RecordWell Data

New Beginnings Children's Home At Canaan Land Ranch, INC

400 COUNTY ROAD 3821, San Antonio, TX 78253 · Medina County

52cited violations
6serious
125inspections & investigations
0enforcement actions

Program

Type
General residential operation
Licensed capacity
16
Ages
5-17
Hours
-
Director / administrator
Tammy Ibach
Phone
(210) 422-8374
Regulated since
Jul 27, 2011
HHSC IDs
Operation 659668 · number 1145426
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202680 Cleanliness & sanitation (4), Supervision & ratios (2), Safety & premises (2)
202560 Records & paperwork (2), Other (4)
2024122 Supervision & ratios (6), Staff background & training (4), Other (2)
2023140 Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (8), Other (2)
2022104 Illness & medication (2), Supervision & ratios (2), Records & paperwork (4), Other (2)
202120 Other (2)

Inspections, investigations & assessments

  1. Jul 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Jul 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  3. Jun 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  4. Jun 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  5. May 13, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. May 13, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  7. May 5, 2026 Report · Deficiencies cited
    • Cleanliness & sanitation

      During a Contracts and Licensing visit, the kitchen cabinets were covered by cardboard.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2026-07-15. Correction verified 2026-07-29.

    HHSC inspection history

  8. May 5, 2026 Report · Deficiencies cited
    • Cleanliness & sanitation

      During a Contracts and Licensing visit, the kitchen cabinets were covered by cardboard.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2026-07-15. Correction verified 2026-07-29.

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

  9. May 5, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. May 5, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  11. Mar 26, 2026 Inspection · Deficiencies cited
    • Safety & premises

      Fire extinguishers in Promise dorm had not been inspected since 2024.

      HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing

      HHSC risk weight: Medium. Corrected 2026-04-09. Correction verified 2026-05-05.

    • Supervision & ratios

      Emergency evacuation plans in all 3 dorms did not have severe weather information.

      HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather

      HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-05-05.

    • Cleanliness & sanitation

      There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.

      HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards

      HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-05-05.

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

  12. Mar 26, 2026 Inspection · Deficiencies cited
    • Safety & premises

      Fire extinguishers in Promise dorm had not been inspected since 2024.

      HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing

      HHSC risk weight: Medium. Corrected 2026-04-09. Correction verified 2026-05-05.

    • Supervision & ratios

      Emergency evacuation plans in all 3 dorms did not have severe weather information.

      HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather

      HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-05-05.

    • Cleanliness & sanitation

      There is a broken window in a bedroom in Valor dorm and a broken down bus with broken glass in the main parking area.

      HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards

      HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-05-05.

    HHSC inspection history

  13. Mar 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Mar 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  15. Feb 22, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  16. Feb 22, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Jan 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Jan 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  19. Nov 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  20. Nov 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. Nov 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. Nov 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  23. Nov 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. Nov 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  25. Nov 1, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Nov 1, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  27. Oct 27, 2025 Report · Deficiencies cited
    • Other

      Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-12.

    • Other

      A caregiver did not adhere to the planned interventions outlined in a child's service plan when managing the child's behavior. Instead, the caregiver exhibited trigger behaviors for the child.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2026-01-05. Correction verified 2026-01-05.

    HHSC inspection history

  28. Oct 27, 2025 Report · Deficiencies cited
    • Other

      Through video evidence and interviews, it was confirmed a caregiver yelled at a child in care. Additionally, there were other children in the room who were subjected to the yelling incident.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-12.

    • Other

      A caregiver did not adhere to the planned interventions outlined in a child's service plan when managing the child's behavior. Instead, the caregiver exhibited trigger behaviors for the child.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2026-01-05. Correction verified 2026-01-05.

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

  29. May 5, 2025 Inspection · Deficiencies cited
    • Records & paperwork

      A child in care did not a maintenance dental care appointment on record.

      HHSC 748.1501(a)(4) — Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-14.

    HHSC inspection history

  30. May 5, 2025 Inspection · Deficiencies cited
    • Records & paperwork

      A child in care did not a maintenance dental care appointment on record.

      HHSC 748.1501(a)(4) — Dental care-Children in care must receive dental care as needed for ongoing maintenance of dental health

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-14.

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

  31. Nov 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  32. Nov 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Nov 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  34. Nov 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  35. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  36. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Sep 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  38. Sep 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Aug 13, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  40. Aug 13, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  41. Aug 12, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  42. Aug 12, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  43. Aug 7, 2024 Inspection · Deficiencies cited
    • Other

      1 of 2 admission assessment were missing the name and date of birth of the child.

      HHSC 748.1205(a)(1) — Admission Documentation-Includes child's name, gender, race, religion, date of birth

      HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Supervision & ratios

      2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.

      HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements

      HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Staff background & training Serious

      During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.

      HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking

      HHSC risk weight: High. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Staff background & training

      During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.

      HHSC 748.931(b)(2) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.

      HHSC risk weight: Medium High. Corrected 2024-08-21. Correction verified 2024-09-05.

    HHSC inspection history

  44. Aug 7, 2024 Inspection · Deficiencies cited
    • Other

      1 of 2 admission assessment were missing the name and date of birth of the child.

      HHSC 748.1205(a)(1) — Admission Documentation-Includes child's name, gender, race, religion, date of birth

      HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Supervision & ratios

      2 out of 2 service plans that were reviewed had different sections left blank to include indication of history of behaviors, therapist impressions, needs and strenghts sections and other supervisions to be addressed.

      HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements

      HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Staff background & training Serious

      During this investigation it was observed that 3 out of 3 personnel files reviewed were missing current CPR cards.

      HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking

      HHSC risk weight: High. Corrected 2024-08-21. Correction verified 2024-09-05.

    • Staff background & training

      During this inspection, it was observed that 3 out of 3 personnel files were missing current normalcy training.

      HHSC 748.931(b)(2) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 1 hour normalcy.

      HHSC risk weight: Medium High. Corrected 2024-08-21. Correction verified 2024-09-05.

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

  45. Jun 7, 2024 Inspection · Deficiencies cited
    • Supervision & ratios

      During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.

      HHSC 748.3271 — First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips

      HHSC risk weight: Medium. Corrected 2024-06-14. Correction verified 2024-06-14.

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

  46. Jun 7, 2024 Inspection · Deficiencies cited
    • Supervision & ratios

      During the walkthrough of the operation, the cottage housing children in care did not have a complete first aid kit available to use in the event of an emergency.

      HHSC 748.3271 — First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips

      HHSC risk weight: Medium. Corrected 2024-06-14. Correction verified 2024-06-14.

    HHSC inspection history

  47. May 8, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. May 8, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  49. May 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. May 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  51. Apr 21, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  52. Apr 21, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  53. Mar 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  54. Mar 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Feb 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Feb 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  57. Feb 25, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Two of two service plans and two of two serious incident reports included incomplete, inaccurate, or unclear documentation.

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

      HHSC risk weight: Medium. Corrected 2024-04-25. Correction verified 2024-04-25.

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

  58. Feb 25, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Two of two service plans and two of two serious incident reports included incomplete, inaccurate, or unclear documentation.

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

      HHSC risk weight: Medium. Corrected 2024-04-25. Correction verified 2024-04-25.

    HHSC inspection history

  59. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  60. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  61. Dec 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  62. Dec 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  63. Oct 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  64. Oct 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  65. Oct 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Oct 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  67. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  68. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  69. Aug 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Aug 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  71. Jul 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  72. Jul 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Jul 18, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-07-27.

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

  74. Jul 18, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      As of 07-18-2023 the data for restraints between April to June 2023 has not yet been reported to Licensing.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-07-27.

    HHSC inspection history

  75. Jul 17, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  76. Jul 17, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  77. Jul 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  78. Jul 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  80. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  81. Jul 3, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      Incident reports didn't document the time when children returned to the facility.

      HHSC 748.313(3)(D) — Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation

      HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-09-20.

    HHSC inspection history

  82. Jul 3, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      Incident reports didn't document the time when children returned to the facility.

      HHSC 748.313(3)(D) — Serious Incident -Unauthorized absence of a child ?document whether child returned to operation, if so how long child gone from operation

      HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-09-20.

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

  83. Jun 2, 2023 Inspection · Deficiencies cited
    • Illness & medication

      Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.

      HHSC 748.2255(3) — Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

    • Supervision & ratios

      Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.

      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 2023-06-26. Correction verified 2023-07-12.

    • Cleanliness & sanitation

      Licensing observed and photographed cracked window panes in the Hope and Valor houses.

      HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

    • Other

      Licensing observed and photographed hornets nests on the grounds.

      HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

    HHSC inspection history

  84. Jun 2, 2023 Inspection · Deficiencies cited
    • Illness & medication

      Licensing observed the operation doesn't have signed consent for a child in care's psychotropic medication.

      HHSC 748.2255(3) — Operation does not employ professional who prescribes psychotropic meds-Operation obtains signed consent from consenter acknowledging info provided

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

    • Supervision & ratios

      Licensing left the standard pending at the 06-02-2023 inspection to allow the operation time to locate documentation of their most recent fire inspection. The documentation was not provided as of 06-12-2023.

      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 2023-06-26. Correction verified 2023-07-12.

    • Cleanliness & sanitation

      Licensing observed and photographed cracked window panes in the Hope and Valor houses.

      HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

    • Other

      Licensing observed and photographed hornets nests on the grounds.

      HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects

      HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-07-12.

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

  85. Apr 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  86. Apr 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  87. Apr 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  88. Apr 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  89. Mar 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Mar 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  91. Mar 6, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  92. Mar 6, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  93. Jan 17, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      As of 01-17-2023 the data for restraints between October and December 2022 has not yet been reported to Licensing.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2023-01-31. Correction verified 2023-01-18.

    HHSC inspection history

  94. Jan 17, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      As of 01-17-2023 the data for restraints between October and December 2022 has not yet been reported to Licensing.

      HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

      HHSC risk weight: Medium. Corrected 2023-01-31. Correction verified 2023-01-18.

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

  95. Dec 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  96. Dec 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  97. Dec 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  98. Dec 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. Nov 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Nov 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  101. Nov 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  102. Nov 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  103. Nov 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  104. Nov 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  105. Nov 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  106. Nov 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  107. Jul 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  108. Jul 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  109. Jul 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  110. Jul 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  111. Jul 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  112. Jul 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  113. Jul 14, 2022 Report · Deficiencies cited
    • Records & paperwork

      Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.

      HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting

      HHSC risk weight: Low. Corrected 2022-09-13. Correction verified 2022-09-12.

    • Other

      Two child service plans were not dated nor signed by PLSP.

      HHSC 748.1347(b) — Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it

      HHSC risk weight: Low. Corrected 2022-09-13. Correction verified 2022-09-12.

    • Records & paperwork

      Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.

      HHSC 748.1381(1) — Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan

      HHSC risk weight: Medium Low. Corrected 2022-09-13. Correction verified 2022-09-12.

    HHSC inspection history

  114. Jul 14, 2022 Report · Deficiencies cited
    • Records & paperwork

      Two CPS Caseworkers were not notified about Service Plan Reviews within required timeframes of 14 days. Service Plan meeting was on 1020/2021 and CPS Caseworkers were notified on 10/15/2021.

      HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting

      HHSC risk weight: Low. Corrected 2022-09-13. Correction verified 2022-09-12.

    • Other

      Two child service plans were not dated nor signed by PLSP.

      HHSC 748.1347(b) — Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it

      HHSC risk weight: Low. Corrected 2022-09-13. Correction verified 2022-09-12.

    • Records & paperwork

      Three children's records reviewed, the service plan review and update was not completed within the six month required timeframe. Two Initial Service Plan were created on 03/20/2020 and a Review Plan was complete on 10/13/2020. One Initial Plan was created on 09/20/2021 and Review Plan was completed on 04/05/2022.

      HHSC 748.1381(1) — Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan

      HHSC risk weight: Medium Low. Corrected 2022-09-13. Correction verified 2022-09-12.

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

  115. Jun 27, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the walkthrough, medications were observed to be not locked appropriately.

      HHSC 748.2101(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-06-27.

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

  116. Jun 27, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the walkthrough, medications were observed to be not locked appropriately.

      HHSC 748.2101(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-06-27.

    HHSC inspection history

  117. Apr 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  118. Apr 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. Apr 28, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Children in care were outside and were not supervised when they ran away from the facility.

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2022-07-11. Correction verified 2022-07-15.

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

  120. Apr 28, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Children in care were outside and were not supervised when they ran away from the facility.

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2022-07-11. Correction verified 2022-07-15.

    HHSC inspection history

  121. Nov 16, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  122. Nov 16, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  123. Oct 23, 2021 Inspection · Deficiencies cited
    • Other

      One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.

      HHSC 748.3307(b)(2) — Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents

      HHSC risk weight: Medium High. Corrected 2021-11-06. Correction verified 2021-12-02.

    HHSC inspection history

  124. Oct 23, 2021 Inspection · Deficiencies cited
    • Other

      One light bulb of two was missing in the common area and one light bulb of two was not working in one bedroom in the girls dorm.

      HHSC 748.3307(b)(2) — Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents

      HHSC risk weight: Medium High. Corrected 2021-11-06. Correction verified 2021-12-02.

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

  125. Sep 14, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

Get the full file

HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.

Email the request Printable letter (fax or mail)

Send to
HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text

If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.

Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.