Child care center ·
217 E BANDERA RD STE 2, Boerne, TX 78006-2992 ·
License 865810- 1106
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
4 out of 5 children confirmed that foster parent yells at them when in trouble. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 15,2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on December 4, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium high weighted citations in a pattern/trend category on December 4, 2025. Specifically, the operation was cited for standard 749.1521 (1) Medication Storage-Store medication in a locked container and 749.3041(1) Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair. The operation has pending corrections. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 5 | — |
745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
A 17-year-old household member did not have a background check completed. |
— |
| 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
Nanny was observed having unsupervised interactions with child in care, but operation does not have a background check on her. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
A child under the age of 5 was administered a nonprescribed medication and was not documented. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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 December 2, 2024. Specifically, the operation was cited for 749.2593 (a)(2) Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity and for 749.509(a) Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline. The operation has pending corrections. - 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 4 | — |
749.3039(e)(3) - Trampolines-ladders are removed from trampoline when not in use
A trampoline ladder was not removed when the trampoline was not in use. |
— |
| 3 | — |
749.1957(3) - Other Prohibited Discipline-Threatening with the loss of placement as discipline or punishment
3 out of 5 children confirmed that foster parent would threaten them with loss of placement if they kept misbehaving during time out. |
— |
| 4 | — |
749.1957(4) - Other Prohibited Discipline-Using sarcastic or cruel humor, & verbal abuse
During the investigation it was confirmed a foster parent was demeaning to embarrass and control child in care. The victim was asked multiple time what his punishment should be in front of a case worker. Then the victim was followed by caregiver outside until victim exhibit suicide concerns. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Serious incident requiring medical treatment for child was not called in timely. |
— |
| 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 confronted a child in care in an intimidating manner. |
— |
| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
4 out of the 5 children stated that foster parent would either pull them by the ear or arm when in trouble. |
— |
| 4 | — |
749.1133(b)(4) - Admission Assessment-Includes any history of physical, sexual, or emotional abuse or neglect
The child in care is marked as being a victimization of sexual abuse according to the child's common application and preplacement information email sent to the operation but is not listed on the admission assessment. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unsecured. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
— |
| 5 | — |
749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
4 out of 5 of the children confirmed that foster parent has either "hit"/"pat" them on the back/arm. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The foster parent did not update the number of pills received on the medication (electronic) log. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 29, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high, medium high and medium weighted citations in a pattern/trend category on May 29, 2025. Specifically, the operation was cited for standard 745.621(a)(7) Background Checks-AP Initial background checks submitted-At the time you become aware of anyone requiring a background check under 745.605, 749.2447(9) Foster Home Screening-Agency documents and discuss health status of all persons living in the home (physical, mental, substance abuse), and 749.2447(3)(A) Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility. The corrections are currently pending. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The dosage of the child s psychotropic medication increased, however the change was not indicated on the medication electronic log. The medication log also indicates the child medication was not administered since the prescription was changed on 12/13/2023. |
— |
| 4 | — |
749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
Normalcy training was found delinquent during the review of two (2) foster parent training records. |
— |
| 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)
Substance abuse history was not assessed in two home studies reviewed. |
— |
| 4 | — |
749.1951(b)(4) - Disciplinary Measures-Must be appropriate to the child's level of understanding, age, & developmental level
4 out of 5 of the children stated that they are placed in time out. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The current cumulative medication records (medication logs) for 2 children in care were not maintained correctly. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did NOT document (online) medication log within 24 hours after administering medications two children. |
— |
| 4 | — |
749.2447(3)(A) - Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility
One home study did not fully assess the foster parent's emotional stability because questions were not asked regarding how the foster parent handles stress and how she relieves stress. Also, possible trauma was not assessed when foster parent stated she witnessed someone being shot in the head when she was a child. |
— |
| 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
Through out investigation there was concerns with inappropriate discipline going on the home with children in care. One child was hit on the head another child hit in the head with a broom. . |
— |
| 4 | — |
749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
During the review of training records, the foster parent training was found to be delinquent. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed under a bathroom sink and were not locked in a container. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did not sign/initial the medication log after administering a medication to a child in care. |
— |
| 4 | — |
749.2911 - Smoke Detectors-must be installed and maintained according to the manufacturer's or fire authority's instructions
Foster home did not have smoke detector in working order when they had an unnounced visit in the home. |
Yes |
| 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 confronted a child in care in an intimidating manner. |
— |
| 5 | — |
749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
4 out of 5 of the children confirmed that foster parent has either "hit"/"pat" them on the back/arm. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
4 out of 5 children confirmed that foster parent yells at them when in trouble. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did NOT document (online) medication log within 24 hours after administering medications two children. |
— |
| 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)
Substance abuse history was not assessed in two home studies reviewed. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The current cumulative medication records (medication logs) for 2 children in care were not maintained correctly. |
— |
| 4 | — |
749.1951(b)(4) - Disciplinary Measures-Must be appropriate to the child's level of understanding, age, & developmental level
4 out of 5 of the children stated that they are placed in time out. |
— |
| 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
Nanny was observed having unsupervised interactions with child in care, but operation does not have a background check on her. |
— |
| 5 | — |
745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
A 17-year-old household member did not have a background check completed. |
— |
| 3 | — |
749.1957(3) - Other Prohibited Discipline-Threatening with the loss of placement as discipline or punishment
3 out of 5 children confirmed that foster parent would threaten them with loss of placement if they kept misbehaving during time out. |
— |
| 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
Through out investigation there was concerns with inappropriate discipline going on the home with children in care. One child was hit on the head another child hit in the head with a broom. . |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The foster parent did not update the number of pills received on the medication (electronic) log. |
— |
| 4 | — |
749.1133(b)(4) - Admission Assessment-Includes any history of physical, sexual, or emotional abuse or neglect
The child in care is marked as being a victimization of sexual abuse according to the child's common application and preplacement information email sent to the operation but is not listed on the admission assessment. |
— |
| 4 | — |
749.2911 - Smoke Detectors-must be installed and maintained according to the manufacturer's or fire authority's instructions
Foster home did not have smoke detector in working order when they had an unnounced visit in the home. |
Yes |
| 4 | — |
749.2447(3)(A) - Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility
One home study did not fully assess the foster parent's emotional stability because questions were not asked regarding how the foster parent handles stress and how she relieves stress. Also, possible trauma was not assessed when foster parent stated she witnessed someone being shot in the head when she was a child. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed under a bathroom sink and were not locked in a container. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Serious incident requiring medical treatment for child was not called in timely. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 15,2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on December 4, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium high weighted citations in a pattern/trend category on December 4, 2025. Specifically, the operation was cited for standard 749.1521 (1) Medication Storage-Store medication in a locked container and 749.3041(1) Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair. The operation has pending corrections. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The dosage of the child s psychotropic medication increased, however the change was not indicated on the medication electronic log. The medication log also indicates the child medication was not administered since the prescription was changed on 12/13/2023. |
— |
| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
4 out of the 5 children stated that foster parent would either pull them by the ear or arm when in trouble. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did not sign/initial the medication log after administering a medication to a child in care. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
A child under the age of 5 was administered a nonprescribed medication and was not documented. |
— |
| 4 | — |
749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
During the review of training records, the foster parent training was found to be delinquent. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 29, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high, medium high and medium weighted citations in a pattern/trend category on May 29, 2025. Specifically, the operation was cited for standard 745.621(a)(7) Background Checks-AP Initial background checks submitted-At the time you become aware of anyone requiring a background check under 745.605, 749.2447(9) Foster Home Screening-Agency documents and discuss health status of all persons living in the home (physical, mental, substance abuse), and 749.2447(3)(A) Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility. The corrections are currently pending. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 4 | — |
749.1957(4) - Other Prohibited Discipline-Using sarcastic or cruel humor, & verbal abuse
During the investigation it was confirmed a foster parent was demeaning to embarrass and control child in care. The victim was asked multiple time what his punishment should be in front of a case worker. Then the victim was followed by caregiver outside until victim exhibit suicide concerns. |
— |
| 4 | — |
749.3039(e)(3) - Trampolines-ladders are removed from trampoline when not in use
A trampoline ladder was not removed when the trampoline was not in use. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unsecured. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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 December 2, 2024. Specifically, the operation was cited for 749.2593 (a)(2) Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity and for 749.509(a) Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline. The operation has pending corrections. - 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 4 | — |
749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
Normalcy training was found delinquent during the review of two (2) foster parent training records. |
— |
| 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
Through out investigation there was concerns with inappropriate discipline going on the home with children in care. One child was hit on the head another child hit in the head with a broom. . |
— |
| 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 confronted a child in care in an intimidating manner. |
— |
| 5 | — |
745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
A 17-year-old household member did not have a background check completed. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unsecured. |
— |
| 3 | — |
749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The foster parent did not update the number of pills received on the medication (electronic) log. |
— |
| 4 | — |
749.1133(b)(4) - Admission Assessment-Includes any history of physical, sexual, or emotional abuse or neglect
The child in care is marked as being a victimization of sexual abuse according to the child's common application and preplacement information email sent to the operation but is not listed on the admission assessment. |
— |
| 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
Nanny was observed having unsupervised interactions with child in care, but operation does not have a background check on her. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
Medications were observed under a bathroom sink and were not locked in a container. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
4 out of 5 children confirmed that foster parent yells at them when in trouble. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 29, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high, medium high and medium weighted citations in a pattern/trend category on May 29, 2025. Specifically, the operation was cited for standard 745.621(a)(7) Background Checks-AP Initial background checks submitted-At the time you become aware of anyone requiring a background check under 745.605, 749.2447(9) Foster Home Screening-Agency documents and discuss health status of all persons living in the home (physical, mental, substance abuse), and 749.2447(3)(A) Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility. The corrections are currently pending. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
— |
| 4 | — |
749.1957(4) - Other Prohibited Discipline-Using sarcastic or cruel humor, & verbal abuse
During the investigation it was confirmed a foster parent was demeaning to embarrass and control child in care. The victim was asked multiple time what his punishment should be in front of a case worker. Then the victim was followed by caregiver outside until victim exhibit suicide concerns. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did not sign/initial the medication log after administering a medication to a child in care. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
— |
| 5 | — |
749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
The dosage of the child s psychotropic medication increased, however the change was not indicated on the medication electronic log. The medication log also indicates the child medication was not administered since the prescription was changed on 12/13/2023. |
— |
| 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)
Substance abuse history was not assessed in two home studies reviewed. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Serious incident requiring medical treatment for child was not called in timely. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did NOT document (online) medication log within 24 hours after administering medications two children. |
— |
| 4 | — |
749.3039(e)(3) - Trampolines-ladders are removed from trampoline when not in use
A trampoline ladder was not removed when the trampoline was not in use. |
— |
| 5 | — |
749.1957(1) - Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
4 out of 5 of the children confirmed that foster parent has either "hit"/"pat" them on the back/arm. |
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| 4 | — |
749.2911 - Smoke Detectors-must be installed and maintained according to the manufacturer's or fire authority's instructions
Foster home did not have smoke detector in working order when they had an unnounced visit in the home. |
Yes |
| 4 | — |
749.2447(3)(A) - Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility
One home study did not fully assess the foster parent's emotional stability because questions were not asked regarding how the foster parent handles stress and how she relieves stress. Also, possible trauma was not assessed when foster parent stated she witnessed someone being shot in the head when she was a child. |
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| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
The current cumulative medication records (medication logs) for 2 children in care were not maintained correctly. |
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| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Child's medication was not documented on the (electronic) medication log within 24 hours of being administered. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 15,2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on December 4, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium high weighted citations in a pattern/trend category on December 4, 2025. Specifically, the operation was cited for standard 749.1521 (1) Medication Storage-Store medication in a locked container and 749.3041(1) Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair. The operation has pending corrections. ? 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; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
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| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your 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 heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your 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 December 2, 2024. Specifically, the operation was cited for 749.2593 (a)(2) Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity and for 749.509(a) Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline. The operation has pending corrections. - 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. |
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| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
4 out of the 5 children stated that foster parent would either pull them by the ear or arm when in trouble. |
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| 3 | — |
749.1957(3) - Other Prohibited Discipline-Threatening with the loss of placement as discipline or punishment
3 out of 5 children confirmed that foster parent would threaten them with loss of placement if they kept misbehaving during time out. |
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| 4 | — |
749.931(b)(1) - Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
During the review of training records, the foster parent training was found to be delinquent. |
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| 4 | — |
749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
Normalcy training was found delinquent during the review of two (2) foster parent training records. |
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| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
A child under the age of 5 was administered a nonprescribed medication and was not documented. |
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| 4 | — |
749.1951(b)(4) - Disciplinary Measures-Must be appropriate to the child's level of understanding, age, & developmental level
4 out of 5 of the children stated that they are placed in time out. |
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| 5 | — |
745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
A 17-year-old household member did not have a background check completed. |
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| 4 | — |
749.1957(4) - Other Prohibited Discipline-Using sarcastic or cruel humor, & verbal abuse
During the investigation it was confirmed a foster parent was demeaning to embarrass and control child in care. The victim was asked multiple time what his punishment should be in front of a case worker. Then the victim was followed by caregiver outside until victim exhibit suicide concerns. |
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| 4 | — |
749.1133(b)(4) - Admission Assessment-Includes any history of physical, sexual, or emotional abuse or neglect
The child in care is marked as being a victimization of sexual abuse according to the child's common application and preplacement information email sent to the operation but is not listed on the admission assessment. |
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| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
Foster parent did NOT document (online) medication log within 24 hours after administering medications two children. |
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| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
Serious incident requiring medical treatment for child was not called in timely. |
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| 4 | — |
749.1951(b)(4) - Disciplinary Measures-Must be appropriate to the child's level of understanding, age, & developmental level
4 out of 5 of the children stated that they are placed in time out. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
4 out of 5 children confirmed that foster parent yells at them when in trouble. |
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168 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.