Graceful New Beginnings, LLC
12414 DAWN RD, Houston, TX 77067 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 7
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Ayesha Renee Dolford
- Phone
- (832) 436-7654
- Regulated since
- Feb 23, 2024
- HHSC IDs
- Operation 1424634 · number 1756205
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Staff background & training (2) |
| 2025 | 34 | 6 | Supervision & ratios (12), Safety & premises (4), Staff background & training (2), Records & paperwork (10), Other (6) |
| 2024 | 14 | 2 | Illness & medication (2), Supervision & ratios (2), Discipline & child guidance (2), Records & paperwork (2), Other (6) |
| 2023 | 34 | 2 | Illness & medication (8), Supervision & ratios (6), Safety & premises (2), Food & allergies (2), Staff background & training (6), Records & paperwork (8), Other (2) |
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
-
Sep 4, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2026 Inspection
No violations cited on this visit.
-
Sep 4, 2026 Inspection
No violations cited on this visit.
-
Sep 4, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2026 Inspection
No violations cited on this visit.
-
Jul 24, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2026 Report · Deficiencies cited
-
Staff background & training
During background checks it was observed that an active employee was inactive.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-06-16.
-
Staff background & training
-
Jun 9, 2026 Report · Deficiencies cited
-
Staff background & training
During background checks it was observed that an active employee was inactive.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-06-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 31, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 31, 2025 Inspection
No violations cited on this visit.
-
Dec 31, 2025 Inspection
No violations cited on this visit.
-
Dec 31, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2025 Report · Deficiencies cited (self-report)
-
Records & paperwork Serious
Children in care reported being denied access to phone calls as a form of punishment.
HHSC 748.2307(13) — Other Prohibited Punishments-denying basic child rights as discipline or punishment
HHSC risk weight: High. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Records & paperwork
Documents that were initially requested on 11/13/25 were never received.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-12-22. Correction verified 2025-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork Serious
-
Oct 31, 2025 Report · Deficiencies cited (self-report)
-
Records & paperwork Serious
Children in care reported being denied access to phone calls as a form of punishment.
HHSC 748.2307(13) — Other Prohibited Punishments-denying basic child rights as discipline or punishment
HHSC risk weight: High. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Records & paperwork
Documents that were initially requested on 11/13/25 were never received.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Records & paperwork Serious
-
Oct 28, 2025 Report · Deficiencies cited
-
Supervision & ratios
The operation failed to properly document unauthorized logs in the annual summary log. The operation was not documenting Age, date of admission, CCR Report number or police information.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-12-04. Correction verified 2025-12-05.
-
Supervision & ratios
The operation failed to conduct a debriefing or document the child's refusal for a debriefing after multiple unauthorized absences,
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2025-12-04. Correction verified 2025-12-05.
-
Supervision & ratios Serious
After multiple, recurrent incidents of unauthorized absence, the operation and caregivers have failed to implement safety plans or increased supervision to prevent further incidents of unauthorized absence.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-12-04. Correction verified 2025-12-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 28, 2025 Report · Deficiencies cited
-
Supervision & ratios
The operation failed to properly document unauthorized logs in the annual summary log. The operation was not documenting Age, date of admission, CCR Report number or police information.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-12-04. Correction verified 2025-12-05.
-
Supervision & ratios
The operation failed to conduct a debriefing or document the child's refusal for a debriefing after multiple unauthorized absences,
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2025-12-04. Correction verified 2025-12-05.
-
Supervision & ratios Serious
After multiple, recurrent incidents of unauthorized absence, the operation and caregivers have failed to implement safety plans or increased supervision to prevent further incidents of unauthorized absence.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-12-04. Correction verified 2025-12-05.
-
Supervision & ratios
-
Oct 19, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
A suicide attempt was not reported to licensing as soon as the operation was aware.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-16.
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Supervision & ratios
-
Oct 19, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
A suicide attempt was not reported to licensing as soon as the operation was aware.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 17, 2025 Report · Deficiencies cited
-
Records & paperwork
A serious incident report dated 10/16/2025 for a child in care did not document the who provided and where the child received treatment.
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 2025-12-12. Correction verified 2025-12-22.
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Records & paperwork
-
Oct 17, 2025 Report · Deficiencies cited
-
Records & paperwork
A serious incident report dated 10/16/2025 for a child in care did not document the who provided and where the child received treatment.
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 2025-12-12. Correction verified 2025-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jul 16, 2025 Assessment · Deficiencies cited
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Supervision & ratios Serious
The operation does not currently have a Licensed Child Care Administrator
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2025-08-15. Correction verified 2025-09-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 16, 2025 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation does not currently have a Licensed Child Care Administrator
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2025-08-15. Correction verified 2025-09-05.
-
Supervision & ratios Serious
-
Jun 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
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.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 21, 2025 Inspection · Deficiencies cited
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Other
Out of 3 child files reviewed, one child file did not contain information that the child's rights were reviewed with the child and properly documented in the 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 2025-03-07. Correction verified 2025-02-21.
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Safety & premises
Out of three child files reviewed, one child file is missing an admission assessment form in their file.
HHSC 748.1205(b)(2) — Admission Documentation-For child admitted for emergency care svcs, meet 748.1205(a) within 72 hrs or document efforts made to obtain information
HHSC risk weight: Medium Low. Corrected 2025-02-28. Correction verified 2025-02-21.
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Staff background & training
The orientation document currently being utilized does not encompass all of the necessary subject matters such as the grievance policy and gifts.
HHSC 748.1209(b)(13) — Child Orientation-Include internal grievance procedures
HHSC risk weight: Medium Low. Corrected 2025-02-28. Correction verified 2025-02-21.
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Other
Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.
HHSC 748.1349(a)(1) — Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older
HHSC risk weight: Low. Corrected 2025-03-07. Correction verified 2025-02-21.
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Records & paperwork
Out of 5 child discharge records reviewed, they are all missing the discharge summaries.
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2025-03-07. Correction verified 2025-02-21.
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Supervision & ratios
During a walkthrough of operation, it was found that the fire inspection certificate was expired.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2025-03-07. Correction verified 2025-02-21.
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Safety & premises
During the inspection, it was found that the fire extinguisher was missing from the wall on the 2nd floor of the building.
HHSC 748.3115(2) — Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-21.
-
Records & paperwork
Out of 3 staff files reviewed, 2 staff are missing their Tuberculosis Skin Test Results. Staff must have their TB test completed and a record of the test results must be located in the staff file.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2025-02-28. Correction verified 2025-05-29.
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Other
In reviewing the Resident AWOL Log, it was found that the AWOL log was missing the child's date of admission, gender, amount of time child is gone, staff present.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 21, 2025 Inspection · Deficiencies cited
-
Other
Out of 3 child files reviewed, one child file did not contain information that the child's rights were reviewed with the child and properly documented in the 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 2025-03-07. Correction verified 2025-02-21.
-
Safety & premises
Out of three child files reviewed, one child file is missing an admission assessment form in their file.
HHSC 748.1205(b)(2) — Admission Documentation-For child admitted for emergency care svcs, meet 748.1205(a) within 72 hrs or document efforts made to obtain information
HHSC risk weight: Medium Low. Corrected 2025-02-28. Correction verified 2025-02-21.
-
Staff background & training
The orientation document currently being utilized does not encompass all of the necessary subject matters such as the grievance policy and gifts.
HHSC 748.1209(b)(13) — Child Orientation-Include internal grievance procedures
HHSC risk weight: Medium Low. Corrected 2025-02-28. Correction verified 2025-02-21.
-
Other
Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.
HHSC 748.1349(a)(1) — Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older
HHSC risk weight: Low. Corrected 2025-03-07. Correction verified 2025-02-21.
-
Records & paperwork
Out of 5 child discharge records reviewed, they are all missing the discharge summaries.
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2025-03-07. Correction verified 2025-02-21.
-
Supervision & ratios
During a walkthrough of operation, it was found that the fire inspection certificate was expired.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2025-03-07. Correction verified 2025-02-21.
-
Safety & premises
During the inspection, it was found that the fire extinguisher was missing from the wall on the 2nd floor of the building.
HHSC 748.3115(2) — Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-21.
-
Records & paperwork
Out of 3 staff files reviewed, 2 staff are missing their Tuberculosis Skin Test Results. Staff must have their TB test completed and a record of the test results must be located in the staff file.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2025-02-28. Correction verified 2025-05-29.
-
Other
In reviewing the Resident AWOL Log, it was found that the AWOL log was missing the child's date of admission, gender, amount of time child is gone, staff present.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-21.
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Other
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Jan 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 23, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Records related to an investigation was requested from the operation by Licensing three times via email, and twice verbally. Records were not provided.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-02-26. Correction verified 2025-05-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 23, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Records related to an investigation was requested from the operation by Licensing three times via email, and twice verbally. Records were not provided.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-02-26. Correction verified 2025-05-29.
-
Supervision & ratios
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 11, 2024 Report · Deficiencies cited (self-report)
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Other
After reviewing documentation, it was found that one resident was never administered a suicide screening.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2024-12-20. Correction verified 2024-12-16.
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Other
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Nov 11, 2024 Report · Deficiencies cited (self-report)
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Other
After reviewing documentation, it was found that one resident was never administered a suicide screening.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2024-12-20. Correction verified 2024-12-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Nov 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2024 Inspection · Deficiencies cited
-
Records & paperwork
During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-09-11. Correction verified 2025-06-11.
-
Records & paperwork
-
Aug 29, 2024 Inspection · Deficiencies cited
-
Records & paperwork
During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-09-11. Correction verified 2025-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 26, 2024 Report · Deficiencies cited
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Illness & medication
Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.
HHSC 748.2151(c)(7) — Medication record - must include the child's refusal to accept medication
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-09-05.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Apr 26, 2024 Report · Deficiencies cited
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Illness & medication
Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.
HHSC 748.2151(c)(7) — Medication record - must include the child's refusal to accept medication
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-09-05.
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Illness & medication
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Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 6, 2024 Report · Deficiencies cited
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Other
During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.
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 2024-05-30. Correction verified 2024-08-02.
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Other Serious
During the course of the investigation, it was determined that children were not properly supervised.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-05-31. Correction verified 2024-08-02.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Feb 6, 2024 Report · Deficiencies cited
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Other
During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.
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 2024-05-30. Correction verified 2024-08-02.
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Other Serious
During the course of the investigation, it was determined that children were not properly supervised.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-05-31. Correction verified 2024-08-02.
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Other
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Jan 29, 2024 Report · Deficiencies cited
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Discipline & child guidance
It was determined that the operation failed to report a serious incident..
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2024-03-05. Correction verified 2024-03-06.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance
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Jan 29, 2024 Report · Deficiencies cited
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Discipline & child guidance
It was determined that the operation failed to report a serious incident..
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2024-03-05. Correction verified 2024-03-06.
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Discipline & child guidance
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Jan 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 18, 2023 Report · Deficiencies cited
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Supervision & ratios
There were bed bugs found at the operation.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2024-02-13. Correction verified 2024-01-22.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Dec 18, 2023 Report · Deficiencies cited
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Supervision & ratios
There were bed bugs found at the operation.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2024-02-13. Correction verified 2024-01-22.
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Supervision & ratios
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Nov 28, 2023 Inspection · Deficiencies cited
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Staff background & training
During the inspection it was found that two staff records are missing TB skin test results.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2023-12-08. Correction verified 2024-01-22.
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Staff background & training
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Nov 28, 2023 Inspection · Deficiencies cited
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Staff background & training
During the inspection it was found that two staff records are missing TB skin test results.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2023-12-08. Correction verified 2024-01-22.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Nov 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 26, 2023 Inspection · Deficiencies cited
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Records & paperwork
During the inspection it was found that a child's record did not have a completed initial service plan. The child was admitted on 8/28/2023.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2023-11-02. Correction verified 2023-11-02.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Oct 26, 2023 Inspection · Deficiencies cited
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Records & paperwork
During the inspection it was found that a child's record did not have a completed initial service plan. The child was admitted on 8/28/2023.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2023-11-02. Correction verified 2023-11-02.
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Records & paperwork
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Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 8, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 8, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2023 Inspection · Deficiencies cited
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Staff background & training
Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.
HHSC 748.1209(b)(13) — Child Orientation-Include internal grievance procedures
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Supervision & ratios
The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.
HHSC 748.1217(b)(12) — Admission Assessment-At admission, must include services the operation plans to provide to the child
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Illness & medication
The preliminary plan did not include the possible side effects for medication and no information about supervision.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Staff background & training
Two of two staff records did not contain a statement for employees to immediately report ANE.
HHSC 748.363(8) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2023-08-02. Correction verified 2023-10-26.
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Staff background & training
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Jul 24, 2023 Inspection · Deficiencies cited
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Staff background & training
Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.
HHSC 748.1209(b)(13) — Child Orientation-Include internal grievance procedures
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Supervision & ratios
The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.
HHSC 748.1217(b)(12) — Admission Assessment-At admission, must include services the operation plans to provide to the child
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Illness & medication
The preliminary plan did not include the possible side effects for medication and no information about supervision.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-10-26.
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Staff background & training
Two of two staff records did not contain a statement for employees to immediately report ANE.
HHSC 748.363(8) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2023-08-02. Correction verified 2023-10-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Jun 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 28, 2023 Inspection · Deficiencies cited
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Safety & premises
Fire inspection expired in February.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2023-05-05. Correction verified 2023-06-14.
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Records & paperwork
The incident report is missing an area to document any child and adult witnesses. It is also missing the physical address and phone number of the facility. The form is also missing the age, gender, and date of admission.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2023-05-05. Correction verified 2023-06-02.
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Food & allergies
During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.
HHSC 748.3273(5) — First Aid Kits-Each one must contain multi-size adhesive bandages
HHSC risk weight: Medium. Corrected 2023-05-03. Correction verified 2023-06-15.
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Safety & premises
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Apr 28, 2023 Inspection · Deficiencies cited
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Safety & premises
Fire inspection expired in February.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2023-05-05. Correction verified 2023-06-14.
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Records & paperwork
The incident report is missing an area to document any child and adult witnesses. It is also missing the physical address and phone number of the facility. The form is also missing the age, gender, and date of admission.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2023-05-05. Correction verified 2023-06-02.
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Food & allergies
During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.
HHSC 748.3273(5) — First Aid Kits-Each one must contain multi-size adhesive bandages
HHSC risk weight: Medium. Corrected 2023-05-03. Correction verified 2023-06-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Jan 11, 2023 Inspection · Deficiencies cited
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Other Serious
During the inspection the staff file was missing the current drug test. The agency sent the staff to be drug tested as of last week.
HHSC 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
HHSC risk weight: High. Corrected 2023-01-25. Correction verified 2023-01-13.
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Records & paperwork
During the inspection the staff file was missing the TB exam results. The agency sent the staff out as of last week to be tested,
HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility
HHSC risk weight: Medium Low. Corrected 2023-01-25. Correction verified 2023-01-20.
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Illness & medication
During the inspection the prescribing doctor name was missing.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Illness & medication
During the inspection the reason for the prescription given was missing.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Illness & medication
During the inspection the child records and logs were missing the refusal section.
HHSC 748.2151(c)(7) — Medication record - must include the child's refusal to accept medication
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-23.
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Records & paperwork
During the inspection the staff file was missing the date of hire.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Supervision & ratios
During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.
HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-01-23.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Jan 11, 2023 Inspection · Deficiencies cited
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Other Serious
During the inspection the staff file was missing the current drug test. The agency sent the staff to be drug tested as of last week.
HHSC 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
HHSC risk weight: High. Corrected 2023-01-25. Correction verified 2023-01-13.
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Records & paperwork
During the inspection the staff file was missing the TB exam results. The agency sent the staff out as of last week to be tested,
HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility
HHSC risk weight: Medium Low. Corrected 2023-01-25. Correction verified 2023-01-20.
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Illness & medication
During the inspection the prescribing doctor name was missing.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Illness & medication
During the inspection the reason for the prescription given was missing.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Illness & medication
During the inspection the child records and logs were missing the refusal section.
HHSC 748.2151(c)(7) — Medication record - must include the child's refusal to accept medication
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-23.
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Records & paperwork
During the inspection the staff file was missing the date of hire.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2023-01-25. Correction verified 2023-01-13.
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Supervision & ratios
During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.
HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-01-23.
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Other Serious
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.