Youth In View
1510 N HAMPTON RD STE 130, Desoto, TX 75115 · Dallas County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:00 AM-05:00 PM
- Director / administrator
- Sandra L. Daniels
- Phone
- (214) 484-9280
- Regulated since
- Jul 27, 2005
- HHSC IDs
- Operation 278706 · number 852248- 369
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 78 | 22 | Cleanliness & sanitation (2), Illness & medication (12), Supervision & ratios (16), Discipline & child guidance (4), Safety & premises (6), Staff background & training (8), Records & paperwork (2), Other (28) |
| 2025 | 18 | 4 | Supervision & ratios (6), Discipline & child guidance (2), Staff background & training (2), Records & paperwork (2), Other (6) |
| 2024 | 40 | 6 | Illness & medication (4), Supervision & ratios (20), Discipline & child guidance (2), Records & paperwork (2), Other (12) |
| 2023 | 44 | 12 | Illness & medication (8), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (2), Staff background & training (16), Records & paperwork (2), Other (10) |
| 2022 | 22 | 6 | Illness & medication (2), Supervision & ratios (4), Safety & premises (2), Staff background & training (4), Other (10) |
| 2021 | 32 | 12 | Supervision & ratios (6), Discipline & child guidance (4), Staff background & training (2), Records & paperwork (8), Other (12) |
Inspections, investigations & assessments
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Sep 24, 2026 Inspection
No violations cited on this visit.
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Sep 24, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 14, 2026 Inspection · Deficiencies cited
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Other
The service plan was not completed within 45 days.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2026-07-17. Correction verified 2026-07-16.
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Other
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Jul 14, 2026 Inspection · Deficiencies cited
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Other
The service plan was not completed within 45 days.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2026-07-17. Correction verified 2026-07-16.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 30, 2026 Inspection · Deficiencies cited
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Other
A community reference used was related to the caregiver.
HHSC 749.2449(A)(8) — Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
HHSC risk weight: Medium. Corrected 2026-07-07. Correction verified 2026-07-06.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jun 30, 2026 Inspection · Deficiencies cited
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Other
A community reference used was related to the caregiver.
HHSC 749.2449(A)(8) — Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
HHSC risk weight: Medium. Corrected 2026-07-07. Correction verified 2026-07-06.
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Other
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Jun 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 16, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
A caregiver left a child in care unattended in a vehicle.
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 2026-06-23. Correction verified 2026-06-29.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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May 16, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
A caregiver left a child in care unattended in a vehicle.
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 2026-06-23. Correction verified 2026-06-29.
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Supervision & ratios Serious
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May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2026 Report · Deficiencies cited
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Illness & medication
All the February medication logs indicate that medication was given February 29, 30, and 31st. The last day of the month is February 28, 2026. Also, the Hydroxyzine medication logs were not completed and did not specifically document the symptoms or conditions that required a PRN medication that was given to the two children in care.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-05-26. Correction verified 2026-05-28.
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Illness & medication
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Apr 25, 2026 Report · Deficiencies cited
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Illness & medication
All the February medication logs indicate that medication was given February 29, 30, and 31st. The last day of the month is February 28, 2026. Also, the Hydroxyzine medication logs were not completed and did not specifically document the symptoms or conditions that required a PRN medication that was given to the two children in care.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-05-26. Correction verified 2026-05-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
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Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 23, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
Medications were not stored in a locked container.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-14.
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Other Serious
A new home screening was not completed prior to reverifying a foster home.
HHSC 749.2445(a) — Verification-Agency must complete a foster home screening prior to verifying the foster home
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-20.
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Staff background & training Serious
The criminal history of one caregiver was not documented or assessed in the home screening.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-20.
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Staff background & training
Two foster parents took an online CPR training course and did not have hands-on instruction or practice.
HHSC 749.911(b)(1) — Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
HHSC risk weight: Medium High. Corrected 2026-05-07. Correction verified 2026-05-04.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication Serious
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Apr 23, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
Medications were not stored in a locked container.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-14.
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Other Serious
A new home screening was not completed prior to reverifying a foster home.
HHSC 749.2445(a) — Verification-Agency must complete a foster home screening prior to verifying the foster home
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-20.
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Staff background & training Serious
The criminal history of one caregiver was not documented or assessed in the home screening.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2026-05-07. Correction verified 2026-05-20.
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Staff background & training
Two foster parents took an online CPR training course and did not have hands-on instruction or practice.
HHSC 749.911(b)(1) — Pedi. CPR training must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing
HHSC risk weight: Medium High. Corrected 2026-05-07. Correction verified 2026-05-04.
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Illness & medication Serious
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 16, 2026 Report · Deficiencies cited
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Other Serious
There was not a plan to minimize the risk of harm to a child, who has exhibited a high-risk behavior, documented on his initial service plan.
HHSC 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
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-20.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Apr 16, 2026 Report · Deficiencies cited
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Other Serious
There was not a plan to minimize the risk of harm to a child, who has exhibited a high-risk behavior, documented on his initial service plan.
HHSC 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
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-20.
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Other Serious
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 6, 2026 Assessment · Deficiencies cited
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Supervision & ratios
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.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2026-04-07. Correction verified 2026-04-07.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Apr 6, 2026 Assessment · Deficiencies cited
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Supervision & ratios
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.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2026-04-07. Correction verified 2026-04-07.
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Supervision & ratios
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Mar 30, 2026 Inspection · Deficiencies cited
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Supervision & ratios
It was determined that a video camera was being used in a bedroom of children who were above five years old, and this was not justified in their service plan nor did the legal parent authorize this.
HHSC 749.2595(b)(1) — Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-23.
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Supervision & ratios
Tools such as screw drivers and hammers were observed in the garage and were accessible to the children in care.
HHSC 749.2915 — Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
HHSC risk weight: Medium High. Corrected 2026-04-06. Correction verified 2026-04-14.
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Other
The open space that is upstairs was being used as a bedroom for a biological child in care and there was no waiver/variance in place.
HHSC 749.3023(c)(3) — Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
HHSC risk weight: Medium Low. Corrected 2026-04-06. Correction verified 2026-04-24.
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Cleanliness & sanitation
During the walkthrough, holes were observed on the wall leading to the garage.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2026-04-06. Correction verified 2026-04-14.
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Supervision & ratios
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Mar 30, 2026 Inspection · Deficiencies cited
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Supervision & ratios
It was determined that a video camera was being used in a bedroom of children who were above five years old, and this was not justified in their service plan nor did the legal parent authorize this.
HHSC 749.2595(b)(1) — Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-23.
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Supervision & ratios
Tools such as screw drivers and hammers were observed in the garage and were accessible to the children in care.
HHSC 749.2915 — Dangerous Tools-A foster home must store dangerous tools and equipment inaccessible to children; used by children with appropriate supervision
HHSC risk weight: Medium High. Corrected 2026-04-06. Correction verified 2026-04-14.
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Other
The open space that is upstairs was being used as a bedroom for a biological child in care and there was no waiver/variance in place.
HHSC 749.3023(c)(3) — Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
HHSC risk weight: Medium Low. Corrected 2026-04-06. Correction verified 2026-04-24.
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Cleanliness & sanitation
During the walkthrough, holes were observed on the wall leading to the garage.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2026-04-06. Correction verified 2026-04-14.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Mar 30, 2026 Assessment · Deficiencies cited
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Other
The agency did not provide written notification to Licensing at least 30 days before the agency was moved to another location.
HHSC 749.153(a)(1)(B) — Notification - At least 30 days in advance - Change in agency location
HHSC risk weight: Medium High. Corrected 2026-04-03. Correction verified 2026-04-23.
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Other
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Mar 30, 2026 Assessment · Deficiencies cited
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Other
The agency did not provide written notification to Licensing at least 30 days before the agency was moved to another location.
HHSC 749.153(a)(1)(B) — Notification - At least 30 days in advance - Change in agency location
HHSC risk weight: Medium High. Corrected 2026-04-03. Correction verified 2026-04-23.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 27, 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.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 24, 2026 Inspection · 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.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 23, 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 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 21, 2026 Report · Deficiencies cited
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Staff background & training Serious
The agency did not provide the city and state of each residence where a foster parent had lived outside of Texas during the five-year period prior to the date the agency submitted the request for a background check.
HHSC 745.619 — Background Check Requirements - Submit All Identifying Information
HHSC risk weight: High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Safety & premises
A foster parent's vehicle has two seats in the middle row and three seats in the back row. There were six children in care placed in the home, and all six children were riding in the vehicle during an incident. None of the children were 13 years old or older, so they are not able to ride in the front passenger seat. Each child was not safely restrained in his or her own seat.
HHSC 749.3103 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: Medium High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Safety & premises
Child placement staff placed six children under the age of 13 in a foster home when the single foster parent's vehicle can only safely transport five children under the age of 13.
HHSC 749.663(a)(1) — Child placement staff responsibilities-Deciding whether to admit a foster child, including completion of an admission assessment
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-22.
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Staff background & training Serious
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Mar 21, 2026 Report · Deficiencies cited
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Staff background & training Serious
The agency did not provide the city and state of each residence where a foster parent had lived outside of Texas during the five-year period prior to the date the agency submitted the request for a background check.
HHSC 745.619 — Background Check Requirements - Submit All Identifying Information
HHSC risk weight: High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Safety & premises
A foster parent's vehicle has two seats in the middle row and three seats in the back row. There were six children in care placed in the home, and all six children were riding in the vehicle during an incident. None of the children were 13 years old or older, so they are not able to ride in the front passenger seat. Each child was not safely restrained in his or her own seat.
HHSC 749.3103 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: Medium High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Safety & premises
Child placement staff placed six children under the age of 13 in a foster home when the single foster parent's vehicle can only safely transport five children under the age of 13.
HHSC 749.663(a)(1) — Child placement staff responsibilities-Deciding whether to admit a foster child, including completion of an admission assessment
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-22.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Mar 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 20, 2026 Assessment · Deficiencies cited
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Other
There is no documentation in the home screening regarding the language(s) spoken in the foster home.
HHSC 749.2447(21) — Foster Home Screening-Agency documents the language(s) spoken by the prospective foster parents
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Other
There is no documentation in the foster home screening regarding the foster parent's previous relationships. There is also no documentation regarding any discussion on the relationship history between the foster parent and their biological child's father.
HHSC 749.2447(4) — Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Other Serious
A foster parent lived in two cities during the two years prior to verification, but service call information was not requested from both law enforcement agencies.
HHSC 749.2447(7)(B)(i) — Foster Home Screening- Obtain service call information from law enforcement for past two years
HHSC risk weight: High. Corrected 2026-04-16. Correction verified 2026-05-04.
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Discipline & child guidance
The documentation regarding an adult household member's health status does not include any discussion regarding their mental health and substance abuse history.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Staff background & training
The operation's SAMA/Emergency Behavior Intervention training was conducted virtually by operation staff and does not include any training regarding how to properly restrain a child in care.
HHSC 749.889(c)(3) — 25% of EBI training must address safe implementation of restraints and procedures appropriate for the age/weight of children served
HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-20.
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Other
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Mar 20, 2026 Assessment · Deficiencies cited
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Other
There is no documentation in the home screening regarding the language(s) spoken in the foster home.
HHSC 749.2447(21) — Foster Home Screening-Agency documents the language(s) spoken by the prospective foster parents
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Other
There is no documentation in the foster home screening regarding the foster parent's previous relationships. There is also no documentation regarding any discussion on the relationship history between the foster parent and their biological child's father.
HHSC 749.2447(4) — Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Other Serious
A foster parent lived in two cities during the two years prior to verification, but service call information was not requested from both law enforcement agencies.
HHSC 749.2447(7)(B)(i) — Foster Home Screening- Obtain service call information from law enforcement for past two years
HHSC risk weight: High. Corrected 2026-04-16. Correction verified 2026-05-04.
-
Discipline & child guidance
The documentation regarding an adult household member's health status does not include any discussion regarding their mental health and substance abuse history.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-03-23.
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Staff background & training
The operation's SAMA/Emergency Behavior Intervention training was conducted virtually by operation staff and does not include any training regarding how to properly restrain a child in care.
HHSC 749.889(c)(3) — 25% of EBI training must address safe implementation of restraints and procedures appropriate for the age/weight of children served
HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2026 Report · Deficiencies cited
-
Other
A child in care was wearing tight clothing and pull-ups that were too small. Her pull-ups were causing skin irritation and redness.
HHSC 749.1003(b)(3)(G) — Children's rights-Adhere to the child's right to have comfortable personal clothing, suitable to his age and size and comparable with peers
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Other
The service planning team for a child receiving treatment services did not consist of at least two of the required professionals.
HHSC 749.1311(a)(3) — Initial Service Planning Team-If child receiving treatment services include at least two professionals
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication Serious
Medical documentation and the child's service plan instructs caregivers to give a medication to a child twice daily; however, a caregiver stated that she only administers the medication as needed.
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 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication
The reason the medication was prescribed was not documented on a medication log.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Other
The family group interview was conducted virtually. There is no documentation in the home screening to show that the agency visited the home at least once when all members of the household were present.
HHSC 749.2449(b) — Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-20.
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Other
A child receiving treatment services for Autism Spectrum Disorder was placed in a home that is not verified to provide this treatment service.
HHSC 749.2491(e) — Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Supervision & ratios
The foster home was verified for 2 foster children and a total capacity of 5 children. The total capacity was incorrect and should have been 4 as the foster parents' oldest child was an adult prior to verification.
HHSC 749.2555(1) — Determining Capacity-Capacity of the home is based on the number of caregivers and the age of the children in the home and in placement
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication
A child's medication records for the months of December 2025 and February 2026 were not in the child's record in April 2026 and could not be located by agency staff.
HHSC 749.535(a)(1) — Active records-All documentation in the record no later than 30 days after the occurrence or event
HHSC risk weight: Low. Corrected 2026-05-06. Correction verified 2026-05-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 19, 2026 Report · Deficiencies cited
-
Other
A child in care was wearing tight clothing and pull-ups that were too small. Her pull-ups were causing skin irritation and redness.
HHSC 749.1003(b)(3)(G) — Children's rights-Adhere to the child's right to have comfortable personal clothing, suitable to his age and size and comparable with peers
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Other
The service planning team for a child receiving treatment services did not consist of at least two of the required professionals.
HHSC 749.1311(a)(3) — Initial Service Planning Team-If child receiving treatment services include at least two professionals
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication Serious
Medical documentation and the child's service plan instructs caregivers to give a medication to a child twice daily; however, a caregiver stated that she only administers the medication as needed.
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 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication
The reason the medication was prescribed was not documented on a medication log.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Other
The family group interview was conducted virtually. There is no documentation in the home screening to show that the agency visited the home at least once when all members of the household were present.
HHSC 749.2449(b) — Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Other
A child receiving treatment services for Autism Spectrum Disorder was placed in a home that is not verified to provide this treatment service.
HHSC 749.2491(e) — Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
HHSC risk weight: Medium. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Supervision & ratios
The foster home was verified for 2 foster children and a total capacity of 5 children. The total capacity was incorrect and should have been 4 as the foster parents' oldest child was an adult prior to verification.
HHSC 749.2555(1) — Determining Capacity-Capacity of the home is based on the number of caregivers and the age of the children in the home and in placement
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-20.
-
Illness & medication
A child's medication records for the months of December 2025 and February 2026 were not in the child's record in April 2026 and could not be located by agency staff.
HHSC 749.535(a)(1) — Active records-All documentation in the record no later than 30 days after the occurrence or event
HHSC risk weight: Low. Corrected 2026-05-06. Correction verified 2026-05-20.
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Other
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2026 Report · Deficiencies cited
-
Supervision & ratios
A one-parent foster home can only have a maximum total capacity of five children if the home cares for any child less than five years old: The foster parent has permanent managing conservatorship of a three-year-old, and the home is licensed for a total capacity of six children.
HHSC 749.2551(c) — Capacity- 1 parent FH or 2 parent with 1 parent absent for extended periods may care for up to 6, except as noted in chart below
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-23.
-
Supervision & ratios
-
Mar 4, 2026 Report · Deficiencies cited
-
Supervision & ratios
A one-parent foster home can only have a maximum total capacity of five children if the home cares for any child less than five years old: The foster parent has permanent managing conservatorship of a three-year-old, and the home is licensed for a total capacity of six children.
HHSC 749.2551(c) — Capacity- 1 parent FH or 2 parent with 1 parent absent for extended periods may care for up to 6, except as noted in chart below
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Assessment · Deficiencies cited
-
Illness & medication Serious
Medications were stored in an unlocked cabinet. Note: This was corrected at inspection.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-02-25. Correction verified 2026-03-11.
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Safety & premises
A foster home's fire extinguisher had not been serviced in more than one year.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2026-03-04. Correction verified 2026-02-25.
-
Illness & medication Serious
-
Feb 25, 2026 Assessment · Deficiencies cited
-
Illness & medication Serious
Medications were stored in an unlocked cabinet. Note: This was corrected at inspection.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-02-25. Correction verified 2026-03-11.
-
Safety & premises
A foster home's fire extinguisher had not been serviced in more than one year.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2026-03-04. Correction verified 2026-02-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Feb 21, 2026 Report · Deficiencies cited
-
Records & paperwork Serious
In the review of four monthly contact records, face to face contact was made with children on the 65th day, after prior face-to-face visit was conducted.
HHSC 749.1291(a) — Contact between child placement staff and children-except for child with PMN needs, monthly FTF contact; no longer than 60 days without a visit
HHSC risk weight: High. Corrected 2026-04-24. Correction verified 2026-05-07.
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Supervision & ratios
In the review of annual health environmental checks conducted at the agency home, in 2025, check lists indicate inspections were conducted in July of 2025 and in August of 2025. In the review of 1 of 4 monthly contacts, contact was not made in the home as indicated on monthly record, contact was made outside of the home.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-28. Correction verified 2026-05-07.
-
Records & paperwork Serious
-
Feb 21, 2026 Report · Deficiencies cited
-
Records & paperwork Serious
In the review of four monthly contact records, face to face contact was made with children on the 65th day, after prior face-to-face visit was conducted.
HHSC 749.1291(a) — Contact between child placement staff and children-except for child with PMN needs, monthly FTF contact; no longer than 60 days without a visit
HHSC risk weight: High. Corrected 2026-04-24. Correction verified 2026-05-07.
-
Supervision & ratios
In the review of annual health environmental checks conducted at the agency home, in 2025, check lists indicate inspections were conducted in July of 2025 and in August of 2025. In the review of 1 of 4 monthly contacts, contact was not made in the home as indicated on monthly record, contact was made outside of the home.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-28. Correction verified 2026-05-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork Serious
-
Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2026 Report · Deficiencies cited
-
Discipline & child guidance
The agency failed to ensure that adequate supervision, per a child's safety plan and service plan, was being implemented and followed within the foster home.
HHSC 749.2591(a)(3) — Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-03-09.
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Supervision & ratios Serious
A caregiver did not provide the level of supervision necessary to ensure children's safety. One foster child was able to engage in sexual contact with another foster child without the foster parent's immediate knowledge.
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 2026-02-16. Correction verified 2026-03-02.
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Other
A foster parent did not notify the agency of the addition of a household member before the change or immediately after the change occurred.
HHSC 749.2655(2) — Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-03-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Jan 15, 2026 Report · Deficiencies cited
-
Discipline & child guidance
The agency failed to ensure that adequate supervision, per a child's safety plan and service plan, was being implemented and followed within the foster home.
HHSC 749.2591(a)(3) — Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-03-09.
-
Supervision & ratios Serious
A caregiver did not provide the level of supervision necessary to ensure children's safety. One foster child was able to engage in sexual contact with another foster child without the foster parent's immediate knowledge.
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 2026-02-16. Correction verified 2026-03-02.
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Other
A foster parent did not notify the agency of the addition of a household member before the change or immediately after the change occurred.
HHSC 749.2655(2) — Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-03-02.
-
Discipline & child guidance
-
Jan 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2025 Inspection · Deficiencies cited
-
Other
The home screening was completed virtually, and there is not documentation of a visit to the home when all members of the household were present.
HHSC 749.2449(b) — Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
HHSC risk weight: Medium High. Corrected 2025-12-09. Correction verified 2025-12-17.
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Other
The agency did not complete a written assessment for the foster home and daycare.
HHSC 749.2493(4) — Day Care in a Foster Family Home-May provide day care if the agency completes a written assessment, signed by child placement management staff
HHSC risk weight: Medium. Corrected 2025-12-09. Correction verified 2025-12-17.
-
Other
-
Dec 2, 2025 Inspection · Deficiencies cited
-
Other
The home screening was completed virtually, and there is not documentation of a visit to the home when all members of the household were present.
HHSC 749.2449(b) — Interview For Foster Home Screening-Agency must visit the home at least once when all members of the household are present
HHSC risk weight: Medium High. Corrected 2025-12-09. Correction verified 2025-12-17.
-
Other
The agency did not complete a written assessment for the foster home and daycare.
HHSC 749.2493(4) — Day Care in a Foster Family Home-May provide day care if the agency completes a written assessment, signed by child placement management staff
HHSC risk weight: Medium. Corrected 2025-12-09. Correction verified 2025-12-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Nov 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2025 Report · Deficiencies cited
-
Supervision & ratios
The foster capacity for the home was changed in June 2025, and Licensing was not notified timely.
HHSC 749.153(a)(4) — Notification - Foster home's verification status as required by 749.2489
HHSC risk weight: Medium Low. Corrected 2025-12-08. Correction verified 2025-12-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 4, 2025 Report · Deficiencies cited
-
Supervision & ratios
The foster capacity for the home was changed in June 2025, and Licensing was not notified timely.
HHSC 749.153(a)(4) — Notification - Foster home's verification status as required by 749.2489
HHSC risk weight: Medium Low. Corrected 2025-12-08. Correction verified 2025-12-17.
-
Supervision & ratios
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on October 2, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-03.
-
Supervision & ratios
-
Oct 2, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on October 2, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 23, 2025 Inspection · Deficiencies cited
-
Other
A child's initial service plan was not completed within 45 days of admission.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2025-09-30. Correction verified 2025-10-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Sep 23, 2025 Inspection · Deficiencies cited
-
Other
A child's initial service plan was not completed within 45 days of admission.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2025-09-30. Correction verified 2025-10-20.
-
Other
-
Sep 18, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
Children in care reported being locked in a garage and restrained in a car seat in the home as a method of punishment.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2025-12-31. Correction verified 2026-01-13.
-
Records & paperwork
Children in care reported that they were subjected to profane language.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-13.
-
Discipline & child guidance Serious
-
Sep 18, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
Children in care reported being locked in a garage and restrained in a car seat in the home as a method of punishment.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2025-12-31. Correction verified 2026-01-13.
-
Records & paperwork
Children in care reported that they were subjected to profane language.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
A foster parent's criminal history was not documented or assessed in the foster home screening.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2025-08-21. Correction verified 2025-08-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Aug 14, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
A foster parent's criminal history was not documented or assessed in the foster home screening.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2025-08-21. Correction verified 2025-08-25.
-
Staff background & training Serious
-
Aug 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 31, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-04-01. Correction verified 2025-04-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 31, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 31, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-04-01. Correction verified 2025-04-01.
-
Supervision & ratios
-
Mar 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Dec 10, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 10, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 27, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-09-28. Correction verified 2024-09-27.
-
Supervision & ratios
-
Sep 27, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 27, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-09-28. Correction verified 2024-09-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 23, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Two of two monthly child files reviewed had identical information. Two of two service plans reviewed for two different children had identical information.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-09-30. Correction verified 2024-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 23, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Two of two monthly child files reviewed had identical information. Two of two service plans reviewed for two different children had identical information.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-09-30. Correction verified 2024-10-09.
-
Supervision & ratios
-
Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Report · Deficiencies cited
-
Illness & medication
A child in care's medication logs for June, July, and August 2024 do not include the reason the medication was prescribed for any of the child's medications.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-21.
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Supervision & ratios
A foster parent and a 17-year-old in care admitted that the 17-year-old would babysit multiple other children in care. This was not approved by Child Placement Management Staff.
HHSC 749.2599(1) — Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
HHSC risk weight: Medium High. Corrected 2024-10-18. Correction verified 2024-10-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Sep 9, 2024 Report · Deficiencies cited
-
Illness & medication
A child in care's medication logs for June, July, and August 2024 do not include the reason the medication was prescribed for any of the child's medications.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-21.
-
Supervision & ratios
A foster parent and a 17-year-old in care admitted that the 17-year-old would babysit multiple other children in care. This was not approved by Child Placement Management Staff.
HHSC 749.2599(1) — Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
HHSC risk weight: Medium High. Corrected 2024-10-18. Correction verified 2024-10-21.
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Illness & medication
-
Sep 9, 2024 Inspection · Deficiencies cited
-
Other
A child's service plan that was due on 8/26/24 has not been completed.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2024-09-19. Correction verified 2024-09-13.
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Other
-
Sep 9, 2024 Inspection · Deficiencies cited
-
Other
A child's service plan that was due on 8/26/24 has not been completed.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2024-09-19. Correction verified 2024-09-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2024 Report · Recorded (self-report)
No violations cited on this visit.
-
Jul 30, 2024 Report · Recorded (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Inspection · Deficiencies cited
-
Other
Two of two monthly contacts reviewed did not have a management signature.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-05-13.
-
Illness & medication
The agency is utilizing a checklist for conducting the monthly contacts. Two of two monthly contacts reviewed were not accurately addressed on the questions related to psychotropic medication, serious incidents/restaints, and discipline concerns. These questions are marked "yes" on the form instead of "no".
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-13.
-
Other
-
May 6, 2024 Inspection · Deficiencies cited
-
Other
Two of two monthly contacts reviewed did not have a management signature.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-05-13.
-
Illness & medication
The agency is utilizing a checklist for conducting the monthly contacts. Two of two monthly contacts reviewed were not accurately addressed on the questions related to psychotropic medication, serious incidents/restaints, and discipline concerns. These questions are marked "yes" on the form instead of "no".
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 25, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
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 2024-05-31. Correction verified 2024-06-04.
-
Supervision & ratios
The agency failed to ensure that adequate supervision, per a child's safety plan, was being implemented and followed within the foster home.
HHSC 749.2591(a)(1) — Supervision-Child placement management staff must ensure that supervision accounts for the specific needs of the children in care in each home
HHSC risk weight: Medium High. Corrected 2024-05-31. Correction verified 2024-06-04.
-
Supervision & ratios Serious
A caregiver did not provide adequate supervision to children in care, who were able to engage in actions of a sexual nature on multiple occasions.
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 2024-05-31. Correction verified 2024-06-04.
-
Discipline & child guidance Serious
-
Apr 25, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
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 2024-05-31. Correction verified 2024-06-04.
-
Supervision & ratios
The agency failed to ensure that adequate supervision, per a child's safety plan, was being implemented and followed within the foster home.
HHSC 749.2591(a)(1) — Supervision-Child placement management staff must ensure that supervision accounts for the specific needs of the children in care in each home
HHSC risk weight: Medium High. Corrected 2024-05-31. Correction verified 2024-06-04.
-
Supervision & ratios Serious
A caregiver did not provide adequate supervision to children in care, who were able to engage in actions of a sexual nature on multiple occasions.
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 2024-05-31. Correction verified 2024-06-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 25, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-03-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 25, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 25, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-03-26.
-
Supervision & ratios
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
There are 7 children residing in the foster home when the verified capacity is 6 children.
HHSC 749.2551(b) — Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for 7 or 8 as long as all criteria met
HHSC risk weight: Medium High. Corrected 2024-03-19. Correction verified 2024-03-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 5, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
There are 7 children residing in the foster home when the verified capacity is 6 children.
HHSC 749.2551(b) — Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for 7 or 8 as long as all criteria met
HHSC risk weight: Medium High. Corrected 2024-03-19. Correction verified 2024-03-11.
-
Supervision & ratios
-
Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2024 Report · Deficiencies cited
-
Other
It was determined by video footage that a caregiver grabbed the arm of a child in care.
HHSC 749.1951(b)(5) — Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
HHSC risk weight: Medium. Corrected 2024-04-05. Correction verified 2024-04-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Feb 23, 2024 Report · Deficiencies cited
-
Other
It was determined by video footage that a caregiver grabbed the arm of a child in care.
HHSC 749.1951(b)(5) — Disciplinary Measures-Must be appropriate to the incident & severity of the behavior demonstrated
HHSC risk weight: Medium. Corrected 2024-04-05. Correction verified 2024-04-05.
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Other
-
Feb 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The agency failed to complete Foster Family Home Capacity Exception form 4003 prior to the birth of a seventh child in a verified foster home.
HHSC 749.2551(b) — Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for 7 or 8 as long as all criteria met
HHSC risk weight: Medium High. Corrected 2024-02-21. Correction verified 2024-02-08.
-
Supervision & ratios
-
Feb 7, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The agency failed to complete Foster Family Home Capacity Exception form 4003 prior to the birth of a seventh child in a verified foster home.
HHSC 749.2551(b) — Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for 7 or 8 as long as all criteria met
HHSC risk weight: Medium High. Corrected 2024-02-21. Correction verified 2024-02-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 31, 2024 Report · Deficiencies cited (self-report)
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Other
A seventeen-year-old child in care had her belongings searched by the caregivers without the child's knowledge.
HHSC 749.1015(b) — Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists
HHSC risk weight: Medium Low. Corrected 2024-04-10. Correction verified 2024-04-03.
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Other
Two children in the home were threatened with the loss of placement by an unauthorized caregiver.
HHSC 749.1957(3) — Other Prohibited Discipline-Threatening with the loss of placement as discipline or punishment
HHSC risk weight: Medium. Corrected 2024-04-10. Correction verified 2024-04-03.
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Other
During the investigation, it was determined that children were subjected to profane language in the home.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-04-10. Correction verified 2024-04-03.
-
Supervision & ratios Serious
During the investigation, it was determined that there was a verbal argument between a child and an unauthorized caregiver.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2024-04-10. Correction verified 2024-04-03.
-
Other
-
Jan 31, 2024 Report · Deficiencies cited (self-report)
-
Other
A seventeen-year-old child in care had her belongings searched by the caregivers without the child's knowledge.
HHSC 749.1015(b) — Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists
HHSC risk weight: Medium Low. Corrected 2024-04-10. Correction verified 2024-04-03.
-
Other
Two children in the home were threatened with the loss of placement by an unauthorized caregiver.
HHSC 749.1957(3) — Other Prohibited Discipline-Threatening with the loss of placement as discipline or punishment
HHSC risk weight: Medium. Corrected 2024-04-10. Correction verified 2024-04-03.
-
Other
During the investigation, it was determined that children were subjected to profane language in the home.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-04-10. Correction verified 2024-04-03.
-
Supervision & ratios Serious
During the investigation, it was determined that there was a verbal argument between a child and an unauthorized caregiver.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2024-04-10. Correction verified 2024-04-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jan 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Inspection · Deficiencies cited
-
Records & paperwork
Inspector arrived at 10:30 AM and did not have all records requested by 1:30 PM.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2024-01-24. Correction verified 2024-01-30.
-
Records & paperwork
-
Jan 23, 2024 Inspection · Deficiencies cited
-
Records & paperwork
Inspector arrived at 10:30 AM and did not have all records requested by 1:30 PM.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2024-01-24. Correction verified 2024-01-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The verification of the home in CLASS does not match the verification recommendation in the home screening.
HHSC 749.2445(c)(3) — Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
HHSC risk weight: Medium. Corrected 2024-01-23. Correction verified 2024-01-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 16, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The verification of the home in CLASS does not match the verification recommendation in the home screening.
HHSC 749.2445(c)(3) — Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
HHSC risk weight: Medium. Corrected 2024-01-23. Correction verified 2024-01-23.
-
Supervision & ratios
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Inspection · Deficiencies cited
-
Staff background & training
One training certificate did not include the trainer's qualifications.
HHSC 749.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
HHSC risk weight: Medium Low. Corrected 2023-12-26. Correction verified 2023-12-19.
-
Staff background & training
-
Dec 19, 2023 Inspection · Deficiencies cited
-
Staff background & training
One training certificate did not include the trainer's qualifications.
HHSC 749.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
HHSC risk weight: Medium Low. Corrected 2023-12-26. Correction verified 2023-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the course of the investigation, the child stated that caregiver spanked him on his leg with a belt. Two collaterals stated that the child told them he was spanked on his leg by caregiver.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Dec 6, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the course of the investigation, the child stated that caregiver spanked him on his leg with a belt. Two collaterals stated that the child told them he was spanked on his leg by caregiver.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-22.
-
Discipline & child guidance Serious
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 28, 2023 Inspection · Deficiencies cited
-
Safety & premises
Two homes did not conduct severe weather drills within the last year.
HHSC 749.2908(a)(3) — Disaster and Emergency-must conduct a severe weather drill each year
HHSC risk weight: Medium High. Corrected 2023-12-12. Correction verified 2023-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Nov 28, 2023 Inspection · Deficiencies cited
-
Safety & premises
Two homes did not conduct severe weather drills within the last year.
HHSC 749.2908(a)(3) — Disaster and Emergency-must conduct a severe weather drill each year
HHSC risk weight: Medium High. Corrected 2023-12-12. Correction verified 2023-12-19.
-
Safety & premises
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 22, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-09-23. Correction verified 2023-09-23.
-
Supervision & ratios
-
Sep 22, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 22, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-09-23. Correction verified 2023-09-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Other
Of the 15 child files reviewed, five files contained monthly contacts that were not approved by management.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
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Records & paperwork
The agency was not able to provide full access to foster home files or children's files.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2023-08-29. Correction verified 2023-08-29.
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Staff background & training
Of the 14 CPR/First Aid documents reviewed, seven were missing the length of training hours.
HHSC 749.915(b)(6) — Pediatric CPR training documentation must include length of the training in hours
HHSC risk weight: Medium Low. Corrected 2023-08-29. Correction verified 2023-08-29.
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Staff background & training
Of the nine foster parent training logs reviewed, five homes had training that was conducted late.
HHSC 749.930(c)(2) — Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the nine foster home training records reviewed, five homes had normalcy training that was not completed annually.
HHSC 749.930(c)(3) — Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the nine foster home training records reviewed, five homes had psychotropic medication training that was not completed annually.
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 2023-08-29. Correction verified 2023-08-29.
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Other
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Other
Of the 15 child files reviewed, five files contained monthly contacts that were not approved by management.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Records & paperwork
The agency was not able to provide full access to foster home files or children's files.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the 14 CPR/First Aid documents reviewed, seven were missing the length of training hours.
HHSC 749.915(b)(6) — Pediatric CPR training documentation must include length of the training in hours
HHSC risk weight: Medium Low. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the nine foster parent training logs reviewed, five homes had training that was conducted late.
HHSC 749.930(c)(2) — Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the nine foster home training records reviewed, five homes had normalcy training that was not completed annually.
HHSC 749.930(c)(3) — Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
HHSC risk weight: Medium High. Corrected 2023-08-29. Correction verified 2023-08-29.
-
Staff background & training
Of the nine foster home training records reviewed, five homes had psychotropic medication training that was not completed annually.
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 2023-08-29. Correction verified 2023-08-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Illness & medication
The 2 of 3 medication logs reviewed did not have the reason medication was prescribed.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-16.
-
Other
The supervisory visit states that both FPs are available, but has one FP signature.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Illness & medication
The 2 of 3 medication logs reviewed did not have the reason medication was prescribed.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-16.
-
Other
The supervisory visit states that both FPs are available, but has one FP signature.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-16.
-
Illness & medication
-
Aug 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
A household member did not have a cleared background check.
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 2023-06-08. Correction verified 2023-06-09.
-
Staff background & training Serious
-
Jun 5, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
A household member did not have a cleared background check.
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 2023-06-08. Correction verified 2023-06-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
May 30, 2023 Inspection · Deficiencies cited
-
Illness & medication
One of two children's medication logs reviewed did not have a signature of the foster parent administering the medication.
HHSC 749.1541(c)(6) — Medication Record-Must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2023-06-02. Correction verified 2023-05-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 30, 2023 Inspection · Deficiencies cited
-
Illness & medication
One of two children's medication logs reviewed did not have a signature of the foster parent administering the medication.
HHSC 749.1541(c)(6) — Medication Record-Must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2023-06-02. Correction verified 2023-05-31.
-
Illness & medication
-
May 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2023 Inspection · Deficiencies cited
-
Other
A supervisory visit for had both parents present but one parent's signature.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2023-04-06. Correction verified 2023-04-04.
-
Other
-
Mar 30, 2023 Inspection · Deficiencies cited
-
Other
A supervisory visit for had both parents present but one parent's signature.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2023-04-06. Correction verified 2023-04-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 21, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 21, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
On page 9 of the home screening, it states the foster mother's boyfriend, is not a frequent visitor and will not be involved in the fostering process. The foster mother reported that he has his own address, but he is at her home every weekend as he works out of town during the week. She stated that she is not sure why the home screening mentions that he will not be a frequent visitor to her home as they have been dating for over one year. His background check was not returned as eligible until 03/15/23. On 3/20/2023 HM Supervisor contacted the operations and inquired to why the boyfriend?s background wasn?t run until 3/14/2023. The operation stated is background was run on 3/9/2023 but received an error. HM Supervisor asked what prompted his background check and why wasn?t it run during verification. The operation stated they wasn?t sure; and believes the CM was given directives to run his background at that time. There was not a clear response to why the boyfriend?s background check was entered on 3/14/2023, given the operation had the same information when the home was verified. The boyfriend had already been at the foster home for four weekends in a row from the official placement date (2/16/2023) to the date of the MAH (3/15/2023). His background check was not returned as eligible until 03/15/2023.
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 2023-03-21. Correction verified 2023-03-15.
-
Staff background & training Serious
There is no assessment of the foster parent?s criminal history by the home study writer in the home study. The foster parent?s account of what led to the criminal charge is provided, but the home study writer did not assess the information.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2023-03-29. Correction verified 2023-04-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Mar 21, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
On page 9 of the home screening, it states the foster mother's boyfriend, is not a frequent visitor and will not be involved in the fostering process. The foster mother reported that he has his own address, but he is at her home every weekend as he works out of town during the week. She stated that she is not sure why the home screening mentions that he will not be a frequent visitor to her home as they have been dating for over one year. His background check was not returned as eligible until 03/15/23. On 3/20/2023 HM Supervisor contacted the operations and inquired to why the boyfriend?s background wasn?t run until 3/14/2023. The operation stated is background was run on 3/9/2023 but received an error. HM Supervisor asked what prompted his background check and why wasn?t it run during verification. The operation stated they wasn?t sure; and believes the CM was given directives to run his background at that time. There was not a clear response to why the boyfriend?s background check was entered on 3/14/2023, given the operation had the same information when the home was verified. The boyfriend had already been at the foster home for four weekends in a row from the official placement date (2/16/2023) to the date of the MAH (3/15/2023). His background check was not returned as eligible until 03/15/2023.
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 2023-03-21. Correction verified 2023-03-15.
-
Staff background & training Serious
There is no assessment of the foster parent?s criminal history by the home study writer in the home study. The foster parent?s account of what led to the criminal charge is provided, but the home study writer did not assess the information.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2023-03-29. Correction verified 2023-04-03.
-
Staff background & training Serious
-
Mar 20, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 17, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-03-21. Correction verified 2023-03-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 20, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 17, 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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-03-21. Correction verified 2023-03-20.
-
Supervision & ratios
-
Mar 16, 2023 Inspection · Deficiencies cited
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Other Serious
Condition 1 - Met Condition 2- Met. Condition 3 - Met. Condition 4 - Not Met. February 2023 monthly meeting notes were no in the binder. Condition 5 - Met Condition 6 - Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2023-03-23. Correction verified 2023-03-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2023 Inspection · Deficiencies cited
-
Other Serious
Condition 1 - Met Condition 2- Met. Condition 3 - Met. Condition 4 - Not Met. February 2023 monthly meeting notes were no in the binder. Condition 5 - Met Condition 6 - Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2023-03-23. Correction verified 2023-03-20.
-
Other Serious
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2023 Report · Deficiencies cited
-
Other
The children in care indicated that the foster parents yell at them as a form of discipline.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-05-03. Correction verified 2023-05-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 26, 2023 Report · Deficiencies cited
-
Other
The children in care indicated that the foster parents yell at them as a form of discipline.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-05-03. Correction verified 2023-05-02.
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Other
-
Feb 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · Deficiencies cited
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Illness & medication Serious
A child was prescribed medication (Escitalopram and Prazosin). The child did not receive the medication. The agency stated the foster parent did not administer or provide the medication.
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 2023-01-27. Correction verified 2023-01-26.
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Illness & medication
The medication log did not reflect a child receiving medication. Agency's staff said the foster parent did not accurately document the medication provided to a child.
HHSC 749.1563(c)(2) — Medication Error-Caregiver must document a medication error
HHSC risk weight: Medium High. Corrected 2023-01-27. Correction verified 2023-01-26.
-
Illness & medication Serious
-
Jan 19, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
A child was prescribed medication (Escitalopram and Prazosin). The child did not receive the medication. The agency stated the foster parent did not administer or provide the medication.
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 2023-01-27. Correction verified 2023-01-26.
-
Illness & medication
The medication log did not reflect a child receiving medication. Agency's staff said the foster parent did not accurately document the medication provided to a child.
HHSC 749.1563(c)(2) — Medication Error-Caregiver must document a medication error
HHSC risk weight: Medium High. Corrected 2023-01-27. Correction verified 2023-01-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1 - Met Condition 2 - Not Met: Home History and audit for foster homes was observed in binder #2. Operation provided sign in sheets to show foster parents history was reviewed with them in acknowledgment. 3 out of the 18 active-foster homes, had no signatures. 2 foster homes didn?t have a signature page at all in the binder. A foster home was reopened 9/2022. The home was not observed in binder #2 as being audited (on the audit sheet) or acknowledged (signed document), before returning to active status. Condition 3 - Met Condition 4 - Met Condition 5 - Met Condition 6 - Met
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-11-10. Correction verified 2022-11-08.
-
Supervision & ratios Serious
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1 - Met Condition 2 - Not Met: Home History and audit for foster homes was observed in binder #2. Operation provided sign in sheets to show foster parents history was reviewed with them in acknowledgment. 3 out of the 18 active-foster homes, had no signatures. 2 foster homes didn?t have a signature page at all in the binder. A foster home was reopened 9/2022. The home was not observed in binder #2 as being audited (on the audit sheet) or acknowledged (signed document), before returning to active status. Condition 3 - Met Condition 4 - Met Condition 5 - Met Condition 6 - Met
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-11-10. Correction verified 2022-11-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2022 Inspection · Deficiencies cited
-
Staff background & training
Agency did not have up to date background check validation since 12/2021. Agency validated during inspection. Corrected at inspection.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Sep 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2022 Inspection · Deficiencies cited
-
Staff background & training
Agency did not have up to date background check validation since 12/2021. Agency validated during inspection. Corrected at inspection.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-29.
-
Staff background & training
-
Sep 16, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 9.16.2022 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.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2022-09-17. Correction verified 2022-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 16, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 9.16.2022 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.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2022-09-17. Correction verified 2022-09-16.
-
Supervision & ratios
-
Sep 15, 2022 Inspection · Deficiencies cited
-
Other
SIR does not have the gender of the child identified of the subject of the SIR.
HHSC 749.511(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-15.
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Other
SIR did not have the role of the adult involved.
HHSC 749.511(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Sep 15, 2022 Inspection · Deficiencies cited
-
Other
SIR does not have the gender of the child identified of the subject of the SIR.
HHSC 749.511(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-15.
-
Other
SIR did not have the role of the adult involved.
HHSC 749.511(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-15.
-
Other
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2022 Inspection · Deficiencies cited
-
Other
1 of the 2 quarterly/supervisories did not have a listing of household members present during the visit.
HHSC 749.2815(d) — Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
HHSC risk weight: Medium. Corrected 2022-06-28. Correction verified 2022-06-28.
-
Other
-
Jun 23, 2022 Inspection · Deficiencies cited
-
Other
1 of the 2 quarterly/supervisories did not have a listing of household members present during the visit.
HHSC 749.2815(d) — Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
HHSC risk weight: Medium. Corrected 2022-06-28. Correction verified 2022-06-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2022 Assessment · Deficiencies cited
-
Illness & medication Serious
Prescription medication was not stored in a locked storage container and was sitting on a dresser accessible to children in care.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2022-03-11. Correction verified 2022-03-30.
-
Other Serious
Ammunition was observed to be in an unlocked storage container.
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2022-03-11. Correction verified 2022-03-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Mar 4, 2022 Assessment · Deficiencies cited
-
Illness & medication Serious
Prescription medication was not stored in a locked storage container and was sitting on a dresser accessible to children in care.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2022-03-11. Correction verified 2022-03-30.
-
Other Serious
Ammunition was observed to be in an unlocked storage container.
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2022-03-11. Correction verified 2022-03-30.
-
Illness & medication Serious
-
Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 27, 2022 Inspection · Deficiencies cited
-
Other
The agency failed to evaluate a foster home for compliance after the home was cited for two discipline related deficiencies. This home has been closed.
HHSC 749.2801(a)(1) — Evaluating a Foster Home-must evaluate a home for compliance with relevant rules whenever agency receives an allegation of deficiency
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-16.
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Staff background & training
One staff record reviewed did not have a notarized Affidavit of Employment.
HHSC 749.553(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2022-02-03. Correction verified 2022-02-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jan 27, 2022 Inspection · Deficiencies cited
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Other
The agency failed to evaluate a foster home for compliance after the home was cited for two discipline related deficiencies. This home has been closed.
HHSC 749.2801(a)(1) — Evaluating a Foster Home-must evaluate a home for compliance with relevant rules whenever agency receives an allegation of deficiency
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-16.
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Staff background & training
One staff record reviewed did not have a notarized Affidavit of Employment.
HHSC 749.553(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2022-02-03. Correction verified 2022-02-05.
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Other
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Jan 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2022 Report · Deficiencies cited
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Safety & premises
Caregiver is supervising from inside the home when two nine year old foster children are playing outside on the trampoline.
HHSC 749.3039(e)(4)(A) — Trampolines-caregiver supervising children younger than 12 yrs must be present, watch children all times, enforce rules & able to respond to emergency
HHSC risk weight: Medium High. Corrected 2022-02-16. Correction verified 2022-02-22.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Jan 7, 2022 Report · Deficiencies cited
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Safety & premises
Caregiver is supervising from inside the home when two nine year old foster children are playing outside on the trampoline.
HHSC 749.3039(e)(4)(A) — Trampolines-caregiver supervising children younger than 12 yrs must be present, watch children all times, enforce rules & able to respond to emergency
HHSC risk weight: Medium High. Corrected 2022-02-16. Correction verified 2022-02-22.
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Safety & premises
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Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 29, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 29, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2021 Inspection · Deficiencies cited
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Other Serious
The child in the foster home did not have a monthly contact for September or October and when asked about the contact visit Inspector was told that she would have to ask the Admin about that. There was no supported reason why there wasn't a contact for the child for the two months. Also, the the monthly contact for October for the foster home was docusigned by the foster parent. Therefore, there is no way to verify that a visit was actully conduted at the foster home for the month of October.
HHSC 749.1291(a) — Contact between child placement staff and children-except for child with PMN needs, monthly FTF contact; no longer than 60 days without a visit
HHSC risk weight: High. Corrected at inspection. Corrected 2021-12-09.
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Other Serious
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Dec 9, 2021 Inspection · Deficiencies cited
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Other Serious
The child in the foster home did not have a monthly contact for September or October and when asked about the contact visit Inspector was told that she would have to ask the Admin about that. There was no supported reason why there wasn't a contact for the child for the two months. Also, the the monthly contact for October for the foster home was docusigned by the foster parent. Therefore, there is no way to verify that a visit was actully conduted at the foster home for the month of October.
HHSC 749.1291(a) — Contact between child placement staff and children-except for child with PMN needs, monthly FTF contact; no longer than 60 days without a visit
HHSC risk weight: High. Corrected at inspection. Corrected 2021-12-09.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Nov 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 28, 2021 Inspection · Deficiencies cited
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Other
The homescreening did not address that a home was previously verified by same agency in 2013 to February 2014 in addition to a verification in December 2014 to 2016. The home's status as a kinship home for children was not indicated or assessed in the home screening.
HHSC 749.2447(23)(B)(i) — Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
HHSC risk weight: Medium. Corrected 2021-11-12. Correction verified 2021-11-02.
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Other
A 3 year child residing in a foster home at the time of the home screening was not interviewed.
HHSC 749.2449(a)(2) — Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
HHSC risk weight: Medium. Corrected 2021-11-12. Correction verified 2021-12-28.
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Records & paperwork
One staff file reviewed did not contain their job description. The agency added the job description as of 10/28/2021
HHSC 749.553(3) — Personnel records-Include current job description
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2021-10-28.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 28, 2021 Inspection · Deficiencies cited
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Other
The homescreening did not address that a home was previously verified by same agency in 2013 to February 2014 in addition to a verification in December 2014 to 2016. The home's status as a kinship home for children was not indicated or assessed in the home screening.
HHSC 749.2447(23)(B)(i) — Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
HHSC risk weight: Medium. Corrected 2021-11-12. Correction verified 2021-11-02.
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Other
A 3 year child residing in a foster home at the time of the home screening was not interviewed.
HHSC 749.2449(a)(2) — Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
HHSC risk weight: Medium. Corrected 2021-11-12. Correction verified 2021-12-28.
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Records & paperwork
One staff file reviewed did not contain their job description. The agency added the job description as of 10/28/2021
HHSC 749.553(3) — Personnel records-Include current job description
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2021-10-28.
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Other
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Oct 28, 2021 Inspection · Deficiencies cited
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Other
Two of three Initial Services Plans reviewed to not include the children's signatures.
HHSC 749.1321(b)(2) — Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
HHSC risk weight: Low. Corrected 2021-11-09. Correction verified 2021-12-02.
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Other
One of two home screenings reviewed did not include the foster home's previous verficiation with a different child placing agency.
HHSC 749.2447(23)(A) — Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
HHSC risk weight: Medium. Corrected 2021-12-10. Correction verified 2021-12-09.
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Other
The home screening did not assess for treatment services/emotional disorders. The home is verified for treatment services/emotional disorders.
HHSC 749.2470(9)(F) — Verification Certificate- Specifies the types of services the foster home will provide
HHSC risk weight: Low. Corrected 2021-12-06. Correction verified 2021-12-02.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 28, 2021 Inspection · Deficiencies cited
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Other
Two of three Initial Services Plans reviewed to not include the children's signatures.
HHSC 749.1321(b)(2) — Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
HHSC risk weight: Low. Corrected 2021-11-09. Correction verified 2021-12-02.
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Other
One of two home screenings reviewed did not include the foster home's previous verficiation with a different child placing agency.
HHSC 749.2447(23)(A) — Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
HHSC risk weight: Medium. Corrected 2021-12-10. Correction verified 2021-12-09.
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Other
The home screening did not assess for treatment services/emotional disorders. The home is verified for treatment services/emotional disorders.
HHSC 749.2470(9)(F) — Verification Certificate- Specifies the types of services the foster home will provide
HHSC risk weight: Low. Corrected 2021-12-06. Correction verified 2021-12-02.
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Other
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Oct 28, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
A 15 year old child in care with known self harm history was able to self-harm with a knife resulting injuries, because a caregiver did not immediately intervene and take the knife away.
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 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios
Child was placed in a foster home that had recently been placed on a break due to stressors related to difficult placements. This child has severe behavioral issues including suicidal ideations and supervision needs that the foster parent was unable to provide.
HHSC 749.1101(a) — Admission-Only admit children and young adults who meet admission policy and whose needs can be met by the agency/foster home
HHSC risk weight: Medium. Corrected 2022-02-04. Correction verified 2022-02-09.
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Discipline & child guidance Serious
Caregiver hit a foster child on the head in response to the child's behavior.
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 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios Serious
After a child in care presented a knife, held it to their own throat and began to self-harm in the presence of the caregiver, the caregiver turned their back to the child and did not immediately intervene.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios Serious
Foster child with history of self-harm and previous suicidal attempts was able to acquire a large knife and attempt suicide.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-09.
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Discipline & child guidance Serious
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Oct 28, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
A 15 year old child in care with known self harm history was able to self-harm with a knife resulting injuries, because a caregiver did not immediately intervene and take the knife away.
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 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios
Child was placed in a foster home that had recently been placed on a break due to stressors related to difficult placements. This child has severe behavioral issues including suicidal ideations and supervision needs that the foster parent was unable to provide.
HHSC 749.1101(a) — Admission-Only admit children and young adults who meet admission policy and whose needs can be met by the agency/foster home
HHSC risk weight: Medium. Corrected 2022-02-04. Correction verified 2022-02-09.
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Discipline & child guidance Serious
Caregiver hit a foster child on the head in response to the child's behavior.
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 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios Serious
After a child in care presented a knife, held it to their own throat and began to self-harm in the presence of the caregiver, the caregiver turned their back to the child and did not immediately intervene.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-09.
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Supervision & ratios Serious
Foster child with history of self-harm and previous suicidal attempts was able to acquire a large knife and attempt suicide.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-09.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Oct 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2021 Inspection · Deficiencies cited
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Records & paperwork
An SIR for a child admitted to the hospital for pneumonia did not include the health care professionals information.
HHSC 749.511(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2022-06-04. Correction verified 2022-07-22.
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Records & paperwork
Inspector requested a copy of the agencies Electronic Record Policy. It was not available.
HHSC 749.529(a) — Operating policies retention requirements - Maintain copy at agency and available for review upon request
HHSC risk weight: Medium Low. Corrected 2021-10-14. Correction verified 2021-10-08.
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Records & paperwork
Agency did not allow inspector imediate access to records.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-28.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Oct 7, 2021 Inspection · Deficiencies cited
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Records & paperwork
An SIR for a child admitted to the hospital for pneumonia did not include the health care professionals information.
HHSC 749.511(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2022-06-04. Correction verified 2022-07-22.
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Records & paperwork
Inspector requested a copy of the agencies Electronic Record Policy. It was not available.
HHSC 749.529(a) — Operating policies retention requirements - Maintain copy at agency and available for review upon request
HHSC risk weight: Medium Low. Corrected 2021-10-14. Correction verified 2021-10-08.
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Records & paperwork
Agency did not allow inspector imediate access to records.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-28.
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Records & paperwork
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Oct 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 18, 2021 Report · Deficiencies cited
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Staff background & training Serious
The agency is aware of a frequent visitor at a foster home and has not submitted a background for this person.
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 2022-02-05. Correction verified 2022-05-10.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Sep 18, 2021 Report · Deficiencies cited
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Staff background & training Serious
The agency is aware of a frequent visitor at a foster home and has not submitted a background for this person.
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 2022-02-05. Correction verified 2022-05-10.
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Staff background & training Serious
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, 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.