Homes In Harmony, Foster And Adoption Agency, LLC
6999 MCPHERSON RD STE 109, Laredo, TX 78041 · Webb County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:30 AM-03:00 PM
- Director / administrator
- Diana Elizabeth Prado
- Phone
- (956) 962-4800
- Regulated since
- Dec 8, 2021
- HHSC IDs
- Operation 1359756 · number 1710372- 14191
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 13 | 8 | Illness & medication (2), Supervision & ratios (2), Safety & premises (2), Staff background & training (2), Other (5) |
| 2025 | 5 | 3 | Illness & medication (5) |
| 2024 | 7 | 3 | Cleanliness & sanitation (2), Discipline & child guidance (2), Staff background & training (2), Records & paperwork (1) |
| 2023 | 18 | 10 | Illness & medication (3), Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (1), Staff background & training (3), Records & paperwork (1), Other (8) |
| 2022 | 33 | 18 | Cleanliness & sanitation (2), Illness & medication (1), Supervision & ratios (7), Safety & premises (1), Food & allergies (1), Staff background & training (7), Records & paperwork (4), Other (10) |
| 2021 | 5 | 0 | Discipline & child guidance (1), Records & paperwork (1), Other (3) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection
No violations cited on this visit.
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Aug 25, 2026 Report
No violations cited on this visit.
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Aug 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 25, 2026 Report · Deficiencies cited
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Safety & premises Serious
The smoke alarm in the first bedroom requires change of batteries.
HHSC 749.4557(a) — A kinship foster home must have a working smoke detector in the kitchen, hallways or open areas outside sleeping rooms and on each level of a home with multiple levels.
HHSC risk weight: High. Corrected 2026-05-29. Correction verified 2026-06-25.
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Safety & premises Serious
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May 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Report · Deficiencies cited (self-report)
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Other Serious
The foster mother covered a child's mouth and the foster parents drove the child around to see unhoused individuals to show him gratefulness, these are two different incidents.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2026-06-17. Correction verified 2026-06-25.
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Other Serious
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Report · 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 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · Deficiencies cited
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Other
Two of homes files were missing photos for the hom.
HHSC 749.2470(3)(B) — Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc
HHSC risk weight: Medium Low. Corrected 2026-03-03. Correction verified 2026-03-18.
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Other
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Feb 20, 2026 Report · Deficiencies cited
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Staff background & training Serious
Individual having unsupervised access to the child did not have a background check done.
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 2026-03-20. Correction verified 2026-04-06.
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Supervision & ratios Serious
Foster children were left with an unapproved caregiver.
HHSC 749.2593(a)(1) — Supervision-The caregiver must know which children they are responsible for
HHSC risk weight: High. Corrected 2026-03-24. Correction verified 2026-04-06.
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Staff background & training Serious
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Feb 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Inspection · Deficiencies cited
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Other
Three foster home files did not have income documentation to verify income.
HHSC 749.2447(6)(B) — Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
HHSC risk weight: Medium. Corrected 2026-02-03. Correction verified 2026-02-25.
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Other
Three homes files reviewed had no photos of the outiside of the home.
HHSC 749.2470(3)(B) — Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc
HHSC risk weight: Medium Low. Corrected 2026-02-03. Correction verified 2026-02-25.
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Other
Agency home verified on 6/13/2025 did not have a new home screening verified.
HHSC 749.2473(a) — Updating previous screening and home study-Conduct and complete new home screening
HHSC risk weight: Medium. Corrected 2026-02-03. Correction verified 2026-02-25.
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Staff background & training
Two case manager files did not have documented, monthly, case-related conferences on file.
HHSC 749.673 — Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
HHSC risk weight: Medium. Corrected 2026-02-03. Correction verified 2026-02-25.
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Other
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Jan 22, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Foster parent did not allow the child's Court Appointed Special Advocate to visit the home to observe the child.
HHSC 745.8411(b)(2) — Responsibilities - Provides access to all areas of the operation
HHSC risk weight: High. Corrected 2026-03-24. Correction verified 2026-04-06.
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Illness & medication Serious
Foster parent delayed medical attention to child, after OTC medication did not improve child's diaper rash.
HHSC 749.1401(a)(3) — General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health
HHSC risk weight: Medium High. Corrected 2026-03-24. Correction verified 2026-04-06.
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Illness & medication Serious
There were no medication logs for medication that was administered to the child while in placement.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2026-03-24. Correction verified 2026-04-06.
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Safety & premises Serious
The agency failed to provide foster parent support services during a family emergency.
HHSC 749.663(a)(5) — Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
HHSC risk weight: Medium High. Corrected 2026-03-24. Correction verified 2026-04-06.
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Supervision & ratios Serious
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Jan 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Report · Deficiencies cited
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Illness & medication Serious
Child was prescribed psychotropic medication prior to meeting the set requirements.
HHSC 749.1605(3) — Agency does not employ professional who prescribes psychotropic meds-Agency obtains a signed consent from consenter acknowledging info provided
HHSC risk weight: Medium High. Corrected 2026-01-20. Correction verified 2026-06-26.
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Illness & medication Serious
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2025 Inspection · Deficiencies cited
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Illness & medication Serious
Medications were not stored appropriately. Medications were observed sitting on the kitchen counter.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2025-02-05.
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Illness & medication Serious
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Jan 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2025 Report · Deficiencies cited
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Illness & medication Serious
Child that was self-administering medication admits there were times she had forgotten to take her 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 2025-02-28. Correction verified 2025-03-07.
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Illness & medication
There was no documentation reviewed on a child's service plan that stated child was allowed to self-medicate and document the required supervision of caregiver.
HHSC 749.1501(2) — Medication Self-Administration-Self-medication program must be in child's service plan, including any requirements for caregiver supervision
HHSC risk weight: Medium. Corrected 2025-02-28. Correction verified 2025-03-07.
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Illness & medication
Medication log observed during the home inspection demonstrated medication administered was not being recorded within the 24 hours.
HHSC 749.1541(b) — Medication Record-Must update cumulative medication record within 24 hours of administering medication
HHSC risk weight: Medium. Corrected 2025-02-28. Correction verified 2025-03-07.
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Illness & medication Serious
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Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Assessment · Deficiencies cited
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Cleanliness & sanitation Serious
Living room electrical outlet did not have a child safety outlet.
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 2024-12-19. Correction verified 2025-01-03.
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Cleanliness & sanitation Serious
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Dec 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2024 Inspection · Deficiencies cited
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Records & paperwork
Job description was not included in the two staff files that were reviewed.
HHSC 749.553(3) — Personnel records-Include current job description
HHSC risk weight: Medium Low. Corrected 2024-10-22. Correction verified 2024-10-22.
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Staff background & training
There was no evidence to support the staff's qualification for job position.
HHSC 749.553(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2024-10-22. Correction verified 2024-10-22.
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Discipline & child guidance
The signed statement regarding reporting suspect abuse/neglect were not in the two staff files that were reviwed.
HHSC 749.553(7) — Personnel records-Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium Low. Corrected 2024-10-22. Correction verified 2024-10-22.
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Discipline & child guidance
The signed statement was not included in the two staff files.
HHSC 749.553(8) — Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
HHSC risk weight: Medium. Corrected 2024-10-22. Correction verified 2024-10-22.
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Staff background & training Serious
The foster parents annual trainings were not completed.
HHSC 749.930(b) — Annual Training- Two parent foster homes must collectively meet the required number of annual training hours.
HHSC risk weight: Medium High. Corrected 2024-10-22.
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Records & paperwork
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Sep 11, 2024 Report · Deficiencies cited
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Cleanliness & sanitation Serious
Small dead cockroaches and missing tiles were observed in the living room.
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 2024-10-21. Correction verified 2024-10-29.
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Cleanliness & sanitation Serious
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2023 Report · Deficiencies cited
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Illness & medication Serious
Medical logs were reviewed for 8 children in care and 5 were not documented as required.
HHSC 749.1541(c)(5) — Medication Record-Must include date (day, month, year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-01-19. Correction verified 2024-01-19.
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Illness & medication Serious
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Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2023 Inspection · Deficiencies cited
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Records & paperwork
Two staff files were reviewed and had missing affidavit.
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 2023-11-07. Correction verified 2023-11-07.
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Discipline & child guidance
One of two staff files that were reviewed had missing document regarding the need to report the suspect abuse or neglect of a child.
HHSC 749.553(8) — Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
HHSC risk weight: Medium. Corrected 2023-11-07. Correction verified 2023-11-07.
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Other
Three of four child's files reviewed were missing CPMS signature and in addition one home study reviewed was not dated.
HHSC 749.669(2) — Child placement management staff responsibilities-Review, approve, sign and date initial and subsequent placement documents
HHSC risk weight: Medium. Corrected 2023-11-07. Correction verified 2023-11-07.
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Staff background & training
Two of the four home files had no documentation regarding Orientation for foster parents.
HHSC 749.831(b) — Orientation-Document the completion of the orientation in the appropriate personnel record
HHSC risk weight: Medium Low. Corrected 2023-11-07. Correction verified 2023-11-07.
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Records & paperwork
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Oct 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2023 Report · Deficiencies cited (self-report)
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Other
The Agency staff did not notify the managing conservator prior to moving the foster children into respite care.
HHSC 749.2623(1) — Respite-Agency must notify the child's parent before placing the child in respite child-care services
HHSC risk weight: Medium Low. Corrected 2023-11-28. Correction verified 2023-12-28.
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Other Serious
Two respite care providers admitted the agency did not share information regarding specific needs/care of children being placed in respite.
HHSC 749.2625(1) — Respite-must share specific needs of a child with the babysitter, overnight care, or respite care provider
HHSC risk weight: Medium High. Corrected 2023-11-28. Correction verified 2023-12-28.
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Other
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Oct 19, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
Three children in care were being supervised in the home by an individual who did not have a background check.
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 2023-10-25. Correction verified 2023-10-26.
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Other Serious
During the visit to the home, infant was observed to be fed while strapped in the car seat.
HHSC 749.1819(b)(1) — Infant requirements-Caregiver must hold infants while feeding them if the infant is birth through six months old
HHSC risk weight: Medium High. Corrected 2023-10-25. Correction verified 2023-10-26.
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Safety & premises
The three cribs mattress were observed with no covers.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2023-10-25. Correction verified 2023-10-26.
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Other Serious
There were no life-saving devices in the pool area.
HHSC 749.3133(h) — Swimming Pools-at least two life-saving devices available, 1 additional life-saving device must be available for each 2,000 sq ft of water surface
HHSC risk weight: High. Corrected 2023-10-25. Correction verified 2023-10-26.
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Staff background & training Serious
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Oct 13, 2023 Inspection · Deficiencies cited
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Other Serious
There were no life-saving devices in the pool area.
HHSC 749.3133(h) — Swimming Pools-at least two life-saving devices available, 1 additional life-saving device must be available for each 2,000 sq ft of water surface
HHSC risk weight: High. Corrected 2023-10-17. Correction verified 2023-10-19.
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Other Serious
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Sep 27, 2023 Inspection · Deficiencies cited
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Other Serious
Gate leading to pool area was not locked.
HHSC 749.3133(e) — Swimming Pools-Pool gates self-closing/self-latching/locked when pool not used; keys inaccessible to kids under 12, poor swimmers or receiving tx svcs
HHSC risk weight: High. Corrected 2023-10-02. Correction verified 2023-10-13.
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Other Serious
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Sep 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2023 Report · Deficiencies cited
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Staff background & training
Child in care was observed wearing the same clothing to school for three days in a row and was not bathing on a regular basis.
HHSC 749.1003(b)(3)(F) — Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use
HHSC risk weight: Medium. Corrected 2023-10-26.
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Illness & medication Serious
Foster parent confirmed medication was not administered to child in care as prescribed.
HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
HHSC risk weight: High. Corrected 2023-10-26. Correction verified 2023-10-26.
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Illness & medication
Two medication logs provided had contradicting information as to whether child in care was administered medication as prescribed.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-10-26. Correction verified 2023-10-26.
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Supervision & ratios Serious
There are 6 children in the foster home including one infant.
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 2023-10-26. Correction verified 2023-11-01.
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Staff background & training
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Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2023 Report · Deficiencies cited
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Other Serious
During an investigation/inspection it was found that a weapon and ammunition are kept in the same locked storage, when the agency's policy require the weapon and ammunition in stored separately.
HHSC 749.2961(a)(1) — If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
HHSC risk weight: High. Corrected 2023-06-02. Correction verified 2023-06-12.
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Other Serious
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Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2022 Inspection · Deficiencies cited
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Other
The agency did no assess the background information requested and received for the prospective foster family from the transferring 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 2022-10-27. Correction verified 2022-11-02.
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Other
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Oct 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
During walk through of to pair of sciccors were observed in the daughter's bedroom Three butter knifes were observed in the kitchen sink along with another pair of scissor.
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 2022-12-09. Correction verified 2022-12-06.
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Food & allergies Serious
During the walk through of the home, several food cantainers were observed to be on the floor. Some of the food items were next to the dirty dog pad.
HHSC 749.3079(1) — Food Storage-food items must be covered and stored off the floor
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-06.
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Supervision & ratios Serious
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Oct 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2022 Report · Deficiencies cited
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Staff background & training Serious
The agency was made aware of 2 frequent visitors that did not have background checks on 10/20/2022, but the agency did not follow through with running background checks.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-12-08. Correction verified 2022-12-19.
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Staff background & training Serious
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Oct 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2022 Report · Deficiencies cited
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Records & paperwork Serious
During review of records, child's file did not address specific services/ plans to minimize risk for high risk behavior in 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 2022-10-11. Correction verified 2022-10-19.
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Supervision & ratios Serious
During walk through of the home, a razor was observed in a restroom that is acessible to a child.
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 2022-10-11. Correction verified 2022-10-19.
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Other Serious
Foster parent was unaware of the specific measures needed to be followed of safety plan implemented.
HHSC 749.663(a)(5) — Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-19.
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Records & paperwork Serious
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Aug 31, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
Household member and frequent visitors did not have a background check completed.
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 2022-09-07. Correction verified 2022-09-14.
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Records & paperwork Serious
During the review of child's medical records, there was no follow up on recommendation by health care proffesional
HHSC 749.1401(d) — General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2022-09-07. Correction verified 2022-09-14.
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Supervision & ratios
Home study did not reflect correct information on the foster family. Child's medical records had inconsistence with the name.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-09-07. Correction verified 2022-09-14.
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Illness & medication
During the inspection and review of child's records the monthly medical records were incomplete.
HHSC 749.1543(b) — Medication Records-Foster parents submit copies of the records to the agency each month; agency files these records in the child's record
HHSC risk weight: Medium Low. Corrected 2022-09-07. Correction verified 2022-09-14.
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Other
During the inspection and review of home screening the length of time spent in each address was not documented.
HHSC 749.2447(5) — Foster Home Screening-Agency documents prospective foster parents' residence history and their citizenship status
HHSC risk weight: Medium Low. Corrected 2022-09-07. Correction verified 2022-09-14.
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Other
During the inspection and reviewing of the home screening, a family group interview was not conducted.
HHSC 749.2449(a)(5) — Interview For Foster Home Screening-Must include at least one family group interview with all family members living in the home
HHSC risk weight: Medium. Corrected 2022-09-07. Correction verified 2022-09-14.
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Other
Home screening did not have the complete documentation for the interviews that were conducted.
HHSC 749.2451(b) — Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
HHSC risk weight: Medium Low. Corrected 2022-09-07. Correction verified 2022-09-14.
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Staff background & training Serious
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Jul 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Report · Deficiencies cited
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Records & paperwork Serious
Medical records for child in care, showed that medical recommendation were not followed.
HHSC 749.1401(a)(3) — General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health
HHSC risk weight: Medium High. Corrected 2022-08-09. Correction verified 2022-08-09.
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Records & paperwork Serious
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Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2022 Report · Deficiencies cited
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Staff background & training Serious
Household member did not have a background check completed.
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 2022-08-19. Correction verified 2022-08-31.
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Supervision & ratios
Home study did not reflect correct information on the foster family.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-08-19. Correction verified 2022-08-31.
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Supervision & ratios Serious
Foster parent failed to provide a safe environment by allowing an individual with a criminal background to have access to the foster home and foster children and not disclosing it to the agency.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2022-08-19. Correction verified 2022-08-31.
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Staff background & training Serious
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Jun 13, 2022 Report · Deficiencies cited
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Other
The Form used to document Supervisory Visits was not signed by the Foster Parents for a visit conducted at this particular Foster Home for the Month of May 2022.
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 2022-08-02. Correction verified 2022-08-09.
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Other
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Jun 7, 2022 Inspection · Deficiencies cited
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Staff background & training
Foster parent was missing training in file.
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 2022-06-14. Correction verified 2022-06-14.
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Staff background & training
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Apr 28, 2022 Inspection · Deficiencies cited
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Other
Discharge summary did not include items under 749.1371.
HHSC 749.1371(3) — Discharge or Transfer Summary-For discharge, must include name, address, telephone number, relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2022-04-28.
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Staff background & training
Training certficates were dated same day of the monitoring inspection.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-05-02. Correction verified 2022-06-07.
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Supervision & ratios Serious
Staff hired for 4/13/22 was assigned to provide tranings and a case load.
HHSC 749.635(3)(C) — CPA administrator responsibilities-Handles personnel matters, including hiring, assigning duties, supervision, evaluation and termination
HHSC risk weight: Medium High. Corrected 2022-05-04. Correction verified 2022-06-07.
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Staff background & training Serious
Foster parent obtained emergency behavior intervention training from a staff recently hired who did not meet qualifications.
HHSC 749.939(c)(1)(D) — EBI training led by instructor who?s able to document knowledge of methods for evaluating participant knowledge of material and physical techniques
HHSC risk weight: Medium High. Corrected 2022-05-04. Correction verified 2022-06-07.
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Other
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
Monthly contact documentation did not describe private conversations or interviews held with children in the home.
HHSC 749.1291(e)(2) — Contact between child placement staff and child-provides opportunity to meet in private
HHSC risk weight: Medium High. Corrected 2022-04-19. Correction verified 2022-06-07.
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Staff background & training
Several home trainings were invalid due to unapproved electronic signatures.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-04-19. Correction verified 2022-06-07.
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Safety & premises Serious
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Mar 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2022 Inspection · Deficiencies cited
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Supervision & ratios
Active records were not present at operation.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2022-03-29. Correction verified 2022-06-07.
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Records & paperwork
Child master case record is not at office where the staff managing the child's placement is located.
HHSC 749.573(a) — Client records-Maintain child's active master case record at the office where the staff managing the child's placement is located
HHSC risk weight: Medium Low. Corrected 2022-03-29. Correction verified 2022-06-07.
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Supervision & ratios
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Mar 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 13, 2022 Report · Deficiencies cited (self-report)
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Other Serious
Caregiver failed to use prudent judgement when denying administrator access to children resulting in police involvement. Additionally, caregiver failed to use self-control while in the presence of children in care. Caregiver failed to use prudent judgement and self control by denying agency staff access to the children at the home and needing police involvement.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2022-05-16. Correction verified 2022-05-17.
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Other Serious
Caregiver did not allow inspector to conduct investigation. Several phone call attempts went unanswered. Additionally, I was unable to conduct home inspection. Caregiver did not allow to be interviewed or have the home inspected after several attempts.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2022-05-16. Correction verified 2022-05-17.
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Other Serious
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Mar 3, 2022 Inspection · Deficiencies cited
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Other Serious
In reviewing 2 children files, there was no documentations of contacts made with children in care stating that they felt safe or if needs are being met.
HHSC 749.1291(d)(1) — Contact between child placement staff and children-ensure child is safe
HHSC risk weight: Medium High. Corrected 2022-03-10.
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Other Serious
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Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 17, 2022 Assessment · Deficiencies cited
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Cleanliness & sanitation
The child's lower bunk bed was observed with no cover.
HHSC 749.3031(b) — Beds and bedding-beds must be clean and comfortable
HHSC risk weight: Medium. Corrected 2022-03-18. Correction verified 2022-03-18.
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Cleanliness & sanitation Serious
The home was observed to be unkept and clutter through out the most of the rooms.
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 2022-03-18. Correction verified 2022-03-18.
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Cleanliness & sanitation
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Feb 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2021 Inspection · Deficiencies cited
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Other
Child's signature was missing on children rights form.
HHSC 749.1005(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2021-10-06. Correction verified 2021-12-01.
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Other
Two of three homes reviewed did not have supervisory visits for quarter 2 or 3.
HHSC 749.2815(c) — Supervisory Visits-Document and evaluate all required information
HHSC risk weight: Medium. Corrected 2021-10-08. Correction verified 2021-12-01.
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Records & paperwork
All staff files reviewed did not have notarized licensing affidavit.
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 2021-10-06. Correction verified 2021-12-01.
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Discipline & child guidance
All files reviewed did not have a statement that any abuse, neglect or exploitations will be reported by the employee.
HHSC 749.553(8) — Personnel records- Include signed and dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation
HHSC risk weight: Medium. Corrected 2021-10-06. Correction verified 2021-12-01.
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Other
Agency failed to have a staff member conduct a TB test prior to having contact with children.
HHSC 749.609 — TB screening-Caregivers, employees, contract staff, volunteers and members of foster home screened for TB before having contact with children in care
HHSC risk weight: Medium. Corrected 2021-10-06. Correction verified 2021-12-01.
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Other
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Aug 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.