Child care center ·
4109 MANSFIELD HWY, Forest Hill, TX 76119-6813 ·
License 830623- 1567
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did document any person that would provide support to the foster parent in case of an emergency or need to provide care for foster youth. |
— |
| 2 | — |
749.1331(1) - Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
The service plan for a child in care was due to be updated by 4/27/2023 and has not been completed. |
— |
| 3 | — |
749.2447(6)(B)(iii) - Foster Home Screening-Document and assess for prospective foster parents a monthly itemized household expense report
Pet expenses are not listed on the foster home screening. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 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, due to your recent citations issued on June 20, 2022, 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 August 9, 2022. Specifically, the operation was cited for 749.1463 (b)(3) AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders. The operation met compliance on August 15, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring |
— |
| 3 | — |
749.2447(11) - Foster Home Screening-Agency documents the prospective foster parents' feelings about their childhoods and parents
Foster parent experienced corporal punishment as a child, said she agreed with its use. Further the biological and adoptive children admitted to physical discipline including stating hit with a belt in HS, The home screening did not asses this. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Medication logs reviewed show that a child in care is taking a new psychotropic medication. There is no medical documentation in the child's record indicating that this child was prescribed the new medication or directions for how the medication should be administered. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
A child in care's medication logs for November 2022 were incomplete. The child is prescribed 5 medications, but the log only shows administration for 3. |
— |
| 5 | — |
749.2447(7)(B)(ii) - Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years
The home screening did not document the agency inquiring to foster parent if there were any service calls made within two years. |
— |
| 2 | — |
749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
The newest Addendum dated 8/24/21 shows the Foster Capacity at 4 kinship foster children and total Capacity at 4 children. In Class, it shows Foster Capacity at 3 foster children and a Total Capacity of 5 children. The addendum date 1/26/21 also shows a total of 4 kinship foster children with a total capacity of 4. |
— |
| 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
An staff member's last day of employment with the operation was 10/12/2023 and their background check has not been inactivated. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
A foster parent has not administered a prescribed medication to a child since placement began. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The reason the medication was prescribed to a child in care is not listed on any of his medication logs for the months of August and September 2022. |
Yes |
| 4 | — |
749.2807(1) - Foster Home Compliance-must evaluate home when there is an allegation of a deficiency, including any rules related to the deficiency
There were 3 investigations involving allegations of inappropriate discipline. Compliance was not addressed in any of them. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
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 citations issued on July 28, 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 July 28, 2023. Specifically, the operation was cited for 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 operation met compliance on July 31, 2023. Choose all that apply and delete the other(s): - 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 plan. |
— |
| 5 | — |
745.8641 - Requirements during probation
Condition #1 was unmet due to no documentation on the log verifying that a LCPAA was present at the operation for a minimum of 16 hours during the month of February. Condition #6 was unmet due to two tasks on the Heightened Monitoring tasks being unmet on February 23, 2023. |
Yes |
| 2 | — |
749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
A foster family adopted two children on 11/18/22. Licensing was not notified of this change in capacities until 11/29/22. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 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 citations issued on December 14, 2022, 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 low-weighted citation in a pattern/trend category on December 14, 2022. Specifically, the operation was cited for 749.1313 (b) Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses. The operation met compliance on December 29, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $100. |
— |
| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition 3 was not met there were no signature for administrator for 4-28-22 meeting. There was no documentation for May meeting. Condition 4 did not meet due to not have a completed attendance log. Condition 6 did not meet because citations for 5-5-22 were not address. |
— |
| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
One employee file did not have form signed |
— |
| 3 | — |
749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
Four children are sharing one bedroom, which is 147.58 square feet according to the home screening and floor plan. Minimum standards requires 40 square feet per occupant, so the room would need to be at least 160 square feet. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver spanked children in care with a belt and hit them with an open hand. |
— |
| 3 | — |
749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
One foster home file did not address stess level of the home. |
— |
| 3 | — |
749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
The home screening did not show how the foster parent relationships ended and how she coped with the relationship. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 3/28/2022 Texas Health Physicians Group After Visit Summary. The May 2022 medication log shows the child in care received 1 tablet two times a day. The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 5/27/2022 Texas Health Physicians Group After Visit Summary. In June 2022 medication log shows the child received one tablet a day. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The specific results of the Foster Parents Background Check was not document or assessed. |
— |
| 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
A household member lived outside of the state in 2019 at the time their initial background check was completed and the agency did not have an out-of-state background check conducted. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A foster home liscenced in 2018 did not have pictures of the outside of the home and pictures were obtained of the home during inspection. |
Yes |
| 3 | — |
749.2447(6)(B)(ii) - Foster Home Screening-Document and assess for each prospective parent copy of 2 bank statements and/or previous year's tax return
One home proof of income did not match up with "2500 a month" claim. The budget had 0 listed for medical/dental/auto/clothing/rec entertainment, rent was listed as 900, either 1605 or 1307. The foster parent owned 2 cars but did not have any payments, gas or maintenance listed. |
— |
| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition #1 was met. Condition #2 was met. Condition #3 was met. Condition #4 was unmet because inspections from 08/09/22 and 09/22/22 were not listed on the system for tracking deficiencies, and the system does not include information on corrections or follow-ups. Condition #5 was met. Condition #6 was met. |
— |
| 3 | — |
749.2453(a)(3) - You must update a foster home screening- When there is a change that affects a foster home's verification as described in 749.2803
According to their background checks in CLASS, a family's adult daughters are now frequent visitors instead of household members. Their background checks were submitted as frequent visitors on 10/19/22. The agency's case manager confirmed that the adult daughters are no longer living in the home. There is not a home screening addendum in the file for this change in household composition. |
— |
| 2 | — |
749.1543(b) - Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record
A child in care's record did not include medication logs for the month of December 2022. |
— |
| 1 | — |
749.1313(b) - Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses
A child in care's record did not include documentation of the notice to the child's parents and foster parents for the initial service plan meeting. |
— |
| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
A foster parent moved out of the home June 2021. |
— |
| 3 | — |
749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old
An 18-year-old is sharing a bedroom with a 3 year old in care when she stays at the residence a few times per week. |
— |
| 3 | — |
749.2447(18) - Foster Home Screening-Agency documents the attitude of the prospective foster parents' extended family regarding foster care
Home screening not address involvement of any of the family members. |
— |
| 3 | — |
749.2807(3) - Foster Home Compliance-must evaluate the home's compliance with applicable rules when an unplanned change in housing or employment occurs
The foster parent became unemployed in 2019, yet no addendum was completed to evaluate her financial status and ability to continue caring for foster children. |
— |
| 3 | — |
749.1131 - You must complete a non-emergency admission assessment prior to admission
An admission assessment was not completed for a child placed on 7/12/2023. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
Serious incident reports did not include the age, date of birth, and date of admission. |
— |
| 3 | — |
749.2447(23)(B)(i) - Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
There is no conversation with Ms. Williams during the home screening regarding closures with previous CPA s. |
— |
| 2 | — |
749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
The most recent service plan for a child in care does have any signatures for persons that attended the service plan meeting. |
— |
| 3 | — |
749.1291(g) - Contact between child placement staff and child-significant and documented in child's record
The monthly contacts for two children in care files did not have enough detail. |
— |
| 3 | — |
749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
There is no documentation in the home screening regarding information being requested or assessed from previous CPA 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
There were several trainings that did not include the qualifications of the trainer. |
— |
| 3 | — |
749.2817(a) - Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements
An active home did not have any supervisory visits completed. |
— |
| 3 | — |
749.2453(a)(2) - You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
A household member moved into the home over 30 days ago and the home screening has not been updated to reflect the change in household composition. |
— |
| 4 | — |
749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A caregiver admitted to smoking cigarettes inside of the foster home. |
— |
| 2 | — |
749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use
One home file did not have dimensions for the home. Two home file had no pictures of outside areas. |
— |
| 2 | — |
749.1331(1) - Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
The service plan for a child in care was due to be updated by 4/27/2023 and has not been completed. |
— |
| 3 | — |
749.2817(a) - Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements
An active home did not have any supervisory visits completed. |
— |
| 3 | — |
749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
There is no documentation in the home screening regarding information being requested or assessed from previous CPA s. |
— |
| 3 | — |
749.2447(23)(B)(i) - Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
There is no conversation with Ms. Williams during the home screening regarding closures with previous CPA s. |
— |
| 4 | — |
749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A caregiver admitted to smoking cigarettes inside of the foster home. |
— |
| 5 | — |
745.8641 - Requirements during probation
Condition #1 was unmet due to no documentation on the log verifying that a LCPAA was present at the operation for a minimum of 16 hours during the month of February. Condition #6 was unmet due to two tasks on the Heightened Monitoring tasks being unmet on February 23, 2023. |
Yes |
| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition 3 was not met there were no signature for administrator for 4-28-22 meeting. There was no documentation for May meeting. Condition 4 did not meet due to not have a completed attendance log. Condition 6 did not meet because citations for 5-5-22 were not address. |
— |
| 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
A household member lived outside of the state in 2019 at the time their initial background check was completed and the agency did not have an out-of-state background check conducted. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
A child in care's medication logs for November 2022 were incomplete. The child is prescribed 5 medications, but the log only shows administration for 3. |
— |
| 4 | — |
749.2807(1) - Foster Home Compliance-must evaluate home when there is an allegation of a deficiency, including any rules related to the deficiency
There were 3 investigations involving allegations of inappropriate discipline. Compliance was not addressed in any of them. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
Medication logs reviewed show that a child in care is taking a new psychotropic medication. There is no medical documentation in the child's record indicating that this child was prescribed the new medication or directions for how the medication should be administered. |
— |
| 3 | — |
749.1131 - You must complete a non-emergency admission assessment prior to admission
An admission assessment was not completed for a child placed on 7/12/2023. |
— |
| 2 | — |
749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan
The most recent service plan for a child in care does have any signatures for persons that attended the service plan meeting. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver spanked children in care with a belt and hit them with an open hand. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
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 citations issued on July 28, 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 July 28, 2023. Specifically, the operation was cited for 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 operation met compliance on July 31, 2023. Choose all that apply and delete the other(s): - 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 plan. |
— |
| 3 | — |
749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old
An 18-year-old is sharing a bedroom with a 3 year old in care when she stays at the residence a few times per week. |
— |
| 2 | — |
749.2470(3)(A) - Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use
One home file did not have dimensions for the home. Two home file had no pictures of outside areas. |
— |
| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
A foster parent moved out of the home June 2021. |
— |
| 3 | — |
749.2447(6)(B)(iii) - Foster Home Screening-Document and assess for prospective foster parents a monthly itemized household expense report
Pet expenses are not listed on the foster home screening. |
— |
| 2 | — |
749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
A foster family adopted two children on 11/18/22. Licensing was not notified of this change in capacities until 11/29/22. |
— |
| 3 | — |
749.2447(11) - Foster Home Screening-Agency documents the prospective foster parents' feelings about their childhoods and parents
Foster parent experienced corporal punishment as a child, said she agreed with its use. Further the biological and adoptive children admitted to physical discipline including stating hit with a belt in HS, The home screening did not asses this. |
— |
| 3 | — |
749.2453(a)(3) - You must update a foster home screening- When there is a change that affects a foster home's verification as described in 749.2803
According to their background checks in CLASS, a family's adult daughters are now frequent visitors instead of household members. Their background checks were submitted as frequent visitors on 10/19/22. The agency's case manager confirmed that the adult daughters are no longer living in the home. There is not a home screening addendum in the file for this change in household composition. |
— |
| 3 | — |
749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
Four children are sharing one bedroom, which is 147.58 square feet according to the home screening and floor plan. Minimum standards requires 40 square feet per occupant, so the room would need to be at least 160 square feet. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The reason the medication was prescribed to a child in care is not listed on any of his medication logs for the months of August and September 2022. |
Yes |
| 3 | — |
749.2447(4) - Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
The home screening did not show how the foster parent relationships ended and how she coped with the relationship. |
— |
| 3 | — |
749.2447(6)(B)(ii) - Foster Home Screening-Document and assess for each prospective parent copy of 2 bank statements and/or previous year's tax return
One home proof of income did not match up with "2500 a month" claim. The budget had 0 listed for medical/dental/auto/clothing/rec entertainment, rent was listed as 900, either 1605 or 1307. The foster parent owned 2 cars but did not have any payments, gas or maintenance listed. |
— |
| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition #1 was met. Condition #2 was met. Condition #3 was met. Condition #4 was unmet because inspections from 08/09/22 and 09/22/22 were not listed on the system for tracking deficiencies, and the system does not include information on corrections or follow-ups. Condition #5 was met. Condition #6 was met. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 2, 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, due to your recent citations issued on June 20, 2022, 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 August 9, 2022. Specifically, the operation was cited for 749.1463 (b)(3) AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders. The operation met compliance on August 15, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring |
— |
| 3 | — |
749.1291(g) - Contact between child placement staff and child-significant and documented in child's record
The monthly contacts for two children in care files did not have enough detail. |
— |
| 2 | — |
749.2489(4) - Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
The newest Addendum dated 8/24/21 shows the Foster Capacity at 4 kinship foster children and total Capacity at 4 children. In Class, it shows Foster Capacity at 3 foster children and a Total Capacity of 5 children. The addendum date 1/26/21 also shows a total of 4 kinship foster children with a total capacity of 4. |
— |
| 3 | — |
749.2447(19) - Foster Home Screening-Agency documents support systems available to prospective foster parents
The home screening did document any person that would provide support to the foster parent in case of an emergency or need to provide care for foster youth. |
— |
| 3 | — |
749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
One foster home file did not address stess level of the home. |
— |
| 3 | — |
749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
Serious incident reports did not include the age, date of birth, and date of admission. |
— |
| 5 | — |
749.2447(7)(B)(ii) - Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years
The home screening did not document the agency inquiring to foster parent if there were any service calls made within two years. |
— |
| 3 | — |
749.2807(3) - Foster Home Compliance-must evaluate the home's compliance with applicable rules when an unplanned change in housing or employment occurs
The foster parent became unemployed in 2019, yet no addendum was completed to evaluate her financial status and ability to continue caring for foster children. |
— |
| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
One employee file did not have form signed |
— |
| 1 | — |
749.1313(b) - Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses
A child in care's record did not include documentation of the notice to the child's parents and foster parents for the initial service plan meeting. |
— |
| 3 | — |
749.2447(18) - Foster Home Screening-Agency documents the attitude of the prospective foster parents' extended family regarding foster care
Home screening not address involvement of any of the family members. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 6, 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 citations issued on December 14, 2022, 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 low-weighted citation in a pattern/trend category on December 14, 2022. Specifically, the operation was cited for 749.1313 (b) Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses. The operation met compliance on December 29, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring An administrative penalty will be assessed as a result of this citation, per HRC 42.078(a-1). The maximum daily amount of a penalty for your operation is $100. |
— |
| 5 | — |
749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The specific results of the Foster Parents Background Check was not document or assessed. |
— |
| 2 | — |
749.1543(b) - Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record
A child in care's record did not include medication logs for the month of December 2022. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
A foster parent has not administered a prescribed medication to a child since placement began. |
— |
| 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
There were several trainings that did not include the qualifications of the trainer. |
— |
| 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
An staff member's last day of employment with the operation was 10/12/2023 and their background check has not been inactivated. |
— |
| 3 | — |
749.2453(a)(2) - You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
A household member moved into the home over 30 days ago and the home screening has not been updated to reflect the change in household composition. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A foster home liscenced in 2018 did not have pictures of the outside of the home and pictures were obtained of the home during inspection. |
Yes |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 3/28/2022 Texas Health Physicians Group After Visit Summary. The May 2022 medication log shows the child in care received 1 tablet two times a day. The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 5/27/2022 Texas Health Physicians Group After Visit Summary. In June 2022 medication log shows the child received one tablet a day. |
— |
| 3 | — |
749.2453(b) - You must update a foster home screening- A foster home screening update may be made by using an addendum
A foster parent moved out of the home June 2021. |
— |
| 3 | — |
749.2815(c)(4) - Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
One foster home file did not address stess level of the home. |
— |
| 3 | — |
749.2447(23)(A) - Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
There is no documentation in the home screening regarding information being requested or assessed from previous CPA s. |
— |
| 3 | — |
749.553(8) - Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
One employee file did not have form signed |
— |
| 3 | — |
749.2817(a) - Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements
An active home did not have any supervisory visits completed. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 3/28/2022 Texas Health Physicians Group After Visit Summary. The May 2022 medication log shows the child in care received 1 tablet two times a day. The child in care is prescribed Escitalopram Oxalate 5mg tablet 3 tablets once daily by a physician per the 5/27/2022 Texas Health Physicians Group After Visit Summary. In June 2022 medication log shows the child received one tablet a day. |
— |
224 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.