Child care center ·
11613 STATE HIGHWAY 64 W, Tyler, TX 75704-6933 ·
License 1091989- 6611
| Severity | Date | Standard / narrative | Corrected |
|---|
| 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 used a threat to gain compliance of a child to ensure task was completed properly. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
A fire extinguisher in the home lacked a tag showing the most recent service date. |
— |
| 3 | — |
749.1417(a) - TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
No TB test was found in one of the child files reviewed. |
— |
| 3 | — |
749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One of the 6 preliminary plans reviewed had not date on it at all, and another was done in 6 days, rather that than in the 72 hour time limit. |
— |
| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
During an investigation, a foster parent was not within hearing distance of the children in care as required by the service plan. The foster parent noted the children were outside playing at one point and a camera was used. |
— |
| 3 | — |
749.2453(a)(2) - You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
During an ANE investigation, it was determined that the new household members had not been added to the household, per home screening addendum. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Elijah's bed was on the floor when the investigator visited the home. There was no variance for this arrangement. |
— |
| 4 | — |
749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The auto insurance in one of the foster family charts had been expired for two months. |
— |
| 3 | — |
749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
Two of the monthly medication logs completed by the foster parent were missing the physician's name. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
In one of the files, there were two pages of medication logs (PMN) that were not completely filled out -- including the reasons the meds are given and the strength of the medications, etc |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A foster parent became highly intoxicated in the presence of foster children. Additionally, the caregivers left several bottles of liquor on the kitchen counters --resulting in the inebriation of a 13-year-old child in care. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During an investigation, a foster parent was having inappropriate conversations and interactions with a child 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
There was wasp spray and mosquito repellent out and in the reach of the child, but this was corrected and cleaned up by the foster father. Additionally, a can of premade margarita (possibly hazard) was seen in the inside refrigerator. |
Yes |
| 5 | — |
749.1957(6) - Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child
The caregiver admits to grabbing the child's arm while he was running from him. There were also indications of the child being pushed to the ground, and an allegation of being choked. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
During the inspection, we observed one of four children's records lacked documentation of the reason for a prescription. |
— |
| 4 | — |
749.2917 - Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk
It was noted during a sampling inspection that two of the family pets had expired rabies vaccinations. |
— |
| 3 | — |
749.2908(b) - Disaster and Emergency-foster home must document discussions and drills, including date and time of each
In three of the foster home records reviewed (one family was new), none of the foster parents documented a discussion of the fire or disaster drills. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
A child in care was seriously injured resulting in the child receiving medical attention. The agency failed to report the serious incident to Licensing in a timely manner. The incident was reported four days later. |
— |
| 3 | — |
749.669(1) - Child placement management staff responsibilities-Review, approve, sign and date assessment/admission forms
There was no written (or typed ) date by the CPMS signature for admission assessments in one of the caregivers' home. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During a sampling inspection, there was an unlocked box of insulin in the foster parents' refrigerator. |
— |
| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
The pool fence and pool cover had been down for several days, but the foster home corrected this and this was observed on this day. |
Yes |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
The children in the home all report that the caregivers yell loudly when the boys get in trouble, break things, or are arguing/fighting with one another. |
— |
| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs
The gate to the foster parents' pool was not self-latching or self-closing. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver pulled his hand back and threatened physical harm to a child in care. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
The fire extinguisher in the home required a yearly service inspection. The current inspection expired at the end of September 2024, |
— |
| 5 | — |
749.1151(c) - Medical Requirements-A health-care professional must examine the child immediately, if he shows signs of abuse or illness
The caregiver of an 11y/o child in care with primary medical needs did not provide necessary medical treatment of the child for a fractured arm. The caregiver had been advised by another medical professional the child needed medical attention for the arm five days prior. |
— |
| 5 | — |
749.2961(a)(3) - Weapons-No child may use a weapon-firearm-explosive material-projectile-toy that explodes or shoots, unless directly supervised by a qualified adult
Not only was the bb gun not locked in a safe, the child accessed this gun and shot his brother. |
— |
| 5 | — |
749.2961(a)(1) - If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
There was a bb gun out and a 22 caliber out and unlocked when a worker visited. |
Yes |
| 4 | — |
749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
Neither caregiver noticed a 13-year-old child was preparing alcoholic beverages for herself throughout the evening during a party at the foster home. |
— |
| 3 | — |
749.2902(b) - Health Safety Measures-Each health inspection or evaluation must be documented, including name and phone number of person who conducted it
The health inspection for a foster home (done in March 2022 by an agency worker) did not include the phone number for the person who completed the inspection. |
— |
| 4 | — |
749.1409(d) - General dental requirements-Obtain follow-up dental work indicated, such as treatment of cavities and cleaning
One PMN child missed a follow-up dental appointment and a follow-up endocrinology appointment. If the foster parents could not get the child there, a written explanation should have been given to the agency. |
— |
| 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
An adult home member and her 14-year-old daughter were living in the foster home since January of 2024 (per self-report). |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During the walk-through, there were two child medication logs that had not been signed that medication was administered in the past four days. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the inspection walkthrough for the home, the locking cabinet used to store medications was not working-- leaving all the medications unlocked. |
— |
| 5 | — |
749.3025(c) - Bedrooms-Child may not sleep in same bed with an adult unless adult is child's parent and child is 1 to 10 years old
The child in care was co-sleeping with the caregivers. |
— |
| 1 | — |
749.2481(a)(1) - Verification Certificate-Agency must give the home a verification certificate after verifying the home
During the inspection, I observed the foster mother did not have the verification certificate posted, and she confirmed the agency did not provide her with a copy of the certificate despite multiple requests. |
— |
| 2 | — |
749.1543(b) - Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record
A caregiver turned in no medication logs for November, December, and January - and a prescription was given on 10/21/21. |
— |
| 2 | — |
749.1133(c)(7) - Admission Assessment-Includes child's history of placements outside child's home
The admission assessment for one child contradicted the common application. The assessment stated the child had been at the hospital since birth, but the common app reported the child was in a relative placement. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
The family had Benedryl and vitamins on a shelf, unlocked, in the kitchen. |
Yes |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
The medication records for a child in the home had not been updated within 24 hours. |
— |
| 4 | — |
749.2551(a) - Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for up to 6, except as noted in chart below
A variance allowing 6 children (3 being siblings) in a one-parent foster home expired for approximately two months. --A new variance has been submitted. |
— |
| 2 | — |
749.1003(b)(6)(C) - Children's rights-Adhere to the child's right to confidential care and treatment
During the course of the investigation, it was found that a child's information was shown during a zoom meeting. |
— |
| 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
It was found that a caregiver, and a nurse did not have an approved background check. |
— |
| 5 | — |
749.2593(a)(5) - Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children
Foster parent left a child unattended with a person who was not an approved caregiver. |
— |
| 3 | — |
749.3021(b) - Space-single occupant bedrooms must have at least 80 square feet of floor space
In one home study, it was noted that two foster children share a bedroom that is only 72 square feet. |
— |
| 4 | — |
749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
The foster mother allowed the kids to go outside after dark, and one of the boys was shooting a target, then shot his brother when he ran across the path. These boys required more supervision. |
— |
| 5 | — |
749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
During the sampling inspection, the 4-month-old child's crib was observed to have a small tote with toys/objects inside. Foster mother reported she thought it was okay as the tote on the opposite end of where the child would lay her head. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child with primary medical needs was medically neglected when a caregiver waited five days to seek medical treatment for an arm fracture despite being told by another medical professional that care was needed. |
— |
| 5 | — |
745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
The caregiver's adopted son is 14 years old. Background checks for this child were cancelled, and there is no current background check for this home member. |
— |
| 4 | — |
749.2905(b) - Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year
During the inspection, it was discovered that one of the four foster home records reviewed had an expired health inspection and another of the four foster home record had an expired fire inspection. |
— |
| 4 | — |
749.1463(b)(6) - Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
An untrained/unauthorized adult was administering medication to a PMN child in care. |
— |
| 1 | — |
749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
During the inspection, one of four staff records reviewed did not contain the Affidavit for Applicants for Employment form that was signed and notarized. Also, one of four foster home records reviewed had expired liability insurance on their vehicles. The form and current insurance liability card was not located in agency records which needs to be done within 30 days of completion. |
— |
| 5 | — |
745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
During a sampling, it was noted that the 15-year-old adopted son had no background checks. This should have been done prior to the child changing his name. |
— |
| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
Multiple prescription medications were found to be accessible to anyone. This was corrected at inspection. |
Yes |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 3/10/2026 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 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, including having an open investigation. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
Children in the home reported being yelled at by the caregiver. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The agency did not complete a background check on an individual before the individual became a household member. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During an investigation, 2 out of 2 children indicated they were being spanked in the foster home. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
It was observed during a sampling inspection that there was no medication log for a baby's gas drops, and the multivitamin log had not been updated within the required 24 hours. |
— |
| 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
An adult home member and her 14-year-old daughter were living in the foster home since January of 2024 (per self-report). |
— |
| 4 | — |
749.3103 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The auto insurance in one of the foster family charts had been expired for two months. |
— |
| 3 | — |
749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name
Two of the monthly medication logs completed by the foster parent were missing the physician's name. |
— |
| 5 | — |
749.3133(e) - Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs
The gate to the foster parents' pool was not self-latching or self-closing. |
— |
| 3 | — |
749.2453(a)(2) - You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
During an ANE investigation, it was determined that the new household members had not been added to the household, per home screening addendum. |
— |
| 3 | — |
749.1541(b) - Medication Record-Must update cumulative medication record within 24 hours of administering medication
During the walk-through, there were two child medication logs that had not been signed that medication was administered in the past four days. |
— |
| 5 | — |
749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
During the sampling inspection, the 4-month-old child's crib was observed to have a small tote with toys/objects inside. Foster mother reported she thought it was okay as the tote on the opposite end of where the child would lay her head. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
The children in the home all report that the caregivers yell loudly when the boys get in trouble, break things, or are arguing/fighting with one another. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver pulled his hand back and threatened physical harm to a child in care. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 3/10/2026 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 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, including having an open investigation. |
— |
| 5 | — |
749.2961(a)(3) - Weapons-No child may use a weapon-firearm-explosive material-projectile-toy that explodes or shoots, unless directly supervised by a qualified adult
Not only was the bb gun not locked in a safe, the child accessed this gun and shot his brother. |
— |
| 3 | — |
749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
One of the 6 preliminary plans reviewed had not date on it at all, and another was done in 6 days, rather that than in the 72 hour time limit. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
The family had Benedryl and vitamins on a shelf, unlocked, in the kitchen. |
Yes |
| 5 | — |
745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
During a sampling, it was noted that the 15-year-old adopted son had no background checks. This should have been done prior to the child changing his name. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
In one of the files, there were two pages of medication logs (PMN) that were not completely filled out -- including the reasons the meds are given and the strength of the medications, etc |
— |
| 3 | — |
749.3021(b) - Space-single occupant bedrooms must have at least 80 square feet of floor space
In one home study, it was noted that two foster children share a bedroom that is only 72 square feet. |
— |
| 2 | — |
749.1133(c)(7) - Admission Assessment-Includes child's history of placements outside child's home
The admission assessment for one child contradicted the common application. The assessment stated the child had been at the hospital since birth, but the common app reported the child was in a relative placement. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During an investigation, 2 out of 2 children indicated they were being spanked in the foster home. |
— |
| 1 | — |
749.2481(a)(1) - Verification Certificate-Agency must give the home a verification certificate after verifying the home
During the inspection, I observed the foster mother did not have the verification certificate posted, and she confirmed the agency did not provide her with a copy of the certificate despite multiple requests. |
— |
| 5 | — |
749.1521(2) - Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
Multiple prescription medications were found to be accessible to anyone. This was corrected at inspection. |
Yes |
| 5 | — |
749.2593(a)(5) - Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children
Foster parent left a child unattended with a person who was not an approved caregiver. |
— |
| 4 | — |
749.2593(c)(6) - Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
During an investigation, a foster parent was not within hearing distance of the children in care as required by the service plan. The foster parent noted the children were outside playing at one point and a camera was used. |
— |
| 4 | — |
749.2551(a) - Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for up to 6, except as noted in chart below
A variance allowing 6 children (3 being siblings) in a one-parent foster home expired for approximately two months. --A new variance has been submitted. |
— |
| 4 | — |
749.2593(b)(4) - Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
Neither caregiver noticed a 13-year-old child was preparing alcoholic beverages for herself throughout the evening during a party at the foster home. |
— |
| 5 | — |
745.621(a)(6) - AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
The caregiver's adopted son is 14 years old. Background checks for this child were cancelled, and there is no current background check for this home member. |
— |
| 4 | — |
749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
A child in care was seriously injured resulting in the child receiving medical attention. The agency failed to report the serious incident to Licensing in a timely manner. The incident was reported four days later. |
— |
| 4 | — |
749.2913(b)(2) - Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
The fire extinguisher in the home required a yearly service inspection. The current inspection expired at the end of September 2024, |
— |
| 3 | — |
749.669(1) - Child placement management staff responsibilities-Review, approve, sign and date assessment/admission forms
There was no written (or typed ) date by the CPMS signature for admission assessments in one of the caregivers' home. |
— |
| 4 | — |
749.1409(d) - General dental requirements-Obtain follow-up dental work indicated, such as treatment of cavities and cleaning
One PMN child missed a follow-up dental appointment and a follow-up endocrinology appointment. If the foster parents could not get the child there, a written explanation should have been given to the agency. |
— |
| 3 | — |
749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication
During the inspection, we observed one of four children's records lacked documentation of the reason for a prescription. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the inspection walkthrough for the home, the locking cabinet used to store medications was not working-- leaving all the medications unlocked. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During an investigation, a foster parent was having inappropriate conversations and interactions with a child in care. |
— |
| 5 | — |
749.3133(c) - Swimming pools- Must have fence or wall that prevents children from gaining unsupervised access.
The pool fence and pool cover had been down for several days, but the foster home corrected this and this was observed on this day. |
Yes |
| 2 | — |
749.1003(b)(6)(C) - Children's rights-Adhere to the child's right to confidential care and treatment
During the course of the investigation, it was found that a child's information was shown during a zoom meeting. |
— |
| 1 | — |
749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event
During the inspection, one of four staff records reviewed did not contain the Affidavit for Applicants for Employment form that was signed and notarized. Also, one of four foster home records reviewed had expired liability insurance on their vehicles. The form and current insurance liability card was not located in agency records which needs to be done within 30 days of completion. |
— |
| 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 used a threat to gain compliance of a child to ensure task was completed properly. |
— |
| 5 | — |
749.1151(c) - Medical Requirements-A health-care professional must examine the child immediately, if he shows signs of abuse or illness
The caregiver of an 11y/o child in care with primary medical needs did not provide necessary medical treatment of the child for a fractured arm. The caregiver had been advised by another medical professional the child needed medical attention for the arm five days prior. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The agency did not complete a background check on an individual before the individual became a household member. |
— |
| 4 | — |
749.1463(b)(6) - Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
An untrained/unauthorized adult was administering medication to a PMN child in care. |
— |
| 3 | — |
749.3031(c) - Beds and bedding-mattresses must be elevated from floor and have covers or protectors
Elijah's bed was on the floor when the investigator visited the home. There was no variance for this arrangement. |
— |
| 5 | — |
749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A child with primary medical needs was medically neglected when a caregiver waited five days to seek medical treatment for an arm fracture despite being told by another medical professional that care was needed. |
— |
290 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.