Circles of Care

A bottle of Pepto-Bismol was observed unlocked on a shelving unit in the upstairs bathroom used by the children. Hydrogen peroxide, a chemical compound unsafe for children when ingested, was also observed accessible to children on the shelving unit. The items were locked up by the foster parent during the visit.

During a review conducted on October 10, 2025, 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 the recent citations issued on 9/29/2025, 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 1 high and 2 medium-high, citations in a pattern/trend category on September 29, 2025. Specifically, the operation was cited for 745.635(2) High, Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter, 749.3041(2) Med-High, Physical Environment-Foster home must ensure that equipment and furniture are safe for children, kept clean, and in good repair, 749.2593(c)(6) Med-High, Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500.

Medication for children and foster parent was observed in the refrigerator unlocked and accessible to children.

Two children in care are sleeping on beds without covers/protectors.

The caregiver reported that a relative visits the home several times a week. This parent does not have an approved background check.

A child in care was placed in a baby walker and allowed to move around the home.

A prescription medication was observed in the refrigerator. The medication was not in a locked container and accessible to children.

Expired and non-expired medications were observed stored together in the same locked container.

During a review conducted on April 8, 2025, 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, the 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 both a medium-high and high weighted citation in a pattern/trend category on April 1, 2025. Specifically, the operation was cited for 749.3041(7) Med-High, Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, and 749.1521(1) High, Medication Storage-Store medication in a locked container. The operation has not yet met compliance. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Medication log not completed for child in care.

Caregiver is required to have children within hearing distance to ensure children in care?s safety.

Agency did not report household members arrest timely to Licensing.

A household member, with background restrictions, is transporting and administrating medication nightly to children in care.

In reviewing 3 children files, there was no documentation of contacts made where children were asked questions to ensure a safety plan is being followed.

Caregiver did not report incident to the hotline.

Discontinued medication was observed in the home's refrigerator.

Refrigerated medication was observed unlocked next to a condiment item in the refrigerator door.

Foster parent could not locate the current month's medication log sheet for a child in care during the inspection. Copies of the medication log were sent by the case manager the following day.

During a review conducted on October 7, 2024, 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, the 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Foster Parent yelled at a child in care as a form of re-direction.

Foster Parent did not show self-control when she engaged in a verbal altercation with a child.

The kitchen window of the home was broken with sharp glass exposed.

Children in care disclosed that the foster parent would threaten to take them to a mental hospital.

Children in care disclosed that the foster parent left them home alone multiple times on different occasions.

Foster parent provided unfair treatment and inappropriate consequences for a child in care. The child in care was blamed for something their biological child would do.

The bassinet a 2-month-old infant sleeps in was observed with blankets in it. One blanket was covering the surface of the bassinet, and a second blanket was seen on top of that one with the corners tucked in.

During a review conducted on April 3, 2024, 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, the 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

During a review conducted on October 2, 2023, 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, the 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

One of the children's mattresses was being placed directly on the floor.

The second level of the foster home did not have a fire extinguisher.

A foster child?s bed was observed to not be in good repair.

During the investigation walkthrough, there was an open area in the residence where there were some tiles missing, loose and exposes cement on the floor.

During the investigation, there were two individuals over the age of 14 years old without an approved background check caring for the foster children.

During a home visit on 6/6/23, Cascade pods were observed within children?s reach sitting on top of the kitchen table in a plastic bin. Listerine mouthwash was also observed on the bathroom counter and there was a bottle of Febreze fabric spray in the children?s bedroom on the changing table. Children were present during the visit. Photos were taken. The concerns were corrected at the time of the visit.

A child in care had access to prescribed medication.

During a review conducted on March 31, 2023, 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 citation issued on March 9, 2023, 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 high-weighted citation in a pattern/trend category on March 9, 2023. Specifically, the operation was cited for 749.2593(a)(4) High, Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety. The operation met compliance on March 16, 2023. Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

A household member, who has provided babysitting duties does not have the required training set forth by the Operations babysitter Policy.

A relative of the foster parent had been staying in the home and had access to the foster children. The relative did not have an approved background check.

The Agency did not run a background checks on a frequent visitor.

A caregiver allowed a child to be exposed to domestic violence.

During a review conducted on September 30, 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, the 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium High or High weighted licensing citations.

Foster parent was not accountable for a child's on-going activity when a child was able to access and ingest prescription medication.

Foster parent did not store medication in a locked container.

At the time of the inspection the agency did not have a designated full time Child Care Administrator.

Upon reviewing a child's records documentation of a child's tuberculosis screening was not found.