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Refuge House

Child care center · 5301 ALPHA RD STE E80, Dallas, TX 75240-4355 · License 859955- 2027

0Compliance score
Poor

Violation history (260)

Severity	Date	Standard / narrative	Corrected
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 admitted to having a child in care sit on a stool and hold a bible as a form of discipline.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver was under the influence of alcohol and began to behave inappropriately and erratically while providing care for children in the home.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment Several witnesses overheard a caregiver making demeaning remarks to a child in care.	—
3	—	749.1951(c) - Disciplinary Measures-Goal must be to teach a child acceptable behavior & self-control; caregiver must explain the reason for discipline when imposed Foster parents did not attempt to use any de-escalation strategies towards the children in care to diffuse the situation from happening.	—
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 failed to make the self-report as required.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list Operation failed to validate background check list since 05/26/2022. Employee list validated and corrected at inspection.	Yes
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was observed on the dresser next to the TV in a bedroom.	—
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 provisions of 3 children's service plans by leaving the children unattended at a movie theater and allowing a person that was an unapproved visitor to have access to children in care.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health Caregivers were not testing a diabetic child's blood sugar despite physician's instructions to do so.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement Safety plans were not created for the children in care that exhibits high risk behaviors at the time of admission.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted using profane language to a child in care	—
4	—	749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair Child bed was observed to be broken with wooden slates exposed.	—
3	—	749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication A review of 2 foster child files showed that the foster parents who administers medication only used their initials when completing the form and not their full signature as required by minimum standards.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Foster parent yelled and used harsh language with children in care.	—
3	—	749.1335(5) - Service Plan Review and Update-To review and update a service plan, evaluate possible effectiveness and side effects of psychotropic meds 3 medication reviews were conducted (Oct. and Dec.). When the services plans were updated, the new medications were not documented on the form.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parent is seen cursing at a child in care. Foster parent admits to cursing at children in care.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted to using profane language to 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 A medication log recorded on 12/26/2025 that a child in care's glucose level was 175. The log also indicates that the child was given 7 units of Humalog. The instructions for administering Humalog read that the child should receive 1 unit per 12 grams of carbs per day, 3 x a day. Or 1 unit per glucose level over 150. The log does not record how many carbs were administered to the child that morning. It was also reported that carbs are not being counted.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parent was seen demeaning and intimidate child in video.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks A caregiver determined that a child was unsafe to leave home alone due to behaviors that presented that day. A caregiver then left the child in a vehicle for approximately 1 hour, unattended, while working.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Caregiver engaged in a physical altercation with another individual while in the presence of children in care putting them at significant risk of harm or injury.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medications (Hydroxyurea, Hydrocodone Acetamin and Inahaler) were not stored in a locked container. Medication was accessible to children in two separate bedrooms. Pictures were taken.	Yes
4	—	749.3039(e)(1) - Trampolines-use of and the number of children allowed at a time based on manufacturer's instructions A trompoline did not have a fence attached to the unit. Children had access, Pictures were taken.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks Teenage children in care, who have a history of conflict, were left unattended. At that time, items accessible to children increased risk of harm.	—
3	—	749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children A foster home file was reviewed and the home screening and the CLASS information does not match the verification on the service provided.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication logs for a child did not have a cumulative record of medications provided to the child.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 7 agency home files did not have signatures for both foster parents present during 4th quarter visitations.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation.	—
4	—	749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency A child under 16 cared for an infant without prior agency approval.	Yes
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed Flower food bottles were observed in child bed room	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A household member was present in the home with access to children, without a required background check	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position A caregiver made a child in care hold out his arms as a form of discipline.	—
5	—	749.1107(a)(13)(B) - Child Admission Records- Must include the safety plan employees and caregivers will implement related to the risk factors and warning signs A safety plan was not created at the time of admission to address suicidal risk factors for children in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Several medications were observed on the bathroom counter and not stored in a locked container. While still at the foster home the foster mother put the medications in the locked storage container for compliance.	Yes
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list Operation failed to validate background check list since 05/26/2022. Employee list validated and corrected at inspection.	Yes
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Foster parent yelled and used harsh language with children in care.	—
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health Caregivers were not testing a diabetic child's blood sugar despite physician's instructions to do so.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was observed on the dresser next to the TV in a bedroom.	—
4	—	749.3039(e)(1) - Trampolines-use of and the number of children allowed at a time based on manufacturer's instructions A trompoline did not have a fence attached to the unit. Children had access, Pictures were taken.	—
3	—	749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication A review of 2 foster child files showed that the foster parents who administers medication only used their initials when completing the form and not their full signature as required by minimum standards.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment Several witnesses overheard a caregiver making demeaning remarks to a child in care.	—
5	—	749.1107(a)(13)(B) - Child Admission Records- Must include the safety plan employees and caregivers will implement related to the risk factors and warning signs A safety plan was not created at the time of admission to address suicidal risk factors for children in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medications (Hydroxyurea, Hydrocodone Acetamin and Inahaler) were not stored in a locked container. Medication was accessible to children in two separate bedrooms. Pictures were taken.	Yes
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed Flower food bottles were observed in child bed room	Yes
3	—	749.1951(c) - Disciplinary Measures-Goal must be to teach a child acceptable behavior & self-control; caregiver must explain the reason for discipline when imposed Foster parents did not attempt to use any de-escalation strategies towards the children in care to diffuse the situation from happening.	—
4	—	749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency A child under 16 cared for an infant without prior agency approval.	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 A medication log recorded on 12/26/2025 that a child in care's glucose level was 175. The log also indicates that the child was given 7 units of Humalog. The instructions for administering Humalog read that the child should receive 1 unit per 12 grams of carbs per day, 3 x a day. Or 1 unit per glucose level over 150. The log does not record how many carbs were administered to the child that morning. It was also reported that carbs are not being counted.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parent was seen demeaning and intimidate child in video.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver was under the influence of alcohol and began to behave inappropriately and erratically while providing care for children in the home.	—
4	—	749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair Child bed was observed to be broken with wooden slates exposed.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks Teenage children in care, who have a history of conflict, were left unattended. At that time, items accessible to children increased risk of harm.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Several medications were observed on the bathroom counter and not stored in a locked container. While still at the foster home the foster mother put the medications in the locked storage container for compliance.	Yes
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted using profane language to a child in care	—
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 failed to make the self-report as required.	—
3	—	749.1335(5) - Service Plan Review and Update-To review and update a service plan, evaluate possible effectiveness and side effects of psychotropic meds 3 medication reviews were conducted (Oct. and Dec.). When the services plans were updated, the new medications were not documented on the form.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Caregiver engaged in a physical altercation with another individual while in the presence of children in care putting them at significant risk of harm or injury.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted to using profane language to children in care.	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position A caregiver made a child in care hold out his arms as a form of discipline.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A household member was present in the home with access to children, without a required background check	—
3	—	749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children A foster home file was reviewed and the home screening and the CLASS information does not match the verification on the service provided.	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication logs for a child did not have a cumulative record of medications provided to the child.	—
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 admitted to having a child in care sit on a stool and hold a bible as a form of discipline.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 7 agency home files did not have signatures for both foster parents present during 4th quarter visitations.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement Safety plans were not created for the children in care that exhibits high risk behaviors at the time of admission.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks A caregiver determined that a child was unsafe to leave home alone due to behaviors that presented that day. A caregiver then left the child in a vehicle for approximately 1 hour, unattended, while working.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parent is seen cursing at a child in care. Foster parent admits to cursing at children in care.	—
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 provisions of 3 children's service plans by leaving the children unattended at a movie theater and allowing a person that was an unapproved visitor to have access to children in care.	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation.	—
4	—	749.3041(2) - Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair Child bed was observed to be broken with wooden slates exposed.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted to using profane language to children in care.	—
3	—	749.2445(c)(3) - Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children A foster home file was reviewed and the home screening and the CLASS information does not match the verification on the service provided.	—
4	—	749.1003(b)(4)(A)(vii) - Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate Foster parent was seen demeaning and intimidate child in video.	—
5	—	749.2593(c)(2) - Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment Caregiver engaged in a physical altercation with another individual while in the presence of children in care putting them at significant risk of harm or injury.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks A caregiver determined that a child was unsafe to leave home alone due to behaviors that presented that day. A caregiver then left the child in a vehicle for approximately 1 hour, unattended, while working.	—
3	—	749.1951(c) - Disciplinary Measures-Goal must be to teach a child acceptable behavior & self-control; caregiver must explain the reason for discipline when imposed Foster parents did not attempt to use any de-escalation strategies towards the children in care to diffuse the situation from happening.	—
4	—	749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency A child under 16 cared for an infant without prior agency approval.	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A household member was present in the home with access to children, without a required background check	—
4	—	749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Medication logs for a child did not have a cumulative record of medications provided to the child.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Medication was observed on the dresser next to the TV in a bedroom.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Several medications were observed on the bathroom counter and not stored in a locked container. While still at the foster home the foster mother put the medications in the locked storage container for compliance.	Yes
4	—	749.1401(a)(3) - General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health Caregivers were not testing a diabetic child's blood sugar despite physician's instructions to do so.	—
4	—	749.1957(5) - Other Prohibited Discipline-Maintaining an uncomfortable physical position A caregiver made a child in care hold out his arms as a form of discipline.	—
5	—	749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment Several witnesses overheard a caregiver making demeaning remarks to a child in care.	—
3	—	749.1541(c)(6) - Medication Record-Must include name & signature of person who administered each medication A review of 2 foster child files showed that the foster parents who administers medication only used their initials when completing the form and not their full signature as required by minimum standards.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver was under the influence of alcohol and began to behave inappropriately and erratically while providing care for children in the home.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement Safety plans were not created for the children in care that exhibits high risk behaviors at the time of admission.	—
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Foster parent is seen cursing at a child in care. Foster parent admits to cursing at children in care.	—
4	—	749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed Flower food bottles were observed in child bed room	Yes
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 provisions of 3 children's service plans by leaving the children unattended at a movie theater and allowing a person that was an unapproved visitor to have access to children in care.	—
4	—	749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks Teenage children in care, who have a history of conflict, were left unattended. At that time, items accessible to children increased risk of harm.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Foster parent yelled and used harsh language with 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 A medication log recorded on 12/26/2025 that a child in care's glucose level was 175. The log also indicates that the child was given 7 units of Humalog. The instructions for administering Humalog read that the child should receive 1 unit per 12 grams of carbs per day, 3 x a day. Or 1 unit per glucose level over 150. The log does not record how many carbs were administered to the child that morning. It was also reported that carbs are not being counted.	—
3	—	749.1335(5) - Service Plan Review and Update-To review and update a service plan, evaluate possible effectiveness and side effects of psychotropic meds 3 medication reviews were conducted (Oct. and Dec.). When the services plans were updated, the new medications were not documented on the form.	—
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 admitted to having a child in care sit on a stool and hold a bible as a form of discipline.	—
3	—	749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit 7 agency home files did not have signatures for both foster parents present during 4th quarter visitations.	—
3	—	745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list Operation failed to validate background check list since 05/26/2022. Employee list validated and corrected at inspection.	Yes
4	—	749.1957(9) - Other Prohibited Discipline-Subjecting a child to abusive or profane language Caretaker admitted using profane language to a child in care	—
5	—	749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation This standard was found deficient as part of a DFPS Investigation.	—
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 failed to make the self-report as required.	—
5	—	749.1107(a)(13)(B) - Child Admission Records- Must include the safety plan employees and caregivers will implement related to the risk factors and warning signs A safety plan was not created at the time of admission to address suicidal risk factors for children in care.	—

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

Inspections (170)

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

Nearby alternatives

Facility	Score	City	Distance
Adoption Works	4	Dallas	—
Hope Cottage, Inc.	0	Dallas	—
Cliff Temple Child Development	0	Dallas	—
Children and Adoption Services	0	Dallas	—
Good Street Learning Center INC	0	Dallas	—
Christ Lutheran Child Development Center	0	Dallas	—

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