Passage of Youth Family Center
License Information
- Status
- Licensed
- License #
- 1079686- 6591
- Expires
- December 10, 2026
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
173 records- routine#862229740
No violations found. All areas in compliance.
No violations
- routine#862229739
No violations found. All areas in compliance.
No violations
- routine#862229738
No violations found. All areas in compliance.
No violations
- routine#862229737
No violations found. All areas in compliance.
No violations
- routine#862229736
No violations found. All areas in compliance.
No violations
- complaint#862359091
No violations found. All areas in compliance.
No violations
- complaint#862359090
No violations found. All areas in compliance.
No violations
- routine#862229735
No violations found. All areas in compliance.
No violations
- routine#862229734
No violations found. All areas in compliance.
No violations
- routine#862229733
No violations found. All areas in compliance.
No violations
- routine#862229732
No violations found. All areas in compliance.
No violations
- routine#862229731
No violations found. All areas in compliance.
No violations
- complaint#862359089
11 violations found (3 high, 8 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumThe home screening had inconsistent information regarding the family that the home study was addressing in multiple areas.
749.151(3)Corrected 2026-02-05Foster Home Screening-Discuss with prospective foster parents your reimbursement process, if applicable
MediumThe home screening did not discuss reimbursements, the family income or the verification process.
749.2447(6)(A)Corrected 2026-02-05Serious Incident-Report to parents as soon as facility aware that child indicted/charged/arrested or police respond to alleged incident at foster home
MediumThe foster parent did not report to the child's caseworker that the police were called out to the home due to the child's behavior.
749.503(a)(6)(B)Corrected 2026-02-05Disciplinary Measures-Must not be physically or emotionally damaging to the child
HighThe foster parent contacted the police department 15 times in one year to assist in managing a child's behavior.
749.1951(b)(2)Corrected 2026-02-05Respite-Except during an investigation, a child may be in respite child-care services for 14 consecutive days or 40 days each year
MediumThe foster child has been in respite for more than 14 days.
749.2631(a)Corrected 2026-02-05Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
MediumThe documentation in the home study did not discuss the health status of the adult daughter living in the home.
749.2447(9)Corrected 2026-02-05Respite-Agency must notify the child's parent before placing the child in respite child-care services
MediumThe foster parent nor the agency notify the child's caseworker each time the children were placed in respite.
749.2623(1)Corrected 2026-02-05Verification-Agency child placement management staff must review and approve each foster home screening.
HighThe home screening documented the approval on 12/22/25 and the home was verified on 04/2/25.
749.2445(b)Corrected 2026-02-05Serious Incident-Report to Licensing within 24 hrs after aware child indicted/charged/arrested or police respond to alleged incident at foster home
MediumThe police were called out to the foster home on multiple occasions due to foster parent indicating being threatened and this was not reported to the hotline.
749.503(a)(6)(A)Corrected 2026-02-05Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
MediumThe home screening did not address the relationship with the father for the biological daughter.
749.2447(4)Corrected 2026-02-05Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighThe home screening did not discuss or assess the adult child's background that lives in the home.
749.2447(7)(A)Corrected 2026-02-05 - routine#862229730
No violations found. All areas in compliance.
No violations
- self-report#862359088
1 violation found (1 medium severity).
Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumTwo children ran away from the foster home, and the incident was not reported within 6 hours. Also, one of the children was not noted when the report was made.
749.503(a)(10)(A)Corrected 2026-01-17 - routine#862229729
No violations found. All areas in compliance.
No violations
- self-report#862359087
2 violations found (2 medium severity).
Serious Incident-Report to law enforcement no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
MediumA child with a history of trafficking ran away from the home, and the child's unauthorized absence was not reported immediately to law enforcement.
749.503(a)(10)(C)Corrected 2026-01-12Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
MediumA child with a history of trafficking ran away from the home, and the child's unauthorized absence was not reported immediately to Licensing.
749.503(a)(10)(A)Corrected 2026-01-12 - routine#862229728
No violations found. All areas in compliance.
No violations
- complaint#862359086
No violations found. All areas in compliance.
No violations
- routine#862229727
No violations found. All areas in compliance.
No violations
- assessment#862395685
1 violation found (1 high severity).
Medication Record-Must include medication name, strength & dosage
HighDuring a recent heightened monitoring inspection by Residential Child Care Contracts, the September 2025 medication logs for a child in care were reviewed and one log was found to not contain all required information.
749.1541(c)(4)Corrected 2025-11-11 - routine#862229726
1 violation found (1 high severity).
Background Check Requirements - Submit All Identifying Information
HighThe role at the operation for two individuals was not re-submitted to CBCU when the roles changed.
745.619Corrected 2025-11-04 - complaint#862359085
No violations found. All areas in compliance.
No violations
- assessment#862395684
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.
749.151(1)Corrected 2025-11-30 - self-report#862359084
No violations found. All areas in compliance.
No violations
- routine#862229725
No violations found. All areas in compliance.
No violations
- routine#862229724
No violations found. All areas in compliance.
No violations
- routine#862229723
No violations found. All areas in compliance.
No violations
- routine#862229722
No violations found. All areas in compliance.
No violations
- routine#862229721
No violations found. All areas in compliance.
No violations
- routine#862229720
No violations found. All areas in compliance.
No violations
- routine#862229719
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.
749.151(1)Corrected 2025-10-24 - routine#862229718
No violations found. All areas in compliance.
No violations
- complaint#862359083
2 violations found (2 high severity).
Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighA caregiver did not show prudent judgment when she did not follow a signed safety crisis plan as part of a child's discharge from a psychiatric hospital.
749.607(1)Corrected 2025-10-17Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others
HighA service plan for a child, who had exhibited high-risk behavior, did not include plans to minimize the risk of harm to the child.
749.1309(b)(1)(H)(i)Corrected 2025-10-17 - routine#862229717
No violations found. All areas in compliance.
No violations
- routine#862229716
No violations found. All areas in compliance.
No violations
- assessment#862395683
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.
749.151(1)Corrected 2025-09-20 - complaint#862359082
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 child in care was able to gain access to a large walking stick and use it to hit another child in care multiple times.
749.2593(a)(2)Corrected 2025-10-07 - routine#862229715
No violations found. All areas in compliance.
No violations
- routine#862229714
No violations found. All areas in compliance.
No violations
- routine#862229713
5 violations found (2 high, 3 medium severity).
Foster Home Screening-Agency must document the length of time spent at each residence for the past 10 years
MediumThere is not ten years of residential history listed in the home screening.
749.2447(5)(A)Corrected 2025-08-22Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
MediumThere are no dates listed in the home screening for the interviews with the foster parents' biological children living outside of the home.
749.2451(b)Corrected 2025-08-22Interview 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 2025-08-22Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighA foster parent's criminal history was not documented and assessed in the home screening.
749.2447(7)(A)Corrected 2025-08-22Foster Home Screening- Obtain service call information from law enforcement for past two years
HighService call information from the appropriate law enforcement agencies was not obtained for each of the prospective foster parents? addresses for the two years prior to the home screening.
749.2447(7)(B)(i)Corrected 2025-08-22 - assessment#862395682
1 violation found (1 high severity).
If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
HighTwo firearms in a foster home were not kept in locked storage.
749.2961(a)(1)Corrected 2025-08-08 - routine#862229712
3 violations found (3 high severity).
Food Storage-food items must be covered when stored in the refrigerator
HighDuring the inspection at the operation, a bowl of cheese was observed to be uncovered in the refrigerator.
749.3079(6)Corrected 2025-08-11Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HighDuring the walk through of the home toilet bowl cleaner was observed under a bathroom counter and Cutter Backyard Bug Control was observed laying on the floor of the living room by the back door.
749.3041(7)Corrected 2025-08-11Food Storage-food items must be covered and stored off the floor
HighDuring the walk through of the home, food was observed to be stored on the floor of the pantry.
749.3079(1)Corrected 2025-08-11 - complaint#862359081
3 violations found (2 high, 1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumDuring the course of the investigation, it was determined that the agencies documents did not have accurate documentation. This included the monthly contacts that contained a different foster parents name and contradictive information.
749.151(3)Corrected 2025-09-08Pre-Service Training- Caregivers who administer psych. meds must have psychotropic medication training before administering the medication.
HighThe caregivers psychotropic training did not include a certificate for an in-person training by a qualified individual.
749.863(a)(6)Corrected 2025-09-08Medication Storage-Store medication in a locked container
HighDuring the walk through of the home, a prescription medication was observed to be sitting out in the master bedroom and not locked away.
749.1521(1)Corrected 2025-08-11 - routine#862229711
No violations found. All areas in compliance.
No violations
- assessment#862395681
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.
749.151(1)Corrected 2025-08-20 - routine#862229710
No violations found. All areas in compliance.
No violations
- routine#862229709
No violations found. All areas in compliance.
No violations
- routine#862229708
No violations found. All areas in compliance.
No violations
- routine#862229707
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 90 days of the position becoming vacant.
749.151(1)Corrected 2025-07-18 - routine#862229705
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 subject who has not been associated with the agency for more than 7 days, still had an active background check.
745.651(1)Corrected 2025-06-04 - routine#862229706
No violations found. All areas in compliance.
No violations
- complaint#862359080
No violations found. All areas in compliance.
No violations
- complaint#862359079
No violations found. All areas in compliance.
No violations
- routine#862229704
No violations found. All areas in compliance.
No violations
- routine#862229703
No violations found. All areas in compliance.
No violations
- assessment#862395680
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 2025-06-13 - assessment#862395679
No violations found. All areas in compliance.
No violations
- routine#862229702
No violations found. All areas in compliance.
No violations
- routine#862229701
No violations found. All areas in compliance.
No violations
- routine#862229700
No violations found. All areas in compliance.
No violations
- routine#862229699
No violations found. All areas in compliance.
No violations
- complaint#862359078
2 violations found (2 medium severity).
You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
MediumA home screening addendum was not completed when there was a change in household composition.
749.2453(a)(2)Corrected 2025-06-06Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
MediumHome screening addendums were completed in 2020 and 2023 for the addition of household members; however, neither addendum included the household member's mental health status or substance abuse history.
749.2447(9)Corrected 2025-06-06 - routine#862229698
No violations found. All areas in compliance.
No violations
- routine#862229697
4 violations found (3 high, 1 medium severity).
AP Initial background checks submitted - At the time you hire someone
HighSeveral employees only have a Texas Name Based background check. All employees require a fingerprint-based criminal history check.
745.621(a)(2)Corrected 2025-05-01AP Renewal background checks submitted -No later than 5 yrs from date last submitted subjects initial or renewal fingerprint-based criminal hist check
HighThe operation did not renew multiple individuals' fingerprint-based criminal background checks within five years of the date of the last submission.
745.621(b)(1)(A)Corrected 2025-05-01AP Renewal background checks submitted -No later than 2 yrs from date you last submitted subjects initial or renewal name-based TX criminal hist check
HighThe operation did not renew multiple individuals' Texas Name Based criminal background checks within two years of the date of the last submission.
745.621(b)(1)(B)Corrected 2025-05-01Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
MediumMultiple subjects, who have not been associated with the operation for more than 7 days, still have active background checks.
745.651(1)Corrected 2025-05-01 - complaint#862359077
3 violations found (1 high, 2 medium severity).
Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HighThere was an outcry of inappropriate touching amongst children in care made to a foster parent, and this was not reported to Licensing by the foster parent or by the Child Placing Agency.
749.503(a)(5)(A)Corrected 2025-05-23Operational responsibilities - Maintain current, true, accurate, and complete records
MediumSome documentation in a child's service plan review contradicts other documentation. It appears that some of the information is from three years prior and has not been updated to reflect current information.
749.151(3)Corrected 2025-05-23Serious Incident Documentation-Documented in written report
MediumA serious incident report was not made regarding alleged inappropriate touching between children in care.
749.511Corrected 2025-05-23 - routine#862229696
No violations found. All areas in compliance.
No violations
- routine#862229695
No violations found. All areas in compliance.
No violations
- routine#862229694
No violations found. All areas in compliance.
No violations
- routine#862229693
No violations found. All areas in compliance.
No violations
- assessment#862395678
1 violation found (1 high severity).
Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HighThe medication log did not contain the record of medications dispensed to the child.
749.1541(a)Corrected 2025-02-07 - complaint#862359076
1 violation found (1 high severity).
AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
HighA household member and alternate caregiver for children in care had a background check that was inactive.
745.621(a)(5)Corrected 2025-03-26 - complaint#862359075
No violations found. All areas in compliance.
No violations
- routine#862229692
No violations found. All areas in compliance.
No violations
- self-report#862359074
No violations found. All areas in compliance.
No violations
- assessment#862395677
4 violations found (4 medium severity).
Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
MediumNone of the quarterly reports had information about stress in the foster home. The quarterly reports did not include information regarding frequent visitors, or persons who will provide support as a caregiver during an unexpected event or crisis situation.
749.2815(c)(4)Corrected 2024-11-25Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
MediumA child s rights form was signed three months after placed with the agency.
749.1005(d)Corrected 2024-11-25Foster Home Compliance-must document a plan for follow-up to ensure compliance was achieved
MediumA quarterly report documented the foster home's fire extinguisher was expired, but there was no documentation of any follow-up plans to show compliance.
749.2807(7)Corrected 2024-11-25Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
MediumThere were four serious incident reports reviewed. All reports were missing information required for the report (749.511(2-5)),
749.511(5)Corrected 2024-11-25 - complaint#862359073
1 violation found (1 high severity).
Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years
HighThe home study did indicate whether the foster parent was asked about service calls to the home. The service plan was not clear about whether a report was requested from the police department regarding service calls to the home.
749.2447(7)(B)(ii)Corrected 2024-12-02 - routine#862229691
4 violations found (4 medium severity).
Foster Home Compliance-must document a plan for follow-up to ensure compliance was achieved
MediumA quarterly report documented the foster home's fire extinguisher was expired, but there was no documentation of any follow-up plans to show compliance.
749.2807(7)Corrected 2024-10-30Informing child of rights-Person being informed must sign statement indicating he read and understands rights; signed copy filed in child's record
MediumA child s rights form was signed three months after placed with the agency.
749.1005(d)Corrected 2024-10-30Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
MediumNone of the quarterly reports had information about stress in the foster home. The quarterly reports did not include information regarding frequent visitors, or persons who will provide support as a caregiver during an unexpected event or crisis situation.
749.2815(c)(4)Corrected 2024-10-30Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
MediumThere were four serious incident reports reviewed. All reports were missing information required for the report (749.511(2-5)),
749.511(5)Corrected 2024-11-04 - routine#862229690
No violations found. All areas in compliance.
No violations
- complaint#862359072
1 violation found (1 high severity).
Administration of Medication-Must follow label.
HighA child was given more than the recommended dose of melatonin that was listed on the label.
749.1469(a)(1)Corrected 2024-10-07 - routine#862229689
No violations found. All areas in compliance.
No violations
- self-report#862359071
No violations found. All areas in compliance.
No violations
- routine#862229688
No violations found. All areas in compliance.
No violations
- self-report#862359070
No violations found. All areas in compliance.
No violations
- routine#862229687
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
LowDuring the inspection, it was discovered that a home record did not include photos or a sketch of the outside of the home.
749.535(a)(1)Corrected 2024-08-02Foster Home Screening- Ask prospective foster parents regarding any service calls law enforcement responded to in past two years
HighDuring the reivew of the home files, it was discovered that foster parents were not asked if the police have been called to the home. Another file stated the police were called to the home, but the file did not include an assessment of the reason for the call.
749.2447(7)(B)(ii)Corrected 2024-08-09 - routine#862229686
No violations found. All areas in compliance.
No violations
- routine#862229685
No violations found. All areas in compliance.
No violations
- self-report#862359069
No violations found. All areas in compliance.
No violations
- complaint#862359068
3 violations found (2 medium, 1 low severity).
Verification Certificate- Specifies the types of services the foster home will provide
LowDuring the DFPS investigation, it was discovered that the foster mom is also a caregiver for two adults in care who live at the home. Neither the agency nor the home is licensed to provide care to adults.
749.2470(9)(F)Corrected 2024-06-21Bedrooms-foster children or any other household members may not use a room commonly used for other purposes as a bedroom
MediumDuring the DFPS investigation, it was discovered that the respite caregiver/niece sleeps in the den area of the home.
749.3023(c)(1)Corrected 2024-06-21A CPA must do the following when updating a foster home screening- assess the appropriateness of any current placement of children in the foster home
MediumThe home screening addendum does not include an assessment of the appropriateness of any current placement of children in the foster home, when updating a foster home screening because of a major life change in the foster family.
749.2453(d)(1)Corrected 2024-06-21 - routine#862229684
No violations found. All areas in compliance.
No violations
- complaint#862359067
1 violation found (1 high severity).
Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HighThe operation did not complete a quarterly visit for the first quarter the home was licensed.
749.2815(a)(1)Corrected 2024-06-03 - routine#862229683
2 violations found (1 high, 1 low severity).
AP Renewal background checks submitted -No later than 5 yrs from date last submitted subjects initial or renewal fingerprint-based criminal hist check
HighOne of out two foster parents background check was not renewed timely by 2/1/2024. Note: This was corrected at inspection due to the administrator submitting the background check renewal during the inspection.
745.621(b)(1)(A)Corrected 2024-02-28Sharing Initial Service Plan-Child sign plan or document child's refusal to sign if copy or summary provided
LowOne child did not sign the service plan.
749.1321(b)(2)Corrected 2024-03-06 - routine#862229682
1 violation found (1 medium severity).
Verification-Foster home screening must document evaluation of info obtained in order to make recs about applicant's capacity to work with children
MediumVerification information for the home including the gender, foster care capacity and age of the children does not match the recommendations made in the home screening.
749.2445(c)(3)Corrected 2024-01-17 - complaint#862359066
No violations found. All areas in compliance.
No violations
- assessment#862395676
2 violations found (2 medium severity).
Conflict of interest policies - Statement that placement staff & mgmt will not conduct/review/approve screenings or reports if conflict or bias
MediumTwo members of the governing body were also at the same time verified foster parents for the operation. Conflict of interest policies also do not address that staff will not conduct, review, and approve home screenings if there is a conflict of interest.
749.107(1)Corrected 2023-11-03All employees and caregivers must be aware of and follow your policies and procedures.
MediumThe operation did not follow their policies regarding conflicts of interest when they verified a governing body member as a foster parent.
749.138(b)Corrected 2023-11-03 - routine#862229681
No violations found. All areas in compliance.
No violations
- routine#862229680
No violations found. All areas in compliance.
No violations
- self-report#862359065
No violations found. All areas in compliance.
No violations
- routine#862229679
1 violation found (1 high severity).
Notification - At least 30 days in advance - Change in agency location
HighThe operation office relocated to a new location however Licensing was not notified 30 days prior to the move.
749.153(a)(1)(B)Corrected 2023-09-13 - assessment#862395675
No violations found. All areas in compliance.
No violations
- routine#862229678
No violations found. All areas in compliance.
No violations
- complaint#862359064
No violations found. All areas in compliance.
No violations
- routine#862229677
No violations found. All areas in compliance.
No violations
- routine#862229676
4 violations found (2 high, 2 medium severity).
Immunization requirements-Maintain current immunizations records for each child in care including any exemptions or exceptions
HighOne child file did not include a record of the child's immunizations.
749.1421(b)Corrected 2023-07-26TB 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 child files did not include documentation of the results of the TB exam.
749.1417(b)Corrected 2023-07-26Disaster and Emergency-must conduct a fire drill each year, so children are able to exit home within 3 minutes
HighTwo homes did not conduct fire drills or severe weather drills within the last year.
749.2908(a)(2)Corrected 2023-07-26Medical care-The child's record must include a written record of each medical examination
MediumOne child file did not include documentation of the results of the child's initial medical exam.
749.1401(b)Corrected 2023-07-26 - routine#862229675
No violations found. All areas in compliance.
No violations
- assessment#862395674
1 violation found (1 high severity).
Medication Storage-Store medication in a locked container
HighMedications were not stored in a locked container and were accessible to children in the home.
749.1521(1)Corrected 2023-06-30 - routine#862229674
No violations found. All areas in compliance.
No violations
- complaint#862359063
No violations found. All areas in compliance.
No violations
- routine#862229673
No violations found. All areas in compliance.
No violations
- routine#862229672
No violations found. All areas in compliance.
No violations
- assessment#862395673
No violations found. All areas in compliance.
No violations
- routine#862229671
No violations found. All areas in compliance.
No violations
- complaint#862359062
No violations found. All areas in compliance.
No violations
- assessment#862395672
1 violation found (1 high severity).
AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HighDuring a review conducted on 1/31/2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 its heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.
749.635(2)Corrected 2023-02-01 - routine#862229669
No violations found. All areas in compliance.
No violations
- routine#862229670
No violations found. All areas in compliance.
No violations
- routine#862229668
No violations found. All areas in compliance.
No violations
- routine#862229667
No violations found. All areas in compliance.
No violations
- routine#862229666
No violations found. All areas in compliance.
No violations
- routine#862229665
No violations found. All areas in compliance.
No violations
- complaint#862359061
No violations found. All areas in compliance.
No violations
- routine#862229664
No violations found. All areas in compliance.
No violations
- routine#862229663
No violations found. All areas in compliance.
No violations
- complaint#862359060
No violations found. All areas in compliance.
No violations
- assessment#862395671
1 violation found (1 high severity).
CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HighDuring a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 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 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 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 May 5, 2022. Specifically, the operation was cited for 749.2447(7)(A) Home Screening and Verification ? Foster Home Screenings. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
749.635(2)Corrected 2022-07-30 - routine#862229662
No violations found. All areas in compliance.
No violations
- routine#862229661
No violations found. All areas in compliance.
No violations
- routine#862229660
No violations found. All areas in compliance.
No violations
- routine#862229659
No violations found. All areas in compliance.
No violations
- routine#862229658
1 violation found (1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumCase notes for the monthly contacts were copied and paste which indicates information was not discussed thoroughly each month.
749.151(3)Corrected 2022-06-08 - routine#862229657
No violations found. All areas in compliance.
No violations
- complaint#862359059
No violations found. All areas in compliance.
No violations
- routine#862229656
2 violations found (1 high, 1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumCase notes for the monthly contacts were copy and pasted which indicates service plan information was not discussed thoroughly each month.
749.151(3)Corrected 2022-05-12Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighFP criminal history hit was not addressed in home study.
749.2447(7)(A)Corrected 2022-05-12 - routine#862229655
1 violation found (1 high severity).
AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HighA background check was not submitted for a person who is a frequent visitor and provides care for the children.
745.621(a)(7)Corrected 2022-05-04 - assessment#862395670
2 violations found (1 high, 1 medium severity).
Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighHS reveiwed addressed the FP criminal history. However, it didn't assess the drug charge found on the FP record.
749.2447(7)(A)Corrected 2022-05-10Updating previous screening and home study-Conduct and complete new home screening
MediumHS in review has copy and paste information from transfer HS from out of state.
749.2473(a)Corrected 2022-05-10 - complaint#862359058
No violations found. All areas in compliance.
No violations
- routine#862229654
No violations found. All areas in compliance.
No violations
- routine#862229653
2 violations found (1 high, 1 medium severity).
Updating previous screening and home study-Conduct and complete new home screening
MediumHS in review has copy and paste information from transfer HS from out of state.
749.2473(a)Corrected 2022-04-13Foster Home Screening-Agency documents background check results for any person frequent and present in the home
HighHS reviewed addressed the FP criminal history. However, it didn?t assess the drug charge found on the FP record.
749.2447(7)(A)Corrected 2022-04-13 - complaint#862359057
No violations found. All areas in compliance.
No violations
- routine#862229652
No violations found. All areas in compliance.
No violations
- routine#862229651
No violations found. All areas in compliance.
No violations
- complaint#862359056
No violations found. All areas in compliance.
No violations
- routine#862229650
No violations found. All areas in compliance.
No violations
- complaint#862359055
2 violations found (1 high, 1 medium severity).
Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease
MediumLicensing was not notified that a caregiver had a communicable disease until 14 days after the fact. Home has closed.
749.503(e)(3)(A)Corrected 2022-04-19Notification-Home must notify agency of any major life changes as defined in 749.2805 before change occurs or immediately upon discovery
HighA home did not notify the agency of a major life change. Home has closed.
749.2655(2)Corrected 2022-04-19 - routine#862229649
No violations found. All areas in compliance.
No violations
- routine#862229648
No violations found. All areas in compliance.
No violations
- routine#862229647
1 violation found (1 high severity).
Contact between child placement staff and child-significant and documented in child's record
HighFor monthly home visits one file did not address specfic on-going events in the home.
749.1291(g)Corrected 2022-02-02 - routine#862229646
No violations found. All areas in compliance.
No violations
- routine#862229645
No violations found. All areas in compliance.
No violations
- complaint#862359054
No violations found. All areas in compliance.
No violations
- routine#862229644
No violations found. All areas in compliance.
No violations
- complaint#862359053
No violations found. All areas in compliance.
No violations
- routine#862229643
No violations found. All areas in compliance.
No violations
- routine#862229642
No violations found. All areas in compliance.
No violations
- routine#862229641
No violations found. All areas in compliance.
No violations
- complaint#862359052
No violations found. All areas in compliance.
No violations
- routine#862229640
No violations found. All areas in compliance.
No violations
- routine#862229639
No violations found. All areas in compliance.
No violations
- routine#862229638
No violations found. All areas in compliance.
No violations
- routine#862229637
No violations found. All areas in compliance.
No violations
- complaint#862359051
No violations found. All areas in compliance.
No violations
- routine#862229636
No violations found. All areas in compliance.
No violations
- routine#862229635
No violations found. All areas in compliance.
No violations
- complaint#862359050
No violations found. All areas in compliance.
No violations
- complaint#862359049
No violations found. All areas in compliance.
No violations
- routine#862229634
No violations found. All areas in compliance.
No violations
- routine#862229633
No violations found. All areas in compliance.
No violations
- complaint#862359048
No violations found. All areas in compliance.
No violations
- complaint#862359047
2 violations found (2 high severity).
Medication Storage-Store medication in a locked container
HighMedications were stored in an unlocked box. Note: This was corrected at inspection due to foster parent's placing a lock on the medication box.
749.1521(1)Corrected 2021-04-27Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HighCaregivers smoke cigarette's in their bedroom.
749.2931(b)Corrected 2021-06-11 - routine#862229632
No violations found. All areas in compliance.
No violations
- complaint#862359046
5 violations found (1 high, 4 medium severity).
Smoke detectors-Each home must have a working smoke detector in hallways or open areas outside sleeping rooms
HighThe foster home did not have smoke detectors and there are loose wires hanging from the ceiling where the smoke detectors should be placed.
749.2909(a)(1)Corrected 2021-05-24Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
MediumThe most recent quarterly report does not address the foster parent's current stressors.
749.2815(c)(4)Corrected 2021-05-24Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom
MediumA foster child's bedroom door has a large, clear window that prevents the child from having complete privacy.
749.3023(c)(3)Corrected 2021-05-24Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
MediumThe agency did not have the required consent to allow the foster parent to place a video camera in the foster child's bedroom for supervision.
749.2595(b)(1)Corrected 2021-05-24Reports to Licensing-Agency submits information within two working days of changing the conditions of the verification for an existing home
MediumThe agency did not report the foster parents' new address to licensing within the required 48 hours of updating the home's verification.
749.2489(4)Corrected 2021-05-24 - complaint#862359045
No violations found. All areas in compliance.
No violations
- complaint#862359044
No violations found. All areas in compliance.
No violations
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