Passage of Youth Family Center

The operation failed to hire a full-time administrator.

The operation failed to hire a full-time administrator.

A service plan for a child, who had exhibited high-risk behavior, did not include plans to minimize the risk of harm to the child.

A 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.

The operation failed to hire a full-time administrator.

A child in care was able to gain access to a large walking stick and use it to hit another child in care multiple times.

A foster parent's criminal history was not documented and assessed in the home screening.

There is not an interview with a family member living outside of the home and not already interviewed in the home screening.

There are no dates listed in the home screening for the interviews with the foster parents' biological children living outside of the home.

Service 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.

There is not ten years of residential history listed in the home screening.

Two firearms in a foster home were not kept in locked storage.

During 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.

During the inspection at the operation, a bowl of cheese was observed to be uncovered in the refrigerator.

During the walk through of the home, food was observed to be stored on the floor of the pantry.

The caregivers psychotropic training did not include a certificate for an in-person training by a qualified individual.

During 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.

During the walk through of the home, a prescription medication was observed to be sitting out in the master bedroom and not locked away.

The operation failed to hire a full-time administrator.

The operation failed to hire a full-time administrator within 90 days of the position becoming vacant.

A subject who has not been associated with the agency for more than 7 days, still had an active background check.

The operation failed to hire a full-time administrator within 60 days of the position becoming vacant.

A home screening addendum was not completed when there was a change in household composition.

Home 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.

Multiple subjects, who have not been associated with the operation for more than 7 days, still have active background checks.

The operation did not renew multiple individuals' fingerprint-based criminal background checks within five years of the date of the last submission.

Several employees only have a Texas Name Based background check. All employees require a fingerprint-based criminal history check.

The operation did not renew multiple individuals' Texas Name Based criminal background checks within two years of the date of the last submission.

There 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.

A serious incident report was not made regarding alleged inappropriate touching between children in care.

Some 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.

The medication log did not contain the record of medications dispensed to the child.

A household member and alternate caregiver for children in care had a background check that was inactive.

A child s rights form was signed three months after placed with the agency.

A quarterly report documented the foster home's fire extinguisher was expired, but there was no documentation of any follow-up plans to show compliance.

None 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.

There were four serious incident reports reviewed. All reports were missing information required for the report (749.511(2-5)),

The 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.

A child s rights form was signed three months after placed with the agency.

None 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.

There were four serious incident reports reviewed. All reports were missing information required for the report (749.511(2-5)),

A quarterly report documented the foster home's fire extinguisher was expired, but there was no documentation of any follow-up plans to show compliance.

A child was given more than the recommended dose of melatonin that was listed on the label.

During 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.

During the inspection, it was discovered that a home record did not include photos or a sketch of the outside of the home.

The 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.

During 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.

During the DFPS investigation, it was discovered that the respite caregiver/niece sleeps in the den area of the home.

The operation did not complete a quarterly visit for the first quarter the home was licensed.

One child did not sign the service plan.

One 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.

Verification 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.

The operation did not follow their policies regarding conflicts of interest when they verified a governing body member as a foster parent.

Two 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.

The operation office relocated to a new location however Licensing was not notified 30 days prior to the move.

Two homes did not conduct fire drills or severe weather drills within the last year.

One child file did not include documentation of the results of the child's initial medical exam.

One child file did not include a record of the child's immunizations.

Two child files did not include documentation of the results of the TB exam.

Medications were not stored in a locked container and were accessible to children in the home.

During 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.

During 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.

Case notes for the monthly contacts were copied and paste which indicates information was not discussed thoroughly each month.

FP criminal history hit was not addressed in home study.

Case notes for the monthly contacts were copy and pasted which indicates service plan information was not discussed thoroughly each month.

A background check was not submitted for a person who is a frequent visitor and provides care for the children.

HS reveiwed addressed the FP criminal history. However, it didn't assess the drug charge found on the FP record.

HS in review has copy and paste information from transfer HS from out of state.

HS reviewed addressed the FP criminal history. However, it didn?t assess the drug charge found on the FP record.

HS in review has copy and paste information from transfer HS from out of state.

Licensing was not notified that a caregiver had a communicable disease until 14 days after the fact. Home has closed.

A home did not notify the agency of a major life change. Home has closed.

For monthly home visits one file did not address specfic on-going events in the home.

Caregivers smoke cigarette's in their bedroom.

Medications were stored in an unlocked box. Note: This was corrected at inspection due to foster parent's placing a lock on the medication box.

The most recent quarterly report does not address the foster parent's current stressors.

The foster home did not have smoke detectors and there are loose wires hanging from the ceiling where the smoke detectors should be placed.

A foster child's bedroom door has a large, clear window that prevents the child from having complete privacy.

The agency did not report the foster parents' new address to licensing within the required 48 hours of updating the home's verification.

The 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.