Kidz Thrive CPA

It was determined that one home study reviewed did not contain an interview with two biological children living outside of the home.

A child in care is denied desserts as a form of punishment.

Four of four medication logs did not contain a name and signature of the person.

The caregiver was not cognizant of inappropriate behaviors exhibited by children in care during activities and hygiene routines.

During the course of the investigation, it was determined the foster parent and child did not complete the 2-week follow up visit with PCP, as recommended by the hospital physician on 10/25/2024.

The foster parent failed to comply with the child?s service plan.

Children?s medications were not properly stored and locked.

One of the cribs was observed with toys and pillows while the infant was sleeping during the walk through

A foster parent was arrested on 7/13/2024. The incident was not reported to Licensing until 7/18/2024.

Foster parent did not report incident timely when child was under the influence and required medical attention.

There were no weather drills to observe.

The CPR training used does not include first aid.

One home screening reviewed did not contain an interview by a child that did not live in the home. Another home did not have an attempt to interview an adult child.

A foster parent was arrested and it was not reported.

One home screening reviewed did not contain the parents willingness to respect/encourage a child's religion outside of their own.

One family record reviewed did not contain proof of income for both parents.

One supervisory visit reviewed did not contain a signature from the foster parent.

A foster parent's criminal history from 2021 was not documented in the home study that was done in 2022.

One supervisory visit reviewed did not contain methods for responding to the home stating that there was moderate level of stress.

One home screening reviewed did not contain interviews from child residents living in the home.

Based on the records reviewed, there is information that is not accurate.

There was no service plan meeting invitation to the conservatorship worker for the initial service plan or first service plan review which took place in February 2024.

An initial service plan was not completed. There was no participation from the conservatorship worker for the initial service plan and first service plan review.

This standard was found to be deficient as part of a DFPS investigation.

This standard was found to be deficient as part of a DFPS investigation.

This standard was found to be deficient as part of a DFPS investigation.

This standard was found to be deficient as part of a DFPS investigation.

Four of the five preliminary plans reviewed were completed after the 72 hours. Three of five admission assessments reviewed were completed after the admission date.

Five of five records reviewed did not contain supervisory visits.

One home did not contain a disaster plan and one home does not have practiced fire drills.

Three of four staff records reviewed had suicide prevention training that were submitted late. One of four foster parent records reviewed did not contain a training for suicide prevention.

One of four foster homes did not have 25 hours of annual trainings.

Multiple medication logs reviewed did not contain the reason the medication was prescribed.

After completing the investigation, it was determined the foster parent did not adhere to the child's right of be free from demeaning, controlling and intimidating behavior.

Multiple documents reviewed over the course of the investigation contained inaccurate information or incomplete sections.

Children?s clothing is being stored in tote bags and bins and not hung up in a closet or folded in drawers. Pictures taken by RCCI indicate there is room in closet(s) for clothes to be hung.

During the investigation it was determined two children in care have been sharing the same bed due to an air mattress no longer being useable due to being punctured. It was also determined tone of the foster parent's biological children will also share a bed with the foster children.

It was determined the foster family?s biological child has been bathing and caring for 3 foster children who are all under the age of 6 years old.

Children in care were observed to be in clothing that was not clean and shoes that were worn and ill fitting. One child in care was reported to have worn the same clothes to school multiple days in a row.

The Serious Incident Report contains inaccurate information. The report is also missing pertinent information.

The foster mom did not provide adequate supervision which led to a four year being able to leave the home and wander the neighborhood.

It was determined that the foster parent did not follow the required supervision that was in the service plan.

Caregivers failed to adhere to a child's rights to be free of abuse, neglect, and/or exploitation as defined in Texas Family Code 261.401 when the foster mom did not know that a child under six years old was missing from her home for over an hour.

A child in care reported that a foster parent pulled their hair, bent their fingers, and hit the child on the head. An adult family member of the child in care saw another child hit the child on the head and the foster parent did not intervene.

One of two medication records reviewed did not have the time for which the medication was administered.

One of two employees did not have an affidavit on record.

An agency home that was closed on 9/29/23 has been observed to still be showing active under the operation, and the operation validated their background check list on 10/12/23.

A child in care was denied food due to their behavior on different occasions.

Corporal punishment was used on a child in care in the form of spanking on the arm with an open hand.

A child in care was able to store 6 pills in the child's bedroom that was administered by the foster parent, but the foster parent did not confirm the child had taken them.

According to prior hospitalization for victim child on 6/23 - 7/5 a safety plan was to be created to ensure the safety of the child. Safety plan was not received, and no protocols were received from this prior incident.

It is a concern that a resident was left home alone at the time RCCI arrived at the home on 8/2/23. The service plan says she is of age to be left home on her own, however, the child specific contract does not allow unsupervised time.

It was determined that foster parents punched a resident in the mouth causing a scratch and pulled them along a concrete ground which caused a scratch to the knee.

It was determined that the foster parents had a lump sum of marijuana in the home during a home visit conducted by RCCI.

It was determined that the foster parents had alcoholic beverages in a room sometimes accessible to the residents.

Caregivers failed to adhere to a child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when they physically abused a child in care by punching them in the face and dragging them on the ground, both leaving an injury.

Documentation requested from the agency contained inaccurate information.

While at a holiday gathering, the foster parent did not intervene when another adult started threatening the foster child.

Foster parent's friends used abusive and profane language towards a child in care.

At the time of the inspection, there was not a background check completed for respite provider.

During the course of the investigation it was determined that a child in care was left unsupervised by foster mom while hospitalized.

A child in care was not allowed to contact the ombudsman in private.

A medication log reviewed did not have the time of administration documented.

The foster parent is not using medication logs to document the administration of medication therefor is missing most of the requirements for medication record documentation.

The medication was stored in a box and included the children's current medication, discontinued medication and the caregivers medication.

Upon review of records, it was noted that TB test was not present in the child's file

One of four child records reviewed did not contain a signature or date for the preliminary or admission assessment.

Upon review of records, it was noted that initial medical exam was not located in child's file nor was the dental, vision, or hearing.

Two of two child records was missing child rights.

Upon review of records there was not a completed supervisory visit located for the 1st quarter of Jan - March.

One of two records reviewed did not contain the results from the drug screening.

One of two employee records reviewed did not contain a TB test or a job description.

One of four records reviewed did not contain a disaster and emergency plan.

Upon review of records, it was noted that an amended verification was given on 02/01/2023. There is no home study addendum to reflect the change

Two of two employee records contained a statement saying that they would report ANE within 24 hours to the program coordinator or supervisor and if they didn't hear back would then report to the hotline.

On page 3 of the case manager's notes for May 2023, the case manager documented on 06/05/23 that the child's medication logs were current. The child's medication logs for May are only completed for May 21 or May 22 through May 31. There is no documentation that medications were administered prior to May 21.

Photographs show prescription medications in Ziplock bags in the refrigerator?s door.

The reason for the prescription is not documented on most of the child's medication logs for March, April, and May 2023.

There is no medication log for Vyvanse for the month of March 2023. The child?s placement date is 03/15/23. The child?s medication log for Vyvanse for the month of April 2023 showed that the child was given Vyvanse on 04/01/23 through 04/20/23. There is no documentation for 04/21/23 through 04/30/23 that shows the prescription was administered even though it was filled on 04/07/23. The child?s medication log for Vyvanse for the month of May 2023 showed that the child was given Vyvanse on 05/22/23 through 05/31/23.

At the home visit on 06/05/23, the foster parent stated that she had not started the medication logs for June yet because her case manager had not provided the logs to her.

According to the child in care?s Health Passport, her prescription for Vyvanse, a psychotropic medication, was filled on 03/01/23, 04/07/23, and 06/09/23. According to a note written on the medical form by the foster parent on 05/10/23, the child?s prescription for Vyvanse had run out. At the home visit on 05/26/23, the child?s prescription for Vyvanse was out. The prescription was not filled until 06/09/23.

Children in care were left in an unlicensed home as a respite placement.

It was determined that the foster home has two household members over the age of 14 without a background check.

It was determined that a biological son did not have a background check during the time of a sampling inspection.

During a walk through of the residence. It was observed the the medication was not properly double locked.

One of three home reviewed did not have the times of for when medication was administered.

It was determined that the police were called to the home and this was not reported to Licensing.

One of two foster parent records does not have documentation of a TB test.

One of two foster homes reviewed did not contain the foster home agreement.

One of two homes reviewed did not contain a copy of the health checklist.

It was determined that a child ran away at noon and the incident was not reported within the six hour time frame.

Eggs where stored in the refrigerator broken and uncovered. This was corrected at inspection when the foster parent removed the eggs from the refrigerator.

During the walkthrough prescribed medication was not locked and over the counter medication was accessible in an unlocked kitchen cabinet.

The caregiver threatened to beat the child.

The caregiver called the child names.

It was determined that a foster parent did not include the time that each medication was administered.

It was determined that a medication log did not contain the reason for which the medicine was prescribed.

It was determined that the foster parent did not report a runaway that occurred on July 28.

The service plan indicated that the child should receive weekly therapy but foster mom admitted that child had missed a month.

There was no information as to if the child has high risk behaviors and the plan was missing signatures.

The service plan was not updated.

It was determined that the operation did not inform all DFPS caseworkers that children in care were exposed to COVID.

The chemicals are stored in a high area however the children are tall and are able to reach the items.

The Foster Parent stated that she threaten the child with loss of placement as a way to stop the child's unfavorable behavior.

The caregiver allowed children to be alone in a space which presented an opportunity for inappropriate interactions to take place.

Two children in care reported the caregiver held a belt in situations when their behavior wasn't acceptable. The belt was used as an indication that the behavior needed to change; a threat of corporal punishment.

The preliminary service plan does not address any heightened supervision requirements for a child in care while in the presence of other children. The child in care required line of sight and constant auditory awareness supervision.