Child Care Licensing Data Book- Residential Child Care Licensing Statistics- Fiscal Year 2018 Data Book Information The Data Book is a descriptive statistical resource of the services provided to the people of the State of Texas by the Texas Health and Human Services Commission (HHSC) for fiscal year 2018 (September 1, 2017 through August 31, 2018). Information in this book covers the most frequently asked statistical questions about HHSC Residential Child Care programs. Our hope is that it will be beneficial in answering these questions and serve as a continuous resource. The Data Book provides information in several types of charts using different time intervals and it provides county, regional, and statewide totals. Due to rounding of calculations, some percentages may not add to 100%. When comparing data from one time period to another, please keep in mind that HHSC has undergone major changes over time. There have been re-alignments, major policy changes, and automation of case management and reporting that have all influenced the data. In some cases this can make direct comparisons across the years misleading. The below statistical tables are an overview of Residential Child Care Licensing operations and HHSC’s involvement with those operations. HHSC is granted its authority to regulate child-care facilities and child-placing agencies by the Texas Legislature in Chapter 42 of the Texas Human Resources Code. The purpose of regulation is to protect a group of class of children by establishing and enforcing statewide minimum standards. Data received by Texas Health and Human Services were prepared by Center for Analytics and Decision Support at HHSC. For questions about these tables and processing of these reports, please email HHSC Center for Analytics and Decision Support at [email protected]. For additional data and information requests, please email HHSC Open Records at [email protected]. Data for abuse and neglect allegations in Child Day Care Licensing operations can be found at DFPS Data Book. This Data Book contains 24 (twenty-four) pages including a table of contents, beginning on page 2.
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Child Care Licensing Data Book-Residential Child Care ... · Inspections* in Residential Child Care Licensing Operations by Type of Inspection, ... Race/ Ethn icity: Afric an Am erican
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Child Care Licensing Data Book- Residential
Child Care Licensing Statistics- Fiscal Year
2018
Data Book Information
The Data Book is a descriptive statistical resource of the services provided to the people of the State of Texas by the Texas Health and Human Services Commission (HHSC) for fiscal year 2018 (September 1, 2017 through August 31, 2018).
Information in this book covers the most frequently asked statistical questions about
HHSC Residential Child Care programs. Our hope is that it will be beneficial in answering these questions and serve as a continuous resource.
The Data Book provides information in several types of charts using different time intervals and it provides county, regional, and statewide totals. Due to rounding of
calculations, some percentages may not add to 100%.
When comparing data from one time period to another, please keep in mind that HHSC has undergone major changes over time. There have been re-alignments, major policy changes, and automation of case management and reporting that have
all influenced the data. In some cases this can make direct comparisons across the years misleading.
The below statistical tables are an overview of Residential Child Care Licensing operations and HHSC’s involvement with those operations. HHSC is granted its
authority to regulate child-care facilities and child-placing agencies by the Texas Legislature in Chapter 42 of the Texas Human Resources Code. The purpose of
regulation is to protect a group of class of children by establishing and enforcing statewide minimum standards.
Data received by Texas Health and Human Services were prepared by Center for Analytics and Decision Support at HHSC.
For questions about these tables and processing of these reports, please email HHSC Center for Analytics and Decision Support at [email protected]. For additional
data and information requests, please email HHSC Open Records at [email protected]. Data for abuse and neglect allegations in
Child Day Care Licensing operations can be found at DFPS Data Book. This Data Book contains 24 (twenty-four) pages including a table of contents,
Child Care Licensing Data Book, Residential Child Care Licensing Statistics- Fiscal Year 2018 ................................................................................................................ 1
RCCL Employee Demographics and Tenure Resource Fiscal Year 2018....................... 3
Residential Child Care Licensing Operations* in Texas on August 31 by Fiscal Year ..... 4
Residential Child Care Licensing Operations in Texas on August 31 by Fiscal Year ....... 5
Region Count of Residential Child Care Operations by Fiscal Year .............................. 6
Residential Child Care Licensing Statistics on August 31, 2018 ................................. 7
Licensing of Residential Child Care Operations by Region, Fiscal Year 2018 .............. 12
Inspections in Residential Care Operations by Operation Type and Fiscal Year ......... 14
Inspections* in Residential Child Care Licensing Operations by Type of Inspection, Fiscal Year 2018 .............................................................................................. 15
Non-Abuse/Neglect Investigations in Residential Child Care Licensing Operations Fiscal Year 2018 ....................................................................................................... 16
Non-Abuse/Neglect Investigations in Residential Care Licensing by Operation Type and Region, Fiscal Year 2018 ................................................................................... 17
Adverse and Corrective Actions in Residential Child Care Licensing Operations by
Region Fiscal Year 2018 .................................................................................... 18
Monetary and Voluntary Actions Initiated in Residential Child Care Operations by
Region Fiscal Year 2018 .................................................................................... 19
Child Care Administrator Credential Exam Fiscal Year 2018 .................................... 20
Background Checks for Residential Child Care Licensing Operations Fiscal Year 2018 21
State's Top 10 Standards Deficiencies for Residential Child Care Operations Fiscal Year 2018 .............................................................................................................. 22
RCCL Employee Demographics and Tenure
Resource Fiscal Year 2018
Worker Demographics
Turnover Rate 24.1%
Agency Tenure:
Less Than 1 Year 26.5%
1 - 3 Years 71.4%
Greater than 3 Years 2.0%
Average Age 39.0
Race/Ethnicity:
African American 30.6%
Anglo 34.7%
Hispanic 32.7%
Other 20.0%
Supervisor Demographics
Turnover Rate 18.4%
Tenure as Supervisor:
Less Than 1 Year 22.7%
1 - 3 Years 40.9%
Greater than 3 Years 36.4%
Average Age 43.7
Race/Ethnicity:
African American 40.9%
Anglo 27.3%
Hispanic 31.8%
Residential Child Care Licensing Operations* in Texas on August 31 by Fiscal Year
Caregiver responsibility - being aware of and accountable for
each child's on-going activity
22
0.5
10
748.3301(i)
Physical Site-Equipment and furniture must be safe for children
and must be kept clean and in good repair
21
0.4
* Includes inspection, investigation, and assessment deficiencies. ** Count excludes Residential Treatment Centers, which are a subset of General Residential Operations.
NOTE: The following items are evaluated during most inspections and therefore may be cited more frequently: supervision of children;
child/caregiver ratio; swimming pools and transportation safety, if applicable; fire, safety, sanitation requirements; responsibilities of the
director, administrator, staff, or caregivers, and background checks.
State's Top 10 Standards Deficiencies for Residential Child Care Operations Fiscal Year 2018
Operation
Type
Rank Standard
Rule
Description
Deficiencies* % of
Total
Residential
Treatment
Centers
1
748.507(1)
Employee general responsibilities-Demonstrate competency,
prudent judgment, self-control in presence of children and when
performing assigned tasks
48
1.0
2
748.3301(a) Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
25
0.5
3
748.2307(9) Other Prohibited Punishments-subjecting a child to abusive or
profane language
23
0.5
4
748.685(a)(4) Caregiver responsibility - providing the level of supervision
necessary to ensure each child's safety and well-being
21
0.4
5
748.1101(b)(4)
Children's rights-Adhere to the child's rights to be free of abuse,
neglect, and exploitation as defined in Texas Family Code
261.401
15
0.3
5
748.685(a)(3) Caregiver responsibility - being aware of and accountable for each
child's on-going activity
15
0.3
6
748.2003(b)(5) Administration of Medication-Ensure the child has taken the
medication as prescribed
14
0.3
7
748.2307(8) Other Prohibited Punishments-humiliating, shaming, ridiculing,
rejecting, or yelling at a child
12
0.3
8
748.2551(a) EBI Implementation-Must be an appropriate response to the
behavior demonstrated, and de-escalation must have failed
11
0.2
8
748.2551(c)(1) EBI Implementation-Caregiver must minimize risk of physical
discomfort, harm, or pain to the child
11
0.2
9
748.2151(b)(5) Medication Record-Must include date (day, month, year) & time
each medication was administered
9
0.2
9
748.3421(3)
Poisons-Ensure poisonous or flammable materials are inaccessible
to children unless child has been evaluated as capable & likely to
use responsibly
9
0.2
10
748.1003(a)
Child/caregiver ratio-Caregiver may care for 5 children if any
require treatment services, 8 children if not; children under 5
years old count as 2 children
8
0.2
10
748.1531(a)(2) Medical care-A child in care must receive medical care as needed
for injury, illness, and pain
8
0.2
10
748.1583(a)
TB exam-Persons over 1 year old who live, work, volunteer at
facility have exam w/in 30 days, unless person had previous
exam that meets requirements
8
0.2
10
748.2151(c) Medication Record-Must include accurate daily count of each
prescribed medication
8
0.2
10
748.3301(i) Physical Site-Equipment and furniture must be safe for children
and must be kept clean and in good repair
8
0.2
10
748.685(a)(5) Caregiver responsibility - being able to intervene when necessary
to ensure child's safety
8
0.2
* Includes inspection, investigation, and assessment deficiencies.
NOTE: The following items are evaluated during most inspections and therefore may be cited more frequently: supervision of children; child/caregiver
ratio; swimming pools and transportation safety, if applicable; fire, safety, sanitation requirements; responsibilities of the director, administrator, staff,
or caregivers, and background checks.
State's Top 10 Standards Deficiencies for Residential Child Care Operations Fiscal Year 2018
Operation
Type
Rank Standard
Rule
Description
Deficiencies* % of
Total
Independent
Foster/Group
Homes
1 745.249 Required Liability Insurance 2 0.04
1
745.4151(c)(4)(A)
Mandatory drug testing-all applicants intended to be hired are
subject to pre-employment testing, must have results prior to
child access
2
0.04
1
745.626(b)
AP Background check results - When FBI required, must receive
FBI result prior to allowing unsupervised contact or direct access to
children in care
2
0.04
1
750.1101/749.2905(a)(2) Fire and Health Inspections-Inspections current for 2 years for
foster family homes, unless otherwise stated on form
2
0.04
1
750.501(1)/749.1107(a)(2) Child Admission Records-Include the court orders establishing who
is the managing conservator for the child, if applicable
2
0.04
1
750.501(1)/749.1109(3) Placement Agreement-Includes the reason for placement and the
anticipated length of time in care
2
0.04
1
750.501(1)/749.1111(c)
Child's Orientation-Document in the record when the orientation
occurred, any item that it did not include, and the reason any item
was omitted
2
0.04
1
750.501(2)/749.1133(b)
Admission Assessment-All information required in this subsection
must be documented in admission assessment prior to child's non-
emergency admission
2
0.04
1
750.501(2)/749.1135(2)(A)
Admission Assessment-For a child with intellectual disabilities
include a psychological and psychometric evaluation within 14
months of admission
2
0.04
1
750.601/749.1301(a)
Preliminary Service Planning-Complete a preliminary service plan
that addresses child's immediate needs within 72 hours of
admission
2
0.04
1
750.601/749.1309(b)
Service Plan-Document service plan in child's record; include items
required for a preliminary plan and items required by this rule
2
0.04
1
750.601/749.1331(2)
Service Plan Review and Update-Review and update plan for
children receiving treatment services for ED, PDD, or PMN 90 days
from date of last plan
2
0.04
2
745.625(a)(2) Initial background checks submitted - At the time you hire
someone
1
0.02
2
745.625(b)
Renewal background checks submitted - No later than two years
from the date of your most recently requested initial or renewal
background check
1
0.02
2
750.1009(3) Notification-A foster home must notify Licensing of a change
affecting a condition of the permit
1
0.02
2
750.1101/749.2902(a)
Health Inspection-Each foster home must attempt to get health
inspection from local authority; document attempts to obtain
inspection
1
0.02
2
750.1101/749.2904(a) Fire Inspection-FFH serving PMN children or FGH must have fire
inspection by certified inspector
1
0.02
2
750.131(a) Fiscal requirements-establish and maintain home on a sound fiscal
basis
1
0.02
2
750.133(5)
Fiscal requirements-child's money-separate from foster home
funds; not used for room, board; return to child, parent within 30
days of discharge
1
0.02
2
750.3
Permit holder must ensure compliance with all rules of TAC 750
and members of the home screened for TB before having contact
with children in care
1
0.02
2
750.351(b) Treatment director must be able to oversee the treatment of all
children receiving treatment services
1
0.02
2
750.401(1)/749.931(a)(7)
Annual Training-20 hours for unlicensed professional staff; include
2 hours on transportation safety if applicable; retrain on EBI as
needed
1
0.02
2
750.401(1)/749.935(a)(3)
Annual training hours-Emergency behavior intervention training,
first-aid, and CPR training cannot be obtained through self-
instructional training
1
0.02
2
750.501(2)/749.1133(a)
Admission Assessment-Must provide an initial evaluation of
appropriate placement for a child, and obtain information to
facilitate service planning
1
0.02
2
750.501(3)/749.1151(d) Medical Requirements-Reports and findings of medical exam must
be documented in child's record
1
0.02
2
750.601/749.1309(a)
Service Plan-Base initial plan on needs identified in admission
assessment; justify delay in addressing needs if service plan team
prioritizes goals
1
0.02
2
750.601/749.1313(a) Service Planning Team-Must give child's parent(s) at least two
weeks advance notice of the review
1
0.02
2
750.601/749.1371(2) Discharge or Transfer Summary-Must include date and time child
was informed of his discharge or transfer
1
0.02
2
750.701/749.1409(b)(5) General dental requirements-Child's record includes copy of results
of each dental exam
1
0.02
2
750.701/749.1417(b)
TB exam-Documentation of baseline test or chest x-ray results in
person's record w/in 40 days of beginning to live, work, volunteer
at operation
1
0.02
2
750.701/749.1427(b)
Vision and Hearing-Vision/hearing screening results on file for
child, or parental statement that school has records or screening
should not be done
1
0.02
2 750.701/749.1521(1) Medication Storage-Store medication in a locked container 1 0.02
2
750.701/749.1541(a)
Medication Record-Maintain cumulative record of prescription
medications dispensed to child, include nonprescription meds for
child under five years old
1
0.02
* Includes inspection, investigation, and assessment deficiencies.
NOTE: The following items are evaluated during most inspections and therefore may be cited more frequently: supervision of children; child/caregiver
ratio; swimming pools and transportation safety, if applicable; fire, safety, sanitation requirements; responsibilities of the director, administrator, staff, or