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TexasCorsicana › Lifeline Children & Family Services

Lifeline Children & Family Services

Child care center · 5301 W HIGHWAY 31, Corsicana, TX 75110-9296 · License 861745- 3730

0Compliance score
Poor

-

Violation history (224)

SeverityDateStandard / narrativeCorrected
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 22, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The August medication logs for one child in care did not document the reason the medication was prescribed for 4 different medications.
3 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One child record did not have a preliminary service plan completed and the second child record did not have the preliminary service plan completed with in the 72hrs.
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
Child rights form stated child is to young to signed however the child is 6 years old and was able to signed his orientation.
4 749.3623(13) - Adoptive Home Screening-Agency documents and assesses adoptive applicants' values, feelings, practices regarding child care and discipline
The operation did not complete an post adoption addendum that would specify the adoption.
3 749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Agency did not notify licensing within the timeframe.
4 749.1107(a)(9) - Child Admission Records-Include the chronic health conditions, such as asthma or diabetes
A child s admissions were not completed or were missing information such as know allergies, bio parents information chronic condition or know contradictions
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Two serious incident reports were missing the foster home's physical address and phone number.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Two of the childrens medication logs had not been started as of today, 3-15-22
3 749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
The agency did not have an unauthorized absence log for review.
4 749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During the walkthrough of a home sampling, the inspector observed a pile of T-posts in the yard with rusty sharp edges upturned and accessible to the toddler in care.
5 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
A household member did not have an active background with the operation.
Yes
3 749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
A caregiver had criminal background history of substance abuse that was not discussed nor assessed in the home screening.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 12/18/2024 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 10/17/2024. Specifically, the operation was cited for 749.2447(7)(A). During an inspection, it was found that a home screening did not have documentation of a background check that needed to be assessed. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
3 749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
Two serious incident reports did not have the date of admission for the children listed on the documents.
2 749.1373(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
A Child Adoption Record and Child Discharge Record did not have a discharge summary for either child.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
The home study did not document the date or method of contact for adult children interviews or references.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications were not stored in a locked container and were accessible to children in care.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The foster home screening does not include an assessment of the foster parent's criminal history or household member's criminal history.
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 discovered that inappropriate discipline was used on children in care.
5 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
There was no documentation that local law enforcement was contacted to verify service calls to the foster home in 2 home studies.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 19, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
5 749.2447(7)(B)(iii) - Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents
The foster home screening does not include an assessment of the information obtained from law enforcement service calls or any discussion with the prospective foster parent regarding law enforcement service calls in the foster home screening.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The home screening did not have documentation of a background check that needed to be assessed.
3 749.1309(a) - Initial Service Plan-Base initial service plan on needs identified in admission assessment and integrate trauma informed care
A child record did not have a service plan completed while placed in the foster home and a second active child record did not provided detailed specific supervision.
4 749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
A video was viewed where the caregiver is heard yelling at a child in care. Several other children in care reported the caregiver yells as well.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During a home sampling the inspector observed stains on the carpets in the master bedroom, which the foster mother indicated have not been cleaned; grime on the three-tier plastic shelving unit in the kitchen, and excessive clutter in the laundry room as clothing was piled upon the floor.
4 749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration
During a home sampling the inspector observed an open jar of mayonnaise stored in the pantry despite being labeled Refrigerate After Opening.
2 749.1373(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
A Child Adoption Record and Child Discharge Record did not have a discharge summary for either child.
4 749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During the walkthrough of a home sampling, the inspector observed a pile of T-posts in the yard with rusty sharp edges upturned and accessible to the toddler in care.
3 749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
Two serious incident reports did not have the date of admission for the children listed on the documents.
4 749.3623(13) - Adoptive Home Screening-Agency documents and assesses adoptive applicants' values, feelings, practices regarding child care and discipline
The operation did not complete an post adoption addendum that would specify the adoption.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
The home study did not document the date or method of contact for adult children interviews or references.
5 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
A household member did not have an active background with the operation.
Yes
5 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
There was no documentation that local law enforcement was contacted to verify service calls to the foster home in 2 home studies.
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 discovered that inappropriate discipline was used on children in care.
4 749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration
During a home sampling the inspector observed an open jar of mayonnaise stored in the pantry despite being labeled Refrigerate After Opening.
4 749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
A video was viewed where the caregiver is heard yelling at a child in care. Several other children in care reported the caregiver yells as well.
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
Child rights form stated child is to young to signed however the child is 6 years old and was able to signed his orientation.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 12/18/2024 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 10/17/2024. Specifically, the operation was cited for 749.2447(7)(A). During an inspection, it was found that a home screening did not have documentation of a background check that needed to be assessed. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The home screening did not have documentation of a background check that needed to be assessed.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 22, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
3 749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
A caregiver had criminal background history of substance abuse that was not discussed nor assessed in the home screening.
3 749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
The agency did not have an unauthorized absence log for review.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 19, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Two of the childrens medication logs had not been started as of today, 3-15-22
3 749.1309(a) - Initial Service Plan-Base initial service plan on needs identified in admission assessment and integrate trauma informed care
A child record did not have a service plan completed while placed in the foster home and a second active child record did not provided detailed specific supervision.
4 749.1107(a)(9) - Child Admission Records-Include the chronic health conditions, such as asthma or diabetes
A child s admissions were not completed or were missing information such as know allergies, bio parents information chronic condition or know contradictions
3 749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Agency did not notify licensing within the timeframe.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During a home sampling the inspector observed stains on the carpets in the master bedroom, which the foster mother indicated have not been cleaned; grime on the three-tier plastic shelving unit in the kitchen, and excessive clutter in the laundry room as clothing was piled upon the floor.
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Two serious incident reports were missing the foster home's physical address and phone number.
5 749.2447(7)(B)(iii) - Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents
The foster home screening does not include an assessment of the information obtained from law enforcement service calls or any discussion with the prospective foster parent regarding law enforcement service calls in the foster home screening.
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The August medication logs for one child in care did not document the reason the medication was prescribed for 4 different medications.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The foster home screening does not include an assessment of the foster parent's criminal history or household member's criminal history.
3 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One child record did not have a preliminary service plan completed and the second child record did not have the preliminary service plan completed with in the 72hrs.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications were not stored in a locked container and were accessible to children in care.
3 749.591(c) - Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
The agency did not have an unauthorized absence log for review.
4 749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
A video was viewed where the caregiver is heard yelling at a child in care. Several other children in care reported the caregiver yells as well.
3 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One child record did not have a preliminary service plan completed and the second child record did not have the preliminary service plan completed with in the 72hrs.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 19, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
5 749.2447(7)(B)(i) - Foster Home Screening- Obtain service call information from law enforcement for past two years
There was no documentation that local law enforcement was contacted to verify service calls to the foster home in 2 home studies.
3 749.1309(a) - Initial Service Plan-Base initial service plan on needs identified in admission assessment and integrate trauma informed care
A child record did not have a service plan completed while placed in the foster home and a second active child record did not provided detailed specific supervision.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications were not stored in a locked container and were accessible to children in care.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Two of the childrens medication logs had not been started as of today, 3-15-22
3 749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
The August medication logs for one child in care did not document the reason the medication was prescribed for 4 different medications.
4 749.3623(13) - Adoptive Home Screening-Agency documents and assesses adoptive applicants' values, feelings, practices regarding child care and discipline
The operation did not complete an post adoption addendum that would specify the adoption.
3 749.511(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
Two serious incident reports did not have the date of admission for the children listed on the documents.
5 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
A household member did not have an active background with the operation.
Yes
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 12/18/2024 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 10/17/2024. Specifically, the operation was cited for 749.2447(7)(A). During an inspection, it was found that a home screening did not have documentation of a background check that needed to be assessed. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
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
Child rights form stated child is to young to signed however the child is 6 years old and was able to signed his orientation.
4 749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration
During a home sampling the inspector observed an open jar of mayonnaise stored in the pantry despite being labeled Refrigerate After Opening.
3 749.511(1) - Serious Incident Documentation-Includes name of the foster or adoptive home, physical address, and telephone number
Two serious incident reports were missing the foster home's physical address and phone number.
3 749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
A caregiver had criminal background history of substance abuse that was not discussed nor assessed in the home screening.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
The home study did not document the date or method of contact for adult children interviews or references.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 22, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The foster home screening does not include an assessment of the foster parent's criminal history or household member's criminal history.
4 749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During a home sampling the inspector observed stains on the carpets in the master bedroom, which the foster mother indicated have not been cleaned; grime on the three-tier plastic shelving unit in the kitchen, and excessive clutter in the laundry room as clothing was piled upon the floor.
2 749.1373(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
A Child Adoption Record and Child Discharge Record did not have a discharge summary for either child.
4 749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During the walkthrough of a home sampling, the inspector observed a pile of T-posts in the yard with rusty sharp edges upturned and accessible to the toddler in care.
3 749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Agency did not notify licensing within the timeframe.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The home screening did not have documentation of a background check that needed to be assessed.
4 749.1107(a)(9) - Child Admission Records-Include the chronic health conditions, such as asthma or diabetes
A child s admissions were not completed or were missing information such as know allergies, bio parents information chronic condition or know contradictions
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 discovered that inappropriate discipline was used on children in care.
5 749.2447(7)(B)(iii) - Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents
The foster home screening does not include an assessment of the information obtained from law enforcement service calls or any discussion with the prospective foster parent regarding law enforcement service calls in the foster home screening.
5 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
A household member did not have an active background with the operation.
Yes
3 749.503(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
Agency did not notify licensing within the timeframe.
3 749.2447(9) - Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
A caregiver had criminal background history of substance abuse that was not discussed nor assessed in the home screening.
3 749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Two of the childrens medication logs had not been started as of today, 3-15-22
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
The home screening did not have documentation of a background check that needed to be assessed.
4 749.3623(13) - Adoptive Home Screening-Agency documents and assesses adoptive applicants' values, feelings, practices regarding child care and discipline
The operation did not complete an post adoption addendum that would specify the adoption.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Two prescription medications were not stored in a locked container and were accessible to children in care.
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 discovered that inappropriate discipline was used on children in care.
2 749.1373(b)(1)(A) - Discharge Documentation-Discharge summary must include services provided to the child while in your care
A Child Adoption Record and Child Discharge Record did not have a discharge summary for either child.
3 749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One child record did not have a preliminary service plan completed and the second child record did not have the preliminary service plan completed with in the 72hrs.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 22, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
4 749.3079(5) - Food Storage-food items must be refrigerated immediately after use and after meals, if the food requires refrigeration
During a home sampling the inspector observed an open jar of mayonnaise stored in the pantry despite being labeled Refrigerate After Opening.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
The home study did not document the date or method of contact for adult children interviews or references.
4 749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 12/18/2024 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 10/17/2024. Specifically, the operation was cited for 749.2447(7)(A). During an inspection, it was found that a home screening did not have documentation of a background check that needed to be assessed. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
4 749.1107(a)(9) - Child Admission Records-Include the chronic health conditions, such as asthma or diabetes
A child s admissions were not completed or were missing information such as know allergies, bio parents information chronic condition or know contradictions
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
Child rights form stated child is to young to signed however the child is 6 years old and was able to signed his orientation.

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

Inspections (120)

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

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