Children's Hope Residential Services, Inc. - CPA

A foster home had knives that were easily accessible to children in care.

This standard was found deficient as part of a DFPS Investigation.

Foster parent stated that they had not been documenting any medication that was administered to the children in care.

Raw chicken was left out on a picnic table while camping for at least 45 minutes.

Foster parent admitted to not giving a child in care medication on several occasions. Foster parent also contacted the child's psychiatrist and stated they would no longer given the child medication until a new doctor was found.

A foster parent left a child in care that had an active safety plan that required the child to be in auditory and visual range at all times, alone at a campsite that was within 100 yards of a lake for at least 45 minutes.

Serious incident reports did not have the address or telephone number of the foster home.

Foster parent removed the bedroom doors.

Medication stored in the fridge was not in a locked container.

A child in care and foster parents are sleeping in a room that is used as a passageway

Medication stored in the fridge was not in a locked container.

There was a bb rifle on the back porch and bbs on the mini fridge on a table in the back porch.

A foster home allowed a frequent visitor to move into the home without having the correct background check for their role completed.

During a review conducted on September 2, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on June 20, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a low-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.2470(9)(F) Verification Certificate- Specifies the types of services the foster home will provide. The operation met compliance on June 24, 2022. Your operation received a high-weighted citation in a pattern/trend category on June 20, 2022. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on June 24, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring

A caregiver disciplined a 1 year old child in care through yelling and threatening physical punishment. A second caregiver in the home participated in inappropriate discipline by directing a 3 year old child in care to watch as the 1 year old child was disciplined.

A caregiver failed to act in a manner that would prevent abuse by engaging in inappropriate discipline of a 1 year old child. A second caregiver failed to intervene on behalf of each child's safety by promoting a 3 year old child in care to watch as inappropriate discipline was implemented and failed to intervene for either child's safety.

A 1 year old child in care was disciplined by a caregiver by being forced to hold his arms up in a steady position.

A 1 year old and 3 year old children in care were subjected to inappropriate discipline not consistent with their age including corporal punishment, threatening physical punishment, and yelling. A caregiver witnessing the incident did not intervene or take action to remove children from harm.

The agency did not document or complete an addendum for the home when the home stopped providing care for kinship placements and began accepting placements for unrelated children in care.

Medication was not stored properly.

A caregiver was previously dispensing daily medications into a 7 compartment weekly pill organizer and children would retrieve their medications from an assigned compartment each morning.