Refuge House

Safety plans were not created for the children in care that exhibits high risk behaviors at the time of admission.

A safety plan was not created at the time of admission to address suicidal risk factors for children in care.

A caregiver failed to follow provisions of 3 children's service plans by leaving the children unattended at a movie theater and allowing a person that was an unapproved visitor to have access to children in care.

A caregiver was under the influence of alcohol and began to behave inappropriately and erratically while providing care for children in the home.

Several witnesses overheard a caregiver making demeaning remarks to a child in care.

A caregiver made a child in care hold out his arms as a form of discipline.

Flower food bottles were observed in child bed room

Child bed was observed to be broken with wooden slates exposed.

Teenage children in care, who have a history of conflict, were left unattended. At that time, items accessible to children increased risk of harm.

This standard was found deficient as part of a DFPS Investigation.

A household member was present in the home with access to children, without a required background check

Caregiver engaged in a physical altercation with another individual while in the presence of children in care putting them at significant risk of harm or injury.

Caretaker admitted to using profane language to children in care.

Caregivers were not testing a diabetic child's blood sugar despite physician's instructions to do so.

Operation failed to validate background check list since 05/26/2022. Employee list validated and corrected at inspection.

Several medications were observed on the bathroom counter and not stored in a locked container. While still at the foster home the foster mother put the medications in the locked storage container for compliance.

Foster parent admitted to having a child in care sit on a stool and hold a bible as a form of discipline.

A review of 2 foster child files showed that the foster parents who administers medication only used their initials when completing the form and not their full signature as required by minimum standards.

A foster home file was reviewed and the home screening and the CLASS information does not match the verification on the service provided.

An unapproved caregiver did not have cleared background check prior to being unsupervised with a child in care.

A 16 year was left unattended with an unauthorized caregiver. The caretaker pointed a gun to the child's chest when the child refused to leave the room at the caregiver's request.

Medications (Hydroxyurea, Hydrocodone Acetamin and Inahaler) were not stored in a locked container. Medication was accessible to children in two separate bedrooms. Pictures were taken.

A trompoline did not have a fence attached to the unit. Children had access, Pictures were taken.

A caregiver transported a 2 month old alone, did not administer the appropriate amount of oxygen, and initially refused inpatient treatment as recommended. This action placed the child at a significant risk of harm.

An infant diagnosed with fetal alcohol syndrome and complication with breathing, required a two person transport while in a vehicle. The caregiver did not follow these recommendations by transporting the child alone.

The foster parent was advised by medical that an infant required inpatient treatment at a specific hospital. The foster parent did not agree to the recommendations.

A child in care was prescribed .25 liters of Oxygen. The caregiver gave the child 2 liters.

Caretaker left children in care alone to run errands in violation of their service plans which specifically require supervision by caretaker due to their aggressive behaviors.

A child in care was left unattended and was bite by a dog.

A child in care did not receive prescribed medication as prescribed by her doctor.