RecordWell Data

Make A Way Residential Treatment Center

6245 COUNTY ROAD 169, Alvin, TX 77511 · Brazoria County

30cited violations
12serious
166inspections & investigations
1enforcement actions

Program

Type
General residential operation
Licensed capacity
16
Ages
6-17
Hours
-
Director / administrator
Stephanie Renea King-Skinner
Phone
(254) 258-3197
Regulated since
Aug 25, 2022
HHSC IDs
Operation 1382726 · number 1724502
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202660 Illness & medication (2), Records & paperwork (4)
202522 Staff background & training (2)
202482 Cleanliness & sanitation (2), Illness & medication (4), Safety & premises (2)
202386 Supervision & ratios (2), Other (6)
202262 Supervision & ratios (4), Staff background & training (2)

Enforcement actions

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

  1. Aug 20, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Aug 20, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  3. Aug 7, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Aug 7, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  5. Aug 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  6. Aug 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  7. Jul 14, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  8. Jul 14, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  9. Jul 2, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Jul 2, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  11. Jun 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  12. Jun 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Jun 18, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  14. Jun 18, 2026 Report

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  15. Jun 11, 2026 Assessment

    No violations cited on this visit.

    HHSC inspection history

  16. Jun 11, 2026 Assessment

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  17. Jun 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Jun 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  19. Jun 7, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Jun 7, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  21. Jun 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. Jun 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  23. Jun 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. Jun 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  25. Apr 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  26. Apr 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. Mar 14, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  28. Mar 14, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Feb 28, 2026 Report · Deficiencies cited
    • Illness & medication

      Staff members documented that medication was administered despite the child not receiving it at the operation, as they were away from the operation.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-08-06.

    HHSC inspection history

  30. Feb 28, 2026 Report · Deficiencies cited
    • Illness & medication

      Staff members documented that medication was administered despite the child not receiving it at the operation, as they were away from the operation.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-08-06.

    HHSC inspection history · no longer published by HHSC; kept here

  31. Feb 26, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  32. Feb 26, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Feb 16, 2026 Report · Deficiencies cited
    • Records & paperwork

      During an investigation children reported staff use profanity towards them. A staff member admitted to using profanity towards children when directing the children to sit down.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-23.

    • Records & paperwork

      Children and staff reported a child was upset when staff held a child so birthday cake could be smashed in the child?s face.

      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 2026-03-31. Correction verified 2026-04-23.

    HHSC inspection history · no longer published by HHSC; kept here

  34. Feb 16, 2026 Report · Deficiencies cited
    • Records & paperwork

      During an investigation children reported staff use profanity towards them. A staff member admitted to using profanity towards children when directing the children to sit down.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-23.

    • Records & paperwork

      Children and staff reported a child was upset when staff held a child so birthday cake could be smashed in the child?s face.

      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 2026-03-31. Correction verified 2026-04-23.

    HHSC inspection history

  35. Feb 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  36. Feb 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Feb 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  38. Feb 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Jan 29, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  40. Jan 29, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  41. Jan 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. Jan 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  43. Jan 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  44. Jan 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. Jan 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  46. Jan 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  47. Nov 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. Nov 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  49. Nov 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Nov 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  51. Oct 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  52. Oct 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Oct 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  54. Oct 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Aug 7, 2025 Inspection · Deficiencies cited
    • Staff background & training Serious

      Background check was not submitted for a caregiver at the time of hire for the corresponding operation.

      HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone

      HHSC risk weight: High. Corrected 2025-08-14. Correction verified 2025-08-22.

    HHSC inspection history

  56. Aug 7, 2025 Inspection · Deficiencies cited
    • Staff background & training Serious

      Background check was not submitted for a caregiver at the time of hire for the corresponding operation.

      HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone

      HHSC risk weight: High. Corrected 2025-08-14. Correction verified 2025-08-22.

    HHSC inspection history · no longer published by HHSC; kept here

  57. Jul 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Jul 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  59. Jul 21, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  60. Jul 21, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  61. Jul 8, 2025 Report

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  62. Jul 8, 2025 Report

    No violations cited on this visit.

    HHSC inspection history

  63. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  64. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Apr 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  66. Apr 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Feb 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  68. Feb 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  69. Feb 6, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Feb 6, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  71. Jan 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  72. Jan 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Jan 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  74. Jan 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Oct 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  76. Oct 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  77. Sep 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. Sep 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  79. Aug 29, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  80. Aug 29, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  81. Aug 22, 2024 Inspection · Deficiencies cited
    • Illness & medication

      At the time of inspection, 1 prescription medication for a child in care was administered but not documented.

      HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-05.

    • Illness & medication

      At the time of inspection, prescription medication documentation for 5 children's med log were observed to have been administered but not documented and 2 child med logs did not have the pill count documented.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-06.

    • Safety & premises Serious

      At the time of inspection, numerous walls and ceilings were observed with missing dry wall yet coved with transparent plastic pending repair. However, the closet in room 8 had exposed electrical wires, sprinkler lines, and fire alarm lines exposed and accessible to children in care.

      HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.

      HHSC risk weight: High. Corrected 2024-08-30. Correction verified 2024-09-06.

    • Cleanliness & sanitation

      At the time of inspection, a bed in bedroom 6 was observed broken and unsafe for a child to use.

      HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-06.

    HHSC inspection history

  82. Aug 22, 2024 Inspection · Deficiencies cited
    • Illness & medication

      At the time of inspection, 1 prescription medication for a child in care was administered but not documented.

      HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-05.

    • Illness & medication

      At the time of inspection, prescription medication documentation for 5 children's med log were observed to have been administered but not documented and 2 child med logs did not have the pill count documented.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-06.

    • Safety & premises Serious

      At the time of inspection, numerous walls and ceilings were observed with missing dry wall yet coved with transparent plastic pending repair. However, the closet in room 8 had exposed electrical wires, sprinkler lines, and fire alarm lines exposed and accessible to children in care.

      HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.

      HHSC risk weight: High. Corrected 2024-08-30. Correction verified 2024-09-06.

    • Cleanliness & sanitation

      At the time of inspection, a bed in bedroom 6 was observed broken and unsafe for a child to use.

      HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

      HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-06.

    HHSC inspection history · no longer published by HHSC; kept here

  83. Aug 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  84. Aug 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  86. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  87. Jan 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  88. Jan 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  89. Dec 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  90. Dec 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Nov 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  92. Nov 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  93. Oct 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  94. Oct 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  95. Oct 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  96. Oct 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  97. Oct 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  98. Oct 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  99. Oct 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  100. Oct 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  101. Aug 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  102. Aug 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  103. Aug 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  104. Aug 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  105. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  106. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  107. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  108. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  109. May 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  110. May 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  111. May 30, 2023 Report · Deficiencies cited
    • Other

      During the course of the investigation it was determined that kids are subjected to profanity by staff.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2023-07-28. Correction verified 2023-08-03.

    • Other Serious

      During the course of the investigation it was determined kids in care were subjected to painful restraints administered by staff.

      HHSC 748.2461(a)(1) — Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child

      HHSC risk weight: High. Corrected 2023-07-28. Correction verified 2023-08-03.

    HHSC inspection history · no longer published by HHSC; kept here

  112. May 30, 2023 Report · Deficiencies cited
    • Other

      During the course of the investigation it was determined that kids are subjected to profanity by staff.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2023-07-28. Correction verified 2023-08-03.

    • Other Serious

      During the course of the investigation it was determined kids in care were subjected to painful restraints administered by staff.

      HHSC 748.2461(a)(1) — Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child

      HHSC risk weight: High. Corrected 2023-07-28. Correction verified 2023-08-03.

    HHSC inspection history

  113. Apr 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  114. Apr 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  115. Apr 21, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      One staff member admitted to falling asleep while counted in ratio. A physical altercation occurred between three residents. The incident was confirmed in child interviews.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2023-07-20. Correction verified 2023-08-03.

    HHSC inspection history

  116. Apr 21, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      One staff member admitted to falling asleep while counted in ratio. A physical altercation occurred between three residents. The incident was confirmed in child interviews.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2023-07-20. Correction verified 2023-08-03.

    HHSC inspection history · no longer published by HHSC; kept here

  117. Apr 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  118. Apr 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  119. Mar 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  120. Mar 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  121. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  122. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  123. Feb 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  124. Feb 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  125. Feb 10, 2023 Report · Deficiencies cited
    • Other Serious

      Child in care was restrained with arms behind the back.

      HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back

      HHSC risk weight: High. Corrected 2023-03-20. Correction verified 2023-04-26.

    HHSC inspection history · no longer published by HHSC; kept here

  126. Feb 10, 2023 Report · Deficiencies cited
    • Other Serious

      Child in care was restrained with arms behind the back.

      HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back

      HHSC risk weight: High. Corrected 2023-03-20. Correction verified 2023-04-26.

    HHSC inspection history

  127. Dec 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  128. Dec 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  129. Dec 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  130. Dec 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  131. Dec 9, 2022 Report · Deficiencies cited
    • Staff background & training Serious

      A staff voiced restraining a child with the child's arms behind his back; the child also verified that this occurred.

      HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back

      HHSC risk weight: High. Corrected 2023-02-13. Correction verified 2023-02-14.

    HHSC inspection history · no longer published by HHSC; kept here

  132. Dec 9, 2022 Report · Deficiencies cited
    • Staff background & training Serious

      A staff voiced restraining a child with the child's arms behind his back; the child also verified that this occurred.

      HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back

      HHSC risk weight: High. Corrected 2023-02-13. Correction verified 2023-02-14.

    HHSC inspection history

  133. Dec 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  134. Dec 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  135. Nov 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  136. Nov 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  137. Oct 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  138. Oct 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  139. Oct 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Oct 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  141. Sep 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  142. Sep 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  143. Aug 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  144. Aug 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  145. Jul 28, 2022 Inspection · Deficiencies cited
    • Supervision & ratios

      During the inspection, 2 of 4 children's files were missing dental records.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-07-28.

    HHSC inspection history

  146. Jul 28, 2022 Inspection · Deficiencies cited
    • Supervision & ratios

      During the inspection, 2 of 4 children's files were missing dental records.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-07-28.

    HHSC inspection history · no longer published by HHSC; kept here

  147. Jun 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  148. Jun 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  149. Apr 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  150. Apr 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  151. Apr 18, 2022 Inspection · Deficiencies cited
    • Supervision & ratios

      During a review of the records I found that EBI had not been reported for the first quarter of 2022.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly

      HHSC risk weight: Medium. Corrected 2022-04-22. Correction verified 2022-06-15.

    HHSC inspection history

  152. Apr 18, 2022 Inspection · Deficiencies cited
    • Supervision & ratios

      During a review of the records I found that EBI had not been reported for the first quarter of 2022.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly

      HHSC risk weight: Medium. Corrected 2022-04-22. Correction verified 2022-06-15.

    HHSC inspection history · no longer published by HHSC; kept here

  153. Mar 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  154. Mar 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  155. Mar 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  156. Mar 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  157. Mar 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  158. Mar 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  159. Feb 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  160. Feb 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  161. Feb 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  162. Feb 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  163. Jan 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  164. Jan 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  165. Dec 20, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  166. Dec 20, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

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.