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Arrow Child and Family Ministries of Texas

Name: Arrow Child and Family Ministries of Texas
Address: TX, US

Child care center · , TX · License 856145- 58

0Compliance score
Poor

Violation history (500)

Severity	Date	Standard / narrative	Corrected
4	—	749.2153(2)(C) - EBI Release-Child released from personal restraint as soon as child not a danger to self or others Child continued to be restrained even though child was not displaying danger to self or others.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation There is a preponderance of evidence that a foster parent subjected a child in care to physical abuse.	—
4	—	749.1003(b)(4)(B) - Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level The discipline used in the home is inappropriate in addition to being excessive for children under the age of 10.	—
4	—	749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year Five agency homes files were reviewed and indicated that either their Fire Safety or Environmental Checklist were expired.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Foster parents did not implement and follow a child's service plan when they did not follow through with using an audio monitor in the child's bedroom to assist with supervising the child a night and throughout the day.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Foster parent was unable to provide updated medication log for PMN child in the home.	—
4	—	749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers. During a walk through of the residence I observed two fire extinguishers in the kitchen and upstairs in the loft both expired Aug 2021.	—
5	—	HRC42.063(a) - Reporting Incidents and Violations that threaten or impair the basic health, safety or well-being of a child It was determined that the agency and foster parent became aware of an incident and failed to report.	—
4	—	749.3067 - Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld A foster parent locked the refrigerator and pantry in the kitchen restricting access to food items for children in care.	—
4	—	749.2055(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective Child voiced wanting to go outside to cool down but was not allowed.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A child in care made to do squats as a form of punishment.	—
4	—	749.2913(a)(2) - Fire Extinguisher-A foster home must have a fire extinguisher on each level of the home Fire extinguishers were present both upstairs and downstairs, however none had a date of maintenance or label.	—
5	—	749.1957(7) - Other Prohibited Discipline-Putting anything in or on a child's mouth, such as soap or tape Foster child had a sock placed in the mouth during a restraint in an attempt to keep child quiet.	—
5	—	749.2593(a)(5) - Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children Foster parents did not comply with the supervision requirements listed on the child's service plan.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container The scheduled II medication were not under double lock in separate container.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A frequent visitor to the foster home has been present with children in care without an Active/Eligible background check status on file. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name On two separate medication logs the prescribing health-care professionals name was missing.	—
5	—	749.2205(c)(1) - Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute Foster parent sat on child's buttocks while being restraint in a prone position and holding hands behind back.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization An incident involving a child in care being bitten by a dog, resulting in serious injuries, and requiring immediate medical attention was not reported to Licensing within 24 hours.	—
5	—	749.3133(d) - Swimming pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs The door leading to the pool did not have a top latch for safety. The pool did not have a gate surrounding the pool when exiting the home towards the area of the pool.	—
4	—	749.2815(a)(1) - Supervisory Visits-must have supervisory visits in the foster home at least quarterly An agency home was missing their unannounced 4th quarter report for year 2024	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed During the walk-through of the home; flammable and poisonous substances were accessible to the children in care.	—
4	—	749.2915 - Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision During the walk-through of the home; dangerous tools and equipment were accessible to the children in care.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation Child in care was medically neglected by not consistently being administered medication and putting child at risk for breakthrough seizures, permanent brain damage, loss of developmental milestones, asthma attacks, hospitalization, and permanent lung damage.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation During the review of the investigation, it was found that a household member did not have an active background check at the time of licensure, as well as the initiation of the investigation.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language The caregiver used inappropriate language towards the child in care.	—
2	—	749.1305 - Preliminary Service Planning-the placement staff must develop, sign, and date the preliminary service plan While reviewing child files, the preliminary service plan and inital service plan was completed timely however it was signed by the casemanager months later.	Yes
3	—	749.2151(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers Foster child was not provided privacy during a restraint as another child was instructed to record the restraint.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation The agency home allowed frequent visitors access to children in care and the home did not request an updated background check for three frequent visitor's.	—
5	—	749.2205(a)(3) - Personal Restraints Prohibited-Restraints that obstruct a caregiver's ability to view the child's face Child was placed on stomach obstructing visual of child face during the restraint.	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline The foster parent did not report the 12/22/21 covid diagnosis to the agency until 12/26/21, when it was then phoned in within the 24-hour time-frame by the agency.	—
4	—	749.1541(c)(4) - Medication Record-Must include medication name, strength & dosage A child's medication log was missing the dosage strength on a medication log.	—
3	—	749.1131 - You must complete a non-emergency admission assessment prior to admission While reviewing child records, one of the three files did not contain the components of admission assessment.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans A caregiver failed to follow the service plan.	—
3	—	749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request An agency representative reported the agency doesn't have an actual unauthorized absence log.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was determined that the foster parent failed to exercise prudent judgment in the care and supervision of the foster children.	—
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk A dog was not vaccinated timely.	Yes
4	—	749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk While reviewing home screenings, it was observed that one of the pets vaccination expired.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child Children were not being supervised at the time an injury occurred.	—
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 A child in care's Child's Rights form was observed missing a signature. It appears that the child may have been a toddler at that time but there was no documentation stating that the child could not sign due to them being a toddler. Two other children in care's form appears to be missing completely from their files.	—
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. Licensing was not notified timely regarding a foster parent arrest.	—
4	—	749.2599(3) - Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR A household member reports babysitting youth in care but is not certified in first aid and CPR. The agency reports there are no household members who have been identified as babysitters.	—
1	—	749.1321(a)(1) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child The caregiver didn't have a copy of the children in care service plans.	—
3	—	749.933(a)(1) - Annual Training Timeline-Each person must complete required annual training within 12 months from date of employment or date verified as foster parent Records reviewed show foster parents did not renew annual trainings timely.	—
3	—	749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record During the review of 3 children records, the date of signature was missing from one form. A two children did not sign the form and there was no documentation on why it was not signed. One form was updated and corrected at inspection.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization The operation failed to report to licensing within the required timeframe.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks There is a preponderance of evidence that confirms that a caregiver failed to exemplify self-control by engaging in a physical altercation with a child in care.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Based on the information gathered in this investigation, there is enough evidence that the caregivers failed to report the serious injury of the child within 24 hours after the incident. The incident occurred on 03/06/2026 between the hours of 12:45 - 13:30. The caregivers reported the injury to the Arrow Child and Family Ministries of Texas and Department of Family Protective Services on 03/08/2026 at 13:28.	—
5	—	745.665 - If a subject of a background check at your operation has been arrested or charged with a crime, you must report it to Licensing immediately A foster parent's arrest was not reported to Licensing.	—
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 child in care's medication was not being administered as directed by the label on the medication bottle. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position Children under the age of 6 were subjected to flutter kicks, or wall sits as a form of discipline and were allowed to stop once the children began to cry.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone The foster mother's parents visit the home a couple of times a year for a few months at a time. They were present during the investigation inspection.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization Agency did not report the incident to the hotline.	—
4	—	749.2907(A)(2) - Emergency Plans-Each foster home must have written plans and procedures for handling potential disasters and emergencies During the walk-through of the home; no written plans observed for potential disasters or emergencies.	—
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 While reviewing child rights 2 out of 6 children in care did not have child rights in their record	—
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 A child in care had abrasions on their back, but there are no explanations on how they were obtained.	—
4	—	749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside Foster mom is smoking in the garage	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. Records reviewed show foster parents did not renew annual trainings timely.	—
3	—	749.2605(b)(3) - Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity During the ANE investigation, it was found that the child 's behaviors were not being addressed appropriately. There were repeated concerns of the child being able to act out inappropriately and engaging in inappropriate behaviors.	—
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 Child in care, who was diagnosed with ADHD is not provided with the required medical care as indicated in the safety plan.	—
4	—	749.3663(b) - Adoptive Home Care/Safety-Pets vaccinated and treated as recommended by vet There were no update pet vaccine records for five agency homes.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container It's documented that in the agency home case notes from 01/27/26 it was observed that the case manager observed the not properly secured.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. During review of the documentation and interviews, it was determined the foster parents utilized corporal punishment on children in care on multiple occasions, using their hand and a wooden spoon.	—
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. Injury occurred on 01/29/2026. Agency notified the CVS worker on 02/05/2026.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional A child in care was not taken to a follow up appointment with a neurologist.	—
3	—	749.1461(b) - Administration of Medication-Must obtain written, signed, & dated consent, for a new psychotropic medication It was determined that the agency did not notify the child's case worker of a newly prescribed medication.	—
5	—	749.1437 - Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof. It was determined during this investigation that the foster mother failed to take a child in care to the Emergency Room immediately following an injury sustained by the child in care.	—
5	—	749.3041(8) - Physical Environment-Foster home must ensure that house is free of rodents and insects During the walk-through of the foster home; an observation of roaches and gnats.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container A caregiver did not properly secure medication, leaving it accessible to a child in care who ingested an unknown amount, and required medical attention.	—
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 determined that the caregiver failed to adequately supervise children in care, resulting in harm and serious risk of harm.	—
4	—	749.1003(b)(4)(B) - Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level Child was inappropriate dress for the weather condition when he was outside the home as he was being discipled.	—
2	—	749.1153(b) - Dental Requirements-Child 3 yrs old or older must have appt scheduled within 30 days after admission, and the exam within 90 days after admission Two children in care were admitted 10/20/2023, and was due for his dental visit in January of 2024. The child was not seen for a visit until March of 2024. Another child in care was 21 days late for their appointment .	—
5	—	745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605 The foster parent identified her bio daughter, who doesn't have a background check, as being a frequent visitor to the home, visiting 3-4 times a week and occasionally sending a night.	—
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 was not administered according to doctor instructions as it was missed, and multiple medications were not opened in ordered to be given to the child as prescribed.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks Caregivers admitted to arguing and using curse words in the presence of children in care.	—
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 was not administered according to doctor instructions as it was missed, and multiple medications were not opened in ordered to be given to the child as prescribed.	—
3	—	749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request An agency representative reported the agency doesn't have an actual unauthorized absence log.	—
4	—	749.2153(2)(C) - EBI Release-Child released from personal restraint as soon as child not a danger to self or others Child continued to be restrained even though child was not displaying danger to self or others.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child Children were not being supervised at the time an injury occurred.	—
5	—	HRC42.063(a) - Reporting Incidents and Violations that threaten or impair the basic health, safety or well-being of a child It was determined that the agency and foster parent became aware of an incident and failed to report.	—
4	—	749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside Foster mom is smoking in the garage	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position Children under the age of 6 were subjected to flutter kicks, or wall sits as a form of discipline and were allowed to stop once the children began to cry.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks It was determined that the foster parent failed to exercise prudent judgment in the care and supervision of the foster children.	—
5	—	749.3133(d) - Swimming pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs The door leading to the pool did not have a top latch for safety. The pool did not have a gate surrounding the pool when exiting the home towards the area of the pool.	—
4	—	749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually. Records reviewed show foster parents did not renew annual trainings timely.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans A caregiver failed to follow the service plan.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. During review of the documentation and interviews, it was determined the foster parents utilized corporal punishment on children in care on multiple occasions, using their hand and a wooden spoon.	—
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 determined that the caregiver failed to adequately supervise children in care, resulting in harm and serious risk of harm.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks There is a preponderance of evidence that confirms that a caregiver failed to exemplify self-control by engaging in a physical altercation with a child in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container It's documented that in the agency home case notes from 01/27/26 it was observed that the case manager observed the not properly secured.	—
5	—	749.1957(7) - Other Prohibited Discipline-Putting anything in or on a child's mouth, such as soap or tape Foster child had a sock placed in the mouth during a restraint in an attempt to keep child quiet.	—
2	—	749.1153(b) - Dental Requirements-Child 3 yrs old or older must have appt scheduled within 30 days after admission, and the exam within 90 days after admission Two children in care were admitted 10/20/2023, and was due for his dental visit in January of 2024. The child was not seen for a visit until March of 2024. Another child in care was 21 days late for their appointment .	—
3	—	749.509(b) - Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline The foster parent did not report the 12/22/21 covid diagnosis to the agency until 12/26/21, when it was then phoned in within the 24-hour time-frame by the agency.	—
4	—	749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers. During a walk through of the residence I observed two fire extinguishers in the kitchen and upstairs in the loft both expired Aug 2021.	—
4	—	749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans Foster parents did not implement and follow a child's service plan when they did not follow through with using an audio monitor in the child's bedroom to assist with supervising the child a night and throughout the day.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation There is a preponderance of evidence that a foster parent subjected a child in care to physical abuse.	—
4	—	749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year Five agency homes files were reviewed and indicated that either their Fire Safety or Environmental Checklist were expired.	—
3	—	749.2151(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers Foster child was not provided privacy during a restraint as another child was instructed to record the restraint.	—
4	—	749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization The operation failed to report to licensing within the required timeframe.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A frequent visitor to the foster home has been present with children in care without an Active/Eligible background check status on file. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.	—

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

Inspections (332)

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

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