Texas Family Initiative LLC
None, None, TX
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:30 AM-03:00 PM
- Director / administrator
- Tammy L Johnson
- Phone
- (940) 613-5362
- Regulated since
- Feb 3, 2016
- HHSC IDs
- Operation 1171602 · number 1559663- 10431
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 5 | Discipline & child guidance (1), Safety & premises (1), Staff background & training (2), Other (2) |
| 2025 | 11 | 4 | Cleanliness & sanitation (2), Illness & medication (3), Staff background & training (2), Records & paperwork (1), Other (3) |
| 2024 | 26 | 6 | Illness & medication (2), Supervision & ratios (2), Discipline & child guidance (3), Safety & premises (1), Staff background & training (3), Records & paperwork (3), Other (12) |
| 2023 | 10 | 0 | Supervision & ratios (2), Staff background & training (2), Other (6) |
| 2022 | 3 | 0 | Records & paperwork (2), Other (1) |
Inspections, investigations & assessments
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Sep 25, 2026 Assessment
No violations cited on this visit.
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Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2026 Report · Deficiencies cited
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Safety & premises Serious
A caregiver used a personal restraint on a child in care multiple times, and personal restraints are not allowed by the CPA's policies.
HHSC 749.1601(d) — TYPES OF EMERGENCY BEHAVIOR INTERVENTION (EBI)
HHSC risk weight: High. Corrected 2026-08-21. Correction verified 2026-09-02.
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Staff background & training Serious
An assessment by the CPA for a caregiver's background check results was not documented in the home screening.
HHSC 749.901(c)(6)(B) — FOSTER HOME SCREENINGS
HHSC risk weight: High. Corrected 2026-08-21. Correction verified 2026-09-02.
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Safety & premises Serious
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Jul 15, 2026 Report · Deficiencies cited
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Other Serious
An individual, who was provisionally eligible with conditions, was not following the conditions that CBCU placed on his presence.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2026-08-25. Correction verified 2026-09-02.
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Staff background & training Serious
Two individuals have cared for a child in care without having eligible 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 2026-08-25. Correction verified 2026-09-02.
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Other
The agency did not provide a foster parent's updated physical address to CCR within two business days of the change.
HHSC 749.4511(a) — Submit info. to CCR in 2 days of verifying; issuing temp. verification; placing on/taking off inactive status; changing conditions and closing home.
HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-09-02.
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Other Serious
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
A caregiver admitted to swatting a two-year-old child's hands and tapping him on his head as means of controlling the child's behavior. The caregiver's son confirmed the caregiver's admission.
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 2026-06-30. Correction verified 2026-07-07.
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Discipline & child guidance Serious
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2026 Report · 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 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2026 Report · No deficiencies cited (self-report)
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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Jan 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2025 Assessment · Deficiencies cited
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Illness & medication Serious
Medications were observed to be unlocked during the inspection of the home.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-12-10. Correction verified 2025-12-17.
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Illness & medication Serious
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 14, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation
The foster home is unsanitary due to flooding for nine weeks. The incident was not reported to the Hotline.
HHSC 749.503(e)(1)(A) — Serious Incident-Report to CCR no later than 24 hrs after an incident that renders agency or foster home unsafe or unsanitary
HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-11-24.
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Cleanliness & sanitation
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Oct 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2025 Report · Deficiencies cited (self-report)
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Illness & medication Serious
Medication was found unlocked in the master bathroom cabinet. The caregivers moved the medication to a locked safe.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2025-10-09.
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Illness & medication Serious
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Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Report · Deficiencies cited (self-report)
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Illness & medication
The injury of a child in care was reported to the statewide hotline past the 24-hour time frame.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2025-11-20. Correction verified 2025-11-21.
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Illness & medication
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Sep 15, 2025 Report · Deficiencies cited
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Records & paperwork
A child in care had 2 unauthorized absences from a foster home that were not documented as a serious incident.
HHSC 749.503(c) — Serious Incident - Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(8)-(10) of this section in 24 hrs
HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-11-21.
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Other
The annual unauthorized absence summary log was not provided for the 2 unauthorized absences of a child in care.
HHSC 749.591(c) — Unauthorized Absence-Annual summary logs should be available to Licensing for review and reproduction, upon request
HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-11-21.
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Records & paperwork
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Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Report · Deficiencies cited (self-report)
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Staff background & training
The CPR training was done online per the certificate.
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 2025-07-15. Correction verified 2025-07-15.
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Staff background & training
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Apr 29, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
A frequent visitor to a foster home did not have a current background check. It was inactive as of 2/13/25.
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 2025-04-30. Correction verified 2025-05-01.
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Staff background & training Serious
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Mar 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Report · Deficiencies cited
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Cleanliness & sanitation
During the walk through of the foster home, the home was observed to be unkept and the foster parents' bedroom smelled like dog urine.
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 2025-03-10. Correction verified 2025-03-24.
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Other Serious
Foster parent demonstrated to the investigator how he put his hands around the child in care's neck. Foster parent also tested very high on an alcohol screening. Foster parent is the Soley caregiver for the children in care.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-03-10. Correction verified 2025-03-24.
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Cleanliness & sanitation
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Jan 15, 2025 Inspection · Deficiencies cited
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Other
The discharge summary did not document the name, address, phone number and relationship the child was released to. The time of the discharge discussed with the child was also not documented.
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 2025-01-24. Correction verified 2025-01-24.
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Other
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Dec 4, 2024 Assessment · Deficiencies cited
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Records & paperwork
The foster home has a day-care license and residential childcare license. There was no assessment completed or approved by Residential Child-Care and Child Day-Care Divisions of Licensing.
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 2024-12-10. Correction verified 2024-12-09.
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Records & paperwork
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Oct 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Inspection · Deficiencies cited
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Staff background & training
The people list was last verified 5/22/2024.
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 2024-10-16. Correction verified 2024-10-16.
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Discipline & child guidance
One of the home studies reviewed did not address the foster parent's feeling concerning children who have been abused or neglected.
HHSC 749.2447(14) — Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about children who may have been abused or neglected
HHSC risk weight: Medium High. Corrected 2024-10-20. Correction verified 2024-10-25.
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Other Serious
Two of the home screenings reviewed did not address that law enforcement was contacted and the information was reviewed.
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 2024-10-21. Correction verified 2024-10-25.
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Other
Two of the home screenings reviewed did not include the summary of the individual, joint or family interviews.
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 2024-10-21. Correction verified 2024-10-25.
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Staff background & training
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Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2024 Report · Deficiencies cited
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Safety & premises
The foster parent allowed a child in care to drive and transport other children without a valid license.
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 2024-10-16. Correction verified 2024-10-29.
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Safety & premises
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Sep 1, 2024 Report · Deficiencies cited (self-report)
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Other
The first and second quarterly visits do not document the names of all 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 2024-11-05. Correction verified 2024-11-06.
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Other
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Jul 24, 2024 Inspection · Deficiencies cited
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Records & paperwork
One out of two files did not have the child's rights signed by the 8 year old child in care.
HHSC 749.1005(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-07-29.
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Supervision & ratios
Two out of two children files reviewed did not have verification that they had a TB test completed.
HHSC 749.1417(a) — TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-08-05.
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Records & paperwork
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Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2024 Assessment · Deficiencies cited
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Illness & medication Serious
There was a medication bottle observed to be unlocked during the inspection of the home.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-07-11. Correction verified 2024-07-17.
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Illness & medication Serious
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Jun 13, 2024 Assessment · Deficiencies cited
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Illness & medication Serious
Medications were observed to be unlocked during the inspection of the home.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-07-11. Correction verified 2024-07-17.
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Other
The home screening did not address and document all the required information per minimum requirements.
HHSC 749.2445(c)(1) — Verification-The foster home screening must document required info in 749.2447
HHSC risk weight: Medium. Corrected 2024-06-28. Correction verified 2024-07-03.
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Illness & medication Serious
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May 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Four of the five child files reviewed did not address supervision in the child's preliminary service plan.
HHSC 749.1301(a) — Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium. Corrected 2024-04-19. Correction verified 2024-05-01.
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Other
Four of the child files reviewed contained service plans that were missing signatures.
HHSC 749.1309(b)(1)(N) — Initial Service Plan-Must include signatures of service planning team members
HHSC risk weight: Low. Corrected 2024-04-19. Correction verified 2024-05-01.
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Other
Two of three foster home screenings reviewed did not document how the foster parent's age was verified.
HHSC 749.2447(1) — Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
HHSC risk weight: Medium. Corrected 2024-04-19. Correction verified 2024-05-01.
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Other
One foster home screening did not document what information was requested and assessed from the home's previous 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 2024-04-19. Correction verified 2024-05-01.
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Other Serious
One foster home screening reviewed did not document that local law enforcement was contacted regarding service calls to the home.
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 2024-04-19. Correction verified 2024-05-01.
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Other
One foster home reviewed had supervisory visits that were not signed by both foster parents when present.
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 2024-04-19. Correction verified 2024-05-01.
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Other
During the inspection it was found that a home member is sleeping in the home's living room.
HHSC 749.3023(c)(1) — Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
HHSC risk weight: Medium Low. Corrected 2024-04-19. Correction verified 2024-05-01.
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Records & paperwork
Agency staff were not able to provide active records for immediate review.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2024-04-19. Correction verified 2024-05-01.
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Supervision & ratios
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Feb 15, 2024 Report · Deficiencies cited
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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 2024-03-29. Correction verified 2024-04-10.
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Discipline & child guidance Serious
Caregivers disciplined children in care by hitting them with a belt resulting in marks and bruises to their persons.
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 2024-03-29. Correction verified 2024-04-10.
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Discipline & child guidance Serious
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Jan 10, 2024 Inspection · Deficiencies cited
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Other
Child was admitted on 09/03/2023 and she has not received an initial medical exam, previous medical exam was done on 08/18/2022.
HHSC 749.1151(a) — Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
HHSC risk weight: Medium High. Corrected 2024-01-17. Correction verified 2024-01-26.
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Other
Child was admitted on 01/07/2024 at 1:00 pm and does not have a preliminary service plan within the 72 hours' time frame.
HHSC 749.1301(a) — Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium. Corrected 2024-01-17. Correction verified 2024-01-26.
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Staff background & training
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 days.
HHSC 749.930(c)(3) — Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.
HHSC risk weight: Medium High. Corrected 2024-01-10. Correction verified 2024-01-26.
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Staff background & training
Foster parent's last Normalcy training was done on 7/25/22 and it was renewed on the date of the inspection 01/10/2024. Late 169 days.
HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
HHSC risk weight: Medium High. Corrected 2024-01-17. Correction verified 2024-01-26.
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Other
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Jan 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 28, 2023 Report · Deficiencies cited (self-report)
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Staff background & training
Foster parent status is showing as active although they are no longer associated with the agency.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2023-12-21. Correction verified 2024-01-03.
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Supervision & ratios
Five out of six supervision home visit documentation reviewed had no signature of acknowledgement from child placement management or case manager.
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 2023-12-21. Correction verified 2024-01-03.
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Other
Case manager did not complete weekly phone call with foster parent as per their service plan support to caregivers in two of the four weeks for the month of November.
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 2023-12-21. Correction verified 2024-01-03.
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Staff background & training
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Aug 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2023 Inspection · Deficiencies cited
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Staff background & training
The agency background has not been validated since 8/25/22.
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 2023-04-13. Correction verified 2023-05-24.
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Other
The service plan does not include the child's legal status or visitation plan and the reason for removal/placement is not discussed
HHSC 749.1309(b) — Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
HHSC risk weight: Medium. Corrected 2023-04-19. Correction verified 2023-05-26.
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Other
The service plan does not address how the child's educational needs would be addressed.
HHSC 749.1309(b)(1)(A)(v) — Initial Service Plan-Must include educational needs and plans for follow-up
HHSC risk weight: Medium Low. Corrected 2023-04-19. Correction verified 2023-05-26.
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Supervision & ratios
A child's file did not contain proof the a TB exam was completed.
HHSC 749.1417(a) — TB exam-Persons over 1 yr old who live, work, volunteer at operation have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-04-12. Correction verified 2023-05-26.
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Other
On June 11, 2021 TFI submitted policies and procedures indicating that TFI would create paper files for all foster family homes and children in care. Those files were said to be stored in each family s branch by July 15, 2021. At inspection Child Care Regulatory were informed that files would have to be printed after requested.
HHSC 749.153(a)(2)(B) — Notfication - At least 15 days in advance - Changes to policies and procedures required by 749.103(b)
HHSC risk weight: Medium Low. Corrected 2023-04-19. Correction verified 2023-05-26.
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Other
The supervisory visits did not have the names of household memebers present at the vist.
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 2023-04-19. Correction verified 2023-05-26.
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Other
There were no signatures of fosterparent after the visit were completed.
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 2023-04-19. Correction verified 2023-05-26.
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Staff background & training
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Feb 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2022 Report · Deficiencies cited
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Other
One child mentioned the caregiver yells at them.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2022-07-15. Correction verified 2022-07-20.
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Other
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Apr 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2022 Inspection · Deficiencies cited
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Records & paperwork
A childs record states that a dental follow up exam is scheduled for 2/28/22 but there is no documentation for that appointment.
HHSC 749.1409(b)(2) — General dental requirements-Child's record must have a written record of each dental exam noting follow-up treatment recommended and appointments
HHSC risk weight: Medium Low. Corrected 2022-04-08. Correction verified 2022-04-06.
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Records & paperwork
Agency's home files, child files, and staff files were not immediately available upon request.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-03-31.
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Records & paperwork
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Dec 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 11, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, 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.