| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
749.2453(d)(2) - A CPA must do the following when updating a foster home screening-complete the update within 30 days of the notification of a major life change
After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage. |
— |
| 3 | — |
749.571 - Client records-Maintain master records for all clients that are individualized, current, and complete
Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him. |
— |
| 4 | — |
749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Both foster parents last completed the administrainging medication training with a health professional on 06.03.24. |
— |
| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During an RCC HM home visit propane and oxygen tanks were observed outside. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation. |
— |
| 4 | — |
749.931(b)(3) - Annual Training- Must include 1 hour of normalcy.
While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent. |
— |
| 3 | — |
749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care. |
— |
| 3 | — |
749.2817(a) - Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements
While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an RCC home visit the bathtub and tile had mold and mildew stains. |
— |
| 3 | — |
749.1409(a)(1) - General dental requirements-Child must receive dental care initially, according to the requirements in 749.1153
Two of four child records did not have a dental examination documented and one child record was noted to have occurred late. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on 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
Through interviews it was determined that the FP's were not filling out and submitting medication logs timely. |
— |
| 2 | — |
749.1541(f) - Medication Record-Medication records of prescription & nonprescription medication dispensed to the child must be incorporated into child's record
Two of the child records did not have medication records for several months. |
— |
| 5 | — |
749.1815(c) - Infant requirements-Infant may not sleep in prone position with sleeping adult at any time
Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed. |
Yes |
| 3 | — |
749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23. |
Yes |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Durng the inspection, it was determined that foster parents did not have the medication record for the child in care. |
— |
| 4 | — |
749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training. |
— |
| 2 | — |
749.2803(b) - Foster Home Changes-new or temporary verification certificate must be issued for change in location, extend expiration date or change to non-expiring
The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates. |
— |
| 3 | — |
749.1805(1) - Infant requirements-An infant care area must at a minimum include an individual crib for each infant
Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 24, 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 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 open investigations. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walkthrough of the residence, it was noted that there were several broken toys in the back yard. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
Narrative: During a review conducted on April 6, 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 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 | — |
749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child
The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children. |
— |
| 5 | — |
749.1309(b)(1)(H)(i) - Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others
The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 02, 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. |
— |
| 4 | — |
749.2905(a) - Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 24, 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: - 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 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 22, 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: - 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 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed. |
— |
| 3 | — |
749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 | — |
749.1311(a)(1) - Initial Service Planning Team-Must include at least one of the child's current caregivers
It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning. |
— |
| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 15, 2023, 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. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of this investigation, two children confirmed the foster parents would yell at a child in care. |
— |
| 4 | — |
749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training. |
— |
| 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
During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 17th, 2023 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. |
— |
| 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 a review of the home records, it was found that the home had not had a health inspection since 2/29/2024. |
— |
| 4 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials. |
— |
| 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 a review of the home records, it was found that the home had not had a health inspection since 2/29/2024. |
— |
| 4 | — |
749.930(c)(3) - Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 24, 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: - 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 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed. |
— |
| 4 | — |
749.2625 - Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child
The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children. |
— |
| 5 | — |
749.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an RCC home visit the bathtub and tile had mold and mildew stains. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 02, 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 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection. |
— |
| 3 | — |
749.2817(a) - Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements
While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on September 15, 2023, 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 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care. |
— |
| 3 | — |
749.1409(a)(1) - General dental requirements-Child must receive dental care initially, according to the requirements in 749.1153
Two of four child records did not have a dental examination documented and one child record was noted to have occurred late. |
— |
| 4 | — |
749.3041(4) - Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Durng the inspection, it was determined that foster parents did not have the medication record for the 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 March 24, 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 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 open investigations. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent. |
— |
| 3 | — |
749.605(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23. |
Yes |
| 2 | — |
749.1541(f) - Medication Record-Medication records of prescription & nonprescription medication dispensed to the child must be incorporated into child's record
Two of the child records did not have medication records for several months. |
— |
| 3 | — |
749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care. |
— |
| 3 | — |
749.2453(d)(2) - A CPA must do the following when updating a foster home screening-complete the update within 30 days of the notification of a major life change
After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on March 17th, 2023 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. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
Narrative: During a review conducted on April 6, 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 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 | — |
749.571 - Client records-Maintain master records for all clients that are individualized, current, and complete
Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him. |
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| 5 | — |
749.1815(c) - Infant requirements-Infant may not sleep in prone position with sleeping adult at any time
Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed. |
Yes |
| 4 | — |
749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Both foster parents last completed the administrainging medication training with a health professional on 06.03.24. |
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| 4 | — |
749.3041(7) - Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
During an RCC HM home visit propane and oxygen tanks were observed outside. |
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| 2 | — |
749.2803(b) - Foster Home Changes-new or temporary verification certificate must be issued for change in location, extend expiration date or change to non-expiring
The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates. |
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| 5 | — |
749.1521(1) - Medication Storage-Store medication in a locked container
During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked. |
— |
| 4 | — |
749.931(b)(3) - Annual Training- Must include 1 hour of normalcy.
While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training. |
— |
| 3 | — |
749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walkthrough of the residence, it was noted that there were several broken toys in the back yard. |
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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 March 22, 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: - 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 | — |
749.2905(a) - Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of this investigation, two children confirmed the foster parents would yell at a child in care. |
— |
| 4 | — |
749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training. |
— |
| 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
During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023. |
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| 3 | — |
749.1311(a)(1) - Initial Service Planning Team-Must include at least one of the child's current caregivers
It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning. |
— |
| 5 | — |
749.1309(b)(1)(H)(i) - Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others
The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Through interviews it was determined that the FP's were not filling out and submitting medication logs timely. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation. |
— |
| 3 | — |
749.1805(1) - Infant requirements-An infant care area must at a minimum include an individual crib for each infant
Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months. |
— |
| 4 | — |
749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
During the course of this investigation, two children confirmed the foster parents would yell at a child in care. |
— |
| 4 | — |
749.2905(a) - Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023. |
— |
| 5 | — |
749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During an RCC home visit the bathtub and tile had mold and mildew stains. |
— |
| 4 | — |
749.3041(1) - Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
During the walkthrough of the residence, it was noted that there were several broken toys in the back yard. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on October 02, 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. |
— |
| 4 | — |
749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Both foster parents last completed the administrainging medication training with a health professional on 06.03.24. |
— |
| 4 | — |
749.1541(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
Through interviews it was determined that the FP's were not filling out and submitting medication logs timely. |
— |
| 3 | — |
749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan. |
— |
| 4 | — |
749.635(2) - AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation. |
— |
| 5 | — |
749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care. |
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232 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.