Families Especial Inc

During a review conducted on December 15,2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 plan, 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 December 4, 2025, your operation?s ?planned end date? must now be revised, 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 high and medium high weighted citations in a pattern/trend category on December 4, 2025. Specifically, the operation was cited for standard 749.1521 (1) Medication Storage-Store medication in a locked container and 749.3041(1) Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair. The operation has pending corrections. ? 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 plan.

Foster home did not have smoke detector in working order when they had an unnounced visit in the home.

During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 plan, 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 May 29, 2025, your operation?s ?planned end date? must now be revised, 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, medium high and medium weighted citations in a pattern/trend category on May 29, 2025. Specifically, the operation was cited for standard 745.621(a)(7) Background Checks-AP Initial background checks submitted-At the time you become aware of anyone requiring a background check under 745.605, 749.2447(9) Foster Home Screening-Agency documents and discuss health status of all persons living in the home (physical, mental, substance abuse), and 749.2447(3)(A) Foster Home Screening-Agency documents that prospective foster parents show emotional stability, good character, good health, adult responsibility. The corrections are currently pending. ? 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 plan.

Nanny was observed having unsupervised interactions with child in care, but operation does not have a background check on her.

One home study did not fully assess the foster parent's emotional stability because questions were not asked regarding how the foster parent handles stress and how she relieves stress. Also, possible trauma was not assessed when foster parent stated she witnessed someone being shot in the head when she was a child.

Substance abuse history was not assessed in two home studies reviewed.

Normalcy training was found delinquent during the review of two (2) foster parent training records.

During the review of training records, the foster parent training was found to be delinquent.

Foster parent did NOT document (online) medication log within 24 hours after administering medications two children.

During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan 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 plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. 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 December 2, 2024. Specifically, the operation was cited for 749.2593 (a)(2) Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity and for 749.509(a) Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline. The operation has pending corrections. - 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 plan.

A 17-year-old household member did not have a background check completed.

The foster parent did not update the number of pills received on the medication (electronic) log.

Child's medication was not documented on the (electronic) medication log within 24 hours of being administered.

Medications were observed under a bathroom sink and were not locked in a container.

Foster parent confronted a child in care in an intimidating manner.

A child under the age of 5 was administered a nonprescribed medication and was not documented.

Foster parent did not sign/initial the medication log after administering a medication to a child in care.

Medications were found unsecured.

The current cumulative medication records (medication logs) for 2 children in care were not maintained correctly.

The dosage of the child s psychotropic medication increased, however the change was not indicated on the medication electronic log. The medication log also indicates the child medication was not administered since the prescription was changed on 12/13/2023.

Child's medication was not documented on the (electronic) medication log within 24 hours of being administered.

Serious incident requiring medical treatment for child was not called in timely.

4 out of the 5 children stated that foster parent would either pull them by the ear or arm when in trouble.

4 out of 5 of the children confirmed that foster parent has either "hit"/"pat" them on the back/arm.

4 out of 5 children confirmed that foster parent yells at them when in trouble.

4 out of 5 of the children stated that they are placed in time out.

3 out of 5 children confirmed that foster parent would threaten them with loss of placement if they kept misbehaving during time out.

Through out investigation there was concerns with inappropriate discipline going on the home with children in care. One child was hit on the head another child hit in the head with a broom. .

There is concern caregiver did not inform the agency about medication change that had significant side effects.

Background check was not submitted for a household member.