Divinity Family Services
1312 BANDERA HWY, Kerrville, TX 78028 · Kerr County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 10:00 AM-04:00 PM
- Director / administrator
- Kimberly Villarreal
- Phone
- (830) 890-5838
- Regulated since
- Oct 5, 2010
- HHSC IDs
- Operation 526889 · number 1037686- 6271
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 1 | Supervision & ratios (1), Discipline & child guidance (1) |
| 2025 | 13 | 6 | Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (1), Staff background & training (3), Records & paperwork (5), Other (2) |
| 2024 | 36 | 23 | Illness & medication (4), Supervision & ratios (8), Safety & premises (2), Staff background & training (10), Records & paperwork (4), Other (8) |
| 2023 | 44 | 32 | Cleanliness & sanitation (6), Illness & medication (9), Supervision & ratios (3), Discipline & child guidance (3), Safety & premises (3), Food & allergies (2), Staff background & training (7), Records & paperwork (4), Other (7) |
| 2022 | 51 | 33 | Cleanliness & sanitation (3), Illness & medication (15), Supervision & ratios (6), Discipline & child guidance (6), Safety & premises (4), Staff background & training (6), Records & paperwork (6), Other (5) |
| 2021 | 13 | 10 | Illness & medication (2), Supervision & ratios (2), Discipline & child guidance (5), Records & paperwork (2), Other (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Aug 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
It was found CLASS was showing an old address for the foster home at the time of this investigation.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-09-16. Correction verified 2026-09-15.
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Supervision & ratios
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 7, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
Foster parents reported they have used their open hand to ?pop? the children in the home as disciplinary action.
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 2026-06-19. Correction verified 2026-07-07.
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Discipline & child guidance Serious
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Mar 26, 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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Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
Foster parents reported they have used their open hand and fly swatter to tap the children placed in their home to correct behaviors.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-12-01. Correction verified 2025-12-19.
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Discipline & child guidance Serious
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Oct 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 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 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 5, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
The documentation of the hospital visit stipulated a follow up visit three days later. The operation did not acquire a follow up visit for the foster child until 27 days after the initial hospital visit.
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 2025-09-25. Correction verified 2025-09-30.
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Supervision & ratios Serious
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Jul 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
A home did not have documented observations or discussion for two months. An extension was granted due to their training was going to be completed outside of the initial time frame for compliance, The operation was transferred to current RCCR inspector with this item pending.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2025-07-02. Correction verified 2025-09-04.
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Records & paperwork
One of three child records did not have a prelim service plan present in the child file. One of three child records did not have prelim completed timely.
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 2025-07-02. Correction verified 2025-07-02.
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Records & paperwork
Initial service plan was not present for two of three child records.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2025-07-02. Correction verified 2025-07-02.
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Records & paperwork
Three of Three child records did not have an invitation notice for the intial service plan.
HHSC 749.1313(a) — Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review
HHSC risk weight: Low. Corrected 2025-07-02. Correction verified 2025-07-02.
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Staff background & training Serious
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Jun 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Report · No deficiencies cited (self-report)
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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Jun 6, 2025 Report · Deficiencies cited
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Staff background & training Serious
Two training records reviewed for this branch showed the 2 foster parents did not complete the training within the 12 month period
HHSC 749.930(c)(2) — Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care.
HHSC risk weight: Medium High. Corrected 2025-08-11. Correction verified 2025-08-04.
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Staff background & training Serious
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Jun 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
Household member turned 14 years and a background check was not completed within the appropriate time frame.
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 2025-03-31. Correction verified 2025-04-03.
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Other Serious
Home variance reviewed did not have documentation to reflect discussions and child interviews with household members related to imposed conditions.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2025-03-24. Correction verified 2025-04-03.
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Records & paperwork
Pre-placement visit was not present within the child's record at the time of inspection.
HHSC 749.1251(c) — Pre-placement visits-Document pre-placement visits in the child's record
HHSC risk weight: Medium Low. Corrected 2025-03-24. Correction verified 2025-04-03.
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Safety & premises
Documentation of the move and approval was not present within the child's record at the time of inspection.
HHSC 749.1281(a)(2) — Subsequent Placement-If move is not an emergency, child placement management staff document review and approval in the child's record
HHSC risk weight: Medium Low. Corrected 2025-03-24. Correction verified 2025-04-03.
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Staff background & training Serious
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Feb 27, 2025 Assessment · Deficiencies cited
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Other
At the time of the sampling visit a service plan was not completed within the appropriate time frame.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-04-03.
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Records & paperwork
At the time of the sampling visit the home was not appropriately licensed for a child placed in the home.
HHSC 749.63(1) — Types of services-Must only provide services listed on permit
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-04-03.
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Other
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Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Report · Deficiencies cited
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Staff background & training Serious
The foster parents did not have active background when they provided respite.
HHSC HRC42.056(g) - BGC-persons cannot provide direct care/have d — HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria.
HHSC risk weight: High. Corrected 2025-02-13. Correction verified 2025-02-25.
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Staff background & training Serious
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Dec 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2024 Inspection · Deficiencies cited
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Other Serious
Home variance reviewed did not have documentation to reflect discussions and child interviews with household members related to imposed conditions.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2024-12-30. Correction verified 2025-01-14.
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Supervision & ratios
Agency home reviewed did not have correct age range for children verified on the physical verification certificate provided to the home and in home file compared to the operation's online submission. Verification certificate reflected 0-17 online submission showed 5-11.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-12-30. Correction verified 2025-01-14.
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Supervision & ratios Serious
Operation did not complete the two required unannounced inspections during the review period.
HHSC 749.2815(b) — Supervisory Visits-At least two supervisory visit per year must be unannounced
HHSC risk weight: Medium High. Corrected 2024-12-30. Correction verified 2025-01-14.
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Supervision & ratios
One of two homes reviewed did not have documentation for drills completed since home was verified. Another home did not include required discussions for plans and procedures. In addition, the form used by the operation did not have an area to document the discussion or duration of the drill. Documentation did not include severe weather drills and other evacuation and safety practices.
HHSC 749.2908(b) — Disaster and Emergency-foster home must document discussions and drills, including date and time of each
HHSC risk weight: Medium. Corrected 2024-12-30. Correction verified 2025-01-14.
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Other Serious
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Dec 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2024 Inspection · Deficiencies cited
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Records & paperwork Serious
Variance conditions were not completed due to missing documentation in the children records.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2024-11-26. Correction verified 2024-11-22.
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Other
Child rights form was not present within the appropriate time from admission.
HHSC 749.1005(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2024-11-26. Correction verified 2024-11-22.
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Records & paperwork Serious
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Nov 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Foster Parent rights form was not available at the operation at the time of inspection.
HHSC 749.2488(a) — Rights and Responsibilities-Must provide foster parents with written copy of rights and responsibilities statement
HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-10-28.
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Supervision & ratios
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Oct 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Report · Deficiencies cited
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Safety & premises Serious
Caregiver administered physical restraint in attempt to have the child comply.
HHSC 749.2063(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-11-08. Correction verified 2024-11-04.
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Safety & premises Serious
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Oct 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
A resident within a home turned 14 years and a background check was not conducted timely.
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 2024-09-25. Correction verified 2024-09-25.
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Staff background & training Serious
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Aug 27, 2024 Inspection · Deficiencies cited
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Other Serious
Condition for variance was not met upon review.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2024-09-03. Correction verified 2024-09-03.
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Other Serious
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Aug 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
Medications in the refrigerator were not locked. The foster mother found a box with a lock on it and put the medications in the locked box in the refrigerator.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2024-07-30.
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Illness & medication Serious
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Jul 30, 2024 Report · Deficiencies cited (self-report)
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Illness & medication Serious
The foster parent took child in care to Christus Santa Rosa Hospital on 6/30/2024. Incident report does not show this was reported to Licensing. Doctor treating child in care repositioned their elbow to put it back in place.
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 2024-10-05. Correction verified 2024-10-18.
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Illness & medication Serious
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Jul 29, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A child received a burn on their leg after an iron fell on them while the caregiver was ironing their clothes.
HHSC 749.2593(b)(4) — Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2024-09-20. Correction verified 2024-10-18.
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Supervision & ratios Serious
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Jul 23, 2024 Inspection · Deficiencies cited
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Other Serious
Condition for variance was not met upon review.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2024-07-29. Correction verified 2024-07-29.
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Other Serious
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Jul 18, 2024 Report · Deficiencies cited
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Staff background & training Serious
The caregiver added two adults on the Daycare Admission Information form as authorized to pick up and transport the child in care. One person did not have a Background Check and the other has a Provisional Background Check and a Safety Plan in place that notes the person is not allowed to be alone with the child in care. There were no notes on the daycare form explaining the person could not be alone with the child.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-09-19. Correction verified 2024-10-03.
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Staff background & training Serious
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Jul 12, 2024 Report · Deficiencies cited
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Other Serious
Supervisory visits in a 2 parent home were conducted for 3 quarters in a row with one foster parent not being present for any of the quarterly visits.
HHSC 749.2815(a)(2) — Supervisory Visits-must have supervisory visits with both foster parents, if applicable, at least once every six months
HHSC risk weight: Medium High. Corrected 2024-09-06. Correction verified 2024-08-30.
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Staff background & training
Annual trainings were reviewed and it was determined that annual trainings were late.
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 2024-09-06. Correction verified 2024-08-30.
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Other Serious
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Jul 11, 2024 Report · Deficiencies cited
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Other
Service plan was completed on 04/08/24 and was not signed in a timely manner, service plan was not signed by caseworker until 05/08/24.
HHSC 749.1323 — Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting
HHSC risk weight: Medium Low. Corrected 2024-08-14. Correction verified 2024-08-22.
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Other
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Jul 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 30, 2024 Inspection · Deficiencies cited
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Staff background & training
A background check was inactivated for a caegiver that is still active within 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 2024-06-14. Correction verified 2024-06-14.
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Staff background & training
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May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 5, 2024 Assessment · Deficiencies cited
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Staff background & training Serious
Foster parent allowed a visitor with an ineligible background check in the home.
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-05-23.
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Supervision & ratios
Camera is present in the children's room. Permission for the use of cameras is not present in-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 2024-05-10. Correction verified 2024-05-23.
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Staff background & training Serious
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May 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Inspection · Deficiencies cited
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Records & paperwork
An incident report did not have the treating licensed health-care professional's name.
HHSC 749.511(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2024-05-02. Correction verified 2024-05-02.
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Records & paperwork
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Apr 23, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Children in care are not supervised when caregiver leaves the residence.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2024-06-17. Correction verified 2024-07-02.
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Supervision & ratios Serious
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Apr 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2024 Report · Deficiencies cited (self-report)
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Other Serious
There are missing outlet covers on the majority of the electrical outlets in the apartment.
HHSC 749.1803(c) — Infant requirements-An infant's caregiver must ensure that the environment is safe
HHSC risk weight: Medium High. Corrected 2024-06-04. Correction verified 2024-07-03.
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Other Serious
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Mar 28, 2024 Assessment · Deficiencies cited
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Supervision & ratios Serious
Operation conducted the parent notification after 12 days of being notified of the findings for standard 749.1003(b)(1)(B).
HHSC 749.519(a) — AP Within five days after you receive notification of a deficiency as described in 749.517 you must notify the parents of each child admitted.
HHSC risk weight: Medium High. Corrected 2024-04-04. Correction verified 2024-04-04.
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Supervision & ratios Serious
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Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 29, 2024 Inspection · Deficiencies cited
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Records & paperwork
2 out of 4 records reviewed did not have documentation for the initial service plan provided to child parent.
HHSC 749.1321(a)(2) — Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's parents
HHSC risk weight: Low. Corrected 2024-03-07. Correction verified 2024-03-07.
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Records & paperwork
Record review of child service plans revealed a review of service plan was done on 06/14/2019 and the next one was done 210 days after on 01/10/2020.
HHSC 749.1331(1) — Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
HHSC risk weight: Medium Low. Corrected 2024-03-14. Correction verified 2024-03-07.
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Records & paperwork
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Feb 28, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
It is found that trainings were not conducted on 2/15/24, and foster parent admitted that holds are still being utilized within the last two months.
HHSC 749.2051(a)(2) — Emergency Behavior Intervention-Use personal restraint only if agency policies permit and requirements of this subchapter are met
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-26.
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Staff background & training Serious
It is found that trainings were not conducted on 2/15/24, and foster parent admitted that holds are still being utilized within the last two months.
HHSC 749.2053 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-26.
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Staff background & training Serious
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Feb 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2024 Report · Deficiencies cited
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Illness & medication Serious
It was found that a Child stated they did not have major pain, and that if they moved too much they would feel pain.
HHSC 749.1401(a)(2) — General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2024-04-04. Correction verified 2024-04-15.
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Illness & medication Serious
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Feb 10, 2024 Report · Deficiencies cited (self-report)
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Other Serious
Child in care did not receive follow-up care as outline in the discharge form.
HHSC 749.1401(d) — General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2024-04-16. Correction verified 2024-04-16.
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Illness & medication Serious
Incident was not reported within 24hrs of incident.
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 2024-04-16. Correction verified 2024-04-16.
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Other Serious
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Jan 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · Deficiencies cited
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Staff background & training
2 of 2 child records reviewed did not have completed orientation records within seven days.
HHSC 749.1111(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium. Corrected 2024-02-01. Correction verified 2024-02-01.
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Safety & premises
Child record did not have a completed admission assessment prior to admission due to missing details and documents. Admission was 10/27/23, and further details were not provided until 11/2/23.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2024-02-01. Correction verified 2024-02-01.
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Staff background & training Serious
Caregivers did not complete training for TBRI 2023.
HHSC 749.930(c)(1) — Caregiver?s for children receiving childcare, programmatic or PMN services must have 4hrs EBI or 8hrs for emotional disorders, IDD or ASD.
HHSC risk weight: Medium High. Corrected 2024-02-01. Correction verified 2024-02-01.
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Staff background & training
-
Jan 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2023 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 2024-03-13. Correction verified 2024-03-26.
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Other Serious
Caregiver allowed a registered offender to have an over night visit at the home.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-03-13. Correction verified 2024-03-26.
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Discipline & child guidance Serious
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Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
A communicable disease was not reported within 24 hours time period for the foster parent.
HHSC 749.503(e)(4)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease.
HHSC risk weight: Medium. Corrected 2023-12-29. Correction verified 2023-12-29.
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Illness & medication
-
Dec 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
Medication was unlocked and on a low shelf, accessible to child in care.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2023-12-21. Correction verified 2023-12-21.
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Other Serious
Kitchen cabinets did not have child-proofed locks and stored glass and chemicals.
HHSC 749.1841(b) — Toddler requirements-A toddler's caregiver must ensure that the environment is safe
HHSC risk weight: High. Corrected 2023-12-21. Correction verified 2023-12-21.
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Cleanliness & sanitation Serious
Play equipment is cracked and accessible to child in care.
HHSC 749.3039(d) — Outdoor Equipment-must be appropriate, cleaned, maintained, and repaired
HHSC risk weight: Medium High. Corrected 2023-12-21. Correction verified 2023-12-21.
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Cleanliness & sanitation Serious
Pet feces was found in backyard and accessible to child in care.
HHSC 749.3041(2) — Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2023-12-21. Correction verified 2023-12-21.
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Illness & medication Serious
-
Dec 6, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
Interview confirmed caregiver put the child over their shoulder to place them in their room while dysregulated. Operations policy does not allow restraints to be used.
HHSC 749.2051(a)(2) — Emergency Behavior Intervention-Use personal restraint only if agency policies permit and requirements of this subchapter are met
HHSC risk weight: Medium High. Corrected 2024-01-26. Correction verified 2024-01-26.
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Supervision & ratios Serious
-
Dec 5, 2023 Report · Deficiencies cited
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Staff background & training Serious
Frequent visitors of the home did not have required 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 2024-01-10. Correction verified 2024-01-10.
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Other
Addendums were not completed as required for major life changes in the home.
HHSC 749.2453(d)(2) — A CPA must do the following when updating a foster home screening-complete the update within 30 days of the notification of a major life change
HHSC risk weight: Medium. Corrected 2024-01-10. Correction verified 2024-01-10.
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Records & paperwork Serious
3 of the 4 household pets did not have required vaccinations.
HHSC 749.2917 — Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk
HHSC risk weight: Medium High. Corrected 2024-01-10. Correction verified 2024-01-10.
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Other Serious
Foster parent drinks an excessive amount of alcohol in the presence of child in care.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-10.
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Staff background & training Serious
-
Dec 1, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Caregiver administered a restraint to children in care however, operations policy states Emergency Behavior Intervention is not used.
HHSC 749.2051(a)(2) — Emergency Behavior Intervention-Use personal restraint only if agency policies permit and requirements of this subchapter are met
HHSC risk weight: Medium High. Corrected 2024-02-02. Correction verified 2024-02-27.
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Staff background & training Serious
Caregiver is not qualified to administer restraints as foster parents are not provided training related to Emergency Behavior Intervention only Trust-based relational intervention.
HHSC 749.2053 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: Medium High. Corrected 2024-02-02. Correction verified 2024-02-27.
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Supervision & ratios Serious
-
Nov 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 24, 2023 Report · Deficiencies cited
-
Staff background & training Serious
The operation case manager assigned to the foster home admitted that the persons who cared for a foster child overnight, did not have background checks. A search of the HHSC CLASS database shows no request for background checks and these persons were not in the presence of anyone with approved background checks while they cared for the foster child.
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 2023-12-21. Correction verified 2023-12-21.
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Other Serious
The foster home's home study behaviors and background section only documented the foster home's suitability to work with a foster child who wanted to be placed there, but not the specifics of the behaviors and characteristics with which the foster parents are willing to work.
HHSC 749.2447(22)(A) — Foster Home Screening-Agency documents prospective foster parent's ability to work with specific kinds of behaviors, backgrounds, special needs
HHSC risk weight: Medium High. Corrected 2024-01-02. Correction verified 2024-01-02.
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Supervision & ratios Serious
A foster child stayed overnight at the home of a relative of the foster family. The managing conservator indicated the foster child was allowed to stay overnight at the homes of known persons only if the foster parents notified the managing conservator and went with the foster child. The managing conservator indicated this did not happen in this situation. The foster parent denied these requirements. The foster child's service plan also indicates the foster child is to be in close proximity to the foster parents.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2024-01-02. Correction verified 2024-01-02.
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Staff background & training Serious
-
Nov 20, 2023 Report · Deficiencies cited (self-report)
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Records & paperwork
Incident occurred 11/20/23 3 to 5am and not reported until around 5pm that same day.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2024-01-30. Correction verified 2024-01-30.
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Records & paperwork
-
Nov 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 30, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
CPR Certificate card was found to be expired.
HHSC 749.911(b) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric CPR.
HHSC risk weight: Medium High. Corrected 2023-11-13. Correction verified 2023-11-13.
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Staff background & training Serious
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Oct 2, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
A foster parent tested positive for a communicable disease on 09/26/2023 but Licensing was not notified of this until 10/02/2023.
HHSC 749.503(e)(4)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease.
HHSC risk weight: Medium. Corrected 2023-11-06. Correction verified 2023-11-06.
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Illness & medication
-
Sep 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2023 Inspection · Deficiencies cited
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Records & paperwork
1 of 2 records did not show the dimensions and the purpose of the rooms in the floor plans.
HHSC 749.2470(3)(A) — Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use
HHSC risk weight: Medium Low. Corrected 2023-08-01. Correction verified 2023-08-11.
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Safety & premises Serious
1 of 2 home records do not have a completed disaster plan.
HHSC 749.2907(A)(1) — Emergency Plans-Each foster home must have written plans and procedures for handling potential disasters and emergencies
HHSC risk weight: Medium High. Corrected 2023-08-01. Correction verified 2023-08-11.
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Records & paperwork
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2023 Report · Deficiencies cited
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Staff background & training Serious
Background Check was not present for frequent visitor.
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 2023-08-17. Correction verified 2023-08-17.
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Staff background & training Serious
-
Jul 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2023 Report
No violations cited on this visit.
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May 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2023 Inspection · Deficiencies cited
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Staff background & training
One staff affidavit was dated and signed two weeks prior to being notarized, indicating that that document wasn't notarized in the presence of the notary.
HHSC 749.605(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-04-25. Correction verified 2023-04-25.
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Staff background & training
-
Apr 18, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
Agency did not report serious incident in a timely manner.
HHSC 749.503(e)(4)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease.
HHSC risk weight: Medium. Corrected 2023-04-26. Correction verified 2023-04-26.
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Illness & medication
-
Apr 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2023 Assessment · Deficiencies cited
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Other
Bed was observed to be on the floor and not on frames.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2023-04-17. Correction verified 2023-04-19.
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Cleanliness & sanitation Serious
The main shower was missing the shower knobs for both hot and cold water.
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 2023-04-17. Correction verified 2023-04-19.
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Other
-
Apr 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Report · Deficiencies cited
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Illness & medication Serious
The agency did not report the child in care was injured and had to get medical treatment from a medical professional.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-06-05.
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Illness & medication Serious
-
Apr 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2023 Assessment · Deficiencies cited
-
Illness & medication Serious
Multiple expired medication products were stored with current medication.
HHSC 749.1521(7) — Medication Destruction-Remove medication on/before expiration date & store it in separate locked area until destroyed within 30 days
HHSC risk weight: Medium High. Corrected 2023-03-29. Correction verified 2023-04-04.
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Illness & medication Serious
-
Mar 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Assessment · Deficiencies cited
-
Safety & premises Serious
While conducting a walk-through of the foster home, the smoke detector on the first floor was making a chirping noise indicating that the battery needed to be replaced.
HHSC 749.2909(b) — Smoke Detectors-Depending on size and layout of home, additional detectors may be required based on manufacturer's or fire inspector's instructions
HHSC risk weight: Medium High. Corrected 2023-03-21. Correction verified 2023-03-21.
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Cleanliness & sanitation Serious
During a walkthrough of the foster home, a broken drawer was observed with exposed nails.
HHSC 749.3041(2) — Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2023-03-21. Correction verified 2023-03-21.
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Safety & premises Serious
-
Mar 7, 2023 Report · Deficiencies cited
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Illness & medication Serious
Medication box was observed to be on the counter, not double locked, upon CCI arrival. The box lid was closed and the lock was hanging but not locked. Medication was also observed on the kitchen counter. Foster mother stated that she had use the medication earlier in the day and didn't lock it back.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2023-04-21. Correction verified 2023-04-25.
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Illness & medication Serious
-
Mar 2, 2023 Assessment · Deficiencies cited
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Food & allergies Serious
Food was not properly stored.
HHSC 749.3079(1) — Food Storage-food items must be covered and stored off the floor
HHSC risk weight: Medium High. Corrected 2023-03-12. Correction verified 2023-03-29.
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Food & allergies Serious
-
Feb 21, 2023 Assessment · Deficiencies cited
-
Illness & medication Serious
Three expired medication products were stored with current medications at time of inspection.
HHSC 749.1521(7) — Medication Destruction-Remove medication on/before expiration date & store it in separate locked area until destroyed within 30 days
HHSC risk weight: Medium High. Corrected 2023-03-07. Correction verified 2023-03-07.
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Other
Previous home verification information was not included in the home study.
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 2023-03-07. Correction verified 2023-03-07.
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Cleanliness & sanitation Serious
Bedroom door in the home is damaged. Bathroom used by children in care was not clean, and there is a leak under the sink. Additionally, both bathroom sinks are having issues with water pressure.
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 2023-03-07. Correction verified 2023-03-07.
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Cleanliness & sanitation Serious
Grass in the backyard of the home is not maintained. There are also many discarded toys and trash in both yards of the home. Additionally, there are piles of dead wood and various objects a child may injure themselves with if not properly supervised.
HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2023-03-07. Correction verified 2023-03-07.
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Illness & medication Serious
-
Feb 18, 2023 Inspection · Deficiencies cited
-
Food & allergies Serious
There was dog defication on the floor in the kitchen area next to food.
HHSC 749.3079(3) — Food Storage-food items must be protected from contamination
HHSC risk weight: Medium High. Corrected 2023-03-03. Correction verified 2023-03-07.
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Food & allergies Serious
-
Feb 18, 2023 Report · Deficiencies cited
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Staff background & training Serious
During the course of the investigation, it was found there is a child over the age of 14 years old living in the home who has not had a background check completed.
HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
HHSC risk weight: High. Corrected 2023-03-17. Correction verified 2023-03-17.
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Safety & premises
There was a citation issued for driving a vehicle without a license.
HHSC 749.553(10) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months
HHSC risk weight: Medium. Corrected 2023-03-17. Correction verified 2023-03-17.
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Staff background & training Serious
-
Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2023 Inspection · No deficiencies cited
-
Discipline & child guidance
1 of the 10 serious incident reports reviewed were not reported to the hotline.
HHSC 749.509(a) — Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
HHSC risk weight: Medium. Corrected 2023-02-13. Correction verified 2023-02-13.
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Records & paperwork
2 of the 10 serious incident reports reviewed did not include names of witnesses and circumstances surrounding incident.
HHSC 749.511(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2023-02-13. Correction verified 2023-02-13.
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Discipline & child guidance
-
Jan 26, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care was called damaged by foster parent and foster parent would bring up the child's history in the presence of others. A child in care had to pick up trash around the community as punishment.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2023-03-03. Correction verified 2023-03-03.
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Discipline & child guidance Serious
-
Jan 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
A foster parent indicated they notified their case manager on 12-26-2022 (verified with text messages) that the hospital admitted a foster child that same day for respiratory illness. Operation personnel indicated the operation did not report this hospital admission until 01-09-2023.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2023-02-27. Correction verified 2023-02-13.
-
Illness & medication Serious
-
Jan 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
Operation failed to timely submit initial background check of an individual requiring 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 2022-10-27. Correction verified 2022-10-27.
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Records & paperwork
5 of the 14 children's records reviewed did not have signatures indicating rights were reviewed with children timely.
HHSC 749.1005(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2022-11-09. Correction verified 2022-11-10.
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Records & paperwork
One of the child's records reviewed identified that a dental exam was not conducted timely. The exam was conducted more than 30 days after the child was admitted.
HHSC 749.1153(b) — Dental Requirements-Child 3 yrs old or older must have appt scheduled within 30 days after admission, and the exam within 90 days after admission
HHSC risk weight: Medium Low. Corrected 2022-11-09. Correction verified 2022-11-10.
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Records & paperwork
7 of the 14 children's records reviewed did not give the parties involved 2 weeks advance notice of the initial service plan meeting,
HHSC 749.1313(a) — Initial Service Planning Team-Agency must give child's parent and foster parent at least two weeks advance notice of the review
HHSC risk weight: Low. Corrected 2022-11-09. Correction verified 2022-11-10.
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Illness & medication Serious
A child's medication log did not identify the month and year.
HHSC 749.1541(c)(5) — Medication Record-Must include date (day, month, year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2022-11-09. Correction verified 2022-11-10.
-
Staff background & training Serious
-
Oct 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2022 Report · Deficiencies cited
-
Illness & medication Serious
A medication record reviewed indicated a child was given two medications not according to professional orders.
HHSC 749.1463(b)(9) — Administration of Medication-Ensure child is not given prescription medication or treatment except on written health-care professional orders
HHSC risk weight: High. Corrected 2022-12-27. Correction verified 2022-11-10.
-
Illness & medication Serious
-
Oct 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2022 Report · Deficiencies cited
-
Other Serious
An agency home did not have unannounced supervisory visits for the year 2021.
HHSC 749.2815(b) — Supervisory Visits-At least two supervisory visit per year must be unannounced
HHSC risk weight: Medium High. Corrected 2022-12-27. Correction verified 2022-12-27.
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Other Serious
-
Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2022 Assessment · Deficiencies cited
-
Staff background & training Serious
Child in care was taken on a walk by an adult who does not have a background check on file. Foster parent was with inspector and was not supervising this activity.
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 2022-09-15. Correction verified 2022-10-12.
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Safety & premises Serious
Crib used by infant had a blanket and pillow at time of inspection.
HHSC 749.1813(b) — AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
HHSC risk weight: High. Corrected 2022-09-12. Correction verified 2022-10-20.
-
Staff background & training Serious
-
Sep 10, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Licensing was not notified timely of child in care testing positive for COVID-19.
HHSC 749.503(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-11-04. Correction verified 2022-11-04.
-
Illness & medication
-
Sep 3, 2022 Inspection · Deficiencies cited
-
Other Serious
A child in care was observed in a baby walker.
HHSC 749.1813(a)(1) — Infant requirements-A foster home may not use baby walkers with infants
HHSC risk weight: Medium High. Corrected 2022-09-15. Correction verified 2022-09-17.
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Cleanliness & sanitation Serious
During the walkthrough of the home, there was an ac vent cover in the kitchen that was not properly secure.
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 2022-09-15. Correction verified 2022-09-17.
-
Cleanliness & sanitation Serious
During the outside walkthrough of the home, there was several items of trash observed in the front lawn.
HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2022-09-15. Correction verified 2022-09-17.
-
Other Serious
-
Sep 3, 2022 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation Serious
A child was injured while using a learning toy that was not age appropriate.
HHSC 749.3041(2) — Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2022-10-13. Correction verified 2022-10-12.
-
Cleanliness & sanitation Serious
-
Aug 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2022 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
Foster parent stated a relative visits the home and helps with the children. No background check is on file for this individual.
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 2022-10-03. Correction verified 2022-10-06.
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Illness & medication Serious
Prescription medication was observed to be within reach of children, on the sink.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2022-10-06. Correction verified 2022-10-06.
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Supervision & ratios Serious
Foster parent admitted that a youth, under the age of 16, babysat children in care without prior authorization.
HHSC 749.2599 — Supervision-A child 16 years old or older may serve as a babysitter for foster care children under the age of 13
HHSC risk weight: Medium High. Corrected 2022-10-06. Correction verified 2022-10-06.
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Staff background & training Serious
-
Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined based on interviews that foster parent would use corporal punishment on a child in care
HHSC 749.1003(b)(4)(A)(ii) — Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
HHSC risk weight: High. Corrected 2022-12-16. Correction verified 2022-12-20.
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Supervision & ratios Serious
It was determined based on interviews that a child in care would babysit other children in care without prior authorization. The child's Service Plan states "Children in Care must not have supervision responsibility of other children in the home."
HHSC 749.2599(1) — Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-20.
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Discipline & child guidance Serious
-
Aug 11, 2022 Inspection · Deficiencies cited
-
Records & paperwork
10 records reviewed did not provide documentation of notifications to foster parents of the initial service plan meeting.
HHSC 749.1313(b) — Initial Service Planning Team-The child's record must include documentation of advance notice to parents and any responses
HHSC risk weight: Low. Corrected 2022-08-25. Correction verified 2022-08-25.
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Other
4 Service plans reviewed were not signed by professional service provider.
HHSC 749.1319(b) — Service plan documentation-The professional service provider must sign and date the plan; must document any disagreement with plan before signing it
HHSC risk weight: Low. Corrected 2022-08-25. Correction verified 2022-08-25.
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Records & paperwork
-
Aug 10, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2022 Assessment · Deficiencies cited
-
Staff background & training Serious
Foster parent identified an individual who visits the home 5 times a week. No background check is on file for this individual.
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 2022-08-12. Correction verified 2022-08-12.
-
Staff background & training Serious
-
Aug 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
A communicable disease was not reported to licensing within the 24 hour time frame per the standards.
HHSC 749.503(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-08-19. Correction verified 2022-08-19.
-
Illness & medication
-
Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
It was determined that a critical injury requiring medical treatment was not reported timely.
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 2022-08-31. Correction verified 2022-09-01.
-
Illness & medication Serious
-
Jul 12, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
A child in care contracted a communicable disease on 07/02/2022 and the operation did not report this to Licensing until 07/11/2022.
HHSC 749.503(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-07-27. Correction verified 2022-07-25.
-
Illness & medication
-
Jul 11, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Child?s diagnosis of communicable disease was not reported within the 24-hour required time fame.
HHSC 749.503(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-07-28. Correction verified 2022-07-22.
-
Illness & medication
-
Jul 7, 2022 Inspection · Deficiencies cited
-
Safety & premises Serious
The fire extinguisher did not have a tag or a date in which it was last serviced. A photo on the foster parents phone indicates the extinguisher was purchased on 1/22/2021.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2022-07-10. Correction verified 2022-07-08.
-
Safety & premises Serious
-
Jul 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Previous household member admitted to hitting a child in care as a means to discipline. Foster parent admitted that the individual in question would push the child to correct them.
HHSC 749.1003(b)(4)(A)(ii) — Children's rights-Adhere to the child's rights to be free from being subjected to corporal punishment
HHSC risk weight: High. Corrected 2022-08-11. Correction verified 2022-08-15.
-
Discipline & child guidance Serious
-
Jun 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Foster parent admitted that a youth babysat children in care without prior authorization.
HHSC 749.2599(1) — Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
HHSC risk weight: Medium High. Corrected 2022-08-11. Correction verified 2022-08-12.
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Other
Foster parent admitted that foster children sleep in caregivers bedroom. It was admitted that CPS was not informed of this arrangement.
HHSC 749.3027(a)(3) — Bedrooms-Approval for child to share a bedroom with an adult caregiver documented, dated in the child's service plan
HHSC risk weight: Medium. Corrected 2022-08-11. Correction verified 2022-08-12.
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Supervision & ratios Serious
-
Jun 21, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Through the information received by the operation, a communicable disease was not reported timely.
HHSC 749.503(e)(3)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-07-22. Correction verified 2022-07-22.
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Illness & medication
-
Jun 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2022 Inspection · Deficiencies cited
-
Safety & premises Serious
6 out 10 foster home disaster/emergency plans had missing information such locating address for the evacuation.
HHSC 749.2907(A)(1) — Emergency Plans-Each foster home must have written plans and procedures for handling potential disasters and emergencies
HHSC risk weight: Medium High. Corrected 2022-05-26. Correction verified 2022-05-31.
-
Safety & premises Serious
-
May 11, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
The operation admitted a foster child's fracture was not reported to the DFPS hotline for nine days after the foster family became aware of it and provided medical documentation showing the date of diagnosis.
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 2022-06-01. Correction verified 2022-06-01.
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Illness & medication Serious
-
May 9, 2022 Assessment · Deficiencies cited
-
Staff background & training Serious
A frequent visitor to the foster home who is a family member does not have a background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-06-09. Correction verified 2022-06-09.
-
Staff background & training Serious
-
May 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Caregiver admitted to giving the children in the home alcohol as well as smoking Marijuana with them.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2022-08-04. Correction verified 2022-08-02.
-
Discipline & child guidance Serious
Foster parent utilized inappropriate forms of discipline towards children in care to include: yelling and threatening corporal punishment.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2022-08-04. Correction verified 2022-08-02.
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Supervision & ratios Serious
There were occasions in which children in care were unsupervised at the pool. CVS worker did not give approval. In addition, there were postings at the pool stating children under the age of 18 needed adult supervision as there was no lifeguard on duty.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2022-08-04. Correction verified 2022-08-02.
-
Supervision & ratios Serious
Children in care were required to serve as babysitters for other children. Children's service plans state the following "Children in care must not have supervision responsibility for other children in the home."
HHSC 749.2599(1) — Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
HHSC risk weight: Medium High. Corrected 2022-08-04. Correction verified 2022-08-02.
-
Discipline & child guidance Serious
-
Apr 13, 2022 Inspection · Deficiencies cited
-
Discipline & child guidance
A reportable serious incident was not reported to the hotline timely.
HHSC 749.509(a) — Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
HHSC risk weight: Medium. Corrected 2022-04-27. Correction verified 2022-04-27.
-
Records & paperwork
The gender was missing on 3 serious incident reports that were reviewed.
HHSC 749.511(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2022-04-27. Correction verified 2022-04-27.
-
Discipline & child guidance
-
Apr 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2022 Assessment · Deficiencies cited
-
Staff background & training Serious
Household member who is 14 years old does not have a background check submitted.
HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
HHSC risk weight: High. Corrected 2022-04-05. Correction verified 2022-04-05.
-
Staff background & training Serious
-
Mar 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2022 Assessment · Deficiencies cited
-
Other Serious
Lock box that is used for gun storage has a broken lock. Gun was stored in foster parent's backpack.
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2022-03-03. Correction verified 2022-03-04.
-
Other Serious
-
Feb 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care had to hold their arms up in time out for 2-5 minutes when disciplined by the foster parents.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2022-04-01. Correction verified 2022-03-29.
-
Supervision & ratios Serious
The foster home was over total capacity with 9 children living in the home.
HHSC 749.2557(a) — AP Capacity-Foster homes may not exceed the total capacity stated on the home's verification
HHSC risk weight: Medium High. Corrected 2022-03-23. Correction verified 2022-03-23.
-
Discipline & child guidance Serious
-
Feb 8, 2022 Inspection · Deficiencies cited
-
Records & paperwork Serious
There was no documentation in the foster home screening regarding whether or not the family will provide respite services on 5 out of 10 foster home records reviewed.
HHSC 749.2447(22)(C)(iv) — Foster Home Screening- Agency documents ability to provide respite services to children with specific gender, age, and needs.
HHSC risk weight: Medium High. Corrected 2022-02-22. Correction verified 2022-02-24.
-
Safety & premises Serious
Discussion of weapons was missing/where they are stored in 6 out 10 foster home screening records.
HHSC 749.2965(a) — Weapons-During home study, ask about weapons, firearms, explosives, projectiles; if present in home, review policies/requirements with foster parents
HHSC risk weight: High. Corrected 2022-02-22. Correction verified 2022-02-24.
-
Records & paperwork Serious
-
Feb 4, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
A child in care tested positive for COVID-19 on 1/28/22 and it was not reported to RCCR until 2/4/22.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-03-01. Correction verified 2022-02-28.
-
Illness & medication
-
Feb 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Two children in care were diagnosed with a communicable disease and it was not reported within the required timeframe.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-12.
-
Illness & medication
-
Jan 21, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Operation did not report positive COVID-19 of children in care within required time frame.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-03-25. Correction verified 2022-03-25.
-
Illness & medication
-
Jan 19, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
Child tested and received results on the 17th. Operation was notified on the 18th and reported the finding on the 19th.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-01-31. Correction verified 2022-01-31.
-
Illness & medication
-
Jan 15, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
COVID 19 was not reported within 24 hour timeframe. Diagnosis for one child on 01/11/2022 and another child on 01/13/2022, report to Licensing was done on 01/15/2022.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-02-17. Correction verified 2022-02-22.
-
Illness & medication
-
Jan 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 25, 2021 Report · Deficiencies cited (self-report)
-
Other Serious
The age of a child who was on a trampoline at the foster home did not meet the manufactured recommendations.
HHSC 749.3039(e)(1) — Trampolines-use of and the number of children allowed at a time based on manufacturer's instructions
HHSC risk weight: Medium High. Corrected 2022-02-01. Correction verified 2022-02-02.
-
Other Serious
-
Dec 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
Foster parent physically disciplined the children which led to injury to the children. It was also determined that the 3 children were left home alone without adult supervision for long periods of time.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-14.
-
Supervision & ratios Serious
It was determined that a foster parent used drugs based on their positive drug test which impeded their ability to adequately supervise the children.
HHSC 749.2593(a)(5) — Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-14.
-
Discipline & child guidance Serious
-
Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the interview with foster parent they admitted to pouring water over child in care as a way to calm the child down.
HHSC 749.1003(b)(4)(A) — Children's rights-Adhere to the child's rights to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating punishment
HHSC risk weight: High. Corrected 2021-12-17. Correction verified 2021-12-20.
-
Discipline & child guidance Serious
-
Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2021 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
A child in care (6 months old) was admitted to the hospital on 11/09/2021 at 1:00 a.m. and the incident was not reported to licensing until 11/10/21 at 7:25 pm.
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 2022-01-11. Correction verified 2022-01-12.
-
Records & paperwork
A child in care was admitted to the hospital on 11/09/2021 and the incident report did not include the time of day. The incident report also states that the child is zero months old.
HHSC 749.511(2) — Serious Incident Documentation-Includes time and date of incident
HHSC risk weight: Medium. Corrected 2022-01-11. Correction verified 2022-01-12.
-
Illness & medication Serious
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
Foster parent had dragged a child down some stairs and gave children hot sauce as a form of discipline.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2021-12-27. Correction verified 2021-12-28.
-
Discipline & child guidance Serious
-
Nov 2, 2021 Report · Deficiencies cited
-
Other Serious
The investigation revealed email correspondence which indicate an employee who was provisionally prohibited from supervisory work was directing and managing subordinate staff.
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 2021-12-29. Correction verified 2021-12-29.
-
Other Serious
-
Nov 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
Former foster parent inappropriately touched a child in care and emotionally, mentally, and physically harmed the child.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-01-21.
-
Discipline & child guidance Serious
Foster parent and her boyfriend inappropriately disciplined a child by making the child squat with a book over their head for a period of time.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-01-21.
-
Supervision & ratios Serious
A safety plan was put in place that foster parent's boyfriend was not allowed to have contact with the children in care. The safety plan was violated as the boyfriend came to the home and had contact with the children at the time of removal.
HHSC 749.2593(b)(4) — Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2022-01-21. Correction verified 2022-01-21.
-
Discipline & child guidance Serious
-
Oct 24, 2021 Report · Deficiencies cited (self-report)
-
Records & paperwork
Agency did not document additional incident report after a child in care ran away a second time within the same day.
HHSC 749.503(c) — Serious Incident?Doc unauthorized absence that does not meet the reporting time reqs defined in subsection (a)(7)-(9) of this section in 24 hrs
HHSC risk weight: Medium. Corrected 2021-12-28. Correction verified 2021-12-28.
-
Records & paperwork
-
Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2021 Report · Deficiencies cited (self-report)
-
Illness & medication
Operation did not timely report communicable disease to licensing.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2021-10-25. Correction verified 2021-10-25.
-
Illness & medication
-
Sep 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.