Perfect Start Homes INC
16823 QUAIL CREST CT, Missouri City, TX 77489 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 7
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Stephanie Laurice Sims
- Phone
- (346) 774-2592
- Regulated since
- Aug 3, 2026
- HHSC IDs
- Operation 1503079 · number 1814618
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 24 | 0 | Illness & medication (10), Supervision & ratios (2), Safety & premises (8), Staff background & training (2), Records & paperwork (2) |
| 2025 | 58 | 0 | Cleanliness & sanitation (2), Illness & medication (6), Supervision & ratios (18), Discipline & child guidance (6), Safety & premises (2), Staff background & training (12), Records & paperwork (6), Other (6) |
Inspections, investigations & assessments
-
Jun 10, 2026 Inspection · Deficiencies cited
-
Records & paperwork
The children's records did not contain service plan meeting notifications within the required timeframe.
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
During a review of mediation records, it was found that children are not being given their medication as documented on their medication lable.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2026-06-10. Correction verified 2026-06-15.
-
Illness & medication
During the medication review, one OTC medciation was found to be expired in 8/2024. One prescription medication was also found to be expired in 4/2026.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
During the medication review, it was found that two medications that were no longer being provided to the child were still kept with the child's routine medication.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
One prescribed medication did not have any medicaiton log to note when the child was given the medicaiton.
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 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
One child's medication log was missing the name of the medication.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 10, 2026 Inspection · Deficiencies cited
-
Records & paperwork
The children's records did not contain service plan meeting notifications within the required timeframe.
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
During a review of mediation records, it was found that children are not being given their medication as documented on their medication lable.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2026-06-10. Correction verified 2026-06-15.
-
Illness & medication
During the medication review, one OTC medciation was found to be expired in 8/2024. One prescription medication was also found to be expired in 4/2026.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
During the medication review, it was found that two medications that were no longer being provided to the child were still kept with the child's routine medication.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
One prescribed medication did not have any medicaiton log to note when the child was given the medicaiton.
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 2026-06-15. Correction verified 2026-06-15.
-
Illness & medication
One child's medication log was missing the name of the medication.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-15.
-
Records & paperwork
-
Jun 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, the thermometer in the freezer was observed to be missing.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-02-09. Correction verified 2026-02-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 5, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, the thermometer in the freezer was observed to be missing.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-02-09. Correction verified 2026-02-05.
-
Supervision & ratios
-
Jan 30, 2026 Inspection · Deficiencies cited
-
Safety & premises
The battery in the smoke detector in one of the victims room does not work.
HHSC 748.3107(c)(1) — Smoke Detector-Must be equipped with battery back-up
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-06-01.
-
Safety & premises
The fire extinguishers inspection is expired.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2026-02-13. Correction verified 2026-06-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jan 30, 2026 Inspection · Deficiencies cited
-
Safety & premises
The battery in the smoke detector in one of the victims room does not work.
HHSC 748.3107(c)(1) — Smoke Detector-Must be equipped with battery back-up
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-06-01.
-
Safety & premises
The fire extinguishers inspection is expired.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2026-02-13. Correction verified 2026-06-01.
-
Safety & premises
-
Jan 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 21, 2026 Report · Deficiencies cited
-
Safety & premises
The battery in the smoke detector is expired in one of the residents' bedrooms.
HHSC 748.3107(c)(1) — Smoke Detector-Must be equipped with battery back-up
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-11.
-
Safety & premises
The fire extinguisher in the in the front area of the house was observed to be expired.
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-10.
-
Staff background & training
A 19-year-old caregiver was working with children over the age of 13 years old.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2026-03-27. Correction verified 2026-03-30.
-
Safety & premises
-
Jan 21, 2026 Report · Deficiencies cited
-
Safety & premises
The battery in the smoke detector is expired in one of the residents' bedrooms.
HHSC 748.3107(c)(1) — Smoke Detector-Must be equipped with battery back-up
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-11.
-
Safety & premises
The fire extinguisher in the in the front area of the house was observed to be expired.
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-10.
-
Staff background & training
A 19-year-old caregiver was working with children over the age of 13 years old.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2026-03-27. Correction verified 2026-03-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Dec 12, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2025 Inspection · Deficiencies cited
-
Staff background & training
Two employees were listed on the people list as active that are not employed at the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-12-11.
-
Records & paperwork
In two child records, the PLSP did not sign and date the assessments.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Supervision & ratios
The operation's suicide screening tool was created by the operation and cannot be verified to be an approved tool that is supported by evidence-based research.
HHSC 748.125(d)(2) — Suicide Screening- Suicide risk screening tools must be supported by evidence-based research.
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2025-12-12.
-
Records & paperwork
Two child records reviewed were missing required information on both initial service plans.
HHSC 748.1337(a) — Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
HHSC risk weight: Medium Low. Corrected 2025-12-25. Correction verified 2026-12-17.
-
Other
In a review of the two service plans, neither child was provided a copy, nor was the plan signed by the children. There was also no justification documented for not sharing the plan 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 2025-12-18. Correction verified 2026-01-07.
-
Safety & premises
A staff member was observed with a vape at the dining table upon arrival for the inspection.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2026-01-06.
-
Illness & medication
In a review of children's medication logs, the following issues were noted: - Two children are noted to have missed the AM dose on 12/7 for multiple medications. - One child received a half dose on 11/28 - One child received a double dose in the AM on 11/22 - One child missed a dose on 11/29 - One child received a double dose on 11/28 and missed a dose on 11/29.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-12-11. Correction verified 2025-12-11.
-
Illness & medication
Two child records reviewed didn't have the reason the child was taken the medication listed on the medication log.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Illness & medication
Two child records reviewed didn't have the daily count listed on the medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Discipline & child guidance
In a review of Serious Incident Reports, it was found that one child witnessed a sexual act conducted by a child of an opposite gender.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2026-12-17.
-
Records & paperwork
In a review of the serious incident report, it was missing the following components: 3: The name, age, gender, and date of admission of the child or children involved. 4: The name of all adults involved and their role in relation to the child(ren) 7: The circumstances surrounding the incident. 10: The resolution of the incident
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-17.
-
Supervision & ratios
In a review of the provided operation schedule, it was found that the Administrator was out on leave for an extended period of time. There was no designated back up provider.
HHSC 748.539 — Child-care administrator must designate a licensed child-care administrator responsible for the operation while the administrator is absent
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Staff background & training
It was found that one staff member does not meet the qualifications of a PLSP with the professional or educational qualifications. This staff member was completing the assessments and the plans for the children.
HHSC 748.563(c) — Professional level service provider-must meet specific educational and professional qualifications
HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2026-01-07.
-
Supervision & ratios
During a review of records, it was found that one of the two children currently placed at the operation meets ED treatment services. The operation does not have a hired treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-04-23.
-
Staff background & training
The Case Manager was signing off as the treatment director. They do not possess the qualifications of a treatment director for children with ID, ASD, or ED.
HHSC 748.605(a) — Treatment director-must meet specific professional qualifications if prevalent population has intellectual disabilities or autism spectrum disorder
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2026-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 11, 2025 Inspection · Deficiencies cited
-
Staff background & training
Two employees were listed on the people list as active that are not employed at the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-12-11.
-
Records & paperwork
In two child records, the PLSP did not sign and date the assessments.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Supervision & ratios
The operation's suicide screening tool was created by the operation and cannot be verified to be an approved tool that is supported by evidence-based research.
HHSC 748.125(d)(2) — Suicide Screening- Suicide risk screening tools must be supported by evidence-based research.
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2025-12-12.
-
Records & paperwork
Two child records reviewed were missing required information on both initial service plans.
HHSC 748.1337(a) — Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
HHSC risk weight: Medium Low. Corrected 2025-12-25. Correction verified 2026-12-17.
-
Other
In a review of the two service plans, neither child was provided a copy, nor was the plan signed by the children. There was also no justification documented for not sharing the plan 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 2025-12-18. Correction verified 2026-01-07.
-
Safety & premises
A staff member was observed with a vape at the dining table upon arrival for the inspection.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2026-01-06.
-
Illness & medication
In a review of children's medication logs, the following issues were noted: - Two children are noted to have missed the AM dose on 12/7 for multiple medications. - One child received a half dose on 11/28 - One child received a double dose in the AM on 11/22 - One child missed a dose on 11/29 - One child received a double dose on 11/28 and missed a dose on 11/29.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-12-11. Correction verified 2025-12-11.
-
Illness & medication
Two child records reviewed didn't have the reason the child was taken the medication listed on the medication log.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Illness & medication
Two child records reviewed didn't have the daily count listed on the medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Discipline & child guidance
In a review of Serious Incident Reports, it was found that one child witnessed a sexual act conducted by a child of an opposite gender.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2025-12-18. Correction verified 2026-12-17.
-
Records & paperwork
In a review of the serious incident report, it was missing the following components: 3: The name, age, gender, and date of admission of the child or children involved. 4: The name of all adults involved and their role in relation to the child(ren) 7: The circumstances surrounding the incident. 10: The resolution of the incident
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-17.
-
Supervision & ratios
In a review of the provided operation schedule, it was found that the Administrator was out on leave for an extended period of time. There was no designated back up provider.
HHSC 748.539 — Child-care administrator must designate a licensed child-care administrator responsible for the operation while the administrator is absent
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2025-12-12.
-
Staff background & training
It was found that one staff member does not meet the qualifications of a PLSP with the professional or educational qualifications. This staff member was completing the assessments and the plans for the children.
HHSC 748.563(c) — Professional level service provider-must meet specific educational and professional qualifications
HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2026-01-07.
-
Supervision & ratios
During a review of records, it was found that one of the two children currently placed at the operation meets ED treatment services. The operation does not have a hired treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-04-23.
-
Staff background & training
The Case Manager was signing off as the treatment director. They do not possess the qualifications of a treatment director for children with ID, ASD, or ED.
HHSC 748.605(a) — Treatment director-must meet specific professional qualifications if prevalent population has intellectual disabilities or autism spectrum disorder
HHSC risk weight: Medium. Corrected 2025-12-18. Correction verified 2026-01-07.
-
Staff background & training
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2025 Inspection · Deficiencies cited
-
Staff background & training
The policy is missing the preservice training requirements for caregivers as well as EBI components
HHSC 748.105(5) — Personnel Policies - Personnel Policies - Develop written policies on the training requirements for employees.
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Discipline & child guidance
The required statement of employee may not delegate the responsibility to make a report wasn't included in the policies.
HHSC 748.105(8) — Personnel Policies - Ensure employees report serious incidents and suspected abuse/neglect and exploitation directly to DFPS
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-23.
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Other
The requqired statement that the majority of the voting members of the governing body must consist of persons who do not have a conflict of interest that would potentially interfere with objective decision making was missing in the policies.
HHSC 748.107(2) — Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The policies reflected that the operation will not accept emergency placements which needs to be corrected, the operation will be accepting emergency placements, but the operation isn't an emergency shelter.
HHSC 748.109(1) — Admission Policies - Include program's goals and services provided, including whether emergency admissions accepted
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation's policy reflected they will be accepting girls, however the operation will be licensed to care for boys only, which wasn't correct on the operation's policies.
HHSC 748.109(2) — Admission Policies - include characteristics of the population the program serves
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Other
The policy does not state the program rules and expectations that apply to the children.
HHSC 748.111(11) — Child-care policy - Program expectations and rules that apply to all children, including discipline
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-16.
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Supervision & ratios
The operation's policies has conflicting information regarding the use of restraints as well as missing information on the specific description of the interventions that are permitted.
HHSC 748.113(1) — EBI policy - a complete description of EBIs that you permit caregivers to use
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-24.
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Staff background & training
The required components were missing regarding orientation with a child in regards to EBI requirements. Missing (A)(i)-(ix)
HHSC 748.113(5)(A) — EBI policy - For orientation, explain and document to a child in a manner that the child can understand
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The required information wasn't included in the operation's policies.
HHSC 748.113(9)(A) — A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation was missing the components in the policy--(2)-(5).
HHSC 748.115 — Discipline policy - The discipline policies you develop for children in care must be consistent with Subchapter M of this chapter
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Staff background & training
The operation's policy does not address screening and selection procedures.
HHSC 748.119(2) — Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
HHSC risk weight: Medium Low. Corrected 2025-07-23. Correction verified 2025-07-22.
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Discipline & child guidance
The operation's policies are missing the required components of standards 2-5.
HHSC 748.121 — Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation policies is missing Medical contraindications and religious beliefs.
HHSC 748.123(4) — Vaccine preventable policy - include employee procedures for exemption based on medical conditions or CDC precautions
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Cleanliness & sanitation
The outside fence is in need of repair with protruding nails.
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 2025-07-30. Correction verified 2025-07-23.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Jul 16, 2025 Inspection · Deficiencies cited
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Staff background & training
The policy is missing the preservice training requirements for caregivers as well as EBI components
HHSC 748.105(5) — Personnel Policies - Personnel Policies - Develop written policies on the training requirements for employees.
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Discipline & child guidance
The required statement of employee may not delegate the responsibility to make a report wasn't included in the policies.
HHSC 748.105(8) — Personnel Policies - Ensure employees report serious incidents and suspected abuse/neglect and exploitation directly to DFPS
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-23.
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Other
The requqired statement that the majority of the voting members of the governing body must consist of persons who do not have a conflict of interest that would potentially interfere with objective decision making was missing in the policies.
HHSC 748.107(2) — Conflict of interest policies-statement that majority of members of the governing body must consist of persons who do not have a conflict of interest
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The policies reflected that the operation will not accept emergency placements which needs to be corrected, the operation will be accepting emergency placements, but the operation isn't an emergency shelter.
HHSC 748.109(1) — Admission Policies - Include program's goals and services provided, including whether emergency admissions accepted
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation's policy reflected they will be accepting girls, however the operation will be licensed to care for boys only, which wasn't correct on the operation's policies.
HHSC 748.109(2) — Admission Policies - include characteristics of the population the program serves
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Other
The policy does not state the program rules and expectations that apply to the children.
HHSC 748.111(11) — Child-care policy - Program expectations and rules that apply to all children, including discipline
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-16.
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Supervision & ratios
The operation's policies has conflicting information regarding the use of restraints as well as missing information on the specific description of the interventions that are permitted.
HHSC 748.113(1) — EBI policy - a complete description of EBIs that you permit caregivers to use
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-24.
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Staff background & training
The required components were missing regarding orientation with a child in regards to EBI requirements. Missing (A)(i)-(ix)
HHSC 748.113(5)(A) — EBI policy - For orientation, explain and document to a child in a manner that the child can understand
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The required information wasn't included in the operation's policies.
HHSC 748.113(9)(A) — A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation was missing the components in the policy--(2)-(5).
HHSC 748.115 — Discipline policy - The discipline policies you develop for children in care must be consistent with Subchapter M of this chapter
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Staff background & training
The operation's policy does not address screening and selection procedures.
HHSC 748.119(2) — Volunteer policy - Address qualifications, screening, and selection procedures for the volunteers
HHSC risk weight: Medium Low. Corrected 2025-07-23. Correction verified 2025-07-22.
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Discipline & child guidance
The operation's policies are missing the required components of standards 2-5.
HHSC 748.121 — Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children
HHSC risk weight: Medium High. Corrected 2025-07-23. Correction verified 2025-07-22.
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Supervision & ratios
The operation policies is missing Medical contraindications and religious beliefs.
HHSC 748.123(4) — Vaccine preventable policy - include employee procedures for exemption based on medical conditions or CDC precautions
HHSC risk weight: Medium. Corrected 2025-07-23. Correction verified 2025-07-22.
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Cleanliness & sanitation
The outside fence is in need of repair with protruding nails.
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 2025-07-30. Correction verified 2025-07-23.
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Staff background & training
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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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.