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Children's Shelter

Child care center · 2939 W WOODLAWN AVE, San Antonio, TX 78228-5015 · License 849789- 40

0Compliance score
Poor

Violation history (352)

Severity	Date	Standard / narrative	Corrected
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease Serious incident report was reported two days after a positive result which is not within the required 24 hour reporting timeframe.	—
4	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. One foster parent did not receive the required training on trauma informed care in 2022. Additionally, all required trainings for two foster parents were taken late in 2022.	—
4	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. Three caregivers did not complete trauma informed care training in the required timeframe.	—
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 communicable disease was not reported within 24 hours to Licensing.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A child in care was injured and taken to the ER on 12/05/2023 at 6:00 pm and it was not reported to licensing until 12/06/2023 at 7:42 pm. The operation failed to timely report to CCR that a child was injured and required medical treatment by a health care professional.	—
5	—	745.621(a)(4) - AP Initial background checks submitted - At the time a person applies to be a foster or adoptive parent Active foster home had an inactive foster parent background check.	Yes
1	—	749.1321(d) - Sharing Initial Service Plan-Document in child's record that a copy or summary of the service plan was provided to his parents Files reviewed did not have the documentation that the service plan completed was provided to the parents.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child in care was not being properly supervised which led to unexplained bruising.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk-thru home medication was found not secured in the master bathroom, master bedroom, and upstairs bathroom.	Yes
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child It was found the child in care was not being supervised according to their service plan and safety plan.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional Two children in care did not receive follow-up medical treatment as recommended by a health care professional.	—
4	—	749.1107(a)(10) - Child Admission Records-Include the known contraindications of the use of restraint Policy was missing the following known contraindications to the use of restraint.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records No date on child rights in one of the files reviewed.	—
4	—	749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered Medication logs for two children did not show what year the medication was administered.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights The child's right was missing from one of the four files reviewed. One of the files reviewed out of four the child's rights was not signed by the caseworker.	—
3	—	749.103(a) - Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules Policies and procedures could not be verified at time of inspection.	—
2	—	749.2451(c) - Documentation of Interviews-Documentation of interviews must be a part of the foster home record Foster home study must contain the proper documentation when requested. Foster home study must contain references with the date, method of contact, time conducted, who was present and a detailed summary.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident was not called into statewide intake within 24 hours.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Foster parent used inappropriate actions towards a child in care in care by sitting on them on the couch and hitting them with a pillow.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parent used inappropriate actions of yelling and cursing at child in care in care.	—
4	—	749.2557(a) - AP Capacity-Foster homes may not exceed the total capacity stated on the home's verification There are seven children staying in the home at the time of inspection. Five foster children and two biological grandchildren. Agency case manager had no explanation for two biological grandchildren staying in the home. The foster parents admitted the biological grandchildren have been staying in the home for previous two weeks and will be staying an additional five weeks.	—
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 Files reviewed did not have the two weeks notice given to the parents.	—
3	—	749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency. The operation became aware of foster dad's arrest on 10/29/2024 at 12:33 p.m. and did not report the arrest until 10/30/2023 at 5:18 p.m.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident was not called in to statewide intake within 24 hours.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Evidence and information gathered support that was a child in care was grabbed in an inappropriate manner causing bruising to arms.	—
3	—	749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment A foster parent told children in care that they could be moved to a different placement if they didn't listen.	—
3	—	749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam A child's record was missing documentation of a dental appointment.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Frequent visitor's initial background check still has not been submitted. It was confirmed the frequent visitor is still visiting the home.	—
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced Homes reviewed did not have the supervisory visits unannounced.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. One of the homes reviewed was five days late on the annual training.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Inappropriate jokes were being told in front of the Children in care.	—
3	—	749.2447(15) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about a child's experiences of separation from family Two of the four homes did not have appropriate documentation for this section.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months Crib used by infant had a pillow and blanket at time of inspection	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years Household member who resides in the home did not have a completed background check.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident report provided by operation states a child in care was injured on 9/23/2022 while at school. Child was diagnosed with left elbow fracture on 9/25/2022. A report was made to hotline on 9/27/2022.	—
4	—	749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers. During the walk-thru the upstairs and downstaris fire extinguishers were found to be expired.	—
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 Two child plans were not updated within the required 180 days.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Multiple background checks for active foster parents were not rerun prior to reopening the homes.	—
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 was diagnosed with a communicable disease on 12/18/21 and it was not reported until 12/21/21.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. Four caregivers did not complete their annual psychotropic medication training in a timely manner.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Foster parent had a frequent visitor in the home and no background check completed.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication During the walk-through of the home, it was discovered that medication was accessible to children, as was the key to accessing the medication. The caregiver corrected the issue by removing the key from the cabinet and putting the unlocked medication away.	Yes
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation It was determined a child in care sustained an intentional physical injury.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease The incident report stated foster parent were aware the child in care tested positive for communicable disease on 01/12/22 and it was not reported to licensing until 01/14/22.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child It was found the child in care was not being supervised according to their service plan and safety plan.	—
3	—	749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam A child's record was missing documentation of a dental appointment.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident was not called into statewide intake within 24 hours.	—
4	—	749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers. During the walk-thru the upstairs and downstaris fire extinguishers were found to be expired.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child in care was not being properly supervised which led to unexplained bruising.	—
2	—	749.2451(c) - Documentation of Interviews-Documentation of interviews must be a part of the foster home record Foster home study must contain the proper documentation when requested. Foster home study must contain references with the date, method of contact, time conducted, who was present and a detailed summary.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication During the walk-through of the home, it was discovered that medication was accessible to children, as was the key to accessing the medication. The caregiver corrected the issue by removing the key from the cabinet and putting the unlocked medication away.	Yes
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years Household member who resides in the home did not have a completed background check.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. Four caregivers did not complete their annual psychotropic medication training in a timely manner.	—
3	—	749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment A foster parent told children in care that they could be moved to a different placement if they didn't listen.	—
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 was diagnosed with a communicable disease on 12/18/21 and it was not reported until 12/21/21.	—
4	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. One foster parent did not receive the required training on trauma informed care in 2022. Additionally, all required trainings for two foster parents were taken late in 2022.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container During the walk-thru home medication was found not secured in the master bathroom, master bedroom, and upstairs bathroom.	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Foster parent had a frequent visitor in the home and no background check completed.	—
3	—	749.1005(a) - Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights The child's right was missing from one of the four files reviewed. One of the files reviewed out of four the child's rights was not signed by the caseworker.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Foster parent used inappropriate actions towards a child in care in care by sitting on them on the couch and hitting them with a pillow.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation It was determined a child in care sustained an intentional physical injury.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Evidence and information gathered support that was a child in care was grabbed in an inappropriate manner causing bruising to arms.	—
3	—	749.503(e)(7)(A) - Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency. The operation became aware of foster dad's arrest on 10/29/2024 at 12:33 p.m. and did not report the arrest until 10/30/2023 at 5:18 p.m.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization A child in care was injured and taken to the ER on 12/05/2023 at 6:00 pm and it was not reported to licensing until 12/06/2023 at 7:42 pm. The operation failed to timely report to CCR that a child was injured and required medical treatment by a health care professional.	—
3	—	749.103(a) - Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules Policies and procedures could not be verified at time of inspection.	—
4	—	749.1541(c)(5) - Medication Record-Must include date (day, month, year) & time each medication was administered Medication logs for two children did not show what year the medication was administered.	—
4	—	749.2557(a) - AP Capacity-Foster homes may not exceed the total capacity stated on the home's verification There are seven children staying in the home at the time of inspection. Five foster children and two biological grandchildren. Agency case manager had no explanation for two biological grandchildren staying in the home. The foster parents admitted the biological grandchildren have been staying in the home for previous two weeks and will be staying an additional five weeks.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records No date on child rights in one of the files reviewed.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Inappropriate jokes were being told in front of the Children in care.	—
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 Two child plans were not updated within the required 180 days.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident report provided by operation states a child in care was injured on 9/23/2022 while at school. Child was diagnosed with left elbow fracture on 9/25/2022. A report was made to hotline on 9/27/2022.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. One of the homes reviewed was five days late on the annual training.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease Serious incident report was reported two days after a positive result which is not within the required 24 hour reporting timeframe.	—
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 communicable disease was not reported within 24 hours to Licensing.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Multiple background checks for active foster parents were not rerun prior to reopening the homes.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional Two children in care did not receive follow-up medical treatment as recommended by a health care professional.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Frequent visitor's initial background check still has not been submitted. It was confirmed the frequent visitor is still visiting the home.	—
5	—	745.621(a)(4) - AP Initial background checks submitted - At the time a person applies to be a foster or adoptive parent Active foster home had an inactive foster parent background check.	Yes
4	—	749.2815(b) - Supervisory Visits-At least two supervisory visit per year must be unannounced Homes reviewed did not have the supervisory visits unannounced.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parent used inappropriate actions of yelling and cursing at child in care in care.	—
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 Files reviewed did not have the two weeks notice given to the parents.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident was not called in to statewide intake within 24 hours.	—
3	—	749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease The incident report stated foster parent were aware the child in care tested positive for communicable disease on 01/12/22 and it was not reported to licensing until 01/14/22.	—
4	—	749.1107(a)(10) - Child Admission Records-Include the known contraindications of the use of restraint Policy was missing the following known contraindications to the use of restraint.	—
3	—	749.2447(15) - Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about a child's experiences of separation from family Two of the four homes did not have appropriate documentation for this section.	—
4	—	749.930(c)(2) - Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care. Three caregivers did not complete trauma informed care training in the required timeframe.	—
1	—	749.1321(d) - Sharing Initial Service Plan-Document in child's record that a copy or summary of the service plan was provided to his parents Files reviewed did not have the documentation that the service plan completed was provided to the parents.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months Crib used by infant had a pillow and blanket at time of inspection	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional Two children in care did not receive follow-up medical treatment as recommended by a health care professional.	—
5	—	745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years Household member who resides in the home did not have a completed background check.	—
5	—	749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months Crib used by infant had a pillow and blanket at time of inspection	—
3	—	749.103(a) - Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules Policies and procedures could not be verified at time of inspection.	—
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 communicable disease was not reported within 24 hours to Licensing.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. One of the homes reviewed was five days late on the annual training.	—
5	—	749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication During the walk-through of the home, it was discovered that medication was accessible to children, as was the key to accessing the medication. The caregiver corrected the issue by removing the key from the cabinet and putting the unlocked medication away.	Yes
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation It was determined a child in care sustained an intentional physical injury.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Incident report provided by operation states a child in care was injured on 9/23/2022 while at school. Child was diagnosed with left elbow fracture on 9/25/2022. A report was made to hotline on 9/27/2022.	—
4	—	749.1107(a)(10) - Child Admission Records-Include the known contraindications of the use of restraint Policy was missing the following known contraindications to the use of restraint.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Frequent visitor's initial background check still has not been submitted. It was confirmed the frequent visitor is still visiting the home.	—
5	—	749.2593(a)(2) - Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity A child in care was not being properly supervised which led to unexplained bruising.	—

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

Inspections (208)

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

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