Guiding Light

The background check has not been validated in over 90 days.

During HHSC review, it was determined that the caregiver left child in the care of 14-year-old and 12-year-old for 30 minutes.

The child's preliminary service plan did not address the level of supervision required.

A child file did not have allergies/chronic health conditions on the front cover or clearly visible location.

Caregiver trainings, preliminary service plan and service plans were not in their respective files.

Staff did not provide requested documentation in a timely manner.

Foster home caregiver does not have a current psychotropic medication training.

The service plans read had generic statements for goals, with same documentation on all the service plans in the children's files. The service plans read had generic statements for goals, with same documentation on all the service plans in the children's files.

A caregiver did not take into account the child's mental health diagnosis when evaluating a child's progress or condition. A caregiver uses language about children in care's behavior and actions that hasn't been evaluated or conferenced with mental health professionals or the parent/conservator or the child.

The unauthorized absence log was missing 2 incidents of unauthorized absences by a child. The unauthorized absence log was also missing the date of admission for 9 of 14 entries in the log.

11 out of 11 unauthorized absence serious incident reports reviewed did not contain any mention of a debriefing with the child after they returned to care.

A foster home screening reviewed did not document the following standards. 749.2447 (18) Extended family for the foster parents was not addressed. 749.2447 (23) previous agency information, only 1 out of 4 prior agencies were requested.

There were several certificates that did not list the qualifications of the trainers.

Two serious incident reports were not reported in the required timeframe to Licensing.

One employee file reviewed did not have verification of the employee's orientation.

3 serious incident reports were reviewed and were missing the following items: 749.511 (1) address and phone number of foster parents missing on one report. 749.511 (3) gender, age and date of placement of the child, three missing part of this standard. 749.511 (7) circumstances surrounding incident were missing on two reports. 749.511 (10) the resolution of the incident, missing on one report.

An employee's file was reviewed and did not have the date of employment. In addition, the following standards were also missing. 749.553 (3) Job description 749.553 (6) A notarized licensing Affidavit for Employment 749.553(7) A statement signed by employee stating they received a copy of the operational policies and they understand. 749.553(8) Statement from employee stating they understand the requirements for reporting abuse.

There were items that were missing from the staff and children's files that were provided during the inspection.

Agency had a training certificate that was not valid. After a review of the training certificate it was found to have been created by the caregiver and not genuine.

There were multiple items that were missing from the employee and children's files that were provided during the inspection.

1 out of 2 files that were reviewed did not have the date of employment. In addition, the following standards were also missing. 749.553 (3) Job description 749.553(7) A statement signed by employee stating they received a copy of the operational policies and they understand. 749.553(8) Statement from employee stating they understand the requirements for reporting abuse. 759.53(9) Proof that the employee has a cleared background in the file.

4 out of 4 incident reports were reviewed and they were missing the following information: 749.511(1) Foster families, name, address and phone number 749.511(2) Date and time of the incident 749.511(3) Gender, age and admission date of the child 749.511(4) Name of all adults and their role 749.511(5) Name of witness 749.511(8) Any follow up information 749.511 (10) Resolution of the incident

There was one staff that had training expire in February 2021.

There was one quarterly visit that did not have the required information on the report. In addition, it did not have the signatures of the parents or the person that conducted the visit.

There were several certificates that did not list the qualifications of the trainers.

There was one certificate that did not have the length of the training.

The foster parent did not document that medication was given to children in care for 5 days. In addition, the doctors name was not listed on the form.

There was a 3-week old infant observed sleeping with a blanket around the body and a rolled-up blanket used as a bumper pad in the basinet. The infant was also sleeping on a pillow in the basinet and the sheets were not fitted.

A 3-week-old infant sleeps in the bed with the foster parent. The infant is in a "co-sleeper bed" that sits in the middle of the foster parent?s bed.

A child missed two dosages of medication, due to the child sleeping early. The medication error was not documentation thoroughly.

A child care was not provided tutoring services as needed.

A child was not allowed privacy during phone calls with their CASA worker.

ammunition was observed stored in the same locked container as the weapon. There were loaded clips stored with the weapon

Two serious incident reports were not reported to Licensing. Children in care had a contusion on left foot and a contusion on the right forearm.