Tlw Transformation Center
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 88
- Ages
- 6-17
- Hours
- -
- Director / administrator
- Synthia Harvey
- Phone
- (832) 539-4489
- Regulated since
- Sep 28, 2023
- HHSC IDs
- Operation 1412361 · number 1746886
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 5 | 0 | Cleanliness & sanitation (1), Supervision & ratios (2), Records & paperwork (2) |
| 2025 | 4 | 0 | Cleanliness & sanitation (2), Other (2) |
| 2024 | 9 | 0 | Illness & medication (1), Safety & premises (1), Staff background & training (1), Records & paperwork (4), Other (2) |
| 2023 | 20 | 4 | Illness & medication (3), Supervision & ratios (3), Discipline & child guidance (6), Staff background & training (1), Records & paperwork (1), Other (6) |
| 2022 | 27 | 0 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (5), Safety & premises (4), Staff background & training (5), Records & paperwork (3), Other (8) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
-
Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2026 Report · Deficiencies cited (self-report)
-
Records & paperwork
It was found, during the course of this investigation that the serious incident report did not include the medical interventions made. The child was hospitalized due to complications of a seizure.
HHSC 748.311(8) — Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
HHSC risk weight: Medium. Corrected 2026-06-03. Correction verified 2026-06-03.
-
Records & paperwork
It was found, during the course of this investigation that the serious incident report did not include the health care professionals name, the finding, or the treatment of the hospitalization.
HHSC 748.311(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2026-06-03. Correction verified 2026-06-03.
-
Records & paperwork
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The incident reports reviewed were missing the child's date of admission, the child's gender, the staff's role, the operation's phone number, the circumstances surrounding the incident, the events leading up to the incident, and the resolution of the incident.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2026-06-10. Correction verified 2026-06-17.
-
Supervision & ratios
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 2, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2026 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
Based on interviews conducted, the operation is confirmed to bring out a cleaning cart with cleaning supplies daily into areas accessible to children in care who cannot use chemicals responsibly.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2026-03-02. Correction verified 2026-03-26.
-
Cleanliness & sanitation
-
Jan 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 6, 2026 Report · Deficiencies cited
-
Supervision & ratios
A child's personal information was not properly secured, resulting in another child being able to read sensitive information.
HHSC 748.1101(b)(6)(C) — Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
HHSC risk weight: Medium Low. Corrected 2026-02-18. Correction verified 2026-02-17.
-
Supervision & ratios
-
Nov 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Restrooms were observed with dirty sinks and bathtubs had a black residue in the tile grout. Trash and dirty towels were present in tub.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2025-09-23. Correction verified 2025-09-20.
-
Cleanliness & sanitation
-
Sep 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2025 Report
No violations cited on this visit.
-
Apr 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 25, 2025 Inspection · Deficiencies cited
-
Other
During the inspection, multiple gnats were observed around the facility.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2025-04-01. Correction verified 2025-04-03.
-
Cleanliness & sanitation
Two bathrooms were observed, and one had a clogged sink and the other a broken toilet handle.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2025-04-01. Correction verified 2025-04-03.
-
Other
-
Mar 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 14, 2025 Report · Deficiencies cited
-
Other
Multiple children in care and staff stated that personal phone calls are taken as a consequence.
HHSC 748.1101(b)(2) — Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest
HHSC risk weight: Medium. Corrected 2025-03-14. Correction verified 2025-03-11.
-
Other
-
Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2024 Inspection · Deficiencies cited
-
Other
During the inspection, one out of 4 children's service plans reviewed was completed past the 45-day requirement.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2024-09-25. Correction verified 2024-09-11.
-
Records & paperwork
Three out of four child files reviewed did not contain required documentation is the files within 30 days.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2024-09-18. Correction verified 2024-09-17.
-
Staff background & training
Four out of four employee files reviewed had Affidavit for Employment forms that were not notarized.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2024-09-18. Correction verified 2024-09-17.
-
Records & paperwork
Four out of four employee files reviewed did not contain documentation of reference checks and employment history checks completed.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2024-09-18. Correction verified 2024-09-17.
-
Other
-
Aug 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2024 Report · Deficiencies cited
-
Illness & medication
The name and signature of the person who administered the medication were missing. Photos of the missing staff signature were taken. The staff names and signatures of those who administered the medication log were updated to correct the deficiency.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-17.
-
Illness & medication
-
May 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2024 Inspection · Deficiencies cited
-
Records & paperwork
The unauthorized absence log report did not have the age of the child, date of admission, gender of child, and the staff that was present during the unauthorized absence.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-03-21. Correction verified 2024-03-14.
-
Records & paperwork
-
Mar 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2024 Report · Deficiencies cited
-
Other
Staff shared their personal contact information with children in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-05-31. Correction verified 2024-06-07.
-
Other
-
Feb 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2024 Report · Deficiencies cited
-
Safety & premises
Based on two incident reports, it was determined that staff used EBI to get the child to comply with getting back downstairs and to get back on task at school.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-02-22. Correction verified 2024-02-21.
-
Records & paperwork
Two incident reports indicate a restraint occurred but does not have the length of time. Two incident reports did not include the de-escalation attempts before or during the restraint. Two incident reports do not indicate that staff attempted to explain to the child what was required to be released from the hold.
HHSC 748.2855(a)(6) — EBI Documentation-Must include the length of time the child was restrained or secluded
HHSC risk weight: Medium. Corrected 2024-02-22. Correction verified 2024-02-21.
-
Safety & premises
-
Jan 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 9, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-03-06. Correction verified 2024-03-08.
-
Discipline & child guidance Serious
A youth in care obtained bruising by being pushed to the ground by a caregiver.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2024-03-06. Correction verified 2024-03-08.
-
Discipline & child guidance Serious
-
Nov 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2023 Inspection · Deficiencies cited
-
Other
One of three child files reviewed did not have a completed initial service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2023-09-12. Correction verified 2023-09-19.
-
Illness & medication
It's suggested a designee is assigned to audit all medication immediately upon receiving from the pharmacy to ensure all medication labels are correct before administering. If a medication label has an error, the pharmacy should be notified immediately to have it corrected. This will ensure the youth in care is being administered medication per a health professional's orders.
HHSC 748.2205(1) — Medication label error-Report medication label errors to the pharmacist
HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-09-07.
-
Records & paperwork
Three out of three employee files reviewed did not contain a job description.
HHSC 748.363(4) — Personnel records-Personnel records-Include current job description.
HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-09-07.
-
Staff background & training
Two out of three employees did not have an affidavit for employment completed in their files reviewed.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-09-07.
-
Other
-
Sep 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Based on the preponderance of evidence in this investigation, staff used inappropriate discipline towards a child in care which results in a deficiency of 748.2307(1)
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2023-09-29. Correction verified 2023-09-29.
-
Discipline & child guidance Serious
-
Aug 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2023 Inspection
No violations cited on this visit.
-
Aug 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Report · Deficiencies cited
-
Other
Staff intimidated children in care using profane language in order to increase personal space. Staff baited a child to strike them so law enforcement could be called.
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2024-02-21. Correction verified 2024-02-09.
-
Other
-
Jul 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Inspection · Deficiencies cited
-
Illness & medication
During the walkthrough of the medication room the medication cabinet was observed to be unlocked. Two children's medication boxes were observed to have Scheduled II substances in them.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-10.
-
Illness & medication
-
Jul 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 30, 2023 Inspection · Deficiencies cited
-
Other
Two out of three child files reviewed included a service plan that was signed by someone other than the Treatment Director or PLSP.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-01.
-
Supervision & ratios
Several documents reviewed were not completely filled in with dates and signatures missing.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-01.
-
Other
-
May 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 26, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
A staff member threatened a child in care with corporal punishment.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2023-07-31. Correction verified 2023-08-01.
-
Discipline & child guidance Serious
-
May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2023 Report · Deficiencies cited
-
Discipline & child guidance
During an incident where a child was described as non-compliant and aggressive, staff member asked 15 yo child in care if they needed a hug.
HHSC 748.2307(4) — Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
HHSC risk weight: Medium High. Corrected 2023-07-18. Correction verified 2023-07-21.
-
Other
1 staff member and 3 children in care stated that staff have used profane language in the presence of children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-07-18. Correction verified 2023-07-21.
-
Discipline & child guidance
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2023 Inspection · Deficiencies cited
-
Other
Two out of three youth files reviewed did not include the child's understanding of the placement in the admission assessment.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-04-03.
-
Other
One out of one youth discharged file reviewed does not include contact information for the person the youth was discharged to nor did it include the child's reaction to the discharge.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2023-04-03. Correction verified 2023-03-31.
-
Illness & medication
Three out of three medication records reviewed did not include the prescribing health care physician's name.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-03-31.
-
Supervision & ratios
Four out of four serious incident reports reviewed didn't include at least one of the following: information about operation and time of incident.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-03-31.
-
Discipline & child guidance
Two out of three employee files reviewed did not include at least one of the following: a job description, TB skin test, drug test, affidavit for employment, nor signed acknowledgment of the operational policies and the acknowledgment of reporting abuse/neglect.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-03-31.
-
Supervision & ratios
The unauthorized absence log reviewed did not include the staff responsible for supervision at the time of the occurrence.
HHSC 748.453(a)(4) — Unauthorized Absence?Annual summary log must include name of caregiver responsible for child at time absence discovered
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-03-31.
-
Other
-
Mar 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2022 Inspection · Deficiencies cited
-
Staff background & training
One out of three employee files reviewed only contained a pediatric CPR/first-aid training certificate to indicate completion of the training and not an adult training.
HHSC 748.911(b)(3)(A) — One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi/Adult CPR if serving children 0 to 17.
HHSC risk weight: Medium High. Corrected 2023-01-03. Correction verified 2022-12-29.
-
Staff background & training
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Inspection · Deficiencies cited
-
Staff background & training
There was no policy regarding background check.
HHSC 748.103(a) — Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Records & paperwork
Policy does not address if staff are able to take children for overnight visitations. Policy also does not address reporting serious incidents.
HHSC 748.105(5) — Personnel Policies - Develop written policies on whether caregivers may take children away for day/overnight visits, ensure policy meets requirements
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Not in mock child file.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Policy does not state electronic mail correspondence. The policy also does not address children receiving gift or any restrictions of gifts. Also does not address if staff are able to take children for overnight visitations.
HHSC 748.111(2) — Child-care Policy - Child's right to correspond by mail, including electronic messages
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Staff background & training
no qualifications for caregiver in policy, no orientation for the child in the EBI policy, no EBI policy indicating informing the child and parents of EBI utilization, no training of EBI policy, no policy of not retaliating after misuse of EBI reported
HHSC 748.113(3) — EBI policy - the qualifications for caregivers who assume the responsibility for EBI implementation
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Discipline policy doesn't indicate discipline for infants or indicates how caregivers will promptly meet the needs.
HHSC 748.115(5) — Discipline policy - Include a statement that discipline of any type is not allowable for infants
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Supervision & ratios
No policy
HHSC 748.117 — Transitional living policy - For operations who offer a transitional living program, you must develop policies
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Policy does not have the job description.
HHSC 748.119(1) — Volunteer policy - Include job descriptions and/or responsibilities for the volunteers
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Volunteer policy doesn't indicate contact with children in care.
HHSC 748.119(5) — Volunteer policy - Address volunteer contact with children in care
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Not in mock child file.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Supervision & ratios
Not in mock child file.
HHSC 748.1207(a)(1) — Placement agreement-Must include authorization permitting operation to care for the child
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Staff background & training
Not in child mock file.
HHSC 748.1209(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Staff background & training
Missing from policy.
HHSC 748.1211(a)(1) — Parent Orientation - Provide fee policies
HHSC risk weight: Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Records & paperwork
Policy does not specify required employee vaccines or exemptions. Policy also does not state how they will verify compliance or verify exemptions. Policy also does not state a procedure to protect children for exempt employees. Policy also does not state how they will maintain records or any disciplinary actions for employees who do not comply.
HHSC 748.123 — Vaccine preventable policy - develop and implement written policy for vaccine-preventable diseases
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Not in mock child file.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Safety & premises
Not indicated in policy.
HHSC 748.1823(1) — Pregnant child-health-care professional must document whether any type of emergency behavior intervention is inadvisable
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Safety & premises
Policy did not indicate restraints will be used but mentioned staff will escort youth if need be.
HHSC 748.2451(a)(1) — Emergency Behavior Intervention-Use short personal restraint only If policies permit and requirements of this subchapter are met
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Supervision & ratios
Not indicated in EBI policy
HHSC 748.2751(a)(1) — Successive Interventions-Caregiver may successively use emergency behavior interventions on a child only if allowed by operation's policies
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Illness & medication
Not indicated in EBI policy
HHSC 748.2755(a)(1) — Simultaneous Interventions-May use emergency medication with mechanical restraint only if allowed by operation's policies
HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Cleanliness & sanitation
All bathtubs need bleach and new caulking. rm 220- hole in ceiling of bathroom rm 221- hole in ceiling of bathroom rm 222- wallpaper coming off under sink, broken tile in the shower and sink was clogged. rm 214- wallpaper in bedroom coming off rm 228- broken tiles in bathroom rm 211- wallpaper coming off in bathroom rm 210- air vent in bedroom needs screwed in
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Supervision & ratios
Three common areas are over capacity per the square footage allowed.
HHSC 748.3351(3) — Interior Space-Provide 40 sq feet of indoor activity space per child, including adult residents and children of caregivers residing at the operation
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Supervision & ratios
Seventeen bedrooms was over capacity per square footage allowed.
HHSC 748.3357(b)(2) — Bedroom Space-Must have at least 60 square feet of space for each occupant & no more than 4 occupants per bedroom unless certain exemptions met
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Other
Water throughout the facility did not get hot.
HHSC 748.3397(d)(2) — Bathing-Provide sufficient hot water to meet the demands of the children
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Records & paperwork
4 of 4 staff files were reviewed and all were missing most of the information needed.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Safety & premises
Policy does not state what activities they will use for children to develop their personal identity and life skills for 14yo or older. Also does not state information about the mentor services or information about how they will prevent or discourage children from running away from the facility.
HHSC 748.4551(1) — Policies and Procedures- Policies must be written and describe the variety of activites offered to develop skills and independence
HHSC risk weight: Medium Low. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Safety & premises
Policy does not state their internal and external communication system for emergency situations.
HHSC 748.4553(2)(A) — Policies and Procedures- Employee protocols and procedures to include internal and external system addressing emergency situations
HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-09-01.
-
Staff background & training
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.