Open Hearts Children and Family Services

The agency did not inform Licensing of an investigation from a different entity on one of its foster homes.

Resolution: Corrected: 2026-01-23

The caregivers failed to follow the feeding instructions provided by medical professionals for an infant in care.

Resolution: Corrected: 2025-12-09

The caregivers failed to follow the feeding instructions provided by medical professionals for an infant in care.

Resolution: Corrected: 2025-12-09

The caregivers failed to follow the feeding instructions provided by medical professionals for an infant in care.

Resolution: Corrected: 2025-12-09

During the inspection, the inspector was denied access to a locked bedroom that belongs to the adult biological son.

Resolution: Corrected: 2025-07-25

During the inspection, the inspector was denied access to a locked bedroom that belongs to the adult biological son.

Resolution: Corrected: 2025-07-25

During the inspection, the inspector was denied access to a locked bedroom that belongs to the adult biological son.

Resolution: Corrected: 2025-07-25

During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 23, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium weighted citations in a pattern/trend category on May 23, 2025. Specifically, the operation was cited for standard 749.1953(a) Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work and 749.1521(2) Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication. The operation has pending corrections. ? Operation failed to satisfy the conditions of the plan. ? Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2025-06-13

During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 23, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium weighted citations in a pattern/trend category on May 23, 2025. Specifically, the operation was cited for standard 749.1953(a) Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work and 749.1521(2) Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication. The operation has pending corrections. ? Operation failed to satisfy the conditions of the plan. ? Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2025-06-13

During a review conducted on June 11, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on May 23, 2025, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received high and medium weighted citations in a pattern/trend category on May 23, 2025. Specifically, the operation was cited for standard 749.1953(a) Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work and 749.1521(2) Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication. The operation has pending corrections. ? Operation failed to satisfy the conditions of the plan. ? Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2025-06-13

A child's medication record was not in the child's file for the month of February 2025.

Resolution: Corrected: 2025-05-30

A child's medication record was not in the child's file for the month of February 2025.

Resolution: Corrected: 2025-05-30

A child's medication record was not in the child's file for the month of February 2025.

Resolution: Corrected: 2025-05-30

The backyard was observed to be unkept with overgrown grass, BBQ pit was tipped over, a trampoline was present with unsecured netting and exposed support pipes that could pose as a hazard, several empty totes and crates were scattered throughout the yard. The backyard fence is in need of repair.

Resolution: Corrected: 2025-04-25

The backyard was observed to be unkept with overgrown grass, BBQ pit was tipped over, a trampoline was present with unsecured netting and exposed support pipes that could pose as a hazard, several empty totes and crates were scattered throughout the yard. The backyard fence is in need of repair.

Resolution: Corrected: 2025-04-25

The backyard was observed to be unkept with overgrown grass, BBQ pit was tipped over, a trampoline was present with unsecured netting and exposed support pipes that could pose as a hazard, several empty totes and crates were scattered throughout the yard. The backyard fence is in need of repair.

Resolution: Corrected: 2025-04-25

The foster parent is hitting a child in care on the hand as a form of punishment when the child has a potty-training accident.

Resolution: Corrected: 2025-05-30

A child in care is administering medication to other children in care.

Resolution: Corrected: 2025-05-30

The caregiver allowed a child in care to participate in activities with family members in which the child was provided with alcohol and exposed to smoking and vaping nicotine and THC.

Resolution: Corrected: 2025-05-30

The caregiver allowed a child in care to participate in activities with family members in which the child was provided with alcohol and exposed to smoking and vaping nicotine and THC.

Resolution: Corrected: 2025-05-30

A child in care is administering medication to other children in care.

Resolution: Corrected: 2025-05-30

The foster parent is hitting a child in care on the hand as a form of punishment when the child has a potty-training accident.

Resolution: Corrected: 2025-05-30

The foster parent allowed a child in care to have access to locked medication storage.

Resolution: Corrected: 2025-05-30

The foster home screening was not updated when two household members moved out of the home in 2019 and 2022.

Resolution: Corrected: 2025-05-30

The foster home screening was not updated when two household members moved out of the home in 2019 and 2022.

Resolution: Corrected: 2025-05-30

The foster parent allowed a child in care to have access to locked medication storage.

Resolution: Corrected: 2025-05-30

The foster parent is hitting a child in care on the hand as a form of punishment when the child has a potty-training accident.

Resolution: Corrected: 2025-05-30

A child in care is administering medication to other children in care.

Resolution: Corrected: 2025-05-30

The caregiver allowed a child in care to participate in activities with family members in which the child was provided with alcohol and exposed to smoking and vaping nicotine and THC.

Resolution: Corrected: 2025-05-30

The foster home screening was not updated when two household members moved out of the home in 2019 and 2022.

Resolution: Corrected: 2025-05-30

The foster parent allowed a child in care to have access to locked medication storage.

Resolution: Corrected: 2025-05-30

A foster parent admitted to allowing two children under the age of 16 to babysit a six-year-old child in care.

Resolution: Corrected: 2025-05-23

A foster parent admitted to allowing two children under the age of 16 to babysit a six-year-old child in care.

Resolution: Corrected: 2025-05-23

A caregiver in the home choked a child in care resulting in injury.

Resolution: Corrected: 2025-04-24

A foster parent admitted to allowing two children under the age of 16 to babysit a six-year-old child in care.

Resolution: Corrected: 2025-05-23

A caregiver in the home choked a child in care resulting in injury.

Resolution: Corrected: 2025-04-24

A caregiver in the home choked a child in care resulting in injury.

Resolution: Corrected: 2025-04-24

A child's service plan did not include all team members signatures within the 10-day timeframe following its completion.

Resolution: Corrected: 2025-03-31

A child's service plan did not include all team members signatures within the 10-day timeframe following its completion.

Resolution: Corrected: 2025-03-31

A child's service plan did not include all team members signatures within the 10-day timeframe following its completion.

Resolution: Corrected: 2025-03-31

During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, 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 November 5, 2024. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on November 19, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2024-12-10

During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, 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 November 5, 2024. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on November 19, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2024-12-10

During a review conducted on December 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, 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 November 5, 2024. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container. The operation met compliance on November 19, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Resolution: Corrected: 2024-12-10

During a sampling inspection conducted on 10/29/2024, prescription medication was observed to be unlocked and accessible to children in care.

Resolution: Corrected: 2024-11-06

During a sampling inspection conducted on 10/29/2024, prescription medication was observed to be unlocked and accessible to children in care.

Resolution: Corrected: 2024-11-06

During a sampling inspection conducted on 10/29/2024, prescription medication was observed to be unlocked and accessible to children in care.

Resolution: Corrected: 2024-11-06

A child's service plan was not reviewed and updated timely, as it expired on May 27, 2024.

Resolution: Corrected: 2024-08-30

A child's service plan was not reviewed and updated timely, as it expired on May 27, 2024.

Resolution: Corrected: 2024-08-30

A child's service plan was not reviewed and updated timely, as it expired on May 27, 2024.

Resolution: Corrected: 2024-08-30

A foster home file did not complete trauma informed care annual training timely.

Resolution: Corrected: 2024-08-02

A foster home file did not complete annual psychotropic medication training timely.

Resolution: Corrected: 2024-08-02

A foster home file did not complete annual psychotropic medication training timely.

Resolution: Corrected: 2024-08-02

A foster home file did not complete trauma informed care annual training timely.

Resolution: Corrected: 2024-08-02

A foster home file did not complete annual psychotropic medication training timely.

Resolution: Corrected: 2024-08-02

A foster home file did not complete trauma informed care annual training timely.

Resolution: Corrected: 2024-08-02

The initial service plan updates for two children in care were not completed timely. One service plan was updated two days past the plan expiration date and the second service plan was update over one month past the plan expiration date.

Resolution: Corrected: 2024-06-25

The initial service plan updates for two children in care were not completed timely. One service plan was updated two days past the plan expiration date and the second service plan was update over one month past the plan expiration date.

Resolution: Corrected: 2024-06-25

The initial service plan updates for two children in care were not completed timely. One service plan was updated two days past the plan expiration date and the second service plan was update over one month past the plan expiration date.

Resolution: Corrected: 2024-06-25

During the inspection, not all areas of the home were accessible.

Resolution: Corrected: 2024-06-10

During the inspection, not all areas of the home were accessible.

Resolution: Corrected: 2024-06-10

During the inspection, not all areas of the home were accessible.

Resolution: Corrected: 2024-06-10

Four supervisory visits summaries were reviewed for two foster homes and all of the summaries are missing documentation for the behviors of the childlren, discipline methods used and stressors in the home.

Resolution: Corrected: 2024-04-25

Four supervisory visits summaries were reviewed for two foster homes and all of the summaries are missing documentation for the behviors of the childlren, discipline methods used and stressors in the home.

Resolution: Corrected: 2024-04-25

Four supervisory visits summaries were reviewed for two foster homes and all of the summaries are missing documentation for the behviors of the childlren, discipline methods used and stressors in the home.

Resolution: Corrected: 2024-04-25

A child in care was refusing to take their medication. The caregivers were not keeping a medication record for the child and failed to document the child's refusal.

Resolution: Corrected: 2024-07-24

A foster home screening update was not completed when a child in care was adopted in 2018.

Resolution: Corrected: 2024-07-24

A child in care was refusing to take their medication. The caregivers were not keeping a medication record for the child and failed to document the child's refusal.

Resolution: Corrected: 2024-07-24

A foster home screening update was not completed when a child in care was adopted in 2018.

Resolution: Corrected: 2024-07-24

A foster home screening update was not completed when a child in care was adopted in 2018.

Resolution: Corrected: 2024-07-24

A child in care was refusing to take their medication. The caregivers were not keeping a medication record for the child and failed to document the child's refusal.

Resolution: Corrected: 2024-07-24

A foster home was providing transitional living services, and its agency is not licensed to provide these services.

Resolution: Corrected: 2024-09-13

The foster parent failed to follow the recreational and therapeutic requirements documented in the initial service plan for a child in care.

Resolution: Corrected: 2024-09-13

The agency failed to ensure that a copy of children's service plans was reviewed and shared with the backup caregiver living in the home that was providing daily oversight of the children in care.

Resolution: Corrected: 2024-09-13

The agency failed to ensure that a copy of children's service plans was reviewed and shared with the backup caregiver living in the home that was providing daily oversight of the children in care.

Resolution: Corrected: 2024-09-13

A child in care with a known, documented history of swallowing cleaning products had access to and used the cleaning supplies in the home.

Resolution: Corrected: 2024-09-13

The agency failed to ensure that a copy of children's service plans was reviewed and shared with the backup caregiver living in the home that was providing daily oversight of the children in care.

Resolution: Corrected: 2024-09-13

A foster home was providing transitional living services, and its agency is not licensed to provide these services.

Resolution: Corrected: 2024-09-13

A child in care was refusing to take their prescribed medication and the caregivers were not documenting the child's refusal.

Resolution: Corrected: 2024-09-13

When a child in care was discharged from a behavioral health facility, the foster parent did not take the child to the outpatient treatment program as required by the hospital psychiatrist.

Resolution: Corrected: 2024-09-13

Child placement management staff were aware of a child's increasing behavioral concerns and did not provide the level of support needed by the caregivers, nor the appropriate oversight needed to ensure the safety of the children placed in the home.

Resolution: Corrected: 2024-09-13

The foster parent failed to provide the level of supervision necessary for children placed in the home which allowed to two children in care to use illicit substances leading to each child overdosing and requiring emergency medical treatment.

Resolution: Corrected: 2024-09-13

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

Resolution: Corrected: 2024-09-13

The foster parent failed to follow the recreational and therapeutic requirements documented in the initial service plan for a child in care.

Resolution: Corrected: 2024-09-13

The foster parent failed to participate in conferences with school faculty every six weeks as required per the child's initial service plan.

Resolution: Corrected: 2024-09-13

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

Resolution: Corrected: 2024-09-13

A child in care with a known, documented history of swallowing cleaning products had access to and used the cleaning supplies in the home.

Resolution: Corrected: 2024-09-13

When a child in care was discharged from a behavioral health facility, the foster parent did not take the child to the outpatient treatment program as required by the hospital psychiatrist.

Resolution: Corrected: 2024-09-13

Child placement management staff were aware of a child's increasing behavioral concerns and did not provide the level of support needed by the caregivers, nor the appropriate oversight needed to ensure the safety of the children placed in the home.

Resolution: Corrected: 2024-09-13

The foster parent failed to provide the level of supervision necessary for children placed in the home which allowed to two children in care to use illicit substances leading to each child overdosing and requiring emergency medical treatment.

Resolution: Corrected: 2024-09-13

The foster parent failed to participate in conferences with school faculty every six weeks as required per the child's initial service plan.

Resolution: Corrected: 2024-09-13

The foster parent failed to follow the recreational and therapeutic requirements documented in the initial service plan for a child in care.

Resolution: Corrected: 2024-09-13

The foster parent failed to participate in conferences with school faculty every six weeks as required per the child's initial service plan.

Resolution: Corrected: 2024-09-13

The foster parent failed to provide the level of supervision necessary for children placed in the home which allowed to two children in care to use illicit substances leading to each child overdosing and requiring emergency medical treatment.

Resolution: Corrected: 2024-09-13

A child in care was refusing to take their prescribed medication and the caregivers were not documenting the child's refusal.

Resolution: Corrected: 2024-09-13

A child in care was refusing to take their prescribed medication and the caregivers were not documenting the child's refusal.

Resolution: Corrected: 2024-09-13

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

Resolution: Corrected: 2024-09-13

A child in care with a known, documented history of swallowing cleaning products had access to and used the cleaning supplies in the home.

Resolution: Corrected: 2024-09-13

When a child in care was discharged from a behavioral health facility, the foster parent did not take the child to the outpatient treatment program as required by the hospital psychiatrist.

Resolution: Corrected: 2024-09-13

Child placement management staff were aware of a child's increasing behavioral concerns and did not provide the level of support needed by the caregivers, nor the appropriate oversight needed to ensure the safety of the children placed in the home.

Resolution: Corrected: 2024-09-13

A foster home was providing transitional living services, and its agency is not licensed to provide these services.

Resolution: Corrected: 2024-09-13

The caregivers did not bring a child in care their clothing for a week when admitted to the hospital.

Resolution: Corrected: 2024-03-08

The caregivers did not bring a child in care their clothing for a week when admitted to the hospital.

Resolution: Corrected: 2024-03-08

The caregivers did not bring a child in care their clothing for a week when admitted to the hospital.

Resolution: Corrected: 2024-03-08

A child safety seat is not being strapped into the vehicle according to the printed manufactures instructions.

Resolution: Corrected: 2024-03-05

The floor plan submitted does not have the room clearly identified with wall, nor the dimensions per room. The floor plan also does not indicate what areas will be for children's usage.

Resolution: Corrected: 2024-04-04

A child safety seat is not being strapped into the vehicle according to the printed manufactures instructions.

Resolution: Corrected: 2024-03-05

The floor plan submitted does not have the room clearly identified with wall, nor the dimensions per room. The floor plan also does not indicate what areas will be for children's usage.

Resolution: Corrected: 2024-04-04

The floor plan submitted does not have the room clearly identified with wall, nor the dimensions per room. The floor plan also does not indicate what areas will be for children's usage.

Resolution: Corrected: 2024-04-04

A child safety seat is not being strapped into the vehicle according to the printed manufactures instructions.

Resolution: Corrected: 2024-03-05

The foster parent adopted two children in 2019 and there were no interviews or observations of the children (then ages 2 and 3) documented in the home screening update. The following was also missing from the home screening update related to the children's adoption: No family/group interview or observation is documented (749.2449(a)(5)) There is no documentation that a visit was completed in the home with all household members present (749.2449(b)

Resolution: Corrected: 2024-04-04

The original foster home screening and the home screening update are missing the following requirements: Documentation on the method used to obtain proof of the foster parent's income(749.2447(6)) Service call information obtained from local law enforcement (749.2447(7)) There is no documentation in the home screening regarding any previous history with other child placement agencies (749.2447(23)) When a home screening update is complete, the agency must also assess the appropriateness of placement of children in the home. This was not documented in the home screening update. (749.2453(d)(1))

Resolution: Corrected: 2024-04-04

The agency did not change the foster home capacity when two children were adopted in 2019.

Resolution: Corrected: 2024-03-15

The foster parent adopted two children in 2019 and there were no interviews or observations of the children (then ages 2 and 3) documented in the home screening update. The following was also missing from the home screening update related to the children's adoption: No family/group interview or observation is documented (749.2449(a)(5)) There is no documentation that a visit was completed in the home with all household members present (749.2449(b)

Resolution: Corrected: 2024-04-04

There are no interviews documented for any of the references obtained for the home screening as required for family and community references in 749.2449(a)(7) and (a)(8).

Resolution: Corrected: 2024-04-04

The original foster home screening and the home screening update are missing the following requirements: Documentation on the method used to obtain proof of the foster parent's income(749.2447(6)) Service call information obtained from local law enforcement (749.2447(7)) There is no documentation in the home screening regarding any previous history with other child placement agencies (749.2447(23)) When a home screening update is complete, the agency must also assess the appropriateness of placement of children in the home. This was not documented in the home screening update. (749.2453(d)(1))

Resolution: Corrected: 2024-04-04

There are no interviews documented for any of the references obtained for the home screening as required for family and community references in 749.2449(a)(7) and (a)(8).

Resolution: Corrected: 2024-04-04

The agency did not change the foster home capacity when two children were adopted in 2019.

Resolution: Corrected: 2024-03-15

The foster parent adopted two children in 2019 and there were no interviews or observations of the children (then ages 2 and 3) documented in the home screening update. The following was also missing from the home screening update related to the children's adoption: No family/group interview or observation is documented (749.2449(a)(5)) There is no documentation that a visit was completed in the home with all household members present (749.2449(b)

Resolution: Corrected: 2024-04-04

The original foster home screening and the home screening update are missing the following requirements: Documentation on the method used to obtain proof of the foster parent's income(749.2447(6)) Service call information obtained from local law enforcement (749.2447(7)) There is no documentation in the home screening regarding any previous history with other child placement agencies (749.2447(23)) When a home screening update is complete, the agency must also assess the appropriateness of placement of children in the home. This was not documented in the home screening update. (749.2453(d)(1))

Resolution: Corrected: 2024-04-04

There are no interviews documented for any of the references obtained for the home screening as required for family and community references in 749.2449(a)(7) and (a)(8).

Resolution: Corrected: 2024-04-04

The agency did not change the foster home capacity when two children were adopted in 2019.

Resolution: Corrected: 2024-03-15

Kitchen counters were observed to be cluttered with items.

Resolution: Corrected: 2024-03-22

Kitchen counters were observed to be cluttered with items.

Resolution: Corrected: 2024-03-22

Kitchen counters were observed to be cluttered with items.

Resolution: Corrected: 2024-03-22

A 6 week old infant was asleep in a bassinet on top of a blanket and there was a curved pillow near the head.

Resolution: Corrected: 2023-12-21

There was a 6-week-old infant observed sleeping on loose fitted sheets.

Resolution: Corrected: 2023-12-21

The 5-year-old was being transported without a booster seat.

Resolution: Corrected: 2023-12-21

There was medication on the kitchen counter, master bathroom, master bedrooms, both adult rooms that was not locked up.

Resolution: Corrected: 2023-12-21

A child in care is sleeping on the couch as the designated sleep arrangements.

Resolution: Corrected: 2023-12-29

A 6 week old infant was asleep in a bassinet on top of a blanket and there was a curved pillow near the head.

Resolution: Corrected: 2023-12-21

A 6 week old infant was asleep in a bassinet on top of a blanket and there was a curved pillow near the head.

Resolution: Corrected: 2023-12-21

There was medication on the kitchen counter, master bathroom, master bedrooms, both adult rooms that was not locked up.

Resolution: Corrected: 2023-12-21

A child in care is sleeping on the couch as the designated sleep arrangements.

Resolution: Corrected: 2023-12-29

There was a 6-week-old infant observed sleeping on loose fitted sheets.

Resolution: Corrected: 2023-12-21

The 5-year-old was being transported without a booster seat.

Resolution: Corrected: 2023-12-21

There was medication on the kitchen counter, master bathroom, master bedrooms, both adult rooms that was not locked up.

Resolution: Corrected: 2023-12-21

A child in care is sleeping on the couch as the designated sleep arrangements.

Resolution: Corrected: 2023-12-29

There was a 6-week-old infant observed sleeping on loose fitted sheets.

Resolution: Corrected: 2023-12-21

The 5-year-old was being transported without a booster seat.

Resolution: Corrected: 2023-12-21

On 11/20/2023, the agency was cited when a background check was not completed for a household member. The compliance date for the deficiency was 11/22/2023. As of 12/4/2023, the agency has failed to meet compliance. Therefore, the deficiency will be re-cited.

Resolution: Corrected: 2024-02-23

On 11/20/2023, the agency was cited when a background check was not completed for a household member. The compliance date for the deficiency was 11/22/2023. As of 12/4/2023, the agency has failed to meet compliance. Therefore, the deficiency will be re-cited.

Resolution: Corrected: 2024-02-23

On 11/20/2023, the agency was cited when a background check was not completed for a household member. The compliance date for the deficiency was 11/22/2023. As of 12/4/2023, the agency has failed to meet compliance. Therefore, the deficiency will be re-cited.

Resolution: Corrected: 2024-02-23

Two foster home files reviewed indicated on the supervisory visit documentation that both foster parents were present for the visit, but the documentation did not include both foster parents' signature on the supervisory form.

Resolution: Corrected: 2024-01-16

Two foster home files reviewed indicated on the supervisory visit documentation that both foster parents were present for the visit, but the documentation did not include both foster parents' signature on the supervisory form.

Resolution: Corrected: 2024-01-16

Two foster home files reviewed indicated on the supervisory visit documentation that both foster parents were present for the visit, but the documentation did not include both foster parents' signature on the supervisory form.

Resolution: Corrected: 2024-01-16

Two of the two foster home files reviewed, there was no verification on how income was verified and it did not indicate if two consecutive bank statements or tax returned were used.

Resolution: Corrected: 2023-10-31

Two of the two foster home files reviewed, there was no verification on how income was verified and it did not indicate if two consecutive bank statements or tax returned were used.

Resolution: Corrected: 2023-10-31

Two of the two foster home files reviewed, there was no verification on how income was verified and it did not indicate if two consecutive bank statements or tax returned were used.

Resolution: Corrected: 2023-10-31

An adult family member is living in the home and does not have an active background check.

Resolution: Corrected: 2023-12-04

Only one community reference is documented in the home screening.

Resolution: Corrected: 2023-12-04

The caregiver is physically disciplining their adopted child in the presence of children in care.

Resolution: Corrected: 2023-12-04

There is no documentation of any discussion with the caregiver regarding the reimbursement process.

Resolution: Corrected: 2023-12-04

There is no group interview with all household members documented in the home screening. There is also no documentation that the home was visited when all household members were present as required in minimum standard 749.2449(b).

Resolution: Corrected: 2023-12-04

The home screening does not have any documentation regarding service call information obtained by local law enforcement.

Resolution: Corrected: 2023-12-04

An adult family member is living in the home and does not have an active background check.

Resolution: Corrected: 2023-12-04

There is no group interview with all household members documented in the home screening. There is also no documentation that the home was visited when all household members were present as required in minimum standard 749.2449(b).

Resolution: Corrected: 2023-12-04

The home screening does not adequately discuss the assessment of the caregiver's ability or willingness to work with specific ages, behaviors or needs of children in care.

Resolution: Corrected: 2023-12-04

Interviews for references are documented with only a name, relationship type and a phone number.

Resolution: Corrected: 2023-12-04

An adult family member is living in the home and does not have an active background check.

Resolution: Corrected: 2023-12-04

The home screening does not have any documentation regarding service call information obtained by local law enforcement.

Resolution: Corrected: 2023-12-04

There is no group interview with all household members documented in the home screening. There is also no documentation that the home was visited when all household members were present as required in minimum standard 749.2449(b).

Resolution: Corrected: 2023-12-04

There is no documentation of any discussion with the caregiver regarding the reimbursement process.

Resolution: Corrected: 2023-12-04

The caregiver is physically disciplining their adopted child in the presence of children in care.

Resolution: Corrected: 2023-12-04

There is no documentation of any discussion with the caregiver regarding the reimbursement process.

Resolution: Corrected: 2023-12-04

The home screening does not have any documentation regarding service call information obtained by local law enforcement.

Resolution: Corrected: 2023-12-04

Only one community reference is documented in the home screening.

Resolution: Corrected: 2023-12-04

Interviews for references are documented with only a name, relationship type and a phone number.

Resolution: Corrected: 2023-12-04

The home screening does not adequately discuss the assessment of the caregiver's ability or willingness to work with specific ages, behaviors or needs of children in care.

Resolution: Corrected: 2023-12-04

The home screening does not adequately discuss the assessment of the caregiver's ability or willingness to work with specific ages, behaviors or needs of children in care.

Resolution: Corrected: 2023-12-04

The caregiver is physically disciplining their adopted child in the presence of children in care.

Resolution: Corrected: 2023-12-04

Only one community reference is documented in the home screening.

Resolution: Corrected: 2023-12-04

Interviews for references are documented with only a name, relationship type and a phone number.

Resolution: Corrected: 2023-12-04

It was discovered during a sampling inspection that 3 frequent visitors to a foster home licensed with your operation, did not have required background checks

Resolution: Corrected: 2023-08-04

It was discovered during a sampling inspection that 3 frequent visitors to a foster home licensed with your operation, did not have required background checks

Resolution: Corrected: 2023-08-04

It was discovered during a sampling inspection that 3 frequent visitors to a foster home licensed with your operation, did not have required background checks

Resolution: Corrected: 2023-08-04

2 of 3 Children records reviewed during inspection at the operation did not have signatures for children in care or caretakers of children

Resolution: Corrected: 2022-12-12

2 of 3 Children records reviewed during inspection at the operation did not have signatures for children in care or caretakers of children

Resolution: Corrected: 2022-12-12

2 of 3 Children records reviewed during inspection at the operation did not have signatures for children in care or caretakers of children

Resolution: Corrected: 2022-12-12

Children's supervision plans in their service plans were not being followed.

Resolution: Corrected: 2022-12-30

Children's supervision plans in their service plans were not being followed.

Resolution: Corrected: 2022-12-30

Children's supervision plans in their service plans were not being followed.

Resolution: Corrected: 2022-12-30

Medication logs for the month of October did not include the name of the prescribing physician or the reason for the medication.

Resolution: Corrected: 2022-12-16

Caregiver did not have a medication log for several medications dispensed to the child in the month of November. The caregiver also did not document all medications dispensed to the child on the log in the previous month of October.

Resolution: Corrected: 2022-12-16

Medication logs for the month of October did not include the name of the prescribing physician or the reason for the medication.

Resolution: Corrected: 2022-12-16

Caregiver did not have a medication log for several medications dispensed to the child in the month of November. The caregiver also did not document all medications dispensed to the child on the log in the previous month of October.

Resolution: Corrected: 2022-12-16

Medication logs for the month of October did not include the name of the prescribing physician or the reason for the medication.

Resolution: Corrected: 2022-12-16

Caregiver did not have a medication log for several medications dispensed to the child in the month of November. The caregiver also did not document all medications dispensed to the child on the log in the previous month of October.

Resolution: Corrected: 2022-12-16

A caregiver made children in care hold their hands in the air while in time out.

Resolution: Corrected: 2022-08-05

A caregiver made children in care hold their hands in the air while in time out.

Resolution: Corrected: 2022-08-05

A caregiver made children in care hold their hands in the air while in time out.

Resolution: Corrected: 2022-08-05

A child in care was transported in the foster parents mini van without being placed in a car seat.

Resolution: Corrected: 2022-05-26

A child in care was transported in the foster parents mini van without being placed in a car seat.

Resolution: Corrected: 2022-05-26

A child in care was transported in the foster parents mini van without being placed in a car seat.

Resolution: Corrected: 2022-05-26

There is not a background check for an alternate caregiver of the home

Resolution: Corrected: 2022-02-22

There is not a background check for an alternate caregiver of the home

Resolution: Corrected: 2022-02-22

There is not a background check for an alternate caregiver of the home

Resolution: Corrected: 2022-02-22

5 of the six children interviewed all claimed that the foster parent would yell at them or that they heard the foster parent yelling at their siblings.

Resolution: Corrected: 2022-04-11

5 of the six children interviewed all claimed that the foster parent would yell at them or that they heard the foster parent yelling at their siblings.

Resolution: Corrected: 2022-04-11

All three children were allowed to play at the park without adult supervision present.

Resolution: Corrected: 2022-04-11

5 of the six children interviewed all claimed that the foster parent would yell at them or that they heard the foster parent yelling at their siblings.

Resolution: Corrected: 2022-04-11

All three children were allowed to play at the park without adult supervision present.

Resolution: Corrected: 2022-04-11

All three children were allowed to play at the park without adult supervision present.

Resolution: Corrected: 2022-04-11

There was a household member that did not have a cleared background.

Resolution: Corrected: 2022-01-26

There was a household member that did not have a cleared background.

Resolution: Corrected: 2022-01-26

The home screening did not address a household member moving into the home. In addition, the household member moving in would change the verification 749.2453(a)(3).

Resolution: Corrected: 2022-01-31

A foster child was sleeping on the couch and did not have a bed.

Resolution: Corrected: 2022-01-26

There was a household member that did not have a cleared background.

Resolution: Corrected: 2022-01-26

A foster child was sleeping on the couch and did not have a bed.

Resolution: Corrected: 2022-01-26

The home screening did not address a household member moving into the home. In addition, the household member moving in would change the verification 749.2453(a)(3).

Resolution: Corrected: 2022-01-31

The home screening did not address a household member moving into the home. In addition, the household member moving in would change the verification 749.2453(a)(3).

Resolution: Corrected: 2022-01-31

A foster child was sleeping on the couch and did not have a bed.

Resolution: Corrected: 2022-01-26

New employee record reviewed was incomplete.

Resolution: Corrected at inspection

There was one medication log that was reviewed that showed a child did not receive his medication as prescribed

Resolution: Corrected: 2021-12-28

New employee record reviewed was incomplete.

Resolution: Corrected at inspection

There was one medication log that was reviewed that showed a child did not receive his medication as prescribed

Resolution: Corrected: 2021-12-28

There was one medication log that was reviewed that showed a child did not receive his medication as prescribed

Resolution: Corrected: 2021-12-28

New employee record reviewed was incomplete.

Resolution: Corrected at inspection

It was discovered during a sampling of a foster home licensed with the operation that the foster parents biological child was residing in the home and did not have a required background check.

Resolution: Corrected: 2021-09-09

It was discovered during a sampling of a foster home licensed with the operation that the foster parents biological child was residing in the home and did not have a required background check.

Resolution: Corrected: 2021-09-09

It was discovered during a sampling of a foster home licensed with the operation that the foster parents biological child was residing in the home and did not have a required background check.

Resolution: Corrected: 2021-09-09

A foster parent 14 year old biological child did not have required background check

Resolution: Corrected: 2021-09-03

A foster parent 14 year old biological child did not have required background check

Resolution: Corrected: 2021-09-03

A foster parent 14 year old biological child did not have required background check

Resolution: Corrected: 2021-09-03

The last discharge occurred on 03/16/2021. During an investigation inspection discharged children's medication was still being stored with medications for children currently placed.

Resolution: Corrected: 2021-04-05

The last discharge occurred on 03/16/2021. During an investigation inspection discharged children's medication was still being stored with medications for children currently placed.

Resolution: Corrected: 2021-04-05

During an inspection prescription medications were locked in a single storage box.

Resolution: Corrected: 2021-04-05

During an inspection prescription medications were locked in a single storage box.

Resolution: Corrected: 2021-04-05

During the walk through inspection of the home several medication bottles were found to not be stored in a locked container.

Resolution: Corrected: 2021-03-23

During the walk through inspection of the home several medication bottles were found to not be stored in a locked container.

Resolution: Corrected: 2021-03-23

The fire extinguisher in the home was last inspected in January 2020.

Resolution: Corrected: 2021-03-26

The fire extinguisher in the home was last inspected in January 2020.

Resolution: Corrected: 2021-03-26

The fire extinguisher in the home was last inspected in January 2020.

Resolution: Corrected: 2021-03-26

During the walk through inspection of the home several medication bottles were found to not be stored in a locked container.

Resolution: Corrected: 2021-03-23