Paradigm Of Excellence
204 N MAIN ST STE 102, Duncanville, TX 75116 · Dallas County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 10:00 AM-12:00 PM
- Director / administrator
- Pamela Justine Rodriguez
- Phone
- (469) 319-0458
- Regulated since
- Oct 1, 2024
- HHSC IDs
- Operation 1448336 · number 1775676- 15991
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 28 | 16 | Illness & medication (5), Supervision & ratios (5), Safety & premises (1), Staff background & training (7), Records & paperwork (1), Other (9) |
| 2024 | 2 | 0 | Records & paperwork (2) |
| 2023 | 26 | 8 | Supervision & ratios (9), Discipline & child guidance (3), Safety & premises (1), Staff background & training (4), Records & paperwork (2), Other (7) |
Inspections, investigations & assessments
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Sep 26, 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.
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Sep 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 18, 2026 Report · 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 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2026 Report · No deficiencies cited
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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Mar 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 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 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Inspection · Deficiencies cited
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Illness & medication Serious
Medication for a child in care was observed not to be stored in the original containers, but rather in a divided pill box.
HHSC 749.1463(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2025-12-19. Correction verified 2025-12-23.
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Illness & medication Serious
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Dec 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2025 Report · Deficiencies cited
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Safety & premises
The emergency admission assessment was not completed at the time of admission. It was completed two days later.
HHSC 749.1189(1) — Emergency admission-Document in the child's record a brief description of the circumstances necessitating the emergency admission
HHSC risk weight: Medium Low. Corrected 2026-01-06. Correction verified 2026-01-06.
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Supervision & ratios Serious
A caregiver chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.
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 2026-01-05. Correction verified 2026-01-13.
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Supervision & ratios Serious
The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-06.
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Records & paperwork
The agency failed to make self-reports of a youth being arrested or police responding to the foster home.
HHSC 749.503(a)(6)(A) — Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
HHSC risk weight: Medium. Corrected 2026-01-06. Correction verified 2026-01-06.
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Safety & premises
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Dec 5, 2025 Report · Deficiencies cited
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Staff background & training
The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.
HHSC 749.1309(b)(1)(F) — Initial Service Plan-If child is 14 years old or older, include plans for experiential life skills training
HHSC risk weight: Medium. Corrected 2025-12-30. Correction verified 2025-12-12.
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Staff background & training
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Dec 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Report · Deficiencies cited
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Illness & medication Serious
Medication was observed on the desk in the master bedroom.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-11-07. Correction verified 2025-11-20.
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Other Serious
A caregiver admitted to yelling at a child in care.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2025-12-12.
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Supervision & ratios Serious
A child is not being supervised as stated in the child's service plan.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2025-12-12.
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Illness & medication Serious
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Oct 29, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios
It was determined that the signature on the preliminary service plan was not signed by the caregiver.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-12-30. Correction verified 2025-12-30.
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Other Serious
It was determined that the agency did not provide a transfer summary to another agency.
HHSC 749.2497(b) — Verification-transfer summary must be completed by 10th day after agency receives written request to transfer
HHSC risk weight: Medium High. Corrected 2025-12-30. Correction verified 2025-12-30.
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Other
The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.
HHSC 749.2497(d)(4) — Verification-Transfer/closing summary must include # of children fostered, type of tmt. services provided and reason for discharge.
HHSC risk weight: Medium. Corrected 2025-12-30. Correction verified 2025-12-30.
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Supervision & ratios
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Oct 24, 2025 Report · Deficiencies cited
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Other Serious
A caregiver stated that they discipline children by making them squat for two minutes.
HHSC 749.1957(5) — Other Prohibited Discipline-Maintaining an uncomfortable physical position
HHSC risk weight: Medium High. Corrected 2025-12-02. Correction verified 2025-12-18.
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Other Serious
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Oct 9, 2025 Assessment · Deficiencies cited
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Staff background & training
The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.
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 2025-10-09. Correction verified 2025-10-10.
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Staff background & training
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Oct 2, 2025 Inspection · Deficiencies cited
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Other
One out of one home files reviewed did not document the group interview conducted with all the household members.
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 2025-10-09. Correction verified 2025-11-04.
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Staff background & training
One out of one employee files reviewed had their annual training certificates past due by a month.
HHSC 749.931(a)(2) — Annual Training-Child placement staff with one year of child-placing experience and all child placement management staff must complete 20hrs.
HHSC risk weight: Medium. Corrected 2025-10-09. Correction verified 2025-10-13.
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Staff background & training Serious
One out of one employee file reviewed did not have documentation for this training.
HHSC 749.931(b)(1) — Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
HHSC risk weight: Medium High. Corrected 2025-10-09. Correction verified 2025-10-13.
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Staff background & training Serious
One out of one employee file reviewed did not have documentation for this training.
HHSC 749.931(b)(3) — Annual Training- Must include 1 hour of normalcy.
HHSC risk weight: Medium High. Corrected 2025-10-09. Correction verified 2025-10-13.
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Staff background & training
A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.
HHSC 749.933(a)(2) — Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care.
HHSC risk weight: Medium. Corrected 2025-10-09. Correction verified 2025-10-09.
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Other
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Sep 17, 2025 Report · Deficiencies cited
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Other Serious
A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.
HHSC 749.1003(b)(1)(A) — Children's rights-Safety & care including right to good care & treatment that meets child's needs
HHSC risk weight: Medium High. Corrected 2025-11-01. Correction verified 2025-11-13.
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Other Serious
There were ants observed inside the foster home.
HHSC 749.3041(8) — Physical Environment-Foster home must ensure that house is free of rodents and insects
HHSC risk weight: High. Corrected 2025-11-01. Correction verified 2025-11-13.
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Other Serious
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2025 Report · Deficiencies cited
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Staff background & training Serious
It was discovered that a biological child living in the home turned 14 and a background check was not conducted.
HHSC 745.621(a)(6) — AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
HHSC risk weight: High. Corrected 2025-08-25. Correction verified 2025-08-26.
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Illness & medication Serious
Medication was left on the nightstand in the caregiver's bedroom.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-07-08. Correction verified 2025-07-22.
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Staff background & training Serious
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Jun 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 2, 2025 Report · Deficiencies cited
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Supervision & ratios
During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.
HHSC 749.2595(b)(2) — Supervision-Video camera not used in child's bedroom unless child under 5 years old, has primary medical needs, or has service plan that permits use
HHSC risk weight: Medium. Corrected 2025-06-30. Correction verified 2025-07-10.
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Supervision & ratios
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · Deficiencies cited
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Illness & medication Serious
Medication errors were not recorded in one of two child files reviewed.
HHSC 749.1563(a) — Medication Error-If prescription medication, contact health-care professional immediately & follow health-care professional's recommendations
HHSC risk weight: Medium High. Corrected 2025-04-17. Correction verified 2025-04-30.
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Illness & medication Serious
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Apr 9, 2025 Assessment · Deficiencies cited
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Illness & medication Serious
During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-04-16. Correction verified 2025-05-01.
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Other
Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.
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 2025-04-16. Correction verified 2025-05-01.
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Other
During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.
HHSC 749.3027(a)(2) — Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old
HHSC risk weight: Medium. Corrected 2025-04-16. Correction verified 2025-05-01.
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Illness & medication Serious
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Feb 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Inspection · Deficiencies cited
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Records & paperwork
Supervisory visits were not filed within 30 days.
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 2024-08-15. Correction verified 2024-09-05.
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Records & paperwork
Employee affidavit was not notarized.
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 2024-08-15. Correction verified 2024-09-05.
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Records & paperwork
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2023 Inspection · Deficiencies cited
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Records & paperwork
Documents were not in staff files and had to be requested from 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 2023-12-28. Correction verified 2024-01-09.
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Records & paperwork
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Nov 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Information provided does not meet Minimum standard requirements.
HHSC 749.101(1) — Plans to submit - Operation plan
HHSC risk weight: Low. Corrected 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios
Operation plan did not include location of operation and phone number for operation.
HHSC 749.101(1)(A) — Plans to submit - Operation plan - location and telephone #s for all offices, including branches
HHSC risk weight: Low. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Policies in place are a reflection of minimum standards and do not include procedures in place.
HHSC 749.103(a) — Policies and procedures to submit - Must comply with or exceed Chapter 42 of Human Resources Code, Chapters 745, 749 & all other applicable laws/rules
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Definition of Treatment Services is incorrect.
HHSC 749.103(b)(11) — Policies and procedures to submit - Additional policies for foster parents that provide treatment services
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Safety & premises
Professional Staffing Plan was not included as part of the personnel policies.
HHSC 749.105(3)(C) — Personnel Policies - Develop professional staffing plan that describes how staff or service providers support clients through branch offices
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Discipline & child guidance Serious
Standard used in policies is incorrect.
HHSC 749.105(6) — Personnel Policies - Ensure employees report serious incidents and suspected abuse/neglect and exploitation directly to DFPS
HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Standard used in policies is incorrect.
HHSC 749.105(7) — Personnel Policies- Ensure that persons working with children or with access to child info are informed in writing of confidentiality requirements
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Information provided for conflict-of-interest polices is not accurate to 749.107.
HHSC 749.107 — Conflict of interest policy required
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Discipline & child guidance Serious
Operation did not provide Abuse and Neglect policies.
HHSC 749.135 — Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-25.
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Staff background & training
The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.
HHSC 749.137(c)(1)(B)(i) — Suicide Training- FP's verified to care for children five years of age or older must complete the training within a year of verification.
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Staff background & training
The operation suicide policies do not show that Foster Parents must complete the training every two years.
HHSC 749.137(c)(1)(B)(ii) — Suicide Training- FP's verified to care for children five years of age or older must complete the training every two years.
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Staff background & training
The operation suicide policies do not show that the training must understand the safety planning.
HHSC 749.137(c)(2)(B) — Suicide Training- Curriculum for suicide prevention training must include understanding safety planning.
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-26.
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Staff background & training
The operation suicide policies must be understood by those taking the training.
HHSC 749.137(c)(2)(C) — Suicide Training- Curriculum for suicide prevention training must include understanding suicide screening.
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios Serious
The operation suicide policies do not show where a child will meet with an MH Professional
HHSC 749.137(e)(1)(A) — You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2023-09-26.
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Supervision & ratios Serious
The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal
HHSC 749.137(e)(2)(E) — You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is a potential risk for suicide.
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-26.
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Supervision & ratios Serious
The operation suicide policies do not address the lessons learned from a suicide attempt
HHSC 749.137(g)(2)(F) — You must conduct a review of lessons learned from the child?s suicide attempt.
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-26.
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Supervision & ratios
Information provided does not meet Minimum standards.
HHSC 749.153(a)(1)(A) — Notification - At least 30 days in advance - Change in legal structure of operation or governing body
HHSC risk weight: Medium Low. Corrected 2023-09-05. Correction verified 2023-09-25.
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Discipline & child guidance
Standard used in polices is incorrect.
HHSC 749.153(b) — Notification - Report foster or adoptive placements not made by parents or CPA as soon as aware to Texas Abuse and Neglect Hotline
HHSC risk weight: Medium Low. Corrected 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios
The operation does not have liability insurance.
HHSC 749.155(1) — Operational Responsibilities- Maintain liability insurance coverage in the amount of $300,000 for each occurrence of negligence.
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Standard used in policies is incorrect.
HHSC 749.1951(b)(1) — Disciplinary Measures-Must be consistent with agency policies & procedures
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other
Standard used in polices is incorrect.
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 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios Serious
Standard used in polices is incorrect.
HHSC 749.2597(1) — Supervision-Caregivers counted in ratio who supervise children in a transitional living program must reside within close proximity of the children
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-25.
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Other Serious
Supervisory visit from does not include names of all present during the visit.
HHSC 749.2815(c)(1) — Supervisory Visits-Document and evaluate any changes to household members, frequent visitors, or persons providing support as caregivers
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios
Operation did not provide plan/policies and procedure how the operation will protect operation records.
HHSC 749.531(1) — Records protection policies - how paper and electronic records will be protected from destruction and loss
HHSC risk weight: Medium Low. Corrected 2023-09-05. Correction verified 2023-09-25.
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Records & paperwork Serious
Standard used in policies is incorrect.
HHSC 749.635(3)(E)(ii) — CPA administrator responsibilities- Ensure the investigation of reports of minimum standards violations, upon our request
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-25.
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Supervision & ratios
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.