 749.2593(a)(4) High, Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety. The operation met compliance on March 16, 2023. Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 4 | — |
749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Foster parents failed to provide fair treatment of children in care by dismissing outcries made and providing unfair, inappropriate consequences. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 13, 2026, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to the recent citation issued on April 13, 2026, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received 1 medium-high citation in a pattern/trend category on April 9, 2026. Specifically, the operation was cited for 749.2593(c)(6) Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans. The operation has not yet met compliance. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $375. |
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| 2 | — |
749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The foster parent left a child in care with a 19 year old household member who is not an approved babysitter or caregiver without the approval of the agency and against their policies. |
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| 4 | — |
749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
A foster child?s bed was observed to not be in good repair. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the investigation, there were two individuals over the age of 14 years old without an approved background check caring for the foster children. |
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| 4 | — |
749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants
A child in care was placed in a baby walker and allowed to move around the home. |
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| 2 | — |
749.1543(a) - Medication records-The foster parents must maintain medication records at the foster home for current month
Foster parent could not locate the current month's medication log sheet for a child in care during the inspection. Copies of the medication log were sent by the case manager the following day. |
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| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A household member, with background restrictions, is transporting and administrating medication nightly to children in care. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Foster parent did not store medication in a locked container. |
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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
Upon reviewing a child's records documentation of a child's tuberculosis screening was not found. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
A bottle of Pepto-Bismol was observed unlocked on a shelving unit in the upstairs bathroom used by the children. Hydrogen peroxide, a chemical compound unsafe for children when ingested, was also observed accessible to children on the shelving unit. The items were locked up by the foster parent during the visit. |
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| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
One of the children's mattresses was being placed directly on the floor. |
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| 4 | — |
749.1521(6) - Medication Destruction-Remove discontinued medication immediately & store it in separate locked area until destroyed within 30 days
Expired and non-expired medications were observed stored together in the same locked container. |
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| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Foster Parent yelled at a child in care as a form of re-direction. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The caregiver reported that a relative visits the home several times a week. This parent does not have an approved background check. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Children in care were placed at risk due to the neglectful supervision of foster parents. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 30, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium High or High weighted licensing citations. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the investigation walkthrough, there was an open area in the residence where there were some tiles missing, loose and exposes cement on the floor. |
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| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Medication log not completed for child in care. |
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| 4 | — |
749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Foster parent provided unfair treatment and inappropriate consequences for a child in care. The child in care was blamed for something their biological child would do. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 10, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to the recent citations issued on 9/29/2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received 1 high and 2 medium-high, citations in a pattern/trend category on September 29, 2025. Specifically, the operation was cited for 745.635(2) High, Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter, 749.3041(2) Med-High, Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair, 749.2593(c)(6) Med-High, Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 3 | — |
749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline
Caregiver did not report incident to the hotline. |
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| 4 | — |
749.1521(4) - Medication Storage-Make provisions for storing medication that requires refrigeration
A prescription medication was observed in the refrigerator. The medication was not in a locked container and accessible to children. |
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| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Two children in care are sleeping on beds without covers/protectors. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A relative of the foster parent had been staying in the home and had access to the foster children. The relative did not have an approved background check. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 4 | — |
749.2913(a)(2) - Fire Extinguisher-A foster home must have a fire extinguisher on each level of the home
The second level of the foster home did not have a fire extinguisher. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication for children and foster parent was observed in the refrigerator unlocked and accessible to children. |
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| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver allowed a child to be exposed to domestic violence. |
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| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a home visit on 6/6/23, Cascade pods were observed within children?s reach sitting on top of the kitchen table in a plastic bin. Listerine mouthwash was also observed on the bathroom counter and there was a bottle of Febreze fabric spray in the children?s bedroom on the changing table. Children were present during the visit. Photos were taken. The concerns were corrected at the time of the visit. |
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| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster Parent did not show self-control when she engaged in a verbal altercation with a child. |
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| 5 | — |
745.665 - If a subject of a background check at your operation has been arrested or charged with a crime, you must report it to Licensing immediately
Agency did not report household members arrest timely to Licensing. |
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| 5 | — |
749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
The bassinet a 2-month-old infant sleeps in was observed with blankets in it. One blanket was covering the surface of the bassinet, and a second blanket was seen on top of that one with the corners tucked in. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 8, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received both a medium-high and high weighted citation in a pattern/trend category on April 1, 2025. Specifically, the operation was cited for 749.3041(7) Med-High, Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, and 749.1521(1) High, Medication Storage-Store medication in a locked container. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on March 9, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on March 9, 2023. Specifically, the operation was cited for 749.2593(a)(4) High, Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety. The operation met compliance on March 16, 2023. Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 3, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
A child in care had access to prescribed medication. |
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| 5 | — |
749.2593(a)(4) - Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
Foster parent failed to intervene when an adult household member held a knife to a child's throat. |
— |
| 2 | — |
749.1543(a) - Medication records-The foster parents must maintain medication records at the foster home for current month
Foster parent could not locate the current month's medication log sheet for a child in care during the inspection. Copies of the medication log were sent by the case manager the following day. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 10, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to the recent citations issued on 9/29/2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received 1 high and 2 medium-high, citations in a pattern/trend category on September 29, 2025. Specifically, the operation was cited for 745.635(2) High, Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter, 749.3041(2) Med-High, Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair, 749.2593(c)(6) Med-High, Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500. |
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| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
One of the children's mattresses was being placed directly on the floor. |
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| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Medication log not completed for child in care. |
— |
| 4 | — |
749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
A foster child?s bed was observed to not be in good repair. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver allowed a child to be exposed to domestic violence. |
— |
| 4 | — |
749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants
A child in care was placed in a baby walker and allowed to move around the home. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 2, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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| 4 | — |
749.1291(d)(1) - Contact between child placement staff and children-ensure child is safe
In reviewing 3 children files, there was no documentation of contacts made where children were asked questions to ensure a safety plan is being followed. |
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| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Foster Parent yelled at a child in care as a form of re-direction. |
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| 3 | — |
749.138(b) - All employees and caregivers must be aware of and follow your policies and procedures.
A household member, who has provided babysitting duties does not have the required training set forth by the Operations babysitter Policy. |
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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
Upon reviewing a child's records documentation of a child's tuberculosis screening was not found. |
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| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Foster Parent did not show self-control when she engaged in a verbal altercation with a child. |
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| 4 | — |
749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Foster parents failed to provide fair treatment of children in care by dismissing outcries made and providing unfair, inappropriate consequences. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
A bottle of Pepto-Bismol was observed unlocked on a shelving unit in the upstairs bathroom used by the children. Hydrogen peroxide, a chemical compound unsafe for children when ingested, was also observed accessible to children on the shelving unit. The items were locked up by the foster parent during the visit. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Refrigerated medication was observed unlocked next to a condiment item in the refrigerator door. |
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| 5 | — |
749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Caregiver is required to have children within hearing distance to ensure children in care?s safety. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 30, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium High or High weighted licensing citations. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The caregiver reported that a relative visits the home several times a week. This parent does not have an approved background check. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A relative of the foster parent had been staying in the home and had access to the foster children. The relative did not have an approved background check. |
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| 4 | — |
749.1541(c)(1) - Medication Record-Must include child's full name
The caregiver is not giving a child in care a medication as it is prescribed. The caregiver is not keeping a log for the medication. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Foster parent did not store medication in a locked container. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on April 13, 2026, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to the recent citation issued on April 13, 2026, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received 1 medium-high citation in a pattern/trend category on April 9, 2026. Specifically, the operation was cited for 749.2593(c)(6) Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans. The operation has not yet met compliance. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $375. |
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| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During a home visit on 6/6/23, Cascade pods were observed within children?s reach sitting on top of the kitchen table in a plastic bin. Listerine mouthwash was also observed on the bathroom counter and there was a bottle of Febreze fabric spray in the children?s bedroom on the changing table. Children were present during the visit. Photos were taken. The concerns were corrected at the time of the visit. |
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| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Children in care were placed at risk due to the neglectful supervision of foster parents. |
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| 5 | — |
749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
The bassinet a 2-month-old infant sleeps in was observed with blankets in it. One blanket was covering the surface of the bassinet, and a second blanket was seen on top of that one with the corners tucked in. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medication for children and foster parent was observed in the refrigerator unlocked and accessible to children. |
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| 3 | — |
749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline
Caregiver did not report incident to the hotline. |
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| 2 | — |
749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The foster parent left a child in care with a 19 year old household member who is not an approved babysitter or caregiver without the approval of the agency and against their policies. |
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| 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
The Agency did not run a background checks on a frequent visitor. |
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| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A household member, with background restrictions, is transporting and administrating medication nightly to children in care. |
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| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the investigation, there were two individuals over the age of 14 years old without an approved background check caring for the foster children. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
The kitchen window of the home was broken with sharp glass exposed. |
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| 4 | — |
749.1003(b)(1)(C) - Children's rights-Safety & care including right to fair treatment
Foster parent provided unfair treatment and inappropriate consequences for a child in care. The child in care was blamed for something their biological child would do. |
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| 5 | — |
749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
Foster parent was not accountable for a child's on-going activity when a child was able to access and ingest prescription medication. |
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| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Two children in care are sleeping on beds without covers/protectors. |
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| 3 | — |
749.151(1) - Operational responsibilities - Designate a qualified full-time child-placing agency administrator
At the time of the inspection the agency did not have a designated full time Child Care Administrator. |
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| 5 | — |
745.665 - If a subject of a background check at your operation has been arrested or charged with a crime, you must report it to Licensing immediately
Agency did not report household members arrest timely to Licensing. |
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| 4 | — |
749.1521(4) - Medication Storage-Make provisions for storing medication that requires refrigeration
A prescription medication was observed in the refrigerator. The medication was not in a locked container and accessible to children. |
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| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the investigation walkthrough, there was an open area in the residence where there were some tiles missing, loose and exposes cement on the floor. |
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| 4 | — |
749.1521(6) - Medication Destruction-Remove discontinued medication immediately & store it in separate locked area until destroyed within 30 days
Expired and non-expired medications were observed stored together in the same locked container. |
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| 4 | — |
749.1521(6) - Medication Destruction-Remove discontinued medication immediately & store it in separate locked area until destroyed within 30 days
Discontinued medication was observed in the home's refrigerator. |
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| 4 | — |
749.2913(a)(2) - Fire Extinguisher-A foster home must have a fire extinguisher on each level of the home
The second level of the foster home did not have a fire extinguisher. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, the operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. |
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248 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.