Agape Manor Home CPA

The admission assessment had not been finalized prior to the child's placement in the home on 01/31/2026. The completion of the admission assessment occurred on 03/09/2026.

Resolution: Corrected: 2026-03-13

The admission assessment had not been finalized prior to the child's placement in the home on 01/31/2026. The completion of the admission assessment occurred on 03/09/2026.

Resolution: Corrected: 2026-03-13

Two foster parents failed to complete the Safe Sleep Training.

Resolution: Corrected: 2026-03-13

The residence was confirmed for two children residing there. A minor child has reached the age of 18. The verification of the residence was not updated to account for the change in capacity within the home.

Resolution: Corrected: 2026-03-13

A minor child, who was a member of the household, reached the age of 18 while residing in the home. An addendum was not submitted to indicate that the individual had become an adult.

Resolution: Corrected: 2026-03-13

The 4th quarterly did not document any challenging behaviors of the current children in the home, the level of stress the foster family is currently experiencing (including any significant change in finances), and any methods for responding to each child s challenging behavior and/or alleviating any significant stress the foster family is experiencing.

Resolution: Corrected: 2026-03-13

The residence was confirmed for two children residing there. A minor child has reached the age of 18. The verification of the residence was not updated to account for the change in capacity within the home.

Resolution: Corrected: 2026-03-13

A minor child, who was a member of the household, reached the age of 18 while residing in the home. An addendum was not submitted to indicate that the individual had become an adult.

Resolution: Corrected: 2026-03-13

The 4th quarterly did not document any challenging behaviors of the current children in the home, the level of stress the foster family is currently experiencing (including any significant change in finances), and any methods for responding to each child s challenging behavior and/or alleviating any significant stress the foster family is experiencing.

Resolution: Corrected: 2026-03-13

Two foster parents failed to complete the Safe Sleep Training.

Resolution: Corrected: 2026-03-13

The floor plan did not have the dimension for all rooms.

Resolution: Corrected: 2026-02-23

The floor plan did not have the dimension for all rooms.

Resolution: Corrected: 2026-02-23

A prior health inspection lapsed on 10/10/2024, prior to the execution of a new health inspection on 10/29/2025.

Resolution: Corrected: 2026-02-04

A prior health inspection lapsed on 10/10/2024, prior to the execution of a new health inspection on 10/29/2025.

Resolution: Corrected: 2026-02-04

The home study failed to record the approach the agency employed to confirm the income for the residence..

Resolution: Corrected: 2026-01-23

The home study failed to record the approach the agency employed to confirm the income for the residence..

Resolution: Corrected: 2026-01-23

Prescription and over-the-counter medications were kept in an unsecured storage box. Photographs were captured.

Resolution: Corrected: 2025-12-19

Prescription and over-the-counter medications were kept in an unsecured storage box. Photographs were captured.

Resolution: Corrected: 2025-12-19

The criminal history for a caregiver was not documented or assessed in the home screening.

Resolution: Corrected: 2025-12-17

Domestic violence history was not requested or documented in the home screening.

Resolution: Corrected: 2025-12-17

Domestic violence history was not requested or documented in the home screening.

Resolution: Corrected: 2025-12-17

The criminal history for a caregiver was not documented or assessed in the home screening.

Resolution: Corrected: 2025-12-17

The foster dad's history of previous interpersonal relationships or marriages was not discussed in the home screening.

Resolution: Corrected: 2025-12-17

The foster dad's history of previous interpersonal relationships or marriages was not discussed in the home screening.

Resolution: Corrected: 2025-12-17

A caregiver, along with a child and a professional, reported that the caregiver had popped/struck a child to sit down in a chair.

Resolution: Corrected: 2026-01-06

A caregiver, along with a child and a professional, reported that the caregiver had popped/struck a child to sit down in a chair.

Resolution: Corrected: 2026-01-06

A caregiver said that the EBI training was carried out via Zoom and that they did not show the physical technique to the instructor.

Resolution: Corrected: 2025-12-04

A member of the household is no longer living in the residence. An addendum indicating this change in the household was not submitted.

Resolution: Corrected: 2025-12-04

A member of the household had a criminal record. The findings were not discussed with the foster parents.

Resolution: Corrected: 2025-12-04

A caregiver said that the EBI training was carried out via Zoom and that they did not show the physical technique to the instructor.

Resolution: Corrected: 2025-12-04

The rabies vaccination for the family dog expired on 07/09/2025.

Resolution: Corrected: 2025-12-04

A member of the household is no longer living in the residence. An addendum indicating this change in the household was not submitted.

Resolution: Corrected: 2025-12-04

A member of the household had a criminal record. The findings were not discussed with the foster parents.

Resolution: Corrected: 2025-12-04

The rabies vaccination for the family dog expired on 07/09/2025.

Resolution: Corrected: 2025-12-04

Two members of the household are children. Their health status was not addressed in the home study.

Resolution: Corrected: 2025-12-04

Two members of the household are children. Their health status was not addressed in the home study.

Resolution: Corrected: 2025-12-04

A child in care was injured while riding his scooter, and he required medical attention. The child's caregiver was not supervising him and did not have her phone when the child attempted to call her.

Resolution: Corrected: 2025-12-11

A child in care was injured while riding his scooter, and he required medical attention. The child's caregiver was not supervising him and did not have her phone when the child attempted to call her.

Resolution: Corrected: 2025-12-11

Bug spray (Johnsons Off) was stored outside on a patio table and accessible to a young child. Corrected during inspection. Pictures were taken.

Resolution: Corrected: 2025-10-23

Bug spray (Johnsons Off) was stored outside on a patio table and accessible to a young child. Corrected during inspection. Pictures were taken.

Resolution: Corrected: 2025-10-23

A child in care had his initial service plan completed in February 2025, and a review has not been completed to date.

Resolution: Corrected: 2025-10-13

A foster home has not had a supervisory visit completed since 4/28/2025.

Resolution: Corrected: 2025-10-06

The agency did not report a change in a home's foster care capacity to Licensing within two working days of the change.

Resolution: Corrected at inspection

A new verification certificate was not issued after a change in foster care capacity.

Resolution: Corrected: 2025-10-06

A current frequent visitor/babysitter for a foster home has had an inactive background check since March 2025.

Resolution: Corrected at inspection

A foster parent participated in her Emergency Behavior Intervention training virtually and did not demonstrate physical restraint techniques.

Resolution: Corrected: 2025-10-06

A child in care had his initial service plan completed in February 2025, and a review has not been completed to date.

Resolution: Corrected: 2025-10-13

A supervisory visit was conducted with two foster parents, but there is only a signature from one foster parent.

Resolution: Corrected: 2025-10-06

Child placement staff did not conduct a visit with a child in care within 60 days as he was seen on 6/25/2025 and 8/28/2025.

Resolution: Corrected: 2025-10-06

A foster home has not had a supervisory visit completed since 4/28/2025.

Resolution: Corrected: 2025-10-06

The agency did not report a change in a home's foster care capacity to Licensing within two working days of the change.

Resolution: Corrected at inspection

A new verification certificate was not issued after a change in foster care capacity.

Resolution: Corrected: 2025-10-06

A current frequent visitor/babysitter for a foster home has had an inactive background check since March 2025.

Resolution: Corrected at inspection

A foster parent participated in her Emergency Behavior Intervention training virtually and did not demonstrate physical restraint techniques.

Resolution: Corrected: 2025-10-06

A supervisory visit was conducted with two foster parents, but there is only a signature from one foster parent.

Resolution: Corrected: 2025-10-06

Child placement staff did not conduct a visit with a child in care within 60 days as he was seen on 6/25/2025 and 8/28/2025.

Resolution: Corrected: 2025-10-06

During a review conducted on September 15, 2025, 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 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 failure of your operation?s administrator 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; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s).

Resolution: Corrected: 2025-09-17

During a review conducted on September 15, 2025, 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 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 failure of your operation?s administrator 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; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s).

Resolution: Corrected: 2025-09-17

A 16 year old child in care is babysitting the other children and does not have CPR/first aid training.

Resolution: Corrected: 2025-08-25

A 16 year old child in care is babysitting the other children and does not have CPR/first aid training.

Resolution: Corrected: 2025-08-25

The foster parent did not follow the children's service plan concerning supervision. The plans required an adult in the home.

Resolution: Corrected: 2025-10-03

The foster parent did not follow the children's service plan concerning supervision. The plans required an adult in the home.

Resolution: Corrected: 2025-10-03

There was an incident of inappropriate sexual touching amongst children, and this was not reported to Licensing as soon as the foster parent was made aware.

Resolution: Corrected: 2025-07-29

There was an incident of inappropriate sexual touching amongst children, and this was not reported to Licensing as soon as the foster parent was made aware.

Resolution: Corrected: 2025-07-29

1 of 2 child beds did not have mattress cover.

Resolution: Corrected: 2025-05-02

Broken glass was observed at the backdoor of the home.

Resolution: Corrected: 2025-05-02

1 of 2 child beds did not have mattress cover.

Resolution: Corrected: 2025-05-02

Broken glass was observed at the backdoor of the home.

Resolution: Corrected: 2025-05-02

Two children did not have an initial service plan before 45 days of placement.

Resolution: Corrected: 2025-04-18

Two children did not have an initial service plan before 45 days of placement.

Resolution: Corrected: 2025-04-18

During a review conducted on March 14, 2025 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 the 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; and Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-03-15

During a review conducted on March 14, 2025 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 the 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; and Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-03-15

The monthly visit with a child in care was not conducted in private.

Resolution: Corrected: 2025-05-05

The monthly visit with a child in care was not conducted in private.

Resolution: Corrected: 2025-05-05

The admission assessment reviewed was completed the day after a child's non-emergency placement.

Resolution: Corrected: 2025-05-08

The admission assessment reviewed was completed the day after a child's non-emergency placement.

Resolution: Corrected: 2025-05-08

2 of 2 child's file the monthly contacts did not have the CPMS signature.

Resolution: Corrected: 2025-02-21

2 of 2 child's file the monthly contacts did not have the CPMS signature.

Resolution: Corrected: 2025-02-21

During a review conducted on September 13, 2024, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-13

During a review conducted on September 13, 2024, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-13

Prescribed and non-prescribed medication was not stored in a locked container in the master bedroom on top and inside of a dresser drawer, the unlocked kitchen cabinet and a household member's bedroom. On 7-15-2024, a follow-up inspection was conducted. Medication for a household member is stored in an unlocked box. Pictures were taken

Resolution: Corrected: 2024-07-16

The dining area is converted into a bedroom for a foster child. There are no doors installed for privacy, and the room is open to public viewing. Pictures were taken.

Resolution: Corrected: 2024-07-22

Prescribed and non-prescribed medication was not stored in a locked container in the master bedroom on top and inside of a dresser drawer, the unlocked kitchen cabinet and a household member's bedroom. On 7-15-2024, a follow-up inspection was conducted. Medication for a household member is stored in an unlocked box. Pictures were taken

Resolution: Corrected: 2024-07-16

The dining area is converted into a bedroom for a foster child. There are no doors installed for privacy, and the room is open to public viewing. Pictures were taken.

Resolution: Corrected: 2024-07-22

Prescribed and non-prescribed medication was not stored in a locked container in the master bedroom on top and inside of a dresser drawer, the unlocked kitchen cabinet and a household member's bedroom.,

Resolution: Corrected: 2024-07-02

Cleaning products and other poisonous items were stored in an unlocked kitchen cabinet, unlocked bathroom cabinet and bathroom tub area. Pictures were taken.

Resolution: Corrected: 2024-07-03

Prescribed and non-prescribed medication was not stored in a locked container in the master bedroom on top and inside of a dresser drawer, the unlocked kitchen cabinet and a household member's bedroom.,

Resolution: Corrected: 2024-07-02

Cleaning products and other poisonous items were stored in an unlocked kitchen cabinet, unlocked bathroom cabinet and bathroom tub area. Pictures were taken.

Resolution: Corrected: 2024-07-03

A child's two review service plans were completed after 180 days.

Resolution: Corrected at inspection

A child's two review service plans were completed after 180 days.

Resolution: Corrected at inspection

The floorboards in the kitchen are separating leaving a gap between the boards. Pictures were taken.

Resolution: Corrected: 2024-06-07

The floorboards in the kitchen are separating leaving a gap between the boards. Pictures were taken.

Resolution: Corrected: 2024-06-07

A caregiver renewed their CPR after 24 months.

Resolution: Corrected at inspection

A household member's background check results are not documented in the home screening.

Resolution: Corrected: 2024-07-05

A household member's health status was not documented in the home screening.

Resolution: Corrected: 2024-07-05

A caregiver renewed their CPR after 24 months.

Resolution: Corrected at inspection

Household caregivers a medical professional, and a foster child reported that foster children were disciplined by performing jumping jacks, push-ups, and wall squats.

Resolution: Corrected: 2024-06-26

A household member's background check results are not documented in the home screening.

Resolution: Corrected: 2024-07-05

A household member's health status was not documented in the home screening.

Resolution: Corrected: 2024-07-05

Household caregivers a medical professional, and a foster child reported that foster children were disciplined by performing jumping jacks, push-ups, and wall squats.

Resolution: Corrected: 2024-06-26

The caregiver completed CPR online and not have a hands-on section of the training to be able to practice on a manakin

Resolution: Corrected: 2024-05-24

The floor boards in the kitchen are coming up and the laundry room doors are off the hinges.

Resolution: Corrected: 2024-05-24

The caregiver was storing two medications for the child in care in one prescription bottle.

Resolution: Corrected: 2024-05-10

The caregiver completed CPR online and not have a hands-on section of the training to be able to practice on a manakin

Resolution: Corrected: 2024-05-24

The floor boards in the kitchen are coming up and the laundry room doors are off the hinges.

Resolution: Corrected: 2024-05-24

The caregiver was storing two medications for the child in care in one prescription bottle.

Resolution: Corrected: 2024-05-10

An improper restraint was conducted on a child in care. The child's arms were pulled behind her back.

Resolution: Corrected: 2024-04-22

An improper restraint was conducted on a child in care. The child's arms were pulled behind her back.

Resolution: Corrected: 2024-04-22

A foster child's initial service plan was not followed. The initial service plan stated that children were not to be alone together at any time. Two foster children shared a bedroom and were alone together without adult supervision resulting in children having inappropriate contact.

Resolution: Corrected: 2024-05-06

A foster child's initial service plan was not followed. The initial service plan stated that children were not to be alone together at any time. Two foster children shared a bedroom and were alone together without adult supervision resulting in children having inappropriate contact.

Resolution: Corrected: 2024-05-06

During a review conducted on March 11, 2024, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-12

During a review conducted on March 11, 2024, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-12

A child's cumulative medication log was not in the child's case binder and was not available to licensing when requested.

Resolution: Corrected: 2023-10-11

1 of 2 children files reviewed a child sustained an injury (2nd-degree burns) that required medical treatment by a healthcare professional at the hospital. Licensing was not notified.

Resolution: Corrected: 2023-10-11

A child's cumulative medication log was not in the child's case binder and was not available to licensing when requested.

Resolution: Corrected: 2023-10-11

An infant was burned on his ankle by a curling iron, and medical care was not sought until three days after the burn.

Resolution: Corrected: 2023-10-11

1 of 2 children files reviewed a child sustained an injury (2nd-degree burns) that required medical treatment by a healthcare professional at the hospital. Licensing was not notified.

Resolution: Corrected: 2023-10-11

An infant was burned on his ankle by a curling iron, and medical care was not sought until three days after the burn.

Resolution: Corrected: 2023-10-11

The outdoor area including the play area of the foster home had overgrown vegetation/weeds/ grass, trash (scattered in the yard), 2 large garbage reciprocals that were overflowing with trash, a broken glass patio table, a disassembled headboard, a metal bedframe, bags of open and closed trash scattered on the patio and the yard, patio chairs overturn and scattered on the property, plus, trash underneath the porch and embedded in the ground. Furthermore, a white PCP pipe sticking up from the ground, a pool pump and an unlocked outdoor circuit breaker that is next to the trampoline and patio area is accessible to children.

Resolution: Corrected: 2023-11-10

The outdoor area including the play area of the foster home had overgrown vegetation/weeds/ grass, trash (scattered in the yard), 2 large garbage reciprocals that were overflowing with trash, a broken glass patio table, a disassembled headboard, a metal bedframe, bags of open and closed trash scattered on the patio and the yard, patio chairs overturn and scattered on the property, plus, trash underneath the porch and embedded in the ground. Furthermore, a white PCP pipe sticking up from the ground, a pool pump and an unlocked outdoor circuit breaker that is next to the trampoline and patio area is accessible to children.

Resolution: Corrected: 2023-11-10

1 child's August medication log was not available and a 2nd child's complete August medication log was not in the binder until the agency requested it from the caregiver.

Resolution: Corrected: 2023-10-04

1 child's August medication log was not available and a 2nd child's complete August medication log was not in the binder until the agency requested it from the caregiver.

Resolution: Corrected: 2023-10-04

Reference interviews did not have the date of contact in the home study.

Resolution: Corrected: 2023-10-31

Reference interviews did not have the date of contact in the home study.

Resolution: Corrected: 2023-10-31

During a review conducted on September 8, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-09

During a review conducted on September 8, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-09

One child's admission assessment did not document the child's high-risk behavior.

Resolution: Corrected: 2023-10-20

The operation did not have medical examination records for visits on 9/3, 8/28 and 8/15. The operation did not have completed documentation in their medical visit form.

Resolution: Corrected: 2023-10-20

2 of 2 service plans did not have specific supervision goals related to each child's needs.

Resolution: Corrected: 2023-10-20

The operation did not have medical examination records for visits on 9/3, 8/28 and 8/15. The operation did not have completed documentation in their medical visit form.

Resolution: Corrected: 2023-10-20

Operation and Child records were not consistent and had contradicting information.

Resolution: Corrected: 2023-10-20

2 of 2 service plans were missing caregivers, managing conservators, and children's signatures.

Resolution: Corrected: 2023-10-20

Am admission assessment did not document the child's current medication.

Resolution: Corrected: 2023-10-20

2 of 2 service plans were missing caregivers, managing conservators, and children's signatures.

Resolution: Corrected: 2023-10-20

Operation and Child records were not consistent and had contradicting information.

Resolution: Corrected: 2023-10-20

A child's non-emergency discharge summary did not document when the child was informed about the discharge.

Resolution: Corrected: 2023-10-20

One child's admission assessment did not document the child's high-risk behavior.

Resolution: Corrected: 2023-10-20

A child's non-emergency discharge summary did not document when the child was informed about the discharge.

Resolution: Corrected: 2023-10-20

2 of 2 service plans did not have specific supervision goals related to each child's needs.

Resolution: Corrected: 2023-10-20

Am admission assessment did not document the child's current medication.

Resolution: Corrected: 2023-10-20

The home study did not provide that the agency obtained service call information from law enforcement. The agency reported they did not submit a service call request to Law Enforcement after a home was licensed. An addendum was not provided.

Resolution: Corrected: 2023-09-08

The home study did not provide that the agency obtained service call information from law enforcement. The agency reported they did not submit a service call request to Law Enforcement after a home was licensed. An addendum was not provided.

Resolution: Corrected: 2023-09-08

Once learned by DFPS that the family had moved the agency didn?t make a report. DFPS contacted the operation due to not being able to locate the family and it was determined the family wasn?t in their verified home. At that time, the operation didn?t make a report.

Resolution: Corrected: 2023-08-30

Once learned by DFPS that the family had moved the agency didn?t make a report. DFPS contacted the operation due to not being able to locate the family and it was determined the family wasn?t in their verified home. At that time, the operation didn?t make a report.

Resolution: Corrected: 2023-08-30

A child has been prescribed Risperidone. The child did not receive their afternoon dosage.

Resolution: Corrected: 2023-06-10

A child's medication log did not have the strength of the medication prescribed for one medication.

Resolution: Corrected: 2023-06-12

A child has been prescribed Risperidone. The child did not receive their afternoon dosage.

Resolution: Corrected: 2023-06-10

A child's medication log did not have the strength of the medication prescribed for one medication.

Resolution: Corrected: 2023-06-12

A child has been prescribed medication (Lexapro, Cetirizine, and Aripiprazole). The child did not receive the medication.

Resolution: Corrected: 2023-04-20

A child has been prescribed medication (Lexapro, Cetirizine, and Aripiprazole). The child did not receive the medication.

Resolution: Corrected: 2023-04-20

During a review conducted on March 6, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-07

During a review conducted on March 6, 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 the 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-07

The Williams home study did not discuss how the foster parents coped with previous relationships and how it would effect a child in care with a similar background.

Resolution: Corrected: 2022-10-28

2 of 2 homes did not have fire drills documented in the foster home file.

Resolution: Corrected: 2022-10-28

The Williams agency home file did not discuss the how the foster parents coped with previous child hood trauma. It only discusses the foster parent left the home at a young age.

Resolution: Corrected: 2022-10-28

The Williams agency home file did not discuss the how the foster parents coped with previous child hood trauma. It only discusses the foster parent left the home at a young age.

Resolution: Corrected: 2022-10-28

The Williams home study did not discuss how the foster parents coped with previous relationships and how it would effect a child in care with a similar background.

Resolution: Corrected: 2022-10-28

2 of 2 homes did not have fire drills documented in the foster home file.

Resolution: Corrected: 2022-10-28

The agency did not have an Overall Annual Evaluation documentation to review at the time of the inspection.

Resolution: Corrected at inspection

The agency did not have an Overall Annual Evaluation documentation to review at the time of the inspection.

Resolution: Corrected at inspection

During a review conducted on 9.02.2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-03

During a review conducted on 9.02.2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans 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 heightened monitoring plans, 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-03

The foster parents would make a child write up to 2000's sentences as a form of discipline. If the sentences were wrong the child would have to rewrite them again.

Resolution: Corrected: 2022-08-23

The service plan was not followed in regards to discipline and extra curricular activities.

Resolution: Corrected: 2022-08-23

The foster parents would make a child write up to 2000's sentences as a form of discipline. If the sentences were wrong the child would have to rewrite them again.

Resolution: Corrected: 2022-08-23

The service plan was not followed in regards to discipline and extra curricular activities.

Resolution: Corrected: 2022-08-23

1 of 1 home files reviewed showed the home did not receive an unannounced inspection.

Resolution: Corrected: 2022-05-03

1 of 1 home files reviewed showed the home did not receive an unannounced inspection.

Resolution: Corrected: 2022-05-03

A caregiver posted on social media a child's identifying information and their frustrations with that child's behavior.

Resolution: Corrected: 2022-05-11

A caregiver slapped and grabbed a child's face to stop a tantrum.

Resolution: Corrected: 2022-05-10

A caregiver grabbed a 3 year old, child in care, by the face. This action resulted in a patterned bruise.

Resolution: Corrected: 2022-05-10

A caregiver slapped and grabbed a child's face to stop a tantrum.

Resolution: Corrected: 2022-05-10

A caregiver grabbed a 3 year old, child in care, by the face. This action resulted in a patterned bruise.

Resolution: Corrected: 2022-05-10

A caregiver posted on social media a child's identifying information and their frustrations with that child's behavior.

Resolution: Corrected: 2022-05-11

The itemized monthly household expenses were not included in the financial section of the home screening. Also, it was not documented how income was verified.

Resolution: Corrected: 2022-03-31

The itemized monthly household expenses were not included in the financial section of the home screening. Also, it was not documented how income was verified.

Resolution: Corrected: 2022-03-31

The foster home license showed a total capacity of 4 and a foster care capacity of two. During the interview the foster home had four daycare children, one foster child, and one biological for a total capacity of six.

Resolution: Corrected: 2022-03-11

The foster home license showed a total capacity of 4 and a foster care capacity of two. During the interview the foster home had four daycare children, one foster child, and one biological for a total capacity of six.

Resolution: Corrected: 2022-03-11

Two of two child records reviewed did not have the child's, parent or caregiver's signatures on the service plan.

Resolution: Corrected: 2022-01-26

One of two supervisory visit forms reviewed did not have caregiver's signature.

Resolution: Corrected: 2022-01-26

Two of two child records reviewed did not have the child's, parent or caregiver's signatures on the service plan.

Resolution: Corrected: 2022-01-26

One of two supervisory visit forms reviewed did not have caregiver's signature.

Resolution: Corrected: 2022-01-26

Caregiver yells at the children in care.

Resolution: Corrected: 2022-03-25

Caregiver yells at the children in care.

Resolution: Corrected: 2022-03-25

Children in care were denied the right to contact their caseworkers. Caregiver admitted that they only allowed foster children to have phone calls two days per week at a scheduled time.

Resolution: Corrected: 2022-03-25

Children in care were denied the right to contact their caseworkers. Caregiver admitted that they only allowed foster children to have phone calls two days per week at a scheduled time.

Resolution: Corrected: 2022-03-25

One case file did not indicate who was present during the review of quarterly/supervisory visits.

Resolution: Corrected: 2021-11-12

One of two child's file did not show that a child was allergic to medication.

Resolution: Corrected: 2021-11-12

One case file did not indicate who was present during the review of quarterly/supervisory visits.

Resolution: Corrected: 2021-11-12

One of two child's file did not show that a child was allergic to medication.

Resolution: Corrected: 2021-11-12

The caregivers restricted the movement of children in care. The caregivers demonstrated physically aggressive behavior (by pushing) the children in care as form of discipline in the home. Caregiver responded in a unnecessary manner to a child in care.

Resolution: Corrected: 2021-12-08

The caregivers restricted the movement of children in care. The caregivers demonstrated physically aggressive behavior (by pushing) the children in care as form of discipline in the home. Caregiver responded in a unnecessary manner to a child in care.

Resolution: Corrected: 2021-12-08

2 out 2 home files did not indicate who was present during the review of supervisory visits.

Resolution: Corrected: 2021-10-21

The home screening did not interview a family member not living in the home.

Resolution: Corrected: 2021-10-21

The home screening did not interview a family member not living in the home.

Resolution: Corrected: 2021-10-21

2 out 2 home files did not indicate who was present during the review of supervisory visits.

Resolution: Corrected: 2021-10-21

During a visit to the foster home it was found that the pool pump was accessible to children.

Resolution: Corrected: 2021-09-27

During a visit to the foster home it was found that the pool pump was accessible to children.

Resolution: Corrected: 2021-09-27

A relative in the home did not have a background check completed within time frame. The background check was completed prior to the completion of this investigation.

Resolution: Corrected at inspection

A relative in the home did not have a background check completed within time frame. The background check was completed prior to the completion of this investigation.

Resolution: Corrected at inspection

1 of 2 home files and 1 of 2 child files did not have the previous month's (over 30 days) contact summary within the binder. The douments were completed during the inspection.

Resolution: Corrected at inspection

1 of 2 home files and 1 of 2 child files did not have the previous month's (over 30 days) contact summary within the binder. The douments were completed during the inspection.

Resolution: Corrected at inspection

The trampoline is not currently being used and the ladder is accessible to the children.

Resolution: Corrected at inspection

The fire extinguisher inspection was past due.

Resolution: Corrected: 2021-06-01

The trampoline is not currently being used and the ladder is accessible to the children.

Resolution: Corrected at inspection

The fire extinguisher inspection was past due.

Resolution: Corrected: 2021-06-01

Children and a caregiver reported the foster mother threaten to throw away a child's personal items and children are reporting the foster mother threaten a child's placement in the home.

Resolution: Corrected: 2021-07-15

Children and a caregiver reported the foster mother threaten to throw away a child's personal items and children are reporting the foster mother threaten a child's placement in the home.

Resolution: Corrected: 2021-07-15

The caregiver had medication that were not locked in her bathroom.

Resolution: Corrected at inspection

The caregiver had medication that were not locked in her bathroom.

Resolution: Corrected at inspection

Admission Assessment of a non-emergency child placement was not completed until two days after placement. Child was placed on 4//14/21 and admission assessment was not completed until 04/16/21.

Resolution: Corrected: 2021-05-26

Admission Assessment of a non-emergency child placement was not completed until two days after placement. Child was placed on 4//14/21 and admission assessment was not completed until 04/16/21.

Resolution: Corrected: 2021-05-26

One child was injured while wrestling in another child's bedroom.

Resolution: Corrected: 2021-07-06

One child was injured while wrestling in another child's bedroom.

Resolution: Corrected: 2021-07-06