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Catholic Charities Of The Archdiocese Of Galveston -Houston

Child care center · 2900 LOUISIANA ST, Houston, TX 77006-3435 · License 31- 31

0Compliance score
Poor

Violation history (312)

Severity	Date	Standard / narrative	Corrected
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Psychotropic medications Schedule II were observed not double locked during the visit.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Review of 1 out of 5 child files there was not a service plan completed for review.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A child in care reported the foster father threatened him by putting his fists up, as if he was going to fight him.	—
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 A TB exam for a child in care was not completed with 30 days of the child being placed in the agency home.	—
3	—	749.1427(a) - Vision and Hearing-Each child screened for possible vision and hearing problems; professional vision and hearing exam if problems detected There is no documentation in the file showing that the child has had a vision and hearing screening completed.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child According to documentation with progress notes provided by the agency the child in care on 2 occasions expressed being yelled at by foster parent.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication There is no documentation showing that a dental exam has been completed or is scheduled.	—
3	—	749.1003(b)(3)(A) - Children's rights - Living a normal life including the right to communicate in a language or any other means understandable to the child A child in the home only speaks Spanish the only Foster Parent in the home does not speak Spanish.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination The medical record does not include a copy of the child's results, nor if there is follow-up treatment recommended.	—
3	—	749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment The homes foster home developer reported a foster parent threatened a child in care's placement. A child in care stated the foster mother threatened his placement.	—
4	—	749.3063(a)(1) - Feeding Children-provide food of adequate variety, quality, and in sufficient quantity to supply nutrients for growth and development Both children in the home report not receiving enough food to eat. One child reported regularly only being provided tortillas, cheese, and milk. When the child ordered food to the home, the foster parents did not allow the child to have the food despite the agency approving it.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders A foster parent did not administer prescription medications as prescribed.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders A child in care did not receive their medication as prescribed by the health care professional.	—
3	—	749.1003(b)(3)(E) - Children's rights-Adhere to child's right to send and receive uncensored mail, have telephone conversations, visitors and keep a personal journal Children reported not being able to make private telephone calls to their case worker.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list It was observed that the last Employee Background Check Validation was completed on 12/06/2024.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the investigation it was found that a foster parent used a child in care to translate for another child in care for all communication including discipline. It was also found that foster parents grabbed a child in care.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child in care was administered medication however the caregiver failed to ensure that the child took the medication.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional Child's medical follow up was to be completed around 2 weeks after initial appointment, however there is no documentation to show that the follow-up was completed timely.	—
4	—	749.3061(b) - Feeding Children-must provide a toddler or school age child with three meals and at least one snack a day It was found children in care are not receiving a daily snack.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child it was observed that a foster parent was yelling at a child in care and told the child to shut up.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child A child in care made an outcry of being yelled at by the foster parent.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission According to 72-hour plan received was not complete in addressing any needs of 5 out of 5	—
4	—	749.1541(c)(1) - Medication Record-Must include child's full name The medication logs were not filled out to its entirety and did not include the child's name, prescribing physicial, dose or reason the medication is being taken.	Yes
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication log is missing the prescribing professiona'ls information.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Two children in care report the foster parents yelling at them. Two agency staff also report hearing yelling by the foster parents when on the phone during an incident.	—
3	—	749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record There is no documentation that the childs rights were reviewed with or signed by the child.	—
2	—	749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan The service plan provided is missing required components such as: signatures/dates of participants and the confirmation of the necessary participants participation in the development.	—
4	—	749.3063(a)(1) - Feeding Children-provide food of adequate variety, quality, and in sufficient quantity to supply nutrients for growth and development Children reported that they were not provided with a sufficient amount of food, often hungry in the home, and only provided fruit and water for lunch.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that the medication record is not accurate due to it being pre-filled for the next day.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone An active employee does not have an active background check.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Children reported that the foster father yelled at them frequently when he became angry in the home.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication All medication records reviewed were observed to not have the reason the medication was prescribed.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Two children placed in the home stated foster mother yells and screams at them.	—
3	—	749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning According to admission assessments/ intakes received. 4 out of 5 children files reviewed did not have admission assessments/ intakes complete.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child According to the incident report and accounts from the caregiver, child in care, and other witnesses the caregiver was not within ear or hearing range when an incident occurred resulting in injury.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Childs file is missing follow up documentation from an incident that occurred in February.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. It was concluded that the foster parent hit a child in care on more than one occasion.	—
4	—	749.2815(a)(2) - Supervisory Visits-must have supervisory visits with both foster parents, if applicable, at least once every six months During this inspection, one of four home records reviewed did not document a supervisory visit with both foster parents within a 6-month period. In addition, two of four home records reviewed did not document an annual supervisory visit with all household members present.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication There was no reason for why the medication was prescribed on two medication records reviewed.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination The medical record does not include a copy of the child's results, nor if there is follow-up treatment recommended.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders A foster parent did not administer prescription medications as prescribed.	—
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication log is missing the prescribing professiona'ls information.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Childs file is missing follow up documentation from an incident that occurred in February.	—
3	—	749.1003(b)(3)(A) - Children's rights - Living a normal life including the right to communicate in a language or any other means understandable to the child A child in the home only speaks Spanish the only Foster Parent in the home does not speak Spanish.	—
3	—	749.1427(a) - Vision and Hearing-Each child screened for possible vision and hearing problems; professional vision and hearing exam if problems detected There is no documentation in the file showing that the child has had a vision and hearing screening completed.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list It was observed that the last Employee Background Check Validation was completed on 12/06/2024.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child According to the incident report and accounts from the caregiver, child in care, and other witnesses the caregiver was not within ear or hearing range when an incident occurred resulting in injury.	—
4	—	749.3063(a)(1) - Feeding Children-provide food of adequate variety, quality, and in sufficient quantity to supply nutrients for growth and development Children reported that they were not provided with a sufficient amount of food, often hungry in the home, and only provided fruit and water for lunch.	—
4	—	749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional Child's medical follow up was to be completed around 2 weeks after initial appointment, however there is no documentation to show that the follow-up was completed timely.	—
3	—	749.1005(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record There is no documentation that the childs rights were reviewed with or signed by the child.	—
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 A TB exam for a child in care was not completed with 30 days of the child being placed in the agency home.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child it was observed that a foster parent was yelling at a child in care and told the child to shut up.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders A child in care did not receive their medication as prescribed by the health care professional.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. It was concluded that the foster parent hit a child in care on more than one occasion.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child A child in care made an outcry of being yelled at by the foster parent.	—
3	—	749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that the medication record is not accurate due to it being pre-filled for the next day.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Two children in care report the foster parents yelling at them. Two agency staff also report hearing yelling by the foster parents when on the phone during an incident.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Two children placed in the home stated foster mother yells and screams at them.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the investigation it was found that a foster parent used a child in care to translate for another child in care for all communication including discipline. It was also found that foster parents grabbed a child in care.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Children reported that the foster father yelled at them frequently when he became angry in the home.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Psychotropic medications Schedule II were observed not double locked during the visit.	—
3	—	749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment The homes foster home developer reported a foster parent threatened a child in care's placement. A child in care stated the foster mother threatened his placement.	—
4	—	749.1541(c)(1) - Medication Record-Must include child's full name The medication logs were not filled out to its entirety and did not include the child's name, prescribing physicial, dose or reason the medication is being taken.	Yes
4	—	749.3063(a)(1) - Feeding Children-provide food of adequate variety, quality, and in sufficient quantity to supply nutrients for growth and development Both children in the home report not receiving enough food to eat. One child reported regularly only being provided tortillas, cheese, and milk. When the child ordered food to the home, the foster parents did not allow the child to have the food despite the agency approving it.	—
3	—	749.1301(a) - Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission According to 72-hour plan received was not complete in addressing any needs of 5 out of 5	—
2	—	749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan The service plan provided is missing required components such as: signatures/dates of participants and the confirmation of the necessary participants participation in the development.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child in care was administered medication however the caregiver failed to ensure that the child took the medication.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child According to documentation with progress notes provided by the agency the child in care on 2 occasions expressed being yelled at by foster parent.	—
3	—	749.1003(b)(3)(E) - Children's rights-Adhere to child's right to send and receive uncensored mail, have telephone conversations, visitors and keep a personal journal Children reported not being able to make private telephone calls to their case worker.	—
3	—	749.1133(a) - Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning According to admission assessments/ intakes received. 4 out of 5 children files reviewed did not have admission assessments/ intakes complete.	—
5	—	745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone An active employee does not have an active background check.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication All medication records reviewed were observed to not have the reason the medication was prescribed.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication There is no documentation showing that a dental exam has been completed or is scheduled.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication There was no reason for why the medication was prescribed on two medication records reviewed.	—
4	—	749.3061(b) - Feeding Children-must provide a toddler or school age child with three meals and at least one snack a day It was found children in care are not receiving a daily snack.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. A child in care reported the foster father threatened him by putting his fists up, as if he was going to fight him.	—
4	—	749.2815(a)(2) - Supervisory Visits-must have supervisory visits with both foster parents, if applicable, at least once every six months During this inspection, one of four home records reviewed did not document a supervisory visit with both foster parents within a 6-month period. In addition, two of four home records reviewed did not document an annual supervisory visit with all household members present.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Review of 1 out of 5 child files there was not a service plan completed for review.	—
5	—	749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. It was concluded that the foster parent hit a child in care on more than one occasion.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed A child in care was administered medication however the caregiver failed to ensure that the child took the medication.	—
4	—	749.3061(b) - Feeding Children-must provide a toddler or school age child with three meals and at least one snack a day It was found children in care are not receiving a daily snack.	—
5	—	749.607(1) - Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the investigation it was found that a foster parent used a child in care to translate for another child in care for all communication including discipline. It was also found that foster parents grabbed a child in care.	—
5	—	749.1521(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Psychotropic medications Schedule II were observed not double locked during the visit.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Two children in care report the foster parents yelling at them. Two agency staff also report hearing yelling by the foster parents when on the phone during an incident.	—
3	—	749.1427(a) - Vision and Hearing-Each child screened for possible vision and hearing problems; professional vision and hearing exam if problems detected There is no documentation in the file showing that the child has had a vision and hearing screening completed.	—
3	—	749.1003(b)(3)(E) - Children's rights-Adhere to child's right to send and receive uncensored mail, have telephone conversations, visitors and keep a personal journal Children reported not being able to make private telephone calls to their case worker.	—
5	—	749.1463(b)(3) - AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders A child in care did not receive their medication as prescribed by the health care professional.	—
2	—	749.1337 - Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan The service plan provided is missing required components such as: signatures/dates of participants and the confirmation of the necessary participants participation in the development.	—
3	—	749.1003(b)(4)(A)(vi) - Children's rights-Adhere to the child's rights to be free from being threatened with the loss of placement or shelter as punishment The homes foster home developer reported a foster parent threatened a child in care's placement. A child in care stated the foster mother threatened his placement.	—
3	—	749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted Review of 1 out of 5 child files there was not a service plan completed for review.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list It was observed that the last Employee Background Check Validation was completed on 12/06/2024.	—
4	—	749.1541(c)(1) - Medication Record-Must include child's full name The medication logs were not filled out to its entirety and did not include the child's name, prescribing physicial, dose or reason the medication is being taken.	Yes
3	—	749.1541(c)(2) - Medication Record-Must include prescribing health-care professional's name Medication log is missing the prescribing professiona'ls information.	—
4	—	749.3063(a)(1) - Feeding Children-provide food of adequate variety, quality, and in sufficient quantity to supply nutrients for growth and development Children reported that they were not provided with a sufficient amount of food, often hungry in the home, and only provided fruit and water for lunch.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child According to documentation with progress notes provided by the agency the child in care on 2 occasions expressed being yelled at by foster parent.	—
3	—	749.1541(c)(3) - Medication Record-Must include reason medication was prescribed, for prescription medication All medication records reviewed were observed to not have the reason the medication was prescribed.	—
4	—	749.1957(8) - Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child Children reported that the foster father yelled at them frequently when he became angry in the home.	—
1	—	749.535(a)(1) - Active records-All documentation in the record no later than 30 days after the occurrence or event Childs file is missing follow up documentation from an incident that occurred in February.	—
5	—	749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child According to the incident report and accounts from the caregiver, child in care, and other witnesses the caregiver was not within ear or hearing range when an incident occurred resulting in injury.	—
3	—	749.1401(b) - Medical care-The child's record must include a written record of each medical examination The medical record does not include a copy of the child's results, nor if there is follow-up treatment recommended.	—

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

Inspections (168)

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

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