Kids Grace Child Placement Agency
License Information
- Status
- Licensed
- License #
- 1654173- 12351
- Expires
- June 12, 2026
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
144 records- routine#862260249
No violations found. All areas in compliance.
No violations
- routine#862260248
No violations found. All areas in compliance.
No violations
- routine#862260247
No violations found. All areas in compliance.
No violations
- routine#862260246
No violations found. All areas in compliance.
No violations
- routine#862260245
No violations found. All areas in compliance.
No violations
- routine#862260244
1 violation found (1 high severity).
Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
HighThe administrator hired on 12/3/2025 is not listed as a controlling person.
745.903(2)Corrected 2026-01-06 - routine#862260243
No violations found. All areas in compliance.
No violations
- routine#862260242
3 violations found (1 high, 2 medium severity).
Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months
MediumThe income was not verified by 60 days of pay stubs.
749.2447(6)(B)(i)Corrected 2025-12-23Verification-Before agency can verify foster home, child placement management staff must review and approve home study, screening, and verification
HighThe home was verified before Child Placement Management Staff approved the foster home screening.
749.2477(1)Corrected 2025-12-23Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home
Medium3 of 6 adult children were not interviewed.
749.2449(a)(6)Corrected 2025-12-23 - self-report#862370105
No violations found. All areas in compliance.
No violations
- routine#862260241
2 violations found (1 medium, 1 low severity).
General dental requirements-Child's record must have a copy of the results of the dental exam
MediumThe child?s dental appointment documentation did not include any results of the dental examination.
749.1409(b)(1)Corrected 2025-12-15Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
LowThe service plans do not have a child's signature.
749.1321(b)(2)Corrected 2025-12-04 - routine#862260240
No violations found. All areas in compliance.
No violations
- routine#862260239
No violations found. All areas in compliance.
No violations
- routine#862260238
1 violation found (1 medium severity).
Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home
MediumThere is no documentation in the home screening of the interview of one of five adult children.
749.2449(a)(6)Corrected 2025-11-25 - routine#862260237
No violations found. All areas in compliance.
No violations
- self-report#862370104
1 violation found (1 high severity).
Supervisory Visits-At least two supervisory visit per year must be unannounced
HighThe first three supervisory quarterly visits were conducted announced, leaving one quarter to be conducted unannounced.
749.2815(b)Corrected 2025-12-16 - routine#862260236
No violations found. All areas in compliance.
No violations
- assessment#862396897
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-placing agency administrator
HighThe operation has failed to hire a full-time administrator.
749.151(1)Corrected 2025-12-03 - complaint#862370103
1 violation found (1 high severity).
Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HighSeveral entities who had visited a foster home expressed concerns regarding the foster home being unclean.
749.3041(1)Corrected 2025-12-15 - routine#862260235
No violations found. All areas in compliance.
No violations
- routine#862260234
No violations found. All areas in compliance.
No violations
- complaint#862370102
No violations found. All areas in compliance.
No violations
- complaint#862370101
1 violation found (1 high severity).
Initial Service Plan-For children who exhibit high risk behavior, must include specific information
HighSpecific information regarding a child's risk of runaway and plans to address this risk for a child with recent runaway history was not included in the child's service plan.
749.1309(b)(1)(H)Corrected 2025-11-20 - self-report#862370100
No violations found. All areas in compliance.
No violations
- routine#862260233
No violations found. All areas in compliance.
No violations
- routine#862260232
No violations found. All areas in compliance.
No violations
- routine#862260231
No violations found. All areas in compliance.
No violations
- routine#862260230
No violations found. All areas in compliance.
No violations
- routine#862260229
No violations found. All areas in compliance.
No violations
- assessment#862396896
No violations found. All areas in compliance.
No violations
- self-report#862370099
No violations found. All areas in compliance.
No violations
- self-report#862370098
No violations found. All areas in compliance.
No violations
- routine#862260228
2 violations found (2 medium severity).
Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months
MediumThere is not proof of pay stubs in the home file.
749.2447(6)(B)(i)Corrected 2025-10-01Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
MediumThe home had a previous agency that was not assessed in the home screening.
749.2447(23)(A)Corrected 2025-10-01 - assessment#862396895
No violations found. All areas in compliance.
No violations
- routine#862260227
No violations found. All areas in compliance.
No violations
- self-report#862370097
3 violations found (2 high, 1 medium severity).
Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HighIt is not documented in the serious incident report or the unauthorized absence log that debriefing occured after child in care ran away.
749.592(a)Corrected 2025-11-20Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumDuring Investigation, it was discovered that child ran away from work location but the incident was not reported to licensing until 2 days later.
749.503(a)(10)(A)Corrected 2025-11-19Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HighA child in care ran away and then notified foster parent about here whereabouts. The child was informed to wait until the other foster children were done with work. The child left again with the adult
749.2593(a)(2)Corrected 2025-11-24 - routine#862260226
No violations found. All areas in compliance.
No violations
- self-report#862370096
No violations found. All areas in compliance.
No violations
- routine#862260225
No violations found. All areas in compliance.
No violations
- assessment#862396894
1 violation found (1 high severity).
Operational responsibilities - Designate a qualified full-time child-placing agency administrator
HighThe operation failed to hire a full-time administrator within 60 days of the position becoming vacant.
749.151(1)Corrected 2025-10-02 - complaint#862370095
1 violation found (1 low severity).
Maintain records-Keep verified foster home records, including a home that did not receive placements, for at least 5 years after foster home is closed
LowThe operation did not have foster home records for a foster home that closed in June 2021.
749.585(c)Corrected 2025-10-17 - routine#862260224
No violations found. All areas in compliance.
No violations
- self-report#862370094
No violations found. All areas in compliance.
No violations
- routine#862260223
2 violations found (1 high, 1 medium severity).
General dental requirements-Child must receive dental care as needed for ongoing maintenance of dental health
HighOne of two children files reviewed did not have documentation of a doctor's visit since September 2023.
749.1409(a)(4)Corrected 2025-09-11TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at operation
MediumTwo of two children reviewed do not have TB test results documented in the file.
749.1417(b)Corrected 2025-08-27 - routine#862260222
No violations found. All areas in compliance.
No violations
- complaint#862370093
No violations found. All areas in compliance.
No violations
- routine#862260221
1 violation found (1 medium severity).
Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
MediumThe individual interviews of the references were not documented in the home screening.
749.2451(b)Corrected 2025-08-06 - routine#862260220
1 violation found (1 medium severity).
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
MediumThere are 6 background checks needing to be inactivated.
745.651(1)Corrected 2025-07-22 - routine#862260219
3 violations found (3 medium severity).
Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months
MediumProof of income for the past 60 days or two complete calendar months was not documented in the home screening.
749.2447(6)(B)(i)Corrected 2025-07-08Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
MediumThe home screening does not address how previous relationships ended.
749.2447(4)Corrected 2025-07-08Interview For Foster Home Screening-Must include one interview by phone/in person or letter with child 12 yrs and older or adult children not in home
MediumThe home screening does not have 3 adult children interviews.
749.2449(a)(6)Corrected 2025-07-08 - complaint#862370092
1 violation found (1 medium severity).
Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
MediumThere is not an interview with a family member living outside of the home and not already interviewed in the home screening.
749.2449(a)(7)Corrected 2025-07-18 - complaint#862370091
3 violations found (3 medium severity).
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
MediumA child's service plan was not updated within 180 days from the last plan.
749.1331(1)Corrected 2025-08-07Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
MediumThere is not an interview with a family member living outside of the home and not already interviewed in the home screening.
749.2449(a)(7)Corrected 2025-08-07Service Planning-Complete the initial service plan within 45 days after child is admitted
MediumA child's initial service plan was not completed within 45 days of being admitted.
749.1307Corrected 2025-08-07 - routine#862260218
3 violations found (3 medium severity).
Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
MediumAn interview with a family member was not included in the home screening.
749.2449(a)(7)Corrected 2025-06-27Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community
MediumThere is only one interview with an unrelated reference in the home screening.
749.2449(A)(8)Corrected 2025-06-27Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages
MediumThe foster parent's previous interpersonal relationships are not documented in the home screening.
749.2447(10)Corrected 2025-06-27 - complaint#862370090
No violations found. All areas in compliance.
No violations
- routine#862260217
No violations found. All areas in compliance.
No violations
- routine#862260216
No violations found. All areas in compliance.
No violations
- routine#862260215
1 violation found (1 high severity).
AP Renewal background checks submitted -No later than 5 yrs from date last submitted subjects initial or renewal fingerprint-based criminal hist check
HighA background check for a respite provider has expired.
745.621(b)(1)(A)Corrected 2025-05-23 - routine#862260214
No violations found. All areas in compliance.
No violations
- routine#862260213
No violations found. All areas in compliance.
No violations
- routine#862260212
No violations found. All areas in compliance.
No violations
- self-report#862370089
No violations found. All areas in compliance.
No violations
- complaint#862370088
4 violations found (2 high, 2 medium severity).
Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighA foster parent's criminal history was not included in the home screening.
749.2447(7)(A)Corrected 2025-05-23Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
HighTwo children in care did not have a medical exam within the allotted time.
749.1151(a)Corrected 2025-05-23Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
MediumA former foster parent and household member still have active background checks. The foster home was closed on 4/1/2025.
745.651(1)Corrected 2025-05-23Operational responsibilities - Maintain current, true, accurate, and complete records
MediumThere is a false statement on the closing summary.
749.151(3)Corrected 2025-05-23 - routine#862260211
No violations found. All areas in compliance.
No violations
- routine#862260210
No violations found. All areas in compliance.
No violations
- routine#862260209
No violations found. All areas in compliance.
No violations
- routine#862260208
No violations found. All areas in compliance.
No violations
- routine#862260207
No violations found. All areas in compliance.
No violations
- complaint#862370087
No violations found. All areas in compliance.
No violations
- routine#862260206
No violations found. All areas in compliance.
No violations
- routine#862260205
No violations found. All areas in compliance.
No violations
- self-report#862370086
No violations found. All areas in compliance.
No violations
- routine#862260204
No violations found. All areas in compliance.
No violations
- routine#862260203
No violations found. All areas in compliance.
No violations
- self-report#862370085
1 violation found (1 high severity).
Medication Storage-Store medication in a locked container
HighMedication was observed on the foster parent's dresser and side table in the master bedroom. This was corrected when the foster parent moved the medication to a locked container.
749.1521(1)Corrected 2025-01-28 - routine#862260202
No violations found. All areas in compliance.
No violations
- routine#862260201
No violations found. All areas in compliance.
No violations
- assessment#862396893
1 violation found (1 medium severity).
Fiscal requirements-Establish and maintain the agency on a sound fiscal basis
MediumThe agency has not provided an annual review of financial records conducted by an independent Certified Public Accountant or documentation to support reserve funds equal to at least three months of operating expenses.
749.161(a)Corrected 2025-04-14 - complaint#862370084
1 violation found (1 high severity).
Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighInappropriate pictures were sent to the school of a child in care.
749.607(1)Corrected 2024-11-08 - routine#862260200
No violations found. All areas in compliance.
No violations
- self-report#862370083
No violations found. All areas in compliance.
No violations
- complaint#862370082
No violations found. All areas in compliance.
No violations
- routine#862260199
2 violations found (1 high, 1 medium severity).
Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HighThere was no debriefing documented for an unauthorized absence that was reviewed.
749.592(a)Corrected 2024-09-03Administrative and prof. staff excluding those working only with adoption or PMN services must have 8hrs EBI training within 90 days of employment.
MediumA staff member did not have 8 hours of EBI completed as part of their pre service training.
749.864(a)(2)Corrected 2024-09-03 - routine#862260198
No violations found. All areas in compliance.
No violations
- complaint#862370081
No violations found. All areas in compliance.
No violations
- assessment#862396892
1 violation found (1 medium severity).
Fiscal requirements-Establish and maintain the agency on a sound fiscal basis
MediumThe agency has not provided an annual review of financial records conducted by an independent Certified Public Accountant or proof of reserve funds equal to at least three months of operating expenses.
749.161(a)Corrected 2024-08-31 - routine#862260197
No violations found. All areas in compliance.
No violations
- assessment#862396891
1 violation found (1 medium severity).
Fiscal requirements-Establish and maintain the agency on a sound fiscal basis
MediumThe agency has not provided proof of funds with bank statements or an annual review that show funds equal to at least 3 months of operating expenses.
749.161(a)Corrected 2024-05-30 - routine#862260196
No violations found. All areas in compliance.
No violations
- self-report#862370080
1 violation found (1 medium severity).
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
MediumA staff member's background check was run on 08/22/2023. The staff member was employed and paid until April 2024. The background check was made inactive as of 06/18/2024.
745.651(1)Corrected 2024-06-18 - routine#862260195
No violations found. All areas in compliance.
No violations
- complaint#862370079
No violations found. All areas in compliance.
No violations
- complaint#862370078
No violations found. All areas in compliance.
No violations
- assessment#862396890
1 violation found (1 medium severity).
Fiscal requirements-Establish and maintain the agency on a sound fiscal basis
MediumThe agency has not provided proof of funds with bank statements or an annual review that show funds equal to at least 3 months of operating expenses.
749.161(a)Corrected 2024-04-22 - routine#862260194
3 violations found (1 high, 2 medium severity).
Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
MediumDuring the inspection,it was noted that a serious incident had not been reported at all.
749.503(a)(11)(A)Corrected 2024-03-08Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
MediumDuring the inspection it had been over three months since the people list had been validated in CLASS.
745.651(2)(A)Corrected 2024-03-08Supervisory Visits-At least two supervisory visit per year must be unannounced
HighDuring the time of inspection two home records only had one unnaunced supervisory visit conducted in 2023.
749.2815(b)Corrected 2024-03-08 - complaint#862370077
No violations found. All areas in compliance.
No violations
- complaint#862370076
No violations found. All areas in compliance.
No violations
- complaint#862370075
No violations found. All areas in compliance.
No violations
- routine#862260193
No violations found. All areas in compliance.
No violations
- complaint#862370074
3 violations found (3 medium severity).
Fiscal requirements - Pay foster parents per your agreement with them
MediumThe agency did not pay foster parents per their financial agreement.
749.161(a)(2)Corrected 2024-02-06Fiscal requirements-Establish and maintain the agency on a sound fiscal basis
MediumThe agency provided bank statements for their proof of funds that did not show funds equal to at least 3 months of operating expenses.
749.161(a)Corrected 2024-04-22Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record
MediumThe foster parents were not given a signed copy of the foster home agreement.
749.2487(a)Corrected 2024-02-06 - complaint#862370073
No violations found. All areas in compliance.
No violations
- complaint#862370072
No violations found. All areas in compliance.
No violations
- routine#862260192
No violations found. All areas in compliance.
No violations
- complaint#862370071
No violations found. All areas in compliance.
No violations
- self-report#862370070
3 violations found (3 high severity).
Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HighA caregiver was aware of background check requirements and allowed someone to be around children who was not following requirements.
749.2593(c)(2)Corrected 2023-10-09AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HighBackground results restricted a person's ability to be present at the foster home. A caregiver allowed this person to be present and have contact with children.
745.635(2)Corrected 2023-10-09AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HighA family member comes to the home a couple times a month has contact with children in care. Family member does not have a required background check.
745.621(a)(7)Corrected 2023-10-09 - complaint#862370069
No violations found. All areas in compliance.
No violations
- routine#862260191
No violations found. All areas in compliance.
No violations
- routine#862260190
No violations found. All areas in compliance.
No violations
- self-report#862370068
No violations found. All areas in compliance.
No violations
- routine#862260189
2 violations found (2 medium severity).
Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
MediumA foster home study only had 1 paycheck stub and no bank statements or tax return to verify the household income.
749.2447(6)(B)Corrected 2023-06-29Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumAn incident was not reported withing the required time frames, it was reported 23 hours after the child had left the foster home.
749.503(a)(10)(A)Corrected 2023-06-29 - complaint#862370067
2 violations found (1 high, 1 medium severity).
Serious Incident Documentation-Includes nature of the incident
MediumThe serious incident report did not have the following documentation: the nature of the events that happened, the age of one child involved and the date of admission for the two children involved.
749.511(6)Corrected 2023-07-27General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HighA child in care did not receive proper medical attention after sustaining an injury to the head.
749.1401(a)(2)Corrected 2023-07-27 - complaint#862370066
No violations found. All areas in compliance.
No violations
- complaint#862370065
No violations found. All areas in compliance.
No violations
- complaint#862370064
No violations found. All areas in compliance.
No violations
- routine#862260188
1 violation found (1 high severity).
Disaster and Emergency-must conduct a severe weather drill each year
HighDuring the review of two home records it was not documented that the home has conducted a severe weather drill.
749.2908(a)(3)Corrected 2023-03-28 - complaint#862370063
No violations found. All areas in compliance.
No violations
- complaint#862370062
No violations found. All areas in compliance.
No violations
- routine#862260187
2 violations found (1 high, 1 low severity).
Active records-All documentation in the record no later than 30 days after the occurrence or event
LowA staff record did not have their Drug testing results or TB screening results filed in their record.
749.535(a)(1)Corrected 2022-10-07Supervisory Visits-At least two supervisory visit per year must be unannounced
HighA foster home did not have 2 unannounced visits conducted during the last year.
749.2815(b)Corrected 2022-10-07 - routine#862260186
4 violations found (2 high, 2 medium severity).
Foster Home Screening-Evaluate prospective foster parents' health protection plan for a child, if a foster parent's religion prohibits
HighTwo foster home screeenings reviewed did not discuss if the caregivers religion will prevent any medical treament for a child in care.
749.2447(12)(C)Corrected 2022-07-21Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
MediumOf the two staff files reviewed, both files did not have a notarized Affidavit of Employment.
749.553(6)Corrected 2022-07-07Written Agreement-Agency signs written agreement with foster home at time of verification; signed copy to foster home and in foster home record
MediumOf the two foster parent agreements reviewed, one was signed one month after the home was verified and the second was signed over four months after the home was verified.
749.2487(a)Corrected 2022-07-21AP Initial background check submitted - between 90 days before and 90 days after non-client resident becomes 14 years
HighA background check was submitted for a household member 90 days past the person turning 14 years old.
745.621(a)(6)Corrected 2022-07-07 - self-report#862370061
No violations found. All areas in compliance.
No violations
- complaint#862370060
No violations found. All areas in compliance.
No violations
- complaint#862370059
1 violation found (1 high severity).
Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HighA caregiver was not aware of the bruises on a child in care and could not explain how the bruises occurred.
749.2593(a)(2)Corrected 2022-08-05 - routine#862260185
No violations found. All areas in compliance.
No violations
- routine#862260184
2 violations found (2 medium severity).
Medication Record-Must include prescribing health-care professional's name
MediumMedication logs in both child records reviewed do not have the prescribing health professional's name for any medications.
749.1541(c)(2)Corrected 2022-04-05Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
MediumThe agency has not documented any dicussion with caregivers regarding any stressors or challenging behaviors during their quarterly home visits.
749.2815(c)(4)Corrected 2022-04-05 - routine#862260183
No violations found. All areas in compliance.
No violations
- routine#862260182
No violations found. All areas in compliance.
No violations
- complaint#862370058
No violations found. All areas in compliance.
No violations
- assessment#862396889
1 violation found (1 medium severity).
Operational responsibilities - Designate a qualified full-time child-placing agency administrator
MediumThe agency has been without a licensed administrator for over four months.
749.151(1)Corrected 2022-03-08 - self-report#862370057
No violations found. All areas in compliance.
No violations
- routine#862260181
No violations found. All areas in compliance.
No violations
- self-report#862370056
No violations found. All areas in compliance.
No violations
- routine#862260180
No violations found. All areas in compliance.
No violations
- complaint#862370055
No violations found. All areas in compliance.
No violations
- routine#862260179
15 violations found (5 high, 10 medium severity).
Foster Home Screenings- Assess and docment information obtained from law enforcement and prospective foster parents
HighTwo of the three home screenings reviewed did not discuss any service calls obtained from the foster home's local law enforcement agency.
749.2447(7)(B)(iii)Corrected 2021-12-15Foster Home Screening-Agency documents prospective foster parents' attitudes about a foster child's or his biological family's religion
MediumOne of three home screenings reviewed did not address the foster parents willingness to support a foster child's religious preference.
749.2447(12)Corrected 2021-12-22Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
MediumOne home screening reviewed did not discuss the foster parent's substance abuse history.
749.2447(9)Corrected 2021-12-22Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
MediumOne home is verified for three placements and only has a bedroom with 100 sq. feet for the foster children.
749.3021(a)Corrected 2021-12-22Annual Training-Each caregiver must complete 2hrs annual training on trauma informed care.
HighOne foster parent only completed one hour of annual trauma training.
749.930(c)(2)Corrected 2021-12-15Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
MediumOf the three home records reviewed, the quarterly visits do not have documentation on who was present during the visit.
749.2815(d)Corrected 2021-12-22Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
MediumTwo of three home screenings reviewed did not document the method or dates of contact with the foster parents' reference.
749.2451(b)Corrected 2021-12-22Foster Home Screening-Agency documents ages of all household members; agency has documentation verifying ages of prospective foster parents
MediumOne of the three foster home files reviewed did not have documentation that verifies the foster parent's age.
749.2447(1)Corrected 2021-12-22Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
MediumTwo of three home screenings reviewed did not document how the foster parent's income/assets were obtained.
749.2447(6)(B)Corrected 2021-12-22Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
MediumOne foster home's home screening recommendation for capacity does match the information in CLASS.
749.2445(c)(3)Corrected 2021-12-22Supervisory Visits-At least two supervisory visit per year must be unannounced
HighOf the three home files reviewed, the quarterly visits do not document whether the visits were announced or unannounced.
749.2815(b)Corrected 2021-12-22Caregiver?s for children receiving childcare, programmatic or PMN services must have 4hrs EBI or 8hrs for emotional disorders, IDD or ASD.
HighTwo of the three home files reviewed, one foster parent's EBI training had expired and one foster parent on completed four of the required eight hours of EBI training.
749.930(c)(1)Corrected 2021-12-15Interview For Foster Home Screening- Must include one interview with a family member not living in the home.
MediumOne out of the three home screenings reviewed did not document an interview with a family member that does not currently live in the home. This documentation was also missing from the home's record.
749.2449(a)(7)Corrected 2021-12-22Foster Home Screening-Agency documents the attitude of the prospective foster parents' extended family regarding foster care
MediumOne of the three foster home screenings reviewed did not discuss the feelings or attitudes of the foster parent's extended family about their decision to foster.
749.2447(18)Corrected 2021-12-22Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HighOf the three home records reviewed, one home was missing one quarterly visit and two homes were missing two quarterly visits to the home.
749.2815(a)(1)Corrected 2021-12-22 - complaint#862370054
1 violation found (1 high severity).
Supervision-The caregiver is responsible for not performing tasks that clearly impede the caregiver's ability to supervise and interact with children
HighThe caregiver failed to maintain line-of-sight supervision of a three-year-old child in care when they became distracted; which resulted in the child falling down stairs and sustaining serious injuries.
749.2593(a)(5)Corrected 2022-01-26 - routine#862260178
No violations found. All areas in compliance.
No violations
- complaint#862370053
No violations found. All areas in compliance.
No violations
- complaint#862370052
No violations found. All areas in compliance.
No violations
- complaint#862370051
2 violations found (1 high, 1 medium severity).
Administration of Medication-Ensure the child has taken the medication as prescribed
HighA child in care did not receive their prescription seizure medication as prescribed which resulted in the child having a seizure.
749.1463(b)(5)Corrected 2021-12-17Initial Service Plan-Must include medical needs and plans for follow-up
MediumA foster child's service plan stated the child has a seizure disorder but does not address the prescribed medications required for treatment.
749.1309(b)(1)(A)(i)Corrected 2021-12-17 - complaint#862370050
8 violations found (6 high, 2 medium severity).
Infant requirements-An infant's caregiver must ensure that the environment is safe
HighA foster parent left a hair dryer in a crib with an infant.
749.1803(c)Corrected 2021-11-19General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HighThe caregivers did not seek medical treatment for at least 2 days after a six-month old child sustained a serious injury.
749.1401(a)(2)Corrected 2021-11-19Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
MediumAgency quarterly visits did not evaluate the stressors in the home.
749.2815(c)(4)Corrected 2021-11-19Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HighThe foster parent was not able to properly intervene when a six month old child was injured by a hot hair dryer.
749.2593(a)(4)Corrected 2021-11-19Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HighA foster parent left a six-month old child unattended in a crib with a hot hair dryer; which resulted in a serious injury that required medical treatment.
749.1003(b)(1)(B)Corrected 2021-11-19Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighA foster parent was using a hair dryer to dry soiled bedding, and left it unattended while it was still running.
749.607(1)Corrected 2021-11-19Beds and bedding-linens must be changed when soiled, at least once a week
MediumCaregiver used a hair dryer to dry soiled crib bedding instead of cleaning and sanitizing.
749.3031(d)Corrected 2021-11-19Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HighAgency went more than 3 months without a quarterly visit.
749.2815(a)(1)Corrected 2021-11-19 - complaint#862370049
No violations found. All areas in compliance.
No violations
- complaint#862370048
No violations found. All areas in compliance.
No violations
- complaint#862370047
1 violation found (1 high severity).
General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HighA 2 year old child in care received an injury to their eye that caused a contusion on 7/11/21. The child did not received medical care for the injury or pain until 7/14/21. The child was prescribe medication for pain.
749.1401(a)(2)Corrected 2021-10-08 - routine#862260177
7 violations found (1 high, 6 medium severity).
Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
MediumRequired Licensing Affidavit was not available for 2 of 2 employee files reviewed.
749.605(b)(4)Corrected 2021-07-14Personnel policies-Develop written job descriptions including minimum qualifications and job responsibilities for each position
MediumEmployee file reviewed for administrator did not have a job description listed in file.
749.105(2)Corrected 2021-07-14AP Initial background checks submitted - At the time you hire someone
HighThe Administrator did not have a background check ran for Kid's Grace.
745.621(a)(2)Corrected 2021-06-30Documentation of Interviews-Must document all interviews and attempted interviews of persons required for a foster home screening
MediumFriends and family members provided references for the home screening. The date and method of contact is not indicated.
749.2451(a)Corrected 2021-07-14Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages
MediumThe home screening explains that the foster mother is divorced and has two daughters. The dynamics of those relationships were not assessed. As well as, the foster parent reports to have no social supports.
749.2447(10)Corrected 2021-06-30Verification-The foster home screening must document required info in 749.2447
MediumThe home screening does not indicate the citizenship status of ther foster parent, neither does it document an observation or health assessment from a medical professional. The income listed on the home screening does not match what was verified in the case file.
749.2445(c)(1)Corrected 2021-07-14Foster Home Screenings- address the closure or identified risk with home prior to verification if home was previously closed by a CPA
MediumThe foster parent was licensed with two previous agencies. The home file does contain information from the previous CPAs. The risk was not assessed on the home screening.
749.2447(23)(B)(i)Corrected 2021-06-30 - complaint#862370046
7 violations found (4 high, 3 medium severity).
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
MediumThe foster parent refused to initiate child therapy services as required.
749.1323Corrected 2022-01-03Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency
MediumThe foster parent was the subject of an abuse neglect investigation by another entity while serving as a verified foster parent. The investigation was not reported to Licensing.
749.503(e)(5)(A)Corrected 2022-04-01Foster Home Screenings- address identified risk with home prior to verification if previous risk not addressed
MediumThe home screening did not thoroughly address previous investigation concerns and non-compliances related to supervision and inappropriate discipline of children when the home was verified with previous child placing agencies.
749.2447(23)(B)(ii)Corrected 2022-01-03Children's Rights prohibited techniques-Prohibited from using chemical restraints, mechanical restraints, and seclusion on a child
HighA child in care was frequently restrained in a car seat at bedtime and left to sleep overnight next to his bed.
749.1021(1)Corrected 2022-01-13Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HighA child was left overnight restrained in a car seat without direct supervision. The child was at an increased risk of harm due to the lack of supervision.
749.2593(c)(2)Corrected 2022-01-07Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for up to 6, except as noted in chart below
HighSeven children were living in a single parent foster home which included four foster placements. The verified foster care capacity was limited to three children.
749.2551(a)Corrected 2022-04-01Other Prohibited Discipline-Confining a child to a highchair, box, or other similar furniture or equipment as discipline or punishment
HighA child in care was placed in a car seat for extended periods of time as a form of discipline.
749.1957(12)Corrected 2022-01-03 - complaint#862370045
No violations found. All areas in compliance.
No violations
- complaint#862370044
No violations found. All areas in compliance.
No violations
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