Saint Francis Community Services, Inc

The agency failed to provide a signed and dated record of a review or approval of the home prior to issuing a provisional verification.

The agency did not assess a transferring home prior to issuing a provisional verification.

A caregiver made a comment to a biological parent regarding monetary payment in exchange for permanency of a child.

Operation staff failed to provide treatment team members with two weeks notice of the review. Notification was provided on 12/5/2024 and the service plan meeting was completed on 12/10/2024.

The caregiver's home was observed to be cluttered with vacuums/cords, tv cords, and a bike in the living room area of the home.

Caregiver failed notify her agency, licensing and managing conservator of an injury to a 2-year-olds hand.

A caregiver allowed an alternate care giver to provide transportation for a child without supervision.

A caregiver failed to seek medical care for a two-year-old, child in care when an injury showed no improvement and worsen.

An alternate caregiver providing overnight care and supervision to children in care did not complete a background check.

A caregiver allowed her biological child to act as a babysitter without having first aid and CPR training.

Children in care were provided care outside the home by an unauthorized caregiver.

Caregiver allowed a biological child to provide care for children in care without placement approval.

Caregiver failed to obtain medical care for a child when the onset of symptoms was displayed, and illness progressed.

The caregiver's home was observed to be cluttered with vacuums/cords, tv cords, and a bike in the living room area of the home.

1 of 7 foster home reviewed has not had a supervisory visit conducted with both foster parents with in the last 6 months.

1 out of 7 homes reviewed did not have CPMS approval prior to verification.

One home record reviewed is delinquent for the health home inspection.

A child in care did not have a preliminary service plan completed in with in 72 hours.

The operation did not have two ICPC children's records available for review.

A home screen did not document if all household members were present during the visit.

Floor Plans did not identify which rooms were to be used by children in care.

The foster parent permitted a close friend to visit her home thrice weekly without undergoing a background check.

A caregiver and a 23-month-old child are sleeping in the same bed.

The agency failed to report an incident that occurred which involved law enforcement promptly.

Caregivers were allowing a child to spend the night at a relative placement without approval from the agency.

The operation is not completing the children's unauthorized absence in an annual summary log.

The operations home records such as addendums, home studies and children records included contradicting information. The home study addendums were lacking information and showed conflicting changes in the home capacity. Home studies did not document the interview with all household members, identified three other bio-children living in the home at the time they became licensed and listed a person as household members and as frequent visitors.

The operation did not complete a child's initial service plan or service plan reviews as required by Minimum Standards.

A child mattress was laying on the floor of the caregiver's home.

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

The operation did not complete any service plan reviews for a child placed in their home.

The operation failed to complete an admission assessment for a child in care as required by the Minimum Standards.

A caregiver was using demeaning and profane language towards a child in care via. text messaging while the child was placed in the home and after the child was discharged from the home.

The operation did not complete a preliminary service plan for a child that was placed in the operational caregiver's home.

A caregiver allowed a child with a Texas Learner's License to drive a motor vehicle without an adult being present in the vehicle.

A caregiver would make rude or inappropriately comments towards children in care and would engage in yelling at the children as a form of discipline in the home.

A foster home screening does not identify all household members. A 2 year-old adopted child is not named or identifed in the list of household members.

A home study did not document interview with biological children in the home.

The agency failed to notify RCCR prior to relocating to a new office location on December 1, 2023.

The operation did not have an active background check for an adult household member.

Five of seven home screenings lacked sufficient information or included contradicting information about the families verified for foster care. Contradictions included listing persons as household members and as frequent visitors, did not list an adopted child as a household member, reported a parent had no relationship or communication with a biological child who continues to reside in the home. Lacking information excluded information about established relationship with kinship placements in the home, histories of previous relationships which resulted in biological children, and historical residences.

A Caregiver failed to document medication December 2023 and January 2024.

Operation did not provide the foster home with an accurate verification certificate to document they are verified to care for a child with specific needs in their home.

The operation failed to update the home screening when a change in the types of services the foster home will provide was noted.

Caregiver stated she does not document administration of any medication given to the children. A child placed in the home is currently taking allergies medication and breathing treatment in the morning and evening.

Three Admission Assessments, three Preliminary Plan, and one child rights were not consistent records. The records lacked information required, lacked signatures, and/or had conflicting dates for completion.

Three of five preliminary service plans reviewed did not address all of the child's needs.

Foster Parents confined children in care to a chair for an hour as a form of punishment due to behavior.

A caregiver called a child in care derogatory names as a nickname for the child in care.

Five of seven child records did not include an admission assessment completed prior to admission.

Four of seven child records did not include a preliminary service plan completed within 72 hours of admission.

Two of seven child records reviewed did not have documentation of children being informed of their child rights.

A child in care's prescription medication was observed and photographed in the child's bathroom without secured storage in a locked container.

A child in care had access to and consumed unsecured alcohol in the home while unsupervised.

A 22-month old toddler incurred 1st and 2nd degree burns from spilling hot liquid onto himself while caregivers were cooking.

Caregivers allowed a child in care to use a cell phone in the child's bedroom when the service plan specifically states this is not allowed for the child. A caregiver who works overnights sleeps during daytime hours on Fridays when the child is in the home which interferes with the caregiver's ability to provide appropriate auditory range supervision. During overnight sibling visits in the home, a caregiver was unaware of an inappropriate conversation between a child in care and visiting siblings. It is noted the caregiver addressed the concerns upon learning of the conversation.

Excessive clutter and debris were observed in the common areas of the home as well as the child's bedroom and bathroom. The collection of clutter limits the regular use of the bathroom sink, the use of the kitchen table, and safe access to the child's bed.

Excessive clutter and debris were observed in the common areas of the home as well as the child's bedroom and bathroom. The collection of clutter limits the regular use of the bathroom sink, the use of the kitchen table, and safe access to the child's bed.

The exterior skirting of the home is damaged and missing in places exposing sharp edges and access to the area under the home.

Caregiver did not attend medical follow up appointment according to doctors recommendation.

The Master Bathroom has peeling paint, dry wall damage, and broken tiles. The home has a strong animal odor inside.

A caregiver failed to notify Licensing or document 2nd degree burns incurred by a child in care which required medical treatment.

Caregivers violated the agency's policy, making a judgement which placed a child at significant risk, by utilizing a babysitter in their own home without proper training or approval from the agency.

An adult child of the licensed caregiver identified as a frequent visitor to the home was present with unsupervised access to children in care as an unapproved alternate care provider. The caregiver had direct knowledge of the criminal history of this person.

A caregiver allowed a child to bathe a child in care resulting in 2nd degree burns. A caregiver allowed another adult unsupervised access to children in care without proper training or approval from the child placing agency.

A 3 year old child in care incurred 2nd degree splash burns to the abdomen while being bathed by a 7 year old child.

A child in care received a severe burn during bathing, medical attention was not obtained promptly for this injury from a medical professional.

A babysitter did not complete a background check prior to having unsupervised access to a child in care. The background check for the babysitter was submitted the day after babysitting services were provided.

Caregivers violated the agency's policy, making a judgement which placed a child at significant risk, by utilizing a babysitter in their own home without proper training or approval from the agency.

A 23 month old toddler incurred an unexplained skull fracture while sleeping in a crib requiring medical treatment. This occurred while the child was under the care of an unapproved caregiver.

A caregiver failed to provide appropriate supervision to a child in care who sustained a serious injury of unknown origin.