Texas › Richmond › Family to Family Adoptions Inc

Family to Family Adoptions Inc

Child care center · 710 S 8TH ST, Richmond, TX 77469-3405 · License 549668- 335

0Compliance score
Poor

Violation history (210)

Severity	Date	Standard / narrative	Corrected
3	—	749.3029(b)(1)(E) - Before allowing children of opposite gender to share a room service plan. team must assess factors that affect appropriateness of pair sharing a room Siblings of opposite gender were required to share a bedroom without appropriate consent.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parents made inappropriate remarks regarding weight and sexuality of a child in care.	—
5	—	745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation Two adults who did not have a backgrounds check were residing in the foster home.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records multiple records were observed to have conflicting information regarding the children in care's gender and high risk behaviors.	—
3	—	749.3023(a) - Bedrooms-only rooms that provide adequate opportunities for rest and privacy may be used as a bedroom Child in care was required to sleep in an open area of the home.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors In the bedroom where the child slept, the child's bed was missing a mattress protector .	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Two out of four of the children's records reviewed had no preliminary service plan in their records.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During a walkthrough of the home, the investigator observed prescribed medication on top of the microwave.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination A child in care was life flighted to a hospital however there is no documentation as to this particular medical examination that led to the child being life flighted.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. Based on the preponderance of evidence in this investigation supports that the foster parent failed to timely report the child's unauthorized absence.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld Food was limited and withheld from a child in care.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One of the four medication logs reviewed did not list the exact dosage for the medication given.	—
5	—	745.621(a)(1) - Initial background checks submitted - At the time you submit your application A family members background check was not competed as requried.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name One of the four record's reviewed did not have the prescribing medical professionals name listed on the medication log.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child During the course of the investigation it was found that a caregiver yelled at a child in care.	—
1	—	749.3623(3)(A) - Adoptive Home Screening-Agency documents adoptive applicant residence history: specific addresses & length of time at each for past 10 years An adoptive home screening did not include the applicant's residency nor citizenship.	—
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 take the child to the doctor when an outcry was initially made.	—
5	—	749.1003(b)(4)(A) - Children's rights-Adhere to the child's rights to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment Foster Parent admitted to cutting the child's hair as a form of discipline due to his behavior at school.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Caregiver made statements that could impact a child's esteem, treatment, and recovery progress.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One of the two agency home binders reviewed did not have any unannounced quarterly visits.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review All children record's reviewed had invitations sent to their caseworkers with less than two weeks notice.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission Two out of four children's records reviewed did not have an admission assessment in their records.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
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 The foster parent did not follow a child's service plan related to supervision requirements when the child was left unsupervised.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One of the four medication logs reviewed did not list the exact dosage for the medication given.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Two out of four of the children's records reviewed had no preliminary service plan in their records.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child During the course of the investigation it was found that a caregiver yelled at a child in care.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. Based on the preponderance of evidence in this investigation supports that the foster parent failed to timely report the child's unauthorized absence.	—
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 The foster parent did not follow a child's service plan related to supervision requirements when the child was left unsupervised.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination A child in care was life flighted to a hospital however there is no documentation as to this particular medical examination that led to the child being life flighted.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parents made inappropriate remarks regarding weight and sexuality of a child in care.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
5	—	745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation Two adults who did not have a backgrounds check were residing in the foster home.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name One of the four record's reviewed did not have the prescribing medical professionals name listed on the medication log.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld Food was limited and withheld from a child in care.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission Two out of four children's records reviewed did not have an admission assessment in their records.	—
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 take the child to the doctor when an outcry was initially made.	—
5	—	749.1003(b)(4)(A) - Children's rights-Adhere to the child's rights to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment Foster Parent admitted to cutting the child's hair as a form of discipline due to his behavior at school.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One of the two agency home binders reviewed did not have any unannounced quarterly visits.	—
1	—	749.3623(3)(A) - Adoptive Home Screening-Agency documents adoptive applicant residence history: specific addresses & length of time at each for past 10 years An adoptive home screening did not include the applicant's residency nor citizenship.	—
5	—	745.621(a)(1) - Initial background checks submitted - At the time you submit your application A family members background check was not competed as requried.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review All children record's reviewed had invitations sent to their caseworkers with less than two weeks notice.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During a walkthrough of the home, the investigator observed prescribed medication on top of the microwave.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records multiple records were observed to have conflicting information regarding the children in care's gender and high risk behaviors.	—
3	—	749.3023(a) - Bedrooms-only rooms that provide adequate opportunities for rest and privacy may be used as a bedroom Child in care was required to sleep in an open area of the home.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Caregiver made statements that could impact a child's esteem, treatment, and recovery progress.	—
3	—	749.3029(b)(1)(E) - Before allowing children of opposite gender to share a room service plan. team must assess factors that affect appropriateness of pair sharing a room Siblings of opposite gender were required to share a bedroom without appropriate consent.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors In the bedroom where the child slept, the child's bed was missing a mattress protector .	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors In the bedroom where the child slept, the child's bed was missing a mattress protector .	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Two out of four of the children's records reviewed had no preliminary service plan in their records.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission Two out of four children's records reviewed did not have an admission assessment in their records.	—
3	—	749.3029(b)(1)(E) - Before allowing children of opposite gender to share a room service plan. team must assess factors that affect appropriateness of pair sharing a room Siblings of opposite gender were required to share a bedroom without appropriate consent.	—
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 take the child to the doctor when an outcry was initially made.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One of the four medication logs reviewed did not list the exact dosage for the medication given.	—
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 The foster parent did not follow a child's service plan related to supervision requirements when the child was left unsupervised.	—
3	—	749.3023(a) - Bedrooms-only rooms that provide adequate opportunities for rest and privacy may be used as a bedroom Child in care was required to sleep in an open area of the home.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. Based on the preponderance of evidence in this investigation supports that the foster parent failed to timely report the child's unauthorized absence.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One of the two agency home binders reviewed did not have any unannounced quarterly visits.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review All children record's reviewed had invitations sent to their caseworkers with less than two weeks notice.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
1	—	749.3623(3)(A) - Adoptive Home Screening-Agency documents adoptive applicant residence history: specific addresses & length of time at each for past 10 years An adoptive home screening did not include the applicant's residency nor citizenship.	—
5	—	749.1003(b)(4)(A) - Children's rights-Adhere to the child's rights to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment Foster Parent admitted to cutting the child's hair as a form of discipline due to his behavior at school.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld Food was limited and withheld from a child in care.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination A child in care was life flighted to a hospital however there is no documentation as to this particular medical examination that led to the child being life flighted.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parents made inappropriate remarks regarding weight and sexuality of a child in care.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name One of the four record's reviewed did not have the prescribing medical professionals name listed on the medication log.	—
5	—	745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation Two adults who did not have a backgrounds check were residing in the foster home.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records multiple records were observed to have conflicting information regarding the children in care's gender and high risk behaviors.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child During the course of the investigation it was found that a caregiver yelled at a child in care.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Caregiver made statements that could impact a child's esteem, treatment, and recovery progress.	—
5	—	745.621(a)(1) - Initial background checks submitted - At the time you submit your application A family members background check was not competed as requried.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During a walkthrough of the home, the investigator observed prescribed medication on top of the microwave.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records multiple records were observed to have conflicting information regarding the children in care's gender and high risk behaviors.	—
5	—	749.1003(b)(4)(A) - Children's rights-Adhere to the child's rights to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment Foster Parent admitted to cutting the child's hair as a form of discipline due to his behavior at school.	—
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 The foster parent did not follow a child's service plan related to supervision requirements when the child was left unsupervised.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. Based on the preponderance of evidence in this investigation supports that the foster parent failed to timely report the child's unauthorized absence.	—
3	—	749.3023(a) - Bedrooms-only rooms that provide adequate opportunities for rest and privacy may be used as a bedroom Child in care was required to sleep in an open area of the home.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission Two out of four children's records reviewed did not have an admission assessment in their records.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage One of the four medication logs reviewed did not list the exact dosage for the medication given.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child During the course of the investigation it was found that a caregiver yelled at a child in care.	—
1	—	749.3623(3)(A) - Adoptive Home Screening-Agency documents adoptive applicant residence history: specific addresses & length of time at each for past 10 years An adoptive home screening did not include the applicant's residency nor citizenship.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list Operation has not validated their background checks for their employees since November of 2025.	—
5	—	745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation Two adults who did not have a backgrounds check were residing in the foster home.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parents made inappropriate remarks regarding weight and sexuality of a child in care.	—
5	—	745.621(a)(1) - Initial background checks submitted - At the time you submit your application A family members background check was not competed as requried.	—
1	—	749.1313(a) - Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review All children record's reviewed had invitations sent to their caseworkers with less than two weeks notice.	—
3	—	749.3029(b)(1)(E) - Before allowing children of opposite gender to share a room service plan. team must assess factors that affect appropriateness of pair sharing a room Siblings of opposite gender were required to share a bedroom without appropriate consent.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission Two out of four of the children's records reviewed had no preliminary service plan in their records.	—
3	—	749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors In the bedroom where the child slept, the child's bed was missing a mattress protector .	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Caregiver made statements that could impact a child's esteem, treatment, and recovery progress.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced One of the two agency home binders reviewed did not have any unannounced quarterly visits.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container During a walkthrough of the home, the investigator observed prescribed medication on top of the microwave.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
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 take the child to the doctor when an outcry was initially made.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination A child in care was life flighted to a hospital however there is no documentation as to this particular medical examination that led to the child being life flighted.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission A preliminary service plan was not completed for child in care.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name One of the four record's reviewed did not have the prescribing medical professionals name listed on the medication log.	—

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

Inspections (117)

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

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