Child care center ·
14000 SUMMIT DR STE 100, Austin, TX 78728-7112 ·
License 847959- 206
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.1309(b) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
A copy of the full service plan, with all required information, was not available. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
It was identified during the course of this investigation that children in care sustained multiple injuries to various parts of their body. One child's injuries were noted by medical staff to be most consistent with abuse. The other child's injuries were noted by medical staff to be a high level of concern for inflicted injury. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Two out of two children interviewed report being hit by caregiver and caregiver admits to engaging in "spanking game" with the children, all of which show caregiver hit the children. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A household member tested positive for COVID on June 1st but did not report to licensing until June until June 6th. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
During the course of the investigation, it was determined that no serious incident documentation was completed. The caregivers deny completing any incident report and the agency did not provide any report. |
— |
| 3 | — |
749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
After reviewing documentation, it was determined that a late report was made after a child tested positive for COVID-19. |
— |
| 4 | — |
749.3421(1) - Post-placement Supervision-Ensure the placement continues to meet the child's needs
A child in care passed out/blacked out on 8/5/22 sometime after a self-harm incident, foster parents didn't take the child to the hospital to be evaluated until 8/7/22. It's unknown if the blacking out is related to the self-harm incident. The agency had informed foster parents approx. a week prior to take the child for a mental health assessment if child attempted to self-harm again. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
During the investigation video surveillance was reviewed and found that a foster parent hit a child in care on the face and was using inappropriate discipline. |
— |
| 4 | — |
749.503(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
Agency did not report an injury to a child who required medical treatment by a health care professional within the required time frame. |
— |
| 5 | — |
749.1841(c) - Toddler requirements-Caregiver must never leave toddler unsupervised; caregiver must be within eyesight or hearing range of sleeping toddler
RCCR arrived at the home and the foster parent was not home. The foster parent showed up a few minutes later and only had three children with them. When RCCR and the foster parent went inside, it was discovered that the foster child and a biological child had been left in home alone unsupervised. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Foster parent directed a child in care to strike another child in care with a toy as a form discipline. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
Foster parent failed to seek appropriate medical and dental care for a child in care after child sustained injury to lip and teeth. |
— |
| 5 | — |
749.1003(b)(4)(A)(ii) - Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
A preponderance of evidence established that a child in care was subjected to corporal punishment. |
— |
| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
During the course of the investigation, it was determined that Law Enforcement was involved during an incident at the foster home on 09/05/2021. It was reported until 09/13/2021. |
— |
| 4 | — |
749.1309(b)(1)(H)(ii) - Initial Service Plan-For children who exhibit high risk behavior, must include safety contract to maintain child's safety
In reviewing the Service Plans a child's aggressive behaviors and Safety Contract were not addressed. |
— |
| 5 | — |
749.3133(d) - Swimming pools- Fence or wall 4 ft high must be well constructed and enclose pool area
Agency home did not have the required fencing for swimming pool on property in which children in care have access to. |
— |
| 3 | — |
749.2491(e) - Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
A child that met the criteria for treatment services, was admitted to a home licensed to provide basic child care only. |
— |
| 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
A tuberculosis exam was not completed for a person over 1 year old within 30 days. |
— |
| 3 | — |
749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
It was identified during the course of this investigation that an individual was, at the very least, a babysitter for children in care, but did not undergo the full approval process required in the agency?s policies. These agency policy requirements are also outlined in rule. Regarding approval of an individual to provide babysitting services, the operation?s policies require: an individual to have a cleared background check, have at least six months of child-care experience or two personal/professional references who can describe the prospective babysitter's child-care experience, a documented determination by the agency regarding the individual?s ability to be a babysitter, and a requirement that written documentation of the adult's child care experience and references is kept within the associated case record. The individual providing babysitting services only underwent background checks, which were determined to be clear, and was approved to provide babysitting care. The associated written documentation described above was requested from the agency, but was not produced. |
— |
| 4 | — |
749.2593(d)(5) - Supervision caregiver responsibility- Child participating in unsupervised activity - caregiver must be available in an emergency
During the course of the investigation it was determined a child was unable to contact the foster parent after attempting to call and text them. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
It was found that this incident was not reported by the foster parent and was not reported timely by the agency. Foster parent and agency were aware of the incident as of 10/25/21, but the incident was reported on 10/29/21. Please also refer to 749.509(b) for foster parent requirement for reporting. |
— |
| 4 | — |
749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A child in care was allowed to go to the park in the neighborhood with another child to meet their friends without adult supervision. Being left alone with another child unsupervised is a violation of the safety plan. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
It was identified during the course of this investigation that a child in care sustained an injury to their neck, and medical care wasn't sought by the child's caregiver. This injury was later determined by medical staff to require a surgical consult, and there were concerns by medical staff that medical care wasn't sought by the child's caregiver. |
— |
| 3 | — |
749.1003(b)(6)(A) - Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
After conducting the investigation, it was found that a child in care was told that she could not participate in therapy sessions by herself. |
— |
| 3 | — |
749.503(e)(6)(A) - Serious Incident-Report to Licensing within 24 hours of awareness arrest/indictment/criminal complaint of person under the auspices of agency
Documentation obtained from the operation show that the caregiver did not call the hotline within the 24 hour time frame. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Caregiver called children in care "liar" and "thief." |
— |
| 3 | — |
749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
It was found that the infant had a suspected case of a communicable disease and although this incident was reported the following day to the A/N hotline, it was past the 24-hour timeframe required by minimum standards. |
— |
| 3 | — |
749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Medical records were not available for this incident. The agency was aware of the incident as of 10/25/21. As of 11/3/21, the agency reported the records were requested from the health care facility and as of 12/13/21, the agency reported they had not received the records yet. |
— |
| 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
The child's biological parents and foster parents need to receive two weeks advance notice for the child's service plan meeting or service plan review so the parents can plan to attend. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was identified during the course of this investigation that children in care were subjected to corporal punishment, and the children's caregiver acknowledged administering this type of discipline. |
— |
| 3 | — |
749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening
In 1 of 2 home files reviewed, a home was previously verified and closed with another agency. A new home screening was not completed before verifying the home. |
— |
| 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 locked out of caregiver's home due to their behaviors for upwards of 7 hours at a time and left unsupervised for the majority of the day placing them in situations outside of their maturity level. These actions by the caregiver are defined as neglect in the Texas Family Code. |
— |
| 3 | — |
749.553(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
A copy of the tuberculosis screening was not in the record needed prior to the person having contact with children in care showing the employee is free of contagious tuberculosis as provided in 749.1417 of this title. |
— |
| 4 | — |
749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
The agency was unable to produce documentation for any of foster parent's required annual training regarding reporting suspected abuse/neglect and they were unable to provide this for the agency staff (FAD) for prior to the date of being aware of incident on 10/25/21. The staff training for reporting was dated 11/2/21 after the incident. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child in care sustained injuries that was determined to be consistent with physical abuse per the Texas Family Code. |
— |
| 4 | — |
749.3081(a) - Food Preparation-caregivers must keep furniture, equipment, food surfaces, and areas where food is prepared, eaten, or stored clean and in repair
During the investigation it was observed that the kitchen counters were covered in trash and dishes. It was also observed that 2 packs of cigarettes and a lighter were on the counter within reach of a child. |
— |
| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
During the investigation inspection it was observed by the investigator that medication was left out in the bathroom, giving children in the home access to the medication. Investigator noted the medications were then placed in locked storage prior to the inspection being completed. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
After reviewing document, it was determined that someone in the home tested positive for COVID and it was not reported within 24 hours. |
— |
| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Caregiver did not follow the children's service plan regarding supervision. The service plan noted children should be supervised by an adult. Children in care were outside, without supervision, for long periods of time. The children were over a quarter of a mile away from the caregiver responsible for supervising them for several hours at a time. |
— |
| 4 | — |
749.577(2) - Active child record-Includes known allergies and chronic conditions or
The child's record must have on the exterior of the record or in the first pages documented in a visible area any known allergies or chronic conditions. |
— |
| 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 out of the home in June of 2023, however, an addendum was not completed until 3.26.24. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was reported that children in care were made to do push up as discipline, that children were threatened with physical discipline and possibly physically disciplined. |
— |
| 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 admitted to using corporal punishment as defined in 749.1953(b)(2)(A) when a child had to do squats for the length of a song when they got in trouble at school. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A foster parent tested positive for COVID 19 on January 22, 2022 and it was not reported until January 24, 2022. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
It was concluded that a child in care was taken to the ER for possible head injury and was not reported to the A/N Hotline within the 24-hour time frame. |
— |
| 4 | — |
749.577(2) - Active child record-Includes known allergies and chronic conditions or
The child's record must have on the exterior of the record or in the first pages documented in a visible area any known allergies or chronic conditions. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
It was identified during the course of this investigation that a child in care sustained an injury to their neck, and medical care wasn't sought by the child's caregiver. This injury was later determined by medical staff to require a surgical consult, and there were concerns by medical staff that medical care wasn't sought by the child's caregiver. |
— |
| 4 | — |
749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A child in care was allowed to go to the park in the neighborhood with another child to meet their friends without adult supervision. Being left alone with another child unsupervised is a violation of the safety plan. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
Foster parent directed a child in care to strike another child in care with a toy as a form discipline. |
— |
| 4 | — |
749.3421(1) - Post-placement Supervision-Ensure the placement continues to meet the child's needs
A child in care passed out/blacked out on 8/5/22 sometime after a self-harm incident, foster parents didn't take the child to the hospital to be evaluated until 8/7/22. It's unknown if the blacking out is related to the self-harm incident. The agency had informed foster parents approx. a week prior to take the child for a mental health assessment if child attempted to self-harm again. |
— |
| 3 | — |
749.1003(b)(6)(A) - Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
After conducting the investigation, it was found that a child in care was told that she could not participate in therapy sessions by herself. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Two out of two children interviewed report being hit by caregiver and caregiver admits to engaging in "spanking game" with the children, all of which show caregiver hit the children. |
— |
| 5 | — |
749.1841(c) - Toddler requirements-Caregiver must never leave toddler unsupervised; caregiver must be within eyesight or hearing range of sleeping toddler
RCCR arrived at the home and the foster parent was not home. The foster parent showed up a few minutes later and only had three children with them. When RCCR and the foster parent went inside, it was discovered that the foster child and a biological child had been left in home alone unsupervised. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
It was concluded that a child in care was taken to the ER for possible head injury and was not reported to the A/N Hotline within the 24-hour time frame. |
— |
| 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
A tuberculosis exam was not completed for a person over 1 year old within 30 days. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Caregiver called children in care "liar" and "thief." |
— |
| 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 out of the home in June of 2023, however, an addendum was not completed until 3.26.24. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
During the investigation video surveillance was reviewed and found that a foster parent hit a child in care on the face and was using inappropriate discipline. |
— |
| 5 | — |
749.1003(b)(4)(A)(ii) - Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
A preponderance of evidence established that a child in care was subjected to corporal punishment. |
— |
| 4 | — |
749.2593(d)(5) - Supervision caregiver responsibility- Child participating in unsupervised activity - caregiver must be available in an emergency
During the course of the investigation it was determined a child was unable to contact the foster parent after attempting to call and text them. |
— |
| 4 | — |
749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
The agency was unable to produce documentation for any of foster parent's required annual training regarding reporting suspected abuse/neglect and they were unable to provide this for the agency staff (FAD) for prior to the date of being aware of incident on 10/25/21. The staff training for reporting was dated 11/2/21 after the incident. |
— |
| 3 | — |
749.503(e)(6)(A) - Serious Incident-Report to Licensing within 24 hours of awareness arrest/indictment/criminal complaint of person under the auspices of agency
Documentation obtained from the operation show that the caregiver did not call the hotline within the 24 hour time frame. |
— |
| 3 | — |
749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
It was identified during the course of this investigation that an individual was, at the very least, a babysitter for children in care, but did not undergo the full approval process required in the agency?s policies. These agency policy requirements are also outlined in rule. Regarding approval of an individual to provide babysitting services, the operation?s policies require: an individual to have a cleared background check, have at least six months of child-care experience or two personal/professional references who can describe the prospective babysitter's child-care experience, a documented determination by the agency regarding the individual?s ability to be a babysitter, and a requirement that written documentation of the adult's child care experience and references is kept within the associated case record. The individual providing babysitting services only underwent background checks, which were determined to be clear, and was approved to provide babysitting care. The associated written documentation described above was requested from the agency, but was not produced. |
— |
| 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 admitted to using corporal punishment as defined in 749.1953(b)(2)(A) when a child had to do squats for the length of a song when they got in trouble at school. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was reported that children in care were made to do push up as discipline, that children were threatened with physical discipline and possibly physically disciplined. |
— |
| 3 | — |
749.2491(e) - Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
A child that met the criteria for treatment services, was admitted to a home licensed to provide basic child care only. |
— |
| 3 | — |
749.2473(a) - Updating previous screening and home study-Conduct and complete new home screening
In 1 of 2 home files reviewed, a home was previously verified and closed with another agency. A new home screening was not completed before verifying the home. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child in care sustained injuries that was determined to be consistent with physical abuse per the Texas Family Code. |
— |
| 3 | — |
749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Medical records were not available for this incident. The agency was aware of the incident as of 10/25/21. As of 11/3/21, the agency reported the records were requested from the health care facility and as of 12/13/21, the agency reported they had not received the records yet. |
— |
| 3 | — |
749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
After reviewing documentation, it was determined that a late report was made after a child tested positive for COVID-19. |
— |
| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
During the course of the investigation, it was determined that Law Enforcement was involved during an incident at the foster home on 09/05/2021. It was reported until 09/13/2021. |
— |
| 3 | — |
749.553(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
A copy of the tuberculosis screening was not in the record needed prior to the person having contact with children in care showing the employee is free of contagious tuberculosis as provided in 749.1417 of this title. |
— |
| 3 | — |
749.1309(b) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
A copy of the full service plan, with all required information, was not available. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
After reviewing document, it was determined that someone in the home tested positive for COVID and it was not reported within 24 hours. |
— |
| 4 | — |
749.1309(b)(1)(H)(ii) - Initial Service Plan-For children who exhibit high risk behavior, must include safety contract to maintain child's safety
In reviewing the Service Plans a child's aggressive behaviors and Safety Contract were not addressed. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A foster parent tested positive for COVID 19 on January 22, 2022 and it was not reported until January 24, 2022. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
It was found that this incident was not reported by the foster parent and was not reported timely by the agency. Foster parent and agency were aware of the incident as of 10/25/21, but the incident was reported on 10/29/21. Please also refer to 749.509(b) for foster parent requirement for reporting. |
— |
| 3 | — |
749.511 - Serious Incident Documentation-Documented in written report
During the course of the investigation, it was determined that no serious incident documentation was completed. The caregivers deny completing any incident report and the agency did not provide any report. |
— |
| 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 locked out of caregiver's home due to their behaviors for upwards of 7 hours at a time and left unsupervised for the majority of the day placing them in situations outside of their maturity level. These actions by the caregiver are defined as neglect in the Texas Family Code. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
It was identified during the course of this investigation that children in care sustained multiple injuries to various parts of their body. One child's injuries were noted by medical staff to be most consistent with abuse. The other child's injuries were noted by medical staff to be a high level of concern for inflicted injury. |
— |
| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
During the investigation inspection it was observed by the investigator that medication was left out in the bathroom, giving children in the home access to the medication. Investigator noted the medications were then placed in locked storage prior to the inspection being completed. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
It was identified during the course of this investigation that children in care were subjected to corporal punishment, and the children's caregiver acknowledged administering this type of discipline. |
— |
| 5 | — |
749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
Foster parent failed to seek appropriate medical and dental care for a child in care after child sustained injury to lip and teeth. |
— |
| 4 | — |
749.503(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
Agency did not report an injury to a child who required medical treatment by a health care professional within the required time frame. |
— |
| 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
The child's biological parents and foster parents need to receive two weeks advance notice for the child's service plan meeting or service plan review so the parents can plan to attend. |
— |
| 4 | — |
749.3081(a) - Food Preparation-caregivers must keep furniture, equipment, food surfaces, and areas where food is prepared, eaten, or stored clean and in repair
During the investigation it was observed that the kitchen counters were covered in trash and dishes. It was also observed that 2 packs of cigarettes and a lighter were on the counter within reach of a child. |
— |
| 5 | — |
749.3133(d) - Swimming pools- Fence or wall 4 ft high must be well constructed and enclose pool area
Agency home did not have the required fencing for swimming pool on property in which children in care have access to. |
— |
| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Caregiver did not follow the children's service plan regarding supervision. The service plan noted children should be supervised by an adult. Children in care were outside, without supervision, for long periods of time. The children were over a quarter of a mile away from the caregiver responsible for supervising them for several hours at a time. |
— |
| 3 | — |
749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
It was found that the infant had a suspected case of a communicable disease and although this incident was reported the following day to the A/N hotline, it was past the 24-hour timeframe required by minimum standards. |
— |
| 3 | — |
749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
A household member tested positive for COVID on June 1st but did not report to licensing until June until June 6th. |
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| 3 | — |
749.503(a)(6)(A) - Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
During the course of the investigation, it was determined that Law Enforcement was involved during an incident at the foster home on 09/05/2021. It was reported until 09/13/2021. |
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| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
It was concluded that a child in care was taken to the ER for possible head injury and was not reported to the A/N Hotline within the 24-hour time frame. |
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| 3 | — |
749.503(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
It was found that the infant had a suspected case of a communicable disease and although this incident was reported the following day to the A/N hotline, it was past the 24-hour timeframe required by minimum standards. |
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| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
Caregiver did not follow the children's service plan regarding supervision. The service plan noted children should be supervised by an adult. Children in care were outside, without supervision, for long periods of time. The children were over a quarter of a mile away from the caregiver responsible for supervising them for several hours at a time. |
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| 3 | — |
749.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
It was identified during the course of this investigation that an individual was, at the very least, a babysitter for children in care, but did not undergo the full approval process required in the agency?s policies. These agency policy requirements are also outlined in rule. Regarding approval of an individual to provide babysitting services, the operation?s policies require: an individual to have a cleared background check, have at least six months of child-care experience or two personal/professional references who can describe the prospective babysitter's child-care experience, a documented determination by the agency regarding the individual?s ability to be a babysitter, and a requirement that written documentation of the adult's child care experience and references is kept within the associated case record. The individual providing babysitting services only underwent background checks, which were determined to be clear, and was approved to provide babysitting care. The associated written documentation described above was requested from the agency, but was not produced. |
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749.3133(d) - Swimming pools- Fence or wall 4 ft high must be well constructed and enclose pool area
Agency home did not have the required fencing for swimming pool on property in which children in care have access to. |
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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
It was identified during the course of this investigation that children in care sustained multiple injuries to various parts of their body. One child's injuries were noted by medical staff to be most consistent with abuse. The other child's injuries were noted by medical staff to be a high level of concern for inflicted injury. |
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| 5 | — |
749.1003(b)(4)(A)(ii) - Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
A preponderance of evidence established that a child in care was subjected to corporal punishment. |
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| 3 | — |
749.503(e)(6)(A) - Serious Incident-Report to Licensing within 24 hours of awareness arrest/indictment/criminal complaint of person under the auspices of agency
Documentation obtained from the operation show that the caregiver did not call the hotline within the 24 hour time frame. |
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| 4 | — |
749.503(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
Agency did not report an injury to a child who required medical treatment by a health care professional within the required time frame. |
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246 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.