Arrow Child And Family Ministries Of Texas
None, TX
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:00 AM-05:00 PM
- Director / administrator
- Carolyn Bishop
- Phone
- (817) 672-2300
- Regulated since
- Dec 19, 2005
- HHSC IDs
- Operation 286945 · number 856145- 58
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 8 | 6 | Illness & medication (5), Supervision & ratios (1), Records & paperwork (2) |
| 2025 | 14 | 14 | Illness & medication (2), Supervision & ratios (6), Discipline & child guidance (1), Records & paperwork (3), Other (2) |
| 2024 | 21 | 13 | Illness & medication (3), Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (3), Staff background & training (4), Records & paperwork (3), Other (6) |
| 2023 | 6 | 5 | Illness & medication (3), Discipline & child guidance (2), Other (1) |
| 2022 | 16 | 13 | Illness & medication (1), Safety & premises (3), Food & allergies (1), Staff background & training (3), Records & paperwork (2), Other (6) |
| 2021 | 1 | 0 | Discipline & child guidance (1) |
Inspections, investigations & assessments
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Sep 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 18, 2026 Report · Deficiencies cited (self-report)
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Illness & medication Serious
It's documented that in the agency home case notes from 01/27/26 it was observed that the case manager observed the not properly secured.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-04-13.
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Records & paperwork
An agency representative reported the agency doesn't have an actual unauthorized absence log.
HHSC 749.591(c) — Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-06-09.
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Illness & medication Serious
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Mar 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2026 Report · Deficiencies cited (self-report)
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Illness & medication Serious
Based on the information gathered in this investigation, there is enough evidence that the caregivers failed to report the serious injury of the child within 24 hours after the incident. The incident occurred on 03/06/2026 between the hours of 12:45 - 13:30. The caregivers reported the injury to the Arrow Child and Family Ministries of Texas and Department of Family Protective Services on 03/08/2026 at 13:28.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-02. Correction verified 2026-04-06.
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Illness & medication Serious
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Mar 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2026 Report · Deficiencies cited (self-report)
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Illness & medication Serious
The operation failed to report to licensing within the required timeframe.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2026-03-16. Correction verified 2026-03-13.
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Illness & medication Serious
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Inspection · Deficiencies cited
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Records & paperwork
During the review of 3 children records, the date of signature was missing from one form. A two children did not sign the form and there was no documentation on why it was not signed. One form was updated and corrected at inspection.
HHSC 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
HHSC risk weight: Medium. Corrected 2026-02-18. Correction verified 2026-02-17.
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Records & paperwork
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Feb 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 5, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
Foster parents did not comply with the supervision requirements listed on the child's service plan.
HHSC 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
HHSC risk weight: High. Corrected 2026-03-18. Correction verified 2026-04-02.
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Illness & medication Serious
Agency did not report the incident to the hotline.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-04-02.
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Illness & medication Serious
Injury occurred on 01/29/2026. Agency notified the CVS worker on 02/05/2026.
HHSC 749.503(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-04-02.
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Supervision & ratios Serious
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Jan 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Children were not being supervised at the time an injury occurred.
HHSC 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
HHSC risk weight: High. Corrected 2025-11-24. Correction verified 2025-11-18.
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Supervision & ratios Serious
A household member reports babysitting youth in care but is not certified in first aid and CPR. The agency reports there are no household members who have been identified as babysitters.
HHSC 749.2599(3) — Supervision-16-year-old or older may serve as a babysitter if he/she is certified in first aid and CPR
HHSC risk weight: Medium High. Corrected 2025-11-17. Correction verified 2025-11-20.
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Supervision & ratios Serious
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Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2025 Report · Deficiencies cited
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Records & paperwork Serious
A dog was not vaccinated timely.
HHSC 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
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-11-12.
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Records & paperwork Serious
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Oct 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2025 Report · Deficiencies cited
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Illness & medication Serious
A caregiver did not properly secure medication, leaving it accessible to a child in care who ingested an unknown amount, and required medical attention.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-10-16. Correction verified 2025-11-03.
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Illness & medication Serious
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A caregiver failed to follow the service plan.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2025-08-25. Correction verified 2025-09-12.
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Supervision & ratios Serious
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2025 Report · Deficiencies cited (self-report)
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Illness & medication Serious
It was determined during this investigation that the foster mother failed to take a child in care to the Emergency Room immediately following an injury sustained by the child in care.
HHSC 749.1437 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2025-08-04. Correction verified 2025-08-13.
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Illness & medication Serious
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Jun 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care made to do squats as a form of punishment.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-06-20. Correction verified 2025-06-19.
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Other Serious
Caregivers admitted to arguing and using curse words in the presence of children in care.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-06-20. Correction verified 2025-06-19.
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Discipline & child guidance Serious
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May 6, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Foster parents did not implement and follow a child's service plan when they did not follow through with using an audio monitor in the child's bedroom to assist with supervising the child a night and throughout the day.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2025-06-06. Correction verified 2025-06-03.
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Supervision & ratios Serious
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May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Report · Deficiencies cited
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Other Serious
The discipline used in the home is inappropriate in addition to being excessive for children under the age of 10.
HHSC 749.1003(b)(4)(B) — Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level
HHSC risk weight: Medium High. Corrected 2025-05-13. Correction verified 2025-05-13.
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Other Serious
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Mar 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2025 Inspection · Deficiencies cited
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Records & paperwork Serious
An agency home was missing their unannounced 4th quarter report for year 2024
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2025-02-21. Correction verified 2025-02-20.
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Records & paperwork Serious
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Jan 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
It was determined that the caregiver failed to adequately supervise children in care, resulting in harm and serious risk of harm.
HHSC 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
HHSC risk weight: High. Corrected 2025-03-28. Correction verified 2025-03-28.
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Supervision & ratios Serious
It was determined that the foster parent failed to exercise prudent judgment in the care and supervision of the foster children.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-03-28. Correction verified 2025-03-28.
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Records & paperwork Serious
It was determined that the agency and foster parent became aware of an incident and failed to report.
HHSC HRC42.063(a) - Reporting Incidents and Violations that threa — HRC42.063(a) - Reporting Incidents and Violations that threaten or impair the basic health, safety or well-being of a child
HHSC risk weight: High. Corrected 2025-03-28. Correction verified 2025-03-28.
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Supervision & ratios Serious
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Dec 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
The foster mother's parents visit the home a couple of times a year for a few months at a time. They were present during the investigation inspection.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2024-12-04. Correction verified 2024-12-04.
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Staff background & training Serious
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Nov 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 3, 2024 Inspection · Deficiencies cited
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Other
A child in care's Child's Rights form was observed missing a signature. It appears that the child may have been a toddler at that time but there was no documentation stating that the child could not sign due to them being a toddler. Two other children in care's form appears to be missing completely from their files.
HHSC 749.1005(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-10.
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Other
Two children in care were admitted 10/20/2023, and was due for his dental visit in January of 2024. The child was not seen for a visit until March of 2024. Another child in care was 21 days late for their appointment .
HHSC 749.1153(b) — Dental Requirements-Child 3 yrs old or older must have appt scheduled within 30 days after admission, and the exam within 90 days after admission
HHSC risk weight: Medium Low. Corrected 2024-10-11. Correction verified 2024-10-10.
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Safety & premises Serious
Five agency homes files were reviewed and indicated that either their Fire Safety or Environmental Checklist were expired.
HHSC 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
HHSC risk weight: Medium High. Corrected 2024-10-11. Correction verified 2024-10-10.
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Records & paperwork Serious
There were no update pet vaccine records for five agency homes.
HHSC 749.3663(b) — Adoptive Home Care/Safety-Pets vaccinated and treated as recommended by vet
HHSC risk weight: Medium High. Corrected 2024-10-11. Correction verified 2024-10-10.
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Other
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Sep 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2024 Report · Deficiencies cited
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Staff background & training Serious
During the review of the investigation, it was found that a household member did not have an active background check at the time of licensure, as well as the initiation of the investigation.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2024-09-10. Correction verified 2024-09-10.
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Other
During the ANE investigation, it was found that the child 's behaviors were not being addressed appropriately. There were repeated concerns of the child being able to act out inappropriately and engaging in inappropriate behaviors.
HHSC 749.2605(b)(3) — Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity
HHSC risk weight: Medium. Corrected 2024-09-16. Correction verified 2024-09-26.
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Staff background & training Serious
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Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
There is a preponderance of evidence that a foster parent subjected a child in care to physical abuse.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2024-08-07.
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Other Serious
There is a preponderance of evidence that confirms that a caregiver failed to exemplify self-control by engaging in a physical altercation with a child in care.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-08-07.
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Discipline & child guidance Serious
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Jun 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
Licensing was not notified timely regarding a foster parent arrest.
HHSC 749.503(e)(7)(A) — Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
HHSC risk weight: Medium. Corrected 2024-08-30. Correction verified 2024-08-28.
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Records & paperwork
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Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2024 Report · Deficiencies cited
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Staff background & training Serious
Records reviewed show foster parents did not renew annual trainings timely.
HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
HHSC risk weight: Medium High. Corrected 2024-07-09. Correction verified 2024-07-19.
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Staff background & training
Records reviewed show foster parents did not renew annual trainings timely.
HHSC 749.933(a)(1) — Annual Training Timeline-Each person must complete required annual training within 12 months from date of employment or date verified as foster parent
HHSC risk weight: Medium. Corrected 2024-07-09. Correction verified 2024-07-19.
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Staff background & training Serious
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Jun 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2024 Report · Deficiencies cited
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Safety & premises Serious
Foster mom is smoking in the garage
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2024-05-14. Correction verified 2024-05-13.
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Safety & premises Serious
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Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2024 Report · Deficiencies cited
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Other Serious
A child in care was not taken to a follow up appointment with a neurologist.
HHSC 749.1401(d) — General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-08-16.
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Illness & medication Serious
A child in care's medication was not being administered as directed by the label on the medication bottle. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.
HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
HHSC risk weight: High. Corrected 2024-07-05. Correction verified 2024-08-16.
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Illness & medication
On two separate medication logs the prescribing health-care professionals name was missing.
HHSC 749.1541(c)(2) — Medication Record-Must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2024-07-08. Correction verified 2024-08-16.
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Illness & medication Serious
A child's medication log was missing the dosage strength on a medication log.
HHSC 749.1541(c)(4) — Medication Record-Must include medication name, strength & dosage
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-08-16.
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Other Serious
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Apr 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care had abrasions on their back, but there are no explanations on how they were obtained.
HHSC 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
HHSC risk weight: High. Corrected 2024-05-24. Correction verified 2024-05-24.
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Supervision & ratios Serious
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Mar 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2024 Inspection · Deficiencies cited
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Safety & premises
While reviewing child records, one of the three files did not contain the components of admission assessment.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2024-02-22. Correction verified 2024-08-20.
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Other
While reviewing child files, the preliminary service plan and inital service plan was completed timely however it was signed by the casemanager months later.
HHSC 749.1305 — Preliminary Service Planning-the placement staff must develop, sign, and date the preliminary service plan
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-02-22.
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Records & paperwork Serious
While reviewing home screenings, it was observed that one of the pets vaccination expired.
HHSC 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
HHSC risk weight: Medium High. Corrected 2024-02-29. Correction verified 2024-08-19.
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Safety & premises
-
Feb 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2023 Report · Deficiencies cited
-
Illness & medication
It was determined that the agency did not notify the child's case worker of a newly prescribed medication.
HHSC 749.1461(b) — Administration of Medication-Must obtain written, signed, & dated consent, for a new psychotropic medication
HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-01-26.
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Illness & medication
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
Child in care was medically neglected by not consistently being administered medication and putting child at risk for breakthrough seizures, permanent brain damage, loss of developmental milestones, asthma attacks, hospitalization, and permanent lung damage.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2025-01-29.
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Illness & medication Serious
Medication was not administered according to doctor instructions as it was missed, and multiple medications were not opened in ordered to be given to the child as prescribed.
HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2025-01-29.
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Discipline & child guidance Serious
-
May 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
An incident involving a child in care being bitten by a dog, resulting in serious injuries, and requiring immediate medical attention was not reported to Licensing within 24 hours.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2023-05-31. Correction verified 2023-05-31.
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Illness & medication Serious
-
Apr 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2023 Report · Deficiencies cited
-
Other Serious
Children under the age of 6 were subjected to flutter kicks, or wall sits as a form of discipline and were allowed to stop once the children began to cry.
HHSC 749.1957(5) — Other Prohibited Discipline-Maintaining an uncomfortable physical position
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-28.
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Other Serious
-
Apr 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During review of the documentation and interviews, it was determined the foster parents utilized corporal punishment on children in care on multiple occasions, using their hand and a wooden spoon.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2023-05-08. Correction verified 2023-06-06.
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Discipline & child guidance Serious
-
Mar 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Inspection · Deficiencies cited
-
Records & paperwork
While reviewing child rights 2 out of 6 children in care did not have child rights in their record
HHSC 749.1005(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2022-11-01. Correction verified 2022-11-01.
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Records & paperwork
-
Oct 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2022 Report · Deficiencies cited
-
Staff background & training Serious
The foster parent identified her bio daughter, who doesn't have a background check, as being a frequent visitor to the home, visiting 3-4 times a week and occasionally sending a night.
HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HHSC risk weight: High. Corrected 2022-12-14. Correction verified 2022-12-14.
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Staff background & training Serious
-
Oct 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2022 Report · Deficiencies cited
-
Other Serious
Foster child had a sock placed in the mouth during a restraint in an attempt to keep child quiet.
HHSC 749.1957(7) — Other Prohibited Discipline-Putting anything in or on a child's mouth, such as soap or tape
HHSC risk weight: High. Corrected 2023-01-20. Correction verified 2024-06-17.
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Safety & premises Serious
Child voiced wanting to go outside to cool down but was not allowed.
HHSC 749.2055(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2023-01-20. Correction verified 2024-06-17.
-
Records & paperwork
Foster child was not provided privacy during a restraint as another child was instructed to record the restraint.
HHSC 749.2151(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2023-01-20. Correction verified 2024-06-17.
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Other Serious
Child continued to be restrained even though child was not displaying danger to self or others.
HHSC 749.2153(2)(C) — EBI Release-Child released from personal restraint as soon as child not a danger to self or others
HHSC risk weight: Medium High. Corrected 2023-01-20. Correction verified 2024-06-17.
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Other Serious
Child was placed on stomach obstructing visual of child face during the restraint.
HHSC 749.2205(a)(3) — Personal Restraints Prohibited-Restraints that obstruct a caregiver's ability to view the child's face
HHSC risk weight: High. Corrected 2023-01-20. Correction verified 2024-06-17.
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Other Serious
Foster parent sat on child's buttocks while being restraint in a prone position and holding hands behind back.
HHSC 749.2205(c)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2023-01-20. Correction verified 2024-06-17.
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Other Serious
-
Jul 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2022 Report · Deficiencies cited
-
Staff background & training Serious
A frequent visitor to the foster home has been present with children in care without an Active/Eligible background check status on file. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-06-03. Correction verified 2022-06-27.
-
Food & allergies Serious
A foster parent locked the refrigerator and pantry in the kitchen restricting access to food items for children in care.
HHSC 749.3067 — Feeding Children-Caregiver may not use food that meets child's nutritional needs as a reward or punishment; food cannot be withheld
HHSC risk weight: Medium High. Corrected 2022-06-03. Correction verified 2022-07-29.
-
Staff background & training Serious
-
Mar 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2022 Report · Deficiencies cited
-
Other Serious
Child was inappropriate dress for the weather condition when he was outside the home as he was being discipled.
HHSC 749.1003(b)(4)(B) — Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level
HHSC risk weight: Medium High. Corrected 2022-03-25. Correction verified 2022-09-30.
-
Other
Child in care, who was diagnosed with ADHD is not provided with the required medical care as indicated in the safety plan.
HHSC 749.1003(b)(6)(A) — Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
HHSC risk weight: Medium. Corrected 2022-03-25. Correction verified 2022-09-30.
-
Other Serious
-
Feb 7, 2022 Inspection · Deficiencies cited
-
Illness & medication Serious
Foster parent was unable to provide updated medication log for PMN child in the home.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2022-02-09. Correction verified 2022-02-09.
-
Safety & premises Serious
Fire extinguishers were present both upstairs and downstairs, however none had a date of maintenance or label.
HHSC 749.2913(a)(2) — Fire Extinguisher-A foster home must have a fire extinguisher on each level of the home
HHSC risk weight: Medium High. Corrected 2022-02-11. Correction verified 2022-02-10.
-
Safety & premises Serious
The door leading to the pool did not have a top latch for safety. The pool did not have a gate surrounding the pool when exiting the home towards the area of the pool.
HHSC 749.3133(d) — 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
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-09.
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Illness & medication Serious
-
Jan 31, 2022 Report · Deficiencies cited
-
Staff background & training Serious
A foster parent's arrest was not reported to Licensing.
HHSC 745.665 — If a subject of a background check at your operation has been arrested or charged with a crime, you must report it to Licensing immediately
HHSC risk weight: High. Corrected 2022-04-07. Correction verified 2022-05-26.
-
Staff background & training Serious
-
Jan 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2021 Assessment · Deficiencies cited
-
Discipline & child guidance
The foster parent did not report the 12/22/21 covid diagnosis to the agency until 12/26/21, when it was then phoned in within the 24-hour time-frame by the agency.
HHSC 749.509(b) — Reporting serious incident-If involves child under care of foster parent then must be reported directly to the Texas Abuse and Neglect Hotline
HHSC risk weight: Medium. Corrected 2021-12-27. Correction verified 2022-01-04.
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Discipline & child guidance
-
Dec 26, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.