Faith 2 Faith Foster Care And Adoption
3350 MCFADDIN ST STE 7, Beaumont, TX 77706 · Jefferson County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 08:00 AM-12:00 PM
- Director / administrator
- Shalonda Rene Hendrix-Smith
- Phone
- (409) 499-1912
- Regulated since
- Dec 15, 2020
- HHSC IDs
- Operation 1340005 · number 1697677- 13731
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 72 | 12 | Illness & medication (6), Supervision & ratios (10), Discipline & child guidance (6), Safety & premises (8), Staff background & training (12), Records & paperwork (14), Other (16) |
| 2025 | 20 | 2 | Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (2), Records & paperwork (2), Other (10) |
| 2024 | 50 | 8 | Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (2), Safety & premises (4), Staff background & training (16), Records & paperwork (16), Other (6) |
| 2023 | 68 | 12 | Illness & medication (2), Supervision & ratios (12), Discipline & child guidance (8), Safety & premises (4), Staff background & training (6), Records & paperwork (30), Other (6) |
| 2022 | 36 | 10 | Cleanliness & sanitation (4), Illness & medication (6), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (4), Staff background & training (2), Other (14) |
| 2021 | 10 | 0 | Safety & premises (2), Records & paperwork (6), Other (2) |
Inspections, investigations & assessments
-
Sep 22, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 22, 2026 Inspection
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
A foster home record reviewed for two caregivers did not contain a record of the mandatory abuse/neglect training completed.
HHSC 749.803(d)(3) — GENERAL CAREGIVER TRAINING REQUIREMENTS
HHSC risk weight: High. Corrected 2026-08-21. Correction verified 2026-08-26.
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Staff background & training Serious
-
Aug 12, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
A foster home record reviewed for two caregivers did not contain a record of the mandatory abuse/neglect training completed.
HHSC 749.803(d)(3) — GENERAL CAREGIVER TRAINING REQUIREMENTS
HHSC risk weight: High. Corrected 2026-08-21. Correction verified 2026-08-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jul 27, 2026 Inspection · Deficiencies cited
-
Records & paperwork
A home screening record inaccurately assesses the financial stability of the foster parent when the bank statements show insufficient funds, and pay stubs instead of an award letter for the single foster parent.
HHSC 749.2447(6)(B) — Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-09-24.
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Other
A floor plan did not have the indoor area for children identified. This was corrected at inspection by the administrator identifying the designated area for children.
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 at inspection. Corrected 2026-07-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jul 27, 2026 Inspection · Deficiencies cited
-
Records & paperwork
A home screening record inaccurately assesses the financial stability of the foster parent when the bank statements show insufficient funds, and pay stubs instead of an award letter for the single foster parent.
HHSC 749.2447(6)(B) — Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-09-24.
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Other
A floor plan did not have the indoor area for children identified. This was corrected at inspection by the administrator identifying the designated area for children.
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 at inspection. Corrected 2026-07-27.
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Records & paperwork
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Jul 14, 2026 Inspection · Deficiencies cited
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Other
A service plan update reviewed for a child in care identified on the plan as receiving treatment services did not have two professionals involved in the service planning.
HHSC 749.1335(10) — Service Plan Review and Update-Document the names of the persons participating in review and update
HHSC risk weight: Medium Low. Corrected 2026-07-21. Correction verified 2026-07-27.
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Records & paperwork
A foster home record reviewed during an inspection does not contain verification of education for a foster parent.
HHSC 749.2447(2) — Foster Home Screening-Agency documents that prospective foster parents have GED/high school diploma or pass agency's screening program
HHSC risk weight: Medium. Corrected 2026-07-21. Correction verified 2026-07-27.
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Records & paperwork
A foster home's verification status was not updated in CLASS or verification certificate issued after a provisional verification change and home screening completed.
HHSC 749.2489(6) — Reports to Licensing-Agency submits information to Licensing within two working days of changing time-limited verification to non-expiring
HHSC risk weight: Medium Low. Corrected 2026-07-21. Correction verified 2026-07-27.
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Records & paperwork
A foster home record reviewed does not contain the signed and dated provisional verification certificate for the home's initial verification after transfer.
HHSC 749.2535(b)(4) — Child placement management staff must review and approve the provisional verification by signing and dating before the verification can be issued.
HHSC risk weight: Medium. Corrected 2026-07-21. Correction verified 2026-07-27.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Jul 14, 2026 Inspection · Deficiencies cited
-
Other
A service plan update reviewed for a child in care identified on the plan as receiving treatment services did not have two professionals involved in the service planning.
HHSC 749.1335(10) — Service Plan Review and Update-Document the names of the persons participating in review and update
HHSC risk weight: Medium Low. Corrected 2026-07-21. Correction verified 2026-07-27.
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Records & paperwork
A foster home record reviewed during an inspection does not contain verification of education for a foster parent.
HHSC 749.2447(2) — Foster Home Screening-Agency documents that prospective foster parents have GED/high school diploma or pass agency's screening program
HHSC risk weight: Medium. Corrected 2026-07-21. Correction verified 2026-07-27.
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Records & paperwork
A foster home's verification status was not updated in CLASS or verification certificate issued after a provisional verification change and home screening completed.
HHSC 749.2489(6) — Reports to Licensing-Agency submits information to Licensing within two working days of changing time-limited verification to non-expiring
HHSC risk weight: Medium Low. Corrected 2026-07-21. Correction verified 2026-07-27.
-
Records & paperwork
A foster home record reviewed does not contain the signed and dated provisional verification certificate for the home's initial verification after transfer.
HHSC 749.2535(b)(4) — Child placement management staff must review and approve the provisional verification by signing and dating before the verification can be issued.
HHSC risk weight: Medium. Corrected 2026-07-21. Correction verified 2026-07-27.
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Other
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Jul 2, 2026 Report · Deficiencies cited
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Other Serious
An investigation transfer review revealed a case manager engaged in conversations with both a foster parent and children regarding allegations of an ongoing investigation.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2026-08-12. Correction verified 2026-08-18.
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Records & paperwork
Two children interviewed for an investigation and a recorded voicemail message received by a case worker confirm that a foster parent has engaged in cussing at children in care.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-08-06. Correction verified 2026-08-18.
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Discipline & child guidance
An investigation transfer review identified the case manager did not report allegations of abuse or neglect to the hotline when made aware of concerns.
HHSC 749.503(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2026-08-14. Correction verified 2026-08-18.
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Other Serious
-
Jul 2, 2026 Report · Deficiencies cited
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Other Serious
An investigation transfer review revealed a case manager engaged in conversations with both a foster parent and children regarding allegations of an ongoing investigation.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2026-08-12. Correction verified 2026-08-18.
-
Records & paperwork
Two children interviewed for an investigation and a recorded voicemail message received by a case worker confirm that a foster parent has engaged in cussing at children in care.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-08-06. Correction verified 2026-08-18.
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Discipline & child guidance
An investigation transfer review identified the case manager did not report allegations of abuse or neglect to the hotline when made aware of concerns.
HHSC 749.503(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2026-08-14. Correction verified 2026-08-18.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Jul 1, 2026 Inspection · Deficiencies cited
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Supervision & ratios
A child's initial service plan reviewed had another child's name identified in the implementation section related to the CANS assessment.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-08. Correction verified 2026-07-10.
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Supervision & ratios
A home screening addendum record reviewed recommendation for capacity does not match the verification or CLASS home details.
HHSC 749.2470(9)(D) — Verification Certificate- Specifies the home's foster care capacity
HHSC risk weight: Low. Corrected 2026-07-08. Correction verified 2026-07-10.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Jul 1, 2026 Inspection · Deficiencies cited
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Supervision & ratios
A child's initial service plan reviewed had another child's name identified in the implementation section related to the CANS assessment.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-08. Correction verified 2026-07-10.
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Supervision & ratios
A home screening addendum record reviewed recommendation for capacity does not match the verification or CLASS home details.
HHSC 749.2470(9)(D) — Verification Certificate- Specifies the home's foster care capacity
HHSC risk weight: Low. Corrected 2026-07-08. Correction verified 2026-07-10.
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Supervision & ratios
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Jun 22, 2026 Inspection · Deficiencies cited
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Safety & premises
Three of four admission assessments reviewed were completed after admission for non-emergency placements.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-06-30.
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Staff background & training
A home screning reviewed identifed the incorrect name of the foster parent and incorrect law enforcement agency in the section about domestic violence calls to the residence. There was missing dates for the cleared background check, criminal history, and central registry.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-06-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jun 22, 2026 Inspection · Deficiencies cited
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Safety & premises
Three of four admission assessments reviewed were completed after admission for non-emergency placements.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-06-30.
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Staff background & training
A home screning reviewed identifed the incorrect name of the foster parent and incorrect law enforcement agency in the section about domestic violence calls to the residence. There was missing dates for the cleared background check, criminal history, and central registry.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-06-30.
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Safety & premises
-
Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2026 Inspection · Deficiencies cited
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Other
A home screening reviewed does not document the age of adopted household members.
HHSC 749.2447(1) — Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
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Discipline & child guidance
A home screening update does not address the health of the household members added to the home.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
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Other
A home screening addendum did not show evidence that an interview was conducted with children added to the household through adoption.
HHSC 749.2449(a)(2) — Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
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Other
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Jun 15, 2026 Inspection · Deficiencies cited
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Other
A home screening reviewed does not document the age of adopted household members.
HHSC 749.2447(1) — Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
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Discipline & child guidance
A home screening update does not address the health of the household members added to the home.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
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Other
A home screening addendum did not show evidence that an interview was conducted with children added to the household through adoption.
HHSC 749.2449(a)(2) — Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home
HHSC risk weight: Medium. Corrected 2026-06-22. Correction verified 2026-06-22.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 4, 2026 Assessment · Deficiencies cited
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Staff background & training Serious
The operation did not submit a background check for the contracted treatment director.
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 2026-06-11. Correction verified 2026-06-11.
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Staff background & training Serious
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Jun 4, 2026 Assessment · Deficiencies cited
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Staff background & training Serious
The operation did not submit a background check for the contracted treatment director.
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 2026-06-11. Correction verified 2026-06-11.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Jun 2, 2026 Inspection · Deficiencies cited
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Illness & medication
One child's medication record reviewed for three medications over three month period does not identify the reason for the medication.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-06-09. Correction verified 2026-06-11.
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Records & paperwork
During an inspection, a record review conducted of a foster home file, the floor plan does not designate the indoor areas for children's use.
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 2026-06-09. Correction verified 2026-06-11.
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Illness & medication
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Jun 2, 2026 Inspection · Deficiencies cited
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Illness & medication
One child's medication record reviewed for three medications over three month period does not identify the reason for the medication.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-06-09. Correction verified 2026-06-11.
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Records & paperwork
During an inspection, a record review conducted of a foster home file, the floor plan does not designate the indoor areas for children's use.
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 2026-06-09. Correction verified 2026-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 21, 2026 Inspection · Deficiencies cited
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Staff background & training
The case manager's CPR/First Aid training record does not document the number of hours attended.
HHSC 749.915(b)(6) — Pediatric CPR training documentation must include length of the training in hours
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2026-05-21.
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Staff background & training
One of one staff file reviewed did not contain training for prevention, recognition and reporting on child abuse, neglect, and exploitation.
HHSC 749.931(b)(1) — Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
HHSC risk weight: Medium High. Corrected 2026-05-29. Correction verified 2026-06-01.
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Staff background & training
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May 21, 2026 Inspection · Deficiencies cited
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Staff background & training
The case manager's CPR/First Aid training record does not document the number of hours attended.
HHSC 749.915(b)(6) — Pediatric CPR training documentation must include length of the training in hours
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2026-05-21.
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Staff background & training
One of one staff file reviewed did not contain training for prevention, recognition and reporting on child abuse, neglect, and exploitation.
HHSC 749.931(b)(1) — Annual Training-Must include 1 hour of prevention, recognition, and reporting on child abuse, neglect, and exploitation.
HHSC risk weight: Medium High. Corrected 2026-05-29. Correction verified 2026-06-01.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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May 19, 2026 Report · Deficiencies cited (self-report)
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Other
It was found that an adult caregiver was sharing a room with a child in care, and the approval was not documented in the child?s service plan.
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 2026-07-20. Correction verified 2026-07-20.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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May 19, 2026 Report · Deficiencies cited (self-report)
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Other
It was found that an adult caregiver was sharing a room with a child in care, and the approval was not documented in the child?s service plan.
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 2026-07-20. Correction verified 2026-07-20.
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Other
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May 14, 2026 Inspection · Deficiencies cited
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Safety & premises Serious
Based on a review of documentation, it was determined three children's Emergency Admission Assessments did not contain documentation as related to known contraindications to the use of restraint.
HHSC 749.1189(5) — Emergency admission-Document in the child's record known contra-indications to the use of restraint
HHSC risk weight: High. Corrected 2026-05-21. Correction verified 2026-05-19.
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Other
Based on a review of documentation, two children receiving treatment services service plans did not contain the professional service provider signature and/or date.
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 2026-05-21. Correction verified 2026-05-19.
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Illness & medication
Based on a review of documentation, it was determined that two children's records did not contain immunizations records.
HHSC 749.1421(b) — Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
HHSC risk weight: Medium High. Corrected 2026-05-21. Correction verified 2026-05-19.
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Safety & premises Serious
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May 14, 2026 Inspection · Deficiencies cited
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Safety & premises Serious
Based on a review of documentation, it was determined three children's Emergency Admission Assessments did not contain documentation as related to known contraindications to the use of restraint.
HHSC 749.1189(5) — Emergency admission-Document in the child's record known contra-indications to the use of restraint
HHSC risk weight: High. Corrected 2026-05-21. Correction verified 2026-05-19.
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Other
Based on a review of documentation, two children receiving treatment services service plans did not contain the professional service provider signature and/or date.
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 2026-05-21. Correction verified 2026-05-19.
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Illness & medication
Based on a review of documentation, it was determined that two children's records did not contain immunizations records.
HHSC 749.1421(b) — Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
HHSC risk weight: Medium High. Corrected 2026-05-21. Correction verified 2026-05-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 22, 2026 Report · Deficiencies cited
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Illness & medication Serious
An investigation review revealed a child that sustained an injury to his head and eye after falling out of the bed on 4/18/26 did not receive medical attention until 04/22/26 after requested to do so by the residential childcare investigator.
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 2026-06-05. Correction verified 2026-06-11.
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Safety & premises
An investigation review confirmed a foster parent failed to follow up in five days with a child's primary care physician at the recommendation of the emergency room medical professional.
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 2026-06-05. Correction verified 2026-06-11.
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Supervision & ratios
An investigation review revealed a child's service plan stated the child should not share a room with younger or smaller children and addressed through a safety plan. Investigation interviews supported the child shared a room with younger children.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-06-11.
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Discipline & child guidance
Images reviewed from abuse/neglect investigation showed the wooden bed railing was cracked and a light switch plate was broken in a child's room.
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 2026-06-05. Correction verified 2026-06-11.
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Illness & medication Serious
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Apr 22, 2026 Report · Deficiencies cited
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Illness & medication Serious
An investigation review revealed a child that sustained an injury to his head and eye after falling out of the bed on 4/18/26 did not receive medical attention until 04/22/26 after requested to do so by the residential childcare investigator.
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 2026-06-05. Correction verified 2026-06-11.
-
Safety & premises
An investigation review confirmed a foster parent failed to follow up in five days with a child's primary care physician at the recommendation of the emergency room medical professional.
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 2026-06-05. Correction verified 2026-06-11.
-
Supervision & ratios
An investigation review revealed a child's service plan stated the child should not share a room with younger or smaller children and addressed through a safety plan. Investigation interviews supported the child shared a room with younger children.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-06-11.
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Discipline & child guidance
Images reviewed from abuse/neglect investigation showed the wooden bed railing was cracked and a light switch plate was broken in a child's room.
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 2026-06-05. Correction verified 2026-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Apr 13, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Upon review of three children's service plans, it was determined that the foster parents failed to adhere to the specific and/or individualized supervision provisions outlined in the children's service plans.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Apr 13, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
Upon review of three children's service plans, it was determined that the foster parents failed to adhere to the specific and/or individualized supervision provisions outlined in the children's service plans.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-06-11.
-
Supervision & ratios Serious
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2026 Inspection · Deficiencies cited
-
Safety & premises
During the walk-through of the investigation inspection, I observed the fire extinguisher being out of date with the last inspection being in March 2024.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2026-02-11. Correction verified 2026-02-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Feb 4, 2026 Inspection · Deficiencies cited
-
Safety & premises
During the walk-through of the investigation inspection, I observed the fire extinguisher being out of date with the last inspection being in March 2024.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2026-02-11. Correction verified 2026-02-09.
-
Safety & premises
-
Feb 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2026 Report · Deficiencies cited
-
Staff background & training
A child was diagnosed with ASD, requiring treatment services for receiving speech therapy, applied behavior therapy, and life skills training wasn't receiving the required treatment services.
HHSC 749.1003(b)(6)(A) — Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-03-19.
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Other
The child is not receiving the treatment services for the ASD diagnosis listed on the child's most recent service plan--ABA therapy for up to 40 hours a week and Speech therapy twice a week.
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 2026-03-17. Correction verified 2026-03-19.
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Records & paperwork
A child was diagnosed with ASD, and the agency home the child is placed in isn't licensed to provide treatment services for ASD.
HHSC 749.2491(e) — Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-03-19.
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Supervision & ratios
An agency home is utilizing a camera in a child?s bedroom, and the child is over the age range of a toddler and does not have documented permission from the legal parent.
HHSC 749.2595(b)(1) — Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
HHSC risk weight: Medium. Corrected 2026-03-17. Correction verified 2026-03-19.
-
Staff background & training
-
Jan 13, 2026 Report · Deficiencies cited
-
Staff background & training
A child was diagnosed with ASD, requiring treatment services for receiving speech therapy, applied behavior therapy, and life skills training wasn't receiving the required treatment services.
HHSC 749.1003(b)(6)(A) — Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-03-19.
-
Other
The child is not receiving the treatment services for the ASD diagnosis listed on the child's most recent service plan--ABA therapy for up to 40 hours a week and Speech therapy twice a week.
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 2026-03-17. Correction verified 2026-03-19.
-
Records & paperwork
A child was diagnosed with ASD, and the agency home the child is placed in isn't licensed to provide treatment services for ASD.
HHSC 749.2491(e) — Verification-Child needing treatment services only placed in foster home verified to provide treatment services needed by child
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-03-19.
-
Supervision & ratios
An agency home is utilizing a camera in a child?s bedroom, and the child is over the age range of a toddler and does not have documented permission from the legal parent.
HHSC 749.2595(b)(1) — Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
HHSC risk weight: Medium. Corrected 2026-03-17. Correction verified 2026-03-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2025 Report · Deficiencies cited (self-report)
-
Records & paperwork
Upon review of the serious incident report, it was identified that the report did not include all required components as outlined in Minimum Standards.
HHSC 749.511 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2026-01-09. Correction verified 2026-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Dec 11, 2025 Report · Deficiencies cited (self-report)
-
Records & paperwork
Upon review of the serious incident report, it was identified that the report did not include all required components as outlined in Minimum Standards.
HHSC 749.511 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2026-01-09. Correction verified 2026-01-07.
-
Records & paperwork
-
Dec 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
Bedroom electrical outlet is exposed to wiring. Bedroom has a broken board to closet area. Bathtub has mold along the wall and tub edge. There was no toilet paper and paper towels in the restroom.
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 2025-12-24. Correction verified 2025-12-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Nov 15, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
Bedroom electrical outlet is exposed to wiring. Bedroom has a broken board to closet area. Bathtub has mold along the wall and tub edge. There was no toilet paper and paper towels in the restroom.
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 2025-12-24. Correction verified 2025-12-29.
-
Cleanliness & sanitation
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2025 Report · Deficiencies cited
-
Illness & medication
Based on findings of the investigation, it was determined that one child's medication had not been stored in its original, properly labeled container as required by Minimum Standards.
HHSC 749.1463(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2025-10-30. Correction verified 2025-10-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 2, 2025 Report · Deficiencies cited
-
Illness & medication
Based on findings of the investigation, it was determined that one child's medication had not been stored in its original, properly labeled container as required by Minimum Standards.
HHSC 749.1463(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2025-10-30. Correction verified 2025-10-27.
-
Illness & medication
-
Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2025 Inspection · Deficiencies cited
-
Other
It was determined that a child was not adequately supervised and that the foster parents were not following the child's service plan.
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 2025-09-03. Correction verified 2025-09-08.
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Other
-
Aug 8, 2025 Inspection · Deficiencies cited
-
Other
It was determined that a child was not adequately supervised and that the foster parents were not following the child's service plan.
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 2025-09-03. Correction verified 2025-09-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
It was determined that a child was not adequately supervised and that the foster parents were not following the child's service plan.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-09-03. Correction verified 2025-09-08.
-
Supervision & ratios Serious
-
Aug 4, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
It was determined that a child was not adequately supervised and that the foster parents were not following the child's service plan.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-09-03. Correction verified 2025-09-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2025 Report · Deficiencies cited
-
Other
The review of information indicated that therapeutic services recommended for a child in care were not initiated as advised.
HHSC 749.1003(b)(6)(A) — Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
HHSC risk weight: Medium. Corrected 2025-06-19. Correction verified 2025-06-23.
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Other
The review of the closing summary identified the omission of a recommendation concerning future foster home verification.
HHSC 749.2497(d)(12) — Verification-A transfer or closing summary a statement concerning whether you would recommend the foster home for verification in the future
HHSC risk weight: Medium. Corrected 2025-06-19. Correction verified 2025-06-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 16, 2025 Report · Deficiencies cited
-
Other
The review of information indicated that therapeutic services recommended for a child in care were not initiated as advised.
HHSC 749.1003(b)(6)(A) — Children's rights-Adhere to the child's right to receive emotional, mental health, or chemical dependency treatment separately from adults
HHSC risk weight: Medium. Corrected 2025-06-19. Correction verified 2025-06-23.
-
Other
The review of the closing summary identified the omission of a recommendation concerning future foster home verification.
HHSC 749.2497(d)(12) — Verification-A transfer or closing summary a statement concerning whether you would recommend the foster home for verification in the future
HHSC risk weight: Medium. Corrected 2025-06-19. Correction verified 2025-06-23.
-
Other
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 6, 2025 Report · Deficiencies cited
-
Other
Findings from the gathered information indicated the foster parent engaged in humiliating treatment toward a child in care.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 6, 2025 Report · Deficiencies cited
-
Other
Findings from the gathered information indicated the foster parent engaged in humiliating treatment toward a child in care.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-07.
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Other
-
Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2025 Report · Deficiencies cited
-
Other
In a review of a child's service plan, the plan notates that there are high risk behaviors, however there no detailed behaviors or plans to address.
HHSC 749.1309(b)(1)(H) — Initial Service Plan-For children who exhibit high risk behavior, must include specific information
HHSC risk weight: Medium High. Corrected 2025-05-08. Correction verified 2025-05-06.
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Illness & medication
Findings from the gathered information indicated three children's medication records lacked a cumulative depiction of the child's medication history.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2025-05-08. Correction verified 2025-05-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 10, 2025 Report · Deficiencies cited
-
Other
In a review of a child's service plan, the plan notates that there are high risk behaviors, however there no detailed behaviors or plans to address.
HHSC 749.1309(b)(1)(H) — Initial Service Plan-For children who exhibit high risk behavior, must include specific information
HHSC risk weight: Medium High. Corrected 2025-05-08. Correction verified 2025-05-06.
-
Illness & medication
Findings from the gathered information indicated three children's medication records lacked a cumulative depiction of the child's medication history.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2025-05-08. Correction verified 2025-05-06.
-
Other
-
Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 17, 2024 Report · Deficiencies cited (self-report)
-
Other
Based on information gathered during a review of documents, a child's Preliminary Service Plan was not completed within 72 hours of admission. The child's date of admission was 12/05/2024 with date of Preliminary Service Plan 12/09/2024.
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 2025-02-12. Correction verified 2025-02-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Dec 17, 2024 Report · Deficiencies cited (self-report)
-
Other
Based on information gathered during a review of documents, a child's Preliminary Service Plan was not completed within 72 hours of admission. The child's date of admission was 12/05/2024 with date of Preliminary Service Plan 12/09/2024.
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 2025-02-12. Correction verified 2025-02-13.
-
Other
-
Oct 8, 2024 Inspection · Deficiencies cited
-
Records & paperwork
Based on information gathered during a review of documents, three of the four foster home records did not contain documented quarterly supervisory visits.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Staff background & training
One staff record did not contain signed and dated statement regarding reading a copy of the agency's policies and procedures.
HHSC 749.553(7) — Personnel records-Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium Low. Corrected 2024-10-11. Correction verified 2024-10-14.
-
Staff background & training
One staff record did not include the required signed and dated statement pertaining to reporting suspected abuse, neglect, or exploitation.
HHSC 749.553(8) — Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-14.
-
Other
The agency's annual summary log is missing the time the unauthorized absence was discovered.
HHSC 749.591(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Records & paperwork
The agency's annual summary log is missing intake report numbers for all intake reports that have been submitted to the DFPS Hotline.
HHSC 749.591(a)(5) — Unauthorized Absence?Annual summary log must include the intake report number, if report was made to CCR or DFPS
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Records & paperwork
The agency's annual summary log is missing law enforcement information.
HHSC 749.591(a)(6) — Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Staff background & training
A newly hired employee does not possess the required professional experience to fill the position as child placement staff.
HHSC 749.673 — Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Oct 8, 2024 Inspection · Deficiencies cited
-
Records & paperwork
Based on information gathered during a review of documents, three of the four foster home records did not contain documented quarterly supervisory visits.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Staff background & training
One staff record did not contain signed and dated statement regarding reading a copy of the agency's policies and procedures.
HHSC 749.553(7) — Personnel records-Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium Low. Corrected 2024-10-11. Correction verified 2024-10-14.
-
Staff background & training
One staff record did not include the required signed and dated statement pertaining to reporting suspected abuse, neglect, or exploitation.
HHSC 749.553(8) — Personnel records- Include signed/dated statement by the employee that they must immediately report suspected child abuse, neglect, or exploitation
HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-14.
-
Other
The agency's annual summary log is missing the time the unauthorized absence was discovered.
HHSC 749.591(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Records & paperwork
The agency's annual summary log is missing intake report numbers for all intake reports that have been submitted to the DFPS Hotline.
HHSC 749.591(a)(5) — Unauthorized Absence?Annual summary log must include the intake report number, if report was made to CCR or DFPS
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Records & paperwork
The agency's annual summary log is missing law enforcement information.
HHSC 749.591(a)(6) — Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Staff background & training
A newly hired employee does not possess the required professional experience to fill the position as child placement staff.
HHSC 749.673 — Child placement staff qualifications-Employees who perform child placement activities must meet educational and professional qualifications
HHSC risk weight: Medium. Corrected 2024-10-18. Correction verified 2024-10-22.
-
Records & paperwork
-
Sep 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2024 Inspection · Deficiencies cited
-
Safety & premises
One of the smoke detectors was obsereved and heard to be beeping in the home.
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 2024-07-15. Correction verified 2024-07-31.
-
Safety & premises
-
Jul 11, 2024 Inspection · Deficiencies cited
-
Safety & premises
One of the smoke detectors was obsereved and heard to be beeping in the home.
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 2024-07-15. Correction verified 2024-07-31.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Jul 2, 2024 Report · Deficiencies cited
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Safety & premises
During the investigation, it was found that a foster parent was smoking inside the home.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2024-08-13. Correction verified 2024-08-15.
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Safety & premises
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Jul 2, 2024 Report · Deficiencies cited
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Safety & premises
During the investigation, it was found that a foster parent was smoking inside the home.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2024-08-13. Correction verified 2024-08-15.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Jun 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 13, 2024 Inspection · Deficiencies cited
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Staff background & training
One of two child placing staff records reviewed was observed to have an expired driver's 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 2024-05-20. Correction verified 2024-05-15.
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Staff background & training
One of two child placing staff records reviewed was observed to be missing a job description.
HHSC 749.553(3) — Personnel records-Include current job description
HHSC risk weight: Medium Low. Corrected 2024-05-20. Correction verified 2024-05-15.
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Staff background & training
Two of two child placing staff records reviewed was observed to be missing documented monthly conferences. One child placing staff with a hire date of 10/3/22 had no documented conferences. One child placing staff with a hire date of 11/6/2020 has not had a documented conference since June 2021.
HHSC 749.677(b) — Branch office staff-Child placement management staff conduct/ document 10 monthly conferences per year with branch office child placement staff
HHSC risk weight: Medium. Corrected 2024-05-27. Correction verified 2024-05-29.
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Staff background & training Serious
One of two child placing staff records reviewed was observed to be missing pediatric first aid renewal.
HHSC 749.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2024-05-27. Correction verified 2024-05-28.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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May 13, 2024 Inspection · Deficiencies cited
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Staff background & training
One of two child placing staff records reviewed was observed to have an expired driver's 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 2024-05-20. Correction verified 2024-05-15.
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Staff background & training
One of two child placing staff records reviewed was observed to be missing a job description.
HHSC 749.553(3) — Personnel records-Include current job description
HHSC risk weight: Medium Low. Corrected 2024-05-20. Correction verified 2024-05-15.
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Staff background & training
Two of two child placing staff records reviewed was observed to be missing documented monthly conferences. One child placing staff with a hire date of 10/3/22 had no documented conferences. One child placing staff with a hire date of 11/6/2020 has not had a documented conference since June 2021.
HHSC 749.677(b) — Branch office staff-Child placement management staff conduct/ document 10 monthly conferences per year with branch office child placement staff
HHSC risk weight: Medium. Corrected 2024-05-27. Correction verified 2024-05-29.
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Staff background & training Serious
One of two child placing staff records reviewed was observed to be missing pediatric first aid renewal.
HHSC 749.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2024-05-27. Correction verified 2024-05-28.
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Staff background & training
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May 2, 2024 Assessment · Deficiencies cited
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Other
During an unannounced investigation inspection in the home, CCI observed a child's mattress on the floor.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-06-12.
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Cleanliness & sanitation
During an unannounced investigation inspection in the home, CCI observed the home to be in cluttered and in disarray, small items (choking hazards) all over the home where a 1 yr old is placed, large accumulation of trash on the floor and overflowing in the kitchen.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-06-12.
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Cleanliness & sanitation
During an unannounced investigation inspection in the home, CCI observed cleaning products left out and in accessible reach of children.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-06-12.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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May 2, 2024 Assessment · Deficiencies cited
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Other
During an unannounced investigation inspection in the home, CCI observed a child's mattress on the floor.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-06-12.
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Cleanliness & sanitation
During an unannounced investigation inspection in the home, CCI observed the home to be in cluttered and in disarray, small items (choking hazards) all over the home where a 1 yr old is placed, large accumulation of trash on the floor and overflowing in the kitchen.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-06-12.
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Cleanliness & sanitation
During an unannounced investigation inspection in the home, CCI observed cleaning products left out and in accessible reach of children.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2024-05-13. Correction verified 2024-06-12.
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Other
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Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Based on information gathered during a review of the investigation, it was determined a foster parent failed to provide adequate supervision resulting in an injury to a child in care.
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 2024-07-05. Correction verified 2024-07-09.
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Records & paperwork
Based on information gathered during a review of the investigation, it was determined the foster parent failed to document an incident report as related to a child in care sustaining injury requiring first aid.
HHSC 749.503(b) — Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
HHSC risk weight: Medium. Corrected 2024-07-05. Correction verified 2024-07-09.
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Supervision & ratios Serious
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Apr 22, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Based on information gathered during a review of the investigation, it was determined a foster parent failed to provide adequate supervision resulting in an injury to a child in care.
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 2024-07-05. Correction verified 2024-07-09.
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Records & paperwork
Based on information gathered during a review of the investigation, it was determined the foster parent failed to document an incident report as related to a child in care sustaining injury requiring first aid.
HHSC 749.503(b) — Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
HHSC risk weight: Medium. Corrected 2024-07-05. Correction verified 2024-07-09.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Apr 9, 2024 Report · Deficiencies cited
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Staff background & training Serious
A frequent visitor was observed in a home during the time of an investigation inspection and their wasn't a background check submitted for the frequent visitor.
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 2024-05-14. Correction verified 2024-06-03.
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Illness & medication Serious
During an inspection of a home prescription medication was observed to be left unsecured.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2024-05-13.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Apr 9, 2024 Report · Deficiencies cited
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Staff background & training Serious
A frequent visitor was observed in a home during the time of an investigation inspection and their wasn't a background check submitted for the frequent visitor.
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 2024-05-14. Correction verified 2024-06-03.
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Illness & medication Serious
During an inspection of a home prescription medication was observed to be left unsecured.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2024-05-13.
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Staff background & training Serious
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Mar 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 14, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two of two active child records did not have completed admission assessments.
HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
One of two active child records reviewed did not have an initial service plan completed. The child was placed on 12/19/23.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
One of two active child records did not contain documentation of the service planning 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 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
Two of two child records did not have discharge summaries completed.
HHSC 749.1373(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2024-03-29. Correction verified 2024-03-28.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Mar 14, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two of two active child records did not have completed admission assessments.
HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
One of two active child records reviewed did not have an initial service plan completed. The child was placed on 12/19/23.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
One of two active child records did not contain documentation of the service planning 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 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
Two of two child records did not have discharge summaries completed.
HHSC 749.1373(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2024-03-29. Correction verified 2024-03-28.
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Records & paperwork
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Feb 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Follow up inspection at the agency to verify compliance. CLASS EBI Quarterly Data report for the 2nd quarter reviewed for the agency. The agency has not submitted the 2nd Quarter EBI Report by the compliance date of 8/4/23 as indicated in the monitoring assessment issued on 8/2/23.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-08-25. Correction verified 2023-08-22.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Aug 21, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Follow up inspection at the agency to verify compliance. CLASS EBI Quarterly Data report for the 2nd quarter reviewed for the agency. The agency has not submitted the 2nd Quarter EBI Report by the compliance date of 8/4/23 as indicated in the monitoring assessment issued on 8/2/23.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-08-25. Correction verified 2023-08-22.
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Supervision & ratios
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Aug 2, 2023 Assessment · Deficiencies cited
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Supervision & ratios
The 2nd. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Aug 2, 2023 Assessment · Deficiencies cited
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Supervision & ratios
The 2nd. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Supervision & ratios
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Jul 21, 2023 Report · Deficiencies cited
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Other
Based on information gathered during a review of audio interviews as well as external documentation, it was found the foster parent utilized an excessive timeframe as related to time-out form of discipline for children in care based on the children's age and developmental level.
HHSC 749.1003(b)(4)(B) — Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-11.
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Discipline & child guidance Serious
Based on information gathered during a review of audio interviews as well as external documentation, it was found the foster parent threatened to utilize corporal punishment (spanking) towards children in care.
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 2023-10-06. Correction verified 2023-10-11.
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Safety & premises
Based on information gathered during a review of external documentation, it was found the foster parent utilized confining a child in care to a highchair as a form of discipline.
HHSC 749.1957(12) — Other Prohibited Discipline-Confining a child to a highchair, box, or other similar furniture or equipment as discipline or punishment
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-11.
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Other
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Jul 21, 2023 Report · Deficiencies cited
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Other
Based on information gathered during a review of audio interviews as well as external documentation, it was found the foster parent utilized an excessive timeframe as related to time-out form of discipline for children in care based on the children's age and developmental level.
HHSC 749.1003(b)(4)(B) — Children's rights-Adhere to the child's right to discipline that is appropriate to the child's age and developmental level
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-11.
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Discipline & child guidance Serious
Based on information gathered during a review of audio interviews as well as external documentation, it was found the foster parent threatened to utilize corporal punishment (spanking) towards children in care.
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 2023-10-06. Correction verified 2023-10-11.
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Safety & premises
Based on information gathered during a review of external documentation, it was found the foster parent utilized confining a child in care to a highchair as a form of discipline.
HHSC 749.1957(12) — Other Prohibited Discipline-Confining a child to a highchair, box, or other similar furniture or equipment as discipline or punishment
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-11.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 18, 2023 Inspection · 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
Based on information gathered during a review of documents, it was found one of the four children's records did not contain a signature indicating the child has read and understands rights.
HHSC 749.1005(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Supervision & ratios
Three of four agency home records contained conflicting information as to whether the agency home was transferred or closed. The agency records indicated a transfer summary, however, the summaries reference home closures.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
One of the four foster home records did not have all household members. The home was a transfer home and did not include the home's current placement that transferred along with them. There is no details or notation of the children placed in the home in the home study.
HHSC 749.2447(1) — Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found three of the four foster home records did not reflect all previous Child Placing Agencies affiliated with the foster home.
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 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found two of four home records did not contain documentation of a discussion with prospective foster parents the current reimbursement process as well as assessment of the foster parents' understanding of that process.
HHSC 749.2447(6)(A) — Foster Home Screening-Discuss with prospective foster parents your reimbursement process, if applicable
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Staff background & training Serious
One of four home records did not have documented results for the foster parents in the home study. The section is blank.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2023-08-08. Correction verified 2023-08-21.
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Discipline & child guidance
Based on information gathered during a review of documents, it was found one of the four foster home records did not document the mental as well as physical status of all persons living in the home.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found three of four of the foster home records did not contain two interviews with community members who are unrelated to the foster parent. The home study only contained an interview with one community member.
HHSC 749.2449(A)(8) — Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, one of the four foster home records did not contain at least one individual interview with family member living in the home.
HHSC 749.2449(a)(3) — Interview For Foster Home Screening-Must include at least one individual interview with each person living full or part time with the family
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
One of the four foster home records did not include any family references in the home study.
HHSC 749.2449(a)(7) — Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found one of the four foster home records did not have the required information relating to the community references. This includes the date of contact and method of contact.
HHSC 749.2451(b) — Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
HHSC risk weight: Medium Low. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
One of four foster home records did not detail the appropriateness of the current placement in the home's addendums.
HHSC 749.2453(d)(1) — A CPA must do the following when updating a foster home screening- assess the appropriateness of any current placement of children in the foster home
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
One of four foster home records did not include pictures of the home's exterior and surroundings.
HHSC 749.2470(3)(B) — Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc
HHSC risk weight: Medium Low. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
In one of the four foster home records reviewed, there was no documentation showing written request to the agency for the required background information prior to transferring.
HHSC 749.2473(b) — Background Information-If foster home is transferring from another agency, submit written request to agency for required background information
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Other
Four of four closing summaries reviewed did not include information on the types of treatment services provided to the children the home fostered nor the reason for children's discharges.
HHSC 749.2497(d)(4) — Verification-Transfer/closing summary must include # of children fostered, type of tmt. services provided and reason for discharge.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Other
Three of four agency home closure summaries did not indicate whether the agency required the home to close.
HHSC 749.2497(d)(6) — Verification-A closing summary must include the reason the foster home is closing, including whether you required the foster home to close.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, two of the four foster home records did not contain documented quarterly supervisory visits.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2023-08-08. Correction verified 2023-08-21.
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Safety & premises
Three of the four home records did not obtain documentation of a yearly disaster, fire, and severe weather drill.
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 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
During inspection at the agency, an active agency home record could not be located for review.
HHSC 749.573(b) — Client records-Maintain foster/adoptive home active master record at the office where the child placement staff that is managing the home is located
HHSC risk weight: Low. Corrected 2023-08-01. Correction verified 2023-08-21.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Jul 18, 2023 Inspection · Deficiencies cited
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Records & paperwork
Based on information gathered during a review of documents, it was found one of the four children's records did not contain a signature indicating the child has read and understands rights.
HHSC 749.1005(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Supervision & ratios
Three of four agency home records contained conflicting information as to whether the agency home was transferred or closed. The agency records indicated a transfer summary, however, the summaries reference home closures.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
One of the four foster home records did not have all household members. The home was a transfer home and did not include the home's current placement that transferred along with them. There is no details or notation of the children placed in the home in the home study.
HHSC 749.2447(1) — Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found three of the four foster home records did not reflect all previous Child Placing Agencies affiliated with the foster home.
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 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found two of four home records did not contain documentation of a discussion with prospective foster parents the current reimbursement process as well as assessment of the foster parents' understanding of that process.
HHSC 749.2447(6)(A) — Foster Home Screening-Discuss with prospective foster parents your reimbursement process, if applicable
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Staff background & training Serious
One of four home records did not have documented results for the foster parents in the home study. The section is blank.
HHSC 749.2447(7)(A) — Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HHSC risk weight: High. Corrected 2023-08-08. Correction verified 2023-08-21.
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Discipline & child guidance
Based on information gathered during a review of documents, it was found one of the four foster home records did not document the mental as well as physical status of all persons living in the home.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found three of four of the foster home records did not contain two interviews with community members who are unrelated to the foster parent. The home study only contained an interview with one community member.
HHSC 749.2449(A)(8) — Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, one of the four foster home records did not contain at least one individual interview with family member living in the home.
HHSC 749.2449(a)(3) — Interview For Foster Home Screening-Must include at least one individual interview with each person living full or part time with the family
HHSC risk weight: Medium. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
One of the four foster home records did not include any family references in the home study.
HHSC 749.2449(a)(7) — Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, it was found one of the four foster home records did not have the required information relating to the community references. This includes the date of contact and method of contact.
HHSC 749.2451(b) — Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
HHSC risk weight: Medium Low. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
One of four foster home records did not detail the appropriateness of the current placement in the home's addendums.
HHSC 749.2453(d)(1) — A CPA must do the following when updating a foster home screening- assess the appropriateness of any current placement of children in the foster home
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
One of four foster home records did not include pictures of the home's exterior and surroundings.
HHSC 749.2470(3)(B) — Verification-Includes obtaining pictures of outside of foster home showing buildings, fences, storage areas, recreation areas, bodies of water, etc
HHSC risk weight: Medium Low. Corrected 2023-08-08. Correction verified 2023-08-21.
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Records & paperwork
In one of the four foster home records reviewed, there was no documentation showing written request to the agency for the required background information prior to transferring.
HHSC 749.2473(b) — Background Information-If foster home is transferring from another agency, submit written request to agency for required background information
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-21.
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Other
Four of four closing summaries reviewed did not include information on the types of treatment services provided to the children the home fostered nor the reason for children's discharges.
HHSC 749.2497(d)(4) — Verification-Transfer/closing summary must include # of children fostered, type of tmt. services provided and reason for discharge.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Other
Three of four agency home closure summaries did not indicate whether the agency required the home to close.
HHSC 749.2497(d)(6) — Verification-A closing summary must include the reason the foster home is closing, including whether you required the foster home to close.
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-21.
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Records & paperwork
Based on information gathered during a review of documents, two of the four foster home records did not contain documented quarterly supervisory visits.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2023-08-08. Correction verified 2023-08-21.
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Safety & premises
Three of the four home records did not obtain documentation of a yearly disaster, fire, and severe weather drill.
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 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
During inspection at the agency, an active agency home record could not be located for review.
HHSC 749.573(b) — Client records-Maintain foster/adoptive home active master record at the office where the child placement staff that is managing the home is located
HHSC risk weight: Low. Corrected 2023-08-01. Correction verified 2023-08-21.
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Records & paperwork
-
Jul 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2023 Inspection · Deficiencies cited
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Illness & medication
Children and caregiver interviewed confirmed the caregiver places the children's medications in a container with their water bottle hours in advance of medication administration time. The medication is left with the children in the game room until time for administration. All interviewed confirmed the caregiver watches on the camera as the children administer their own medication.
HHSC 749.1463(b)(6) — Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
HHSC risk weight: Medium High. Corrected 2023-06-20. Correction verified 2023-06-15.
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Supervision & ratios
During an inspection of the home, the game room where the children are to remain throughout the day, was observed to have a key lock, a deadbolt lock, and a chain lock on the outside of the door. The door to the outside was also observed with a key lock. Children and caregiver interviewed confirm the game room door is locked while the children are in the game room, as a method of maintaining supervision.
HHSC 749.2901 — Health and Safety-all agency homes must comply with all applicable fire, health, and safety laws, ordinances, and regulations
HHSC risk weight: Medium High. Corrected 2023-06-20. Correction verified 2023-06-15.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Jun 13, 2023 Inspection · Deficiencies cited
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Illness & medication
Children and caregiver interviewed confirmed the caregiver places the children's medications in a container with their water bottle hours in advance of medication administration time. The medication is left with the children in the game room until time for administration. All interviewed confirmed the caregiver watches on the camera as the children administer their own medication.
HHSC 749.1463(b)(6) — Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
HHSC risk weight: Medium High. Corrected 2023-06-20. Correction verified 2023-06-15.
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Supervision & ratios
During an inspection of the home, the game room where the children are to remain throughout the day, was observed to have a key lock, a deadbolt lock, and a chain lock on the outside of the door. The door to the outside was also observed with a key lock. Children and caregiver interviewed confirm the game room door is locked while the children are in the game room, as a method of maintaining supervision.
HHSC 749.2901 — Health and Safety-all agency homes must comply with all applicable fire, health, and safety laws, ordinances, and regulations
HHSC risk weight: Medium High. Corrected 2023-06-20. Correction verified 2023-06-15.
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Illness & medication
-
Jun 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 31, 2023 Report · Deficiencies cited
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Staff background & training Serious
During an investigation, it was found that a foster parent was aware of a family member being a regular and frequent visitor of the home and babysitter for the home, helping care for the children. The visitor/babysitter does not have an active background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-08-24. Correction verified 2023-08-24.
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Discipline & child guidance
A child's non-emergency admission assessment/intake form was observed to be missing the following required information: -child?s understanding of placement -child?s trauma history -child?s history of abuse/neglect -safety plan employees and caregivers will implement related to high-risk behaviors -current mental health status and results of psychological (diagnoses) and recent psychiatric evaluations -reasons for choosing treatment services -history of inpatient (eight psych hospitalizations) The child's admission assessment/intake form did not include the allergy information pertaining to allergy to shrimp and sweet peas; and notation that due to current medications, the child cannot have grapefruit. The child's admission/assessment/intake form incorrectly identifies the child's legal status as TMC. The child's legal status is PMC with all rights terminated effective 2021/2022.
HHSC 749.1133(b) — Admission Assessment-All information required in this subsection must be documented in admission assessment prior to child's non-emergency admission
HHSC risk weight: Medium Low. Corrected 2023-08-03. Correction verified 2023-08-03.
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Supervision & ratios
A child's preliminary plan did not include/address necessary increased supervision plans to be implemented relating to the child's suicidal and self-harm high risk behaviors.
HHSC 749.1301(b)(3) — Preliminary Service Planning-For child receiving treatment services, describe how agency will meet child's needs
HHSC risk weight: Medium. Corrected 2023-08-03. Correction verified 2023-08-03.
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Records & paperwork
Based on information obtained in interviews and records reviewed, it was found that a child placement staff did not complete the child's admission assessment nor sign the admission assessment. It was learned that a non-child placement staff completed the admission assessment.
HHSC 749.663(a)(1) — Child placement staff responsibilities-Deciding whether to admit a foster child, including completion of an admission assessment
HHSC risk weight: Medium. Corrected 2023-08-03. Correction verified 2023-08-03.
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Staff background & training Serious
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May 31, 2023 Report · Deficiencies cited
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Staff background & training Serious
During an investigation, it was found that a foster parent was aware of a family member being a regular and frequent visitor of the home and babysitter for the home, helping care for the children. The visitor/babysitter does not have an active background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-08-24. Correction verified 2023-08-24.
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Discipline & child guidance
A child's non-emergency admission assessment/intake form was observed to be missing the following required information: -child?s understanding of placement -child?s trauma history -child?s history of abuse/neglect -safety plan employees and caregivers will implement related to high-risk behaviors -current mental health status and results of psychological (diagnoses) and recent psychiatric evaluations -reasons for choosing treatment services -history of inpatient (eight psych hospitalizations) The child's admission assessment/intake form did not include the allergy information pertaining to allergy to shrimp and sweet peas; and notation that due to current medications, the child cannot have grapefruit. The child's admission/assessment/intake form incorrectly identifies the child's legal status as TMC. The child's legal status is PMC with all rights terminated effective 2021/2022.
HHSC 749.1133(b) — Admission Assessment-All information required in this subsection must be documented in admission assessment prior to child's non-emergency admission
HHSC risk weight: Medium Low. Corrected 2023-08-03. Correction verified 2023-08-03.
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Supervision & ratios
A child's preliminary plan did not include/address necessary increased supervision plans to be implemented relating to the child's suicidal and self-harm high risk behaviors.
HHSC 749.1301(b)(3) — Preliminary Service Planning-For child receiving treatment services, describe how agency will meet child's needs
HHSC risk weight: Medium. Corrected 2023-08-03. Correction verified 2023-08-03.
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Records & paperwork
Based on information obtained in interviews and records reviewed, it was found that a child placement staff did not complete the child's admission assessment nor sign the admission assessment. It was learned that a non-child placement staff completed the admission assessment.
HHSC 749.663(a)(1) — Child placement staff responsibilities-Deciding whether to admit a foster child, including completion of an admission assessment
HHSC risk weight: Medium. Corrected 2023-08-03. Correction verified 2023-08-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
May 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
During a sampling visit, it was found that a foster parent was aware of a family member being a regular and frequent visitor of the home, helping care for the children. The visitor does not have a background check submitted.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-05-05. Correction verified 2023-05-23.
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Staff background & training Serious
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May 2, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
During a sampling visit, it was found that a foster parent was aware of a family member being a regular and frequent visitor of the home, helping care for the children. The visitor does not have a background check submitted.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-05-05. Correction verified 2023-05-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
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Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2023 Assessment · Deficiencies cited
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Supervision & ratios
The 4th. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-02-09. Correction verified 2023-02-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 2, 2023 Assessment · Deficiencies cited
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Supervision & ratios
The 4th. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 749.2383(b) — Operation's quarterly data on emergency behavior interventions must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2023-02-09. Correction verified 2023-02-03.
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Supervision & ratios
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Feb 1, 2023 Report · Deficiencies cited
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Records & paperwork Serious
Based on information gathered during interviews as well as agency records, it was found a foster parent utilized inappropriate disciplinary measures and/or technique towards a child in care.
HHSC 749.1951(b)(2) — Disciplinary Measures-Must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2023-03-30. Correction verified 2023-04-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork Serious
-
Feb 1, 2023 Report · Deficiencies cited
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Records & paperwork Serious
Based on information gathered during interviews as well as agency records, it was found a foster parent utilized inappropriate disciplinary measures and/or technique towards a child in care.
HHSC 749.1951(b)(2) — Disciplinary Measures-Must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2023-03-30. Correction verified 2023-04-10.
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Records & paperwork Serious
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
Based on information evaluated from interviews (documented and audio), it was determined a foster parent utilized a belt to spank a child in care as a form of punishment.
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 2023-02-14. Correction verified 2023-02-09.
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Discipline & child guidance Serious
-
Jan 4, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
Based on information evaluated from interviews (documented and audio), it was determined a foster parent utilized a belt to spank a child in care as a form of punishment.
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 2023-02-14. Correction verified 2023-02-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jan 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Report · Deficiencies cited
-
Illness & medication Serious
The medication storage was not double locked during an inspection.
HHSC 749.1521(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: High. Corrected at inspection. Corrected 2023-01-05.
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Illness & medication Serious
-
Dec 12, 2022 Report · Deficiencies cited
-
Illness & medication Serious
The medication storage was not double locked during an inspection.
HHSC 749.1521(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: High. Corrected at inspection. Corrected 2023-01-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2022 Inspection · Deficiencies cited
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Other
During the walk-through of the foster home, it was observed three out of four of the children's bed mattresses did not have a mattress cover and/or protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2022-10-04. Correction verified 2022-10-14.
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Other
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Sep 27, 2022 Inspection · Deficiencies cited
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Other
During the walk-through of the foster home, it was observed three out of four of the children's bed mattresses did not have a mattress cover and/or protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2022-10-04. Correction verified 2022-10-14.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Sep 20, 2022 Report · Deficiencies cited
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Other
Based on information obtained in interviews, it was determined a foster parent was subjecting children in care to abusive and/or profane language.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Safety & premises
Based on information obtained in interviews, it was determined a foster parent utilized a vaporizer in a motor vehicle while transporting children in care.
HHSC 749.2931(c) — Tobacco Products-No one may smoke tobacco products, e-cigarettes, or vaporizers in motor vehicles when transporting children in care
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Other
-
Sep 20, 2022 Report · Deficiencies cited
-
Other
Based on information obtained in interviews, it was determined a foster parent was subjecting children in care to abusive and/or profane language.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Safety & premises
Based on information obtained in interviews, it was determined a foster parent utilized a vaporizer in a motor vehicle while transporting children in care.
HHSC 749.2931(c) — Tobacco Products-No one may smoke tobacco products, e-cigarettes, or vaporizers in motor vehicles when transporting children in care
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2022 Report · Deficiencies cited
-
Staff background & training Serious
Agency employee let her spouse drive the vehicle with children in care to and from a parent-child visit. This poses a risk to the children in the vehicle since the spouse is not an agency employee, required trainings have not been completed, and there was no authorization for the spouse to be present or driving.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2022-10-11. Correction verified 2022-10-13.
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Staff background & training Serious
-
Aug 19, 2022 Report · Deficiencies cited
-
Staff background & training Serious
Agency employee let her spouse drive the vehicle with children in care to and from a parent-child visit. This poses a risk to the children in the vehicle since the spouse is not an agency employee, required trainings have not been completed, and there was no authorization for the spouse to be present or driving.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2022-10-11. Correction verified 2022-10-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Aug 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2022 Assessment · Deficiencies cited
-
Illness & medication
A household member administers medication to a child in care. The household member is not trained nor authorized to administer medication.
HHSC 749.1463(b)(6) — Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
HHSC risk weight: Medium High. Corrected 2022-08-15. Correction verified 2022-08-17.
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Illness & medication Serious
A child's psychotropic medication was observed on the dresser in the child's room, easily accessible.
HHSC 749.1521(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: High. Corrected 2022-08-11. Correction verified 2022-08-23.
-
Illness & medication
-
Aug 8, 2022 Assessment · Deficiencies cited
-
Illness & medication
A household member administers medication to a child in care. The household member is not trained nor authorized to administer medication.
HHSC 749.1463(b)(6) — Administration of Medication-Ensure a person trained in & authorized to administer prescription medication administers the medication
HHSC risk weight: Medium High. Corrected 2022-08-15. Correction verified 2022-08-17.
-
Illness & medication Serious
A child's psychotropic medication was observed on the dresser in the child's room, easily accessible.
HHSC 749.1521(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: High. Corrected 2022-08-11. Correction verified 2022-08-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 25, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Caregiver utilized placing a child on knees for 4 minutes and hitting child on the hand several times as a form of discipline.
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 2022-08-23. Correction verified 2022-08-23.
-
Discipline & child guidance Serious
-
Jul 25, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Caregiver utilized placing a child on knees for 4 minutes and hitting child on the hand several times as a form of discipline.
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 2022-08-23. Correction verified 2022-08-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 12, 2022 Inspection · Deficiencies cited
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Supervision & ratios
After a review of the home study update, a review of agency home in CLASS, and conducting an inspection at the new address, it was found that the home has a total of 6 children in the home, with 4 of them being children in care. CLASS and the home study update indicates 4 foster care capacity and 5 total capacity. A follow-up inspection conducted on 04/12/2022 verified that the verification certificate posted in the foster home capacity did not reflect a change. The capacity listed on the license showed a total capacity of 5, and their are a total of 6 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 2022-04-18. Correction verified 2022-04-13.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Apr 12, 2022 Inspection · Deficiencies cited
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Supervision & ratios
After a review of the home study update, a review of agency home in CLASS, and conducting an inspection at the new address, it was found that the home has a total of 6 children in the home, with 4 of them being children in care. CLASS and the home study update indicates 4 foster care capacity and 5 total capacity. A follow-up inspection conducted on 04/12/2022 verified that the verification certificate posted in the foster home capacity did not reflect a change. The capacity listed on the license showed a total capacity of 5, and their are a total of 6 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 2022-04-18. Correction verified 2022-04-13.
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Supervision & ratios
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Mar 29, 2022 Inspection · Deficiencies cited
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Other
During the inspection, the home's verification certificate was not posted nor did the foster parent have a copy. The only posting observed was that of the registered day care in the home.
HHSC 749.2481(b) — Verification Certificate-The home must post the current verification certificate or have it immediately available upon request
HHSC risk weight: Low. Corrected 2022-04-08. Correction verified 2022-04-12.
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Supervision & ratios
After a review of the home study update, a review of agency home in CLASS, and conducting an inspection at the new address, it was found that the home has a total of 6 children in the home, with 4 of them being children in care. CLASS and the home study update indicates 4 foster care capacity and 5 total capacity.
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 2022-04-01. Correction verified 2022-04-12.
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Other Serious
During inspection of the weapons storage, the foster parent's hand gun was observed to be loaded and did not have a trigger lock device. It is noted that while the foster parent has the key to the weapons storage, the cabinet was observed to be located in children's bedroom.
HHSC 749.2961(a)(1)(D) — Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock.
HHSC risk weight: High. Corrected 2022-04-04. Correction verified 2022-04-12.
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Other
During the inspection at the foster home's new address, one bedroom occupied by 3 children (and the caregiver) has a dimension of 115 sq ft and is only able to accommodate 2 children.
HHSC 749.3021(a) — Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-12.
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Other
During inspection at the foster home's new location, 3 of the 4 children are sharing a bedroom with the caregiver. One of the 3 children is over the age of 4.
HHSC 749.3027(a)(2) — Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-12.
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Other
During the inspection of the foster home's new address, it was observed that a child in care is sharing a bed with a minor household member.
HHSC 749.3031(a) — Beds and bedding-each child shall have his own bed and mattress
HHSC risk weight: Medium High. Corrected 2022-04-08. Correction verified 2022-04-12.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 29, 2022 Inspection · Deficiencies cited
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Other
During the inspection, the home's verification certificate was not posted nor did the foster parent have a copy. The only posting observed was that of the registered day care in the home.
HHSC 749.2481(b) — Verification Certificate-The home must post the current verification certificate or have it immediately available upon request
HHSC risk weight: Low. Corrected 2022-04-08. Correction verified 2022-04-12.
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Supervision & ratios
After a review of the home study update, a review of agency home in CLASS, and conducting an inspection at the new address, it was found that the home has a total of 6 children in the home, with 4 of them being children in care. CLASS and the home study update indicates 4 foster care capacity and 5 total capacity.
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 2022-04-01. Correction verified 2022-04-12.
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Other Serious
During inspection of the weapons storage, the foster parent's hand gun was observed to be loaded and did not have a trigger lock device. It is noted that while the foster parent has the key to the weapons storage, the cabinet was observed to be located in children's bedroom.
HHSC 749.2961(a)(1)(D) — Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock.
HHSC risk weight: High. Corrected 2022-04-04. Correction verified 2022-04-12.
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Other
During the inspection at the foster home's new address, one bedroom occupied by 3 children (and the caregiver) has a dimension of 115 sq ft and is only able to accommodate 2 children.
HHSC 749.3021(a) — Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-12.
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Other
During inspection at the foster home's new location, 3 of the 4 children are sharing a bedroom with the caregiver. One of the 3 children is over the age of 4.
HHSC 749.3027(a)(2) — Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-12.
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Other
During the inspection of the foster home's new address, it was observed that a child in care is sharing a bed with a minor household member.
HHSC 749.3031(a) — Beds and bedding-each child shall have his own bed and mattress
HHSC risk weight: Medium High. Corrected 2022-04-08. Correction verified 2022-04-12.
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Other
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Mar 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2022 Inspection · Deficiencies cited
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Safety & premises
A foster home plug outlets in part of the home were not working.
HHSC 749.2901 — Health and Safety-all agency homes must comply with all applicable fire, health, and safety laws, ordinances, and regulations
HHSC risk weight: Medium High. Corrected 2022-02-22. Correction verified 2022-03-29.
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Cleanliness & sanitation
During an inspection a foster home hot water was not working due to the hot water heater not working properly.
HHSC 749.3035(b) — Bathrooms-All lavatories, tubs, and showers must have hot and cold running water
HHSC risk weight: Medium Low. Corrected 2022-02-22. Correction verified 2022-03-29.
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Cleanliness & sanitation
During an inspection a foster home was observed to be unclean. The floors, furniture, and counters were covered in clutter. The beds didn't have any covers or pillows on the beds.
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 2022-02-22. Correction verified 2022-03-29.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Feb 11, 2022 Inspection · Deficiencies cited
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Safety & premises
A foster home plug outlets in part of the home were not working.
HHSC 749.2901 — Health and Safety-all agency homes must comply with all applicable fire, health, and safety laws, ordinances, and regulations
HHSC risk weight: Medium High. Corrected 2022-02-22. Correction verified 2022-03-29.
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Cleanliness & sanitation
During an inspection a foster home hot water was not working due to the hot water heater not working properly.
HHSC 749.3035(b) — Bathrooms-All lavatories, tubs, and showers must have hot and cold running water
HHSC risk weight: Medium Low. Corrected 2022-02-22. Correction verified 2022-03-29.
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Cleanliness & sanitation
During an inspection a foster home was observed to be unclean. The floors, furniture, and counters were covered in clutter. The beds didn't have any covers or pillows on the beds.
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 2022-02-22. Correction verified 2022-03-29.
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Safety & premises
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Feb 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 17, 2021 Inspection · Deficiencies cited
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Safety & premises
One of three child records reviewed did not contain an admission assessment.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2021-12-01. Correction verified 2021-12-02.
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Other
One child's admission assessment was not completed prior to admission. The child was placed on 4/8/2021. The assessment was not completed until 11/17/2021.
HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-17.
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Records & paperwork
Two of three child records did not have documentation of notification of service plan meetings.
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 at inspection. Corrected 2021-11-17.
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Records & paperwork
One of three child records reviewed did not have a service plan review completed by the due date.
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 2021-12-01. Correction verified 2021-12-02.
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Records & paperwork
Upon review of child records, necessary documents were missing and not filed properly. Two of three child records were missing required documentation that is needed for proper record maintanence.
HHSC 749.535(a)(1) — Active records-All documentation in the record no later than 30 days after the occurrence or event
HHSC risk weight: Low. Corrected 2021-12-01. Correction verified 2021-12-02.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Nov 17, 2021 Inspection · Deficiencies cited
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Safety & premises
One of three child records reviewed did not contain an admission assessment.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2021-12-01. Correction verified 2021-12-02.
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Other
One child's admission assessment was not completed prior to admission. The child was placed on 4/8/2021. The assessment was not completed until 11/17/2021.
HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-17.
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Records & paperwork
Two of three child records did not have documentation of notification of service plan meetings.
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 at inspection. Corrected 2021-11-17.
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Records & paperwork
One of three child records reviewed did not have a service plan review completed by the due date.
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 2021-12-01. Correction verified 2021-12-02.
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Records & paperwork
Upon review of child records, necessary documents were missing and not filed properly. Two of three child records were missing required documentation that is needed for proper record maintanence.
HHSC 749.535(a)(1) — Active records-All documentation in the record no later than 30 days after the occurrence or event
HHSC risk weight: Low. Corrected 2021-12-01. Correction verified 2021-12-02.
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Safety & premises
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.