RecordWell Data

Hill Country Youth Ranch Residential Treatment Center

None, None, TX

120cited violations
28serious
526inspections & investigations
1enforcement actions

Program

Type
General residential operation
Licensed capacity
50
Ages
5-17
Hours
12:00 AM-
Director / administrator
Mark Lowman
Phone
(830) 367-2131
Regulated since
Apr 19, 1994
HHSC IDs
Operation 101870 · number 215752
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202662 Cleanliness & sanitation (2), Staff background & training (4)
202582 Cleanliness & sanitation (2), Illness & medication (2), Discipline & child guidance (2), Other (2)
2024200 Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (4), Records & paperwork (2), Other (8)
20234010 Cleanliness & sanitation (4), Illness & medication (10), Supervision & ratios (6), Discipline & child guidance (2), Safety & premises (2), Other (16)
20223814 Cleanliness & sanitation (4), Illness & medication (8), Supervision & ratios (4), Discipline & child guidance (6), Safety & premises (6), Other (10)
202180 Illness & medication (2), Supervision & ratios (2), Staff background & training (2), Records & paperwork (2)

Enforcement actions

HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.

Inspections, investigations & assessments

  1. Aug 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  2. Aug 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Aug 25, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  4. Aug 25, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  5. Aug 13, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  6. Aug 13, 2026 Report

    No violations cited on this visit.

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

  7. Jul 12, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Jul 12, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  9. Jul 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Jul 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  11. Jul 1, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  12. Jul 1, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  13. Jun 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Jun 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  15. Jun 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  16. Jun 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  17. Jun 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Jun 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  19. Jun 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  20. Jun 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. May 28, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. May 28, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  23. May 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. May 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  25. May 22, 2026 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Based off photos provided by DFPS Residential Contract Manager it was determined mold was present on the walls and ceiling of operation bathroom. The operation confirmed the issue was corrected the same day.

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

      HHSC risk weight: High. Corrected at inspection. Corrected 2026-05-28.

    HHSC inspection history

  26. May 22, 2026 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Based off photos provided by DFPS Residential Contract Manager it was determined mold was present on the walls and ceiling of operation bathroom. The operation confirmed the issue was corrected the same day.

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

      HHSC risk weight: High. Corrected at inspection. Corrected 2026-05-28.

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

  27. May 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  28. May 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. May 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  30. May 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  31. May 9, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  32. May 9, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Mar 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Mar 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  35. Mar 16, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  36. Mar 16, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  37. Mar 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  38. Mar 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Mar 6, 2026 Report · Deficiencies cited
    • Staff background & training

      A staff member separated from employment at the operation on 10/31/2025 and the operation did not inactivate the staff member's background check until 12/05/2025.

      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 2026-04-17. Correction verified 2026-06-09.

    • Staff background & training

      Of the training records reviewed, four annual training records were lacking trainer qualifications.

      HHSC 748.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training

      HHSC risk weight: Medium Low. Corrected 2026-04-17. Correction verified 2026-07-07.

    HHSC inspection history

  40. Mar 6, 2026 Report · Deficiencies cited
    • Staff background & training

      A staff member separated from employment at the operation on 10/31/2025 and the operation did not inactivate the staff member's background check until 12/05/2025.

      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 2026-04-17. Correction verified 2026-06-09.

    • Staff background & training

      Of the training records reviewed, four annual training records were lacking trainer qualifications.

      HHSC 748.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training

      HHSC risk weight: Medium Low. Corrected 2026-04-17. Correction verified 2026-07-07.

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

  41. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  42. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  43. Dec 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  44. Dec 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  45. Dec 14, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  46. Dec 14, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  47. Dec 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  48. Dec 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. Nov 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Nov 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  51. Nov 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  52. Nov 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Oct 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  54. Oct 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Oct 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Oct 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  57. Oct 14, 2025 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Direct care staff threatened to drop a child to the floor in response to the child?s heightened behavior.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2025-11-05. Correction verified 2025-11-18.

    • Other

      Direct care staff grabbed and shoved a child in response to the child?s behavior; this was an inappropriate response. Additionally, before grabbing the child, the direct care staff did not attempt to de-escalate the situation.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-18.

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

  58. Oct 14, 2025 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Direct care staff threatened to drop a child to the floor in response to the child?s heightened behavior.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2025-11-05. Correction verified 2025-11-18.

    • Other

      Direct care staff grabbed and shoved a child in response to the child?s behavior; this was an inappropriate response. Additionally, before grabbing the child, the direct care staff did not attempt to de-escalate the situation.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-18.

    HHSC inspection history

  59. Oct 11, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  60. Oct 11, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  61. Oct 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  62. Oct 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  63. Oct 3, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  64. Oct 3, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  65. Sep 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  66. Sep 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Sep 2, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  68. Sep 2, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  69. Aug 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  70. Aug 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. Aug 20, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  72. Aug 20, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  73. Aug 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  74. Aug 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Aug 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. Aug 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  77. Aug 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  78. Aug 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Aug 18, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  80. Aug 18, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  81. Aug 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Aug 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  83. Aug 8, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  84. Aug 8, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  85. Aug 2, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  86. Aug 2, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  87. Aug 1, 2025 Inspection · Deficiencies cited
    • Illness & medication

      Medication log reviewed for one child contained missing dosages and was not recorded as a medication error.

      HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error

      HHSC risk weight: Medium High. Corrected 2025-08-07. Correction verified 2025-08-05.

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

  88. Aug 1, 2025 Inspection · Deficiencies cited
    • Illness & medication

      Medication log reviewed for one child contained missing dosages and was not recorded as a medication error.

      HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error

      HHSC risk weight: Medium High. Corrected 2025-08-07. Correction verified 2025-08-05.

    HHSC inspection history

  89. Jul 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  90. Jul 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Jun 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Jun 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  93. Jun 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  94. Jun 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  95. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  96. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  97. May 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  98. May 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. May 9, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  100. May 9, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  101. Apr 17, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  102. Apr 17, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  103. Apr 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  104. Apr 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  105. Apr 14, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  106. Apr 14, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  107. Apr 1, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  108. Apr 1, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  109. Mar 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  110. Mar 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  111. Mar 26, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  112. Mar 26, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  113. Mar 26, 2025 Report · Deficiencies cited
    • Cleanliness & sanitation

      During an inspection, it was observed that mold was accumulating in one of the showers.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-06-10.

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

  114. Mar 26, 2025 Report · Deficiencies cited
    • Cleanliness & sanitation

      During an inspection, it was observed that mold was accumulating in one of the showers.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-06-10.

    HHSC inspection history

  115. Mar 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  116. Mar 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  117. Mar 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  118. Mar 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. Mar 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  120. Mar 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  121. Mar 1, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  122. Mar 1, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  123. Feb 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  124. Feb 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  125. Dec 10, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Refrigerator had crumbs and syrup stuck to the bottom of the refrigerator in the drawer area.

      HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-02.

    • Supervision & ratios

      Food was left in the sink to defrost.

      HHSC 748.3441(m) — Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-02.

    HHSC inspection history

  126. Dec 10, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Refrigerator had crumbs and syrup stuck to the bottom of the refrigerator in the drawer area.

      HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-02.

    • Supervision & ratios

      Food was left in the sink to defrost.

      HHSC 748.3441(m) — Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-02.

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

  127. Dec 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  128. Dec 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  129. Nov 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  130. Nov 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  131. Nov 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  132. Nov 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  133. Nov 13, 2024 Report · Deficiencies cited (self-report)
    • Other

      The Service Plan Review of a child in care clearly notes the night staff should conduct checks every 10 minutes, specifically from 10PM until midnight. Night Logs note checks were being completed every 10 minutes until 9PM and every hour after 9PM.

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

      HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2024-12-10.

    HHSC inspection history

  134. Nov 13, 2024 Report · Deficiencies cited (self-report)
    • Other

      The Service Plan Review of a child in care clearly notes the night staff should conduct checks every 10 minutes, specifically from 10PM until midnight. Night Logs note checks were being completed every 10 minutes until 9PM and every hour after 9PM.

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

      HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2024-12-10.

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

  135. Nov 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  136. Nov 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  137. Nov 7, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  138. Nov 7, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  139. Nov 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  140. Nov 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  141. Oct 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  142. Oct 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  143. Oct 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  144. Oct 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  145. Oct 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  146. Oct 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  147. Oct 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  148. Oct 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  149. Oct 16, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  150. Oct 16, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  151. Oct 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  152. Oct 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  153. Sep 29, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  154. Sep 29, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  155. Sep 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  156. Sep 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  157. Sep 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  158. Sep 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  159. Sep 2, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Service plan was reviewed, and staff did not follow the supervision plan regarding a child not being left alone and requiring a direct care staff present with the child. Child was alone without direct care staff in the back of a working vehicle during a work program.

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

      HHSC risk weight: Medium. Corrected 2024-11-11. Correction verified 2024-11-11.

    HHSC inspection history

  160. Sep 2, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Service plan was reviewed, and staff did not follow the supervision plan regarding a child not being left alone and requiring a direct care staff present with the child. Child was alone without direct care staff in the back of a working vehicle during a work program.

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

      HHSC risk weight: Medium. Corrected 2024-11-11. Correction verified 2024-11-11.

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

  161. Aug 31, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  162. Aug 31, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  163. Aug 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  164. Aug 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  165. Aug 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  166. Aug 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  167. Jul 31, 2024 Report · Deficiencies cited
    • Other

      The Service Plan of a child in care clearly notes the Level of Care as IPTP and night checks should be completed every 10 minutes, specifically from 10PM until midnight. Night Logs note checks were being completed every 10 minutes until 9PM and every hour after 9PM.

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

      HHSC risk weight: Medium. Corrected 2024-09-27. Correction verified 2024-09-25.

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

  168. Jul 31, 2024 Report · Deficiencies cited
    • Other

      The Service Plan of a child in care clearly notes the Level of Care as IPTP and night checks should be completed every 10 minutes, specifically from 10PM until midnight. Night Logs note checks were being completed every 10 minutes until 9PM and every hour after 9PM.

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

      HHSC risk weight: Medium. Corrected 2024-09-27. Correction verified 2024-09-25.

    HHSC inspection history

  169. Jul 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  170. Jul 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  171. Jul 20, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  172. Jul 20, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  173. Jul 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  174. Jul 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  175. Jul 8, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  176. Jul 8, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  177. Jun 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  178. Jun 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  179. Jun 28, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  180. Jun 28, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  181. Jun 19, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Licensing observed and photographed broken glass pieces on the ground outside a window at Terry Cabin, which staff indicated had been there for two weeks. The staff cleaned up all broken glass pieces during the inspection.

      HHSC 748.3301(g) — Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner

      HHSC risk weight: Medium. Corrected 2024-07-03. Correction verified 2024-07-03.

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

  182. Jun 19, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Licensing observed and photographed broken glass pieces on the ground outside a window at Terry Cabin, which staff indicated had been there for two weeks. The staff cleaned up all broken glass pieces during the inspection.

      HHSC 748.3301(g) — Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner

      HHSC risk weight: Medium. Corrected 2024-07-03. Correction verified 2024-07-03.

    HHSC inspection history

  183. Jun 18, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  184. Jun 18, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  185. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  186. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  187. May 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  188. May 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  189. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  190. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  191. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  192. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  193. Apr 29, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  194. Apr 29, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  195. Apr 27, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  196. Apr 27, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  197. Apr 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  198. Apr 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  199. Apr 13, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  200. Apr 13, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  201. Apr 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  202. Apr 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  203. Apr 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  204. Apr 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  205. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  206. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  207. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  208. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  209. Apr 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  210. Apr 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  211. Apr 1, 2024 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Reports to licensing was made outside of the required time frame.

      HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.

      HHSC risk weight: Medium High. Corrected 2024-06-07. Correction verified 2024-06-12.

    • Other

      A time notation is not present in the unauthorized absence log.

      HHSC 748.453(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered

      HHSC risk weight: Medium. Corrected 2024-06-07. Correction verified 2024-06-12.

    • Other

      A debriefing was not conducted with one of the resident involved within the required time frame.

      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 2024-06-07. Correction verified 2024-06-12.

    HHSC inspection history

  212. Apr 1, 2024 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Reports to licensing was made outside of the required time frame.

      HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.

      HHSC risk weight: Medium High. Corrected 2024-06-07. Correction verified 2024-06-12.

    • Other

      A time notation is not present in the unauthorized absence log.

      HHSC 748.453(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered

      HHSC risk weight: Medium. Corrected 2024-06-07. Correction verified 2024-06-12.

    • Other

      A debriefing was not conducted with one of the resident involved within the required time frame.

      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 2024-06-07. Correction verified 2024-06-12.

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

  213. Mar 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  214. Mar 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  215. Mar 26, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  216. Mar 26, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  217. Mar 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  218. Mar 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  219. Mar 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  220. Mar 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  221. Mar 6, 2024 Inspection · Deficiencies cited
    • Illness & medication

      2 children records reviewed showed medical log is missing staff signature after administering medications.

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

      HHSC risk weight: Medium. Corrected 2024-03-20. Correction verified 2024-04-04.

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

  222. Mar 6, 2024 Inspection · Deficiencies cited
    • Illness & medication

      2 children records reviewed showed medical log is missing staff signature after administering medications.

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

      HHSC risk weight: Medium. Corrected 2024-03-20. Correction verified 2024-04-04.

    HHSC inspection history

  223. Feb 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  224. Feb 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  225. Feb 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  226. Feb 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  227. Feb 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  228. Feb 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  229. Feb 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  230. Feb 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  231. Feb 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  232. Feb 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  233. Feb 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  234. Feb 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  235. Jan 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  236. Jan 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  237. Jan 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  238. Jan 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  239. Jan 10, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  240. Jan 10, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  241. Jan 5, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  242. Jan 5, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  243. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  244. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  245. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  246. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  247. Dec 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  248. Dec 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  249. Dec 11, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  250. Dec 11, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  251. Dec 7, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Staff interviewed confirmed they informed the children they had to be in line of sight but then went inside the house for a brief period, leaving two children unattended.

      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 2024-02-13. Correction verified 2024-02-22.

    HHSC inspection history

  252. Dec 7, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Staff interviewed confirmed they informed the children they had to be in line of sight but then went inside the house for a brief period, leaving two children unattended.

      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 2024-02-13. Correction verified 2024-02-22.

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

  253. Dec 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  254. Dec 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  255. Dec 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  256. Dec 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  257. Dec 4, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  258. Dec 4, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  259. Nov 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  260. Nov 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  261. Nov 20, 2023 Report

    No violations cited on this visit.

    HHSC inspection history

  262. Nov 20, 2023 Report

    No violations cited on this visit.

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

  263. Nov 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  264. Nov 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  265. Oct 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  266. Oct 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  267. Sep 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  268. Sep 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  269. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  270. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  271. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  272. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  273. Sep 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  274. Sep 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  275. Sep 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  276. Sep 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  277. Sep 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  278. Sep 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  279. Sep 5, 2023 Report

    No violations cited on this visit.

    HHSC inspection history

  280. Sep 5, 2023 Report

    No violations cited on this visit.

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

  281. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  282. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  283. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  284. Aug 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  285. Aug 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  286. Aug 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  287. Aug 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  288. Aug 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  289. Aug 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  290. Aug 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  291. Aug 12, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  292. Aug 12, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  293. Aug 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  294. Aug 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  295. Aug 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  296. Aug 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  297. Aug 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  298. Aug 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  299. Aug 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  300. Aug 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  301. Aug 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  302. Aug 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  303. Jul 31, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  304. Jul 31, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  305. Jul 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  306. Jul 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  307. Jul 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  308. Jul 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  309. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  310. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  311. Jul 19, 2023 Report · Deficiencies cited
    • Other Serious

      Interviews with all children confirmed that staff didn't intervene an altercation between two residents and that two other residents intervened.

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

      HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2023-09-15.

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

  312. Jul 19, 2023 Report · Deficiencies cited
    • Other Serious

      Interviews with all children confirmed that staff didn't intervene an altercation between two residents and that two other residents intervened.

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

      HHSC risk weight: High. Corrected 2023-09-05. Correction verified 2023-09-15.

    HHSC inspection history

  313. Jul 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  314. Jul 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  315. Jul 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  316. Jul 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  317. Jul 16, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Video footage confirmed that staff was not present for long periods of time and child interviews confirmed that staff was not present for long periods of time. Video footage showed two children laying on a couch together for a few minutes without staff redirecting them.

      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 2023-08-28. Correction verified 2023-08-30.

    • Other

      Video footage confirmed staff did not check on the children at the 10 minute time frame as stated in their service plan.

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

      HHSC risk weight: Medium. Corrected 2023-08-28. Correction verified 2023-08-22.

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

  318. Jul 16, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Video footage confirmed that staff was not present for long periods of time and child interviews confirmed that staff was not present for long periods of time. Video footage showed two children laying on a couch together for a few minutes without staff redirecting them.

      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 2023-08-28. Correction verified 2023-08-30.

    • Other

      Video footage confirmed staff did not check on the children at the 10 minute time frame as stated in their service plan.

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

      HHSC risk weight: Medium. Corrected 2023-08-28. Correction verified 2023-08-22.

    HHSC inspection history

  319. Jul 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  320. Jul 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  321. Jul 14, 2023 Report · Deficiencies cited
    • Other

      There was at least 5 instances where a triggered review should have been conducted based on having at least 4 or more restraints within a 7-day period.

      HHSC 748.2901(2)(A) — Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance

      HHSC risk weight: Medium High. Corrected 2023-09-08. Correction verified 2023-09-15.

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

  322. Jul 14, 2023 Report · Deficiencies cited
    • Other

      There was at least 5 instances where a triggered review should have been conducted based on having at least 4 or more restraints within a 7-day period.

      HHSC 748.2901(2)(A) — Triggered Reviews-Review if child is personally restrained 4 times within a 7-day period, unless otherwise ordered or recommended in advance

      HHSC risk weight: Medium High. Corrected 2023-09-08. Correction verified 2023-09-15.

    HHSC inspection history

  323. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  324. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  325. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  326. Jul 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  327. Jul 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  328. Jul 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  329. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  330. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  331. Jun 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  332. Jun 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  333. Jun 16, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

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

  334. Jun 16, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  335. Jun 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  336. Jun 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  337. Jun 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  338. Jun 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  339. May 23, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Video footage shows child being taken to the floor on an unwarranted restraint where there was no emergency situation nor was the child a danger to themself or others.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Illness & medication

      EBI conducted by staff was not conducted in an emergency situation as seen in the video footage and described by program coordinator, and children.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Cleanliness & sanitation

      Video footage confirmed child asked staff for toilet paper while staff was standing a few feet away from the child with toilet paper in their hand. Staff told the child to go to their room first and child became upset and threw a chair away from anyone as they walked in their room. Staff was then seen going into the room and placing the child in a restraint.

      HHSC 748.2463(1) — Emergency Behavior Intervention-Never used as punishment

      HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Other Serious

      Video footage shows staff going into child's room and placing their hands on child in order to immediately throw them on the ground.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Other

      Video footage shows staff forcing another child to sit and watch restraint with another child. Children interviewed also corroborated with another child sitting in and watching restraint.

      HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers

      HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-09-15.

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

  340. May 23, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Video footage shows child being taken to the floor on an unwarranted restraint where there was no emergency situation nor was the child a danger to themself or others.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Illness & medication

      EBI conducted by staff was not conducted in an emergency situation as seen in the video footage and described by program coordinator, and children.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Cleanliness & sanitation

      Video footage confirmed child asked staff for toilet paper while staff was standing a few feet away from the child with toilet paper in their hand. Staff told the child to go to their room first and child became upset and threw a chair away from anyone as they walked in their room. Staff was then seen going into the room and placing the child in a restraint.

      HHSC 748.2463(1) — Emergency Behavior Intervention-Never used as punishment

      HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Other Serious

      Video footage shows staff going into child's room and placing their hands on child in order to immediately throw them on the ground.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-09-15.

    • Other

      Video footage shows staff forcing another child to sit and watch restraint with another child. Children interviewed also corroborated with another child sitting in and watching restraint.

      HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers

      HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-09-15.

    HHSC inspection history

  341. May 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  342. May 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  343. May 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  344. May 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  345. May 12, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  346. May 12, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  347. May 9, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Restrooms in theTerry cabin smelled of urine and orange mildew was present in the shower.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2023-05-16. Correction verified 2023-05-17.

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

  348. May 9, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Restrooms in theTerry cabin smelled of urine and orange mildew was present in the shower.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2023-05-16. Correction verified 2023-05-17.

    HHSC inspection history

  349. May 7, 2023 Report · Deficiencies cited (self-report)
    • Other

      The debriefing was not conducted within 24 hours of the child's return. The debriefing did not include the child's condition or what occurred during the time away.

      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 2023-06-06. Correction verified 2023-06-01.

    HHSC inspection history

  350. May 7, 2023 Report · Deficiencies cited (self-report)
    • Other

      The debriefing was not conducted within 24 hours of the child's return. The debriefing did not include the child's condition or what occurred during the time away.

      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 2023-06-06. Correction verified 2023-06-01.

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

  351. May 6, 2023 Report · Deficiencies cited
    • Safety & premises

      3 out of 4 staff stated that les restrictive interventions could have been used prior to conducting an Emergency Behavior Intervention.

      HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

    • Illness & medication

      3 out 4 staff interviewed stated that there was no emergency situation present and there could have been other alternatives to de-escalate the situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

    • Other

      When reviewing actions taken leading up to the restraint and the child's service plan the child was not provided a silent and quite place to calm down.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

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

  352. May 6, 2023 Report · Deficiencies cited
    • Safety & premises

      3 out of 4 staff stated that les restrictive interventions could have been used prior to conducting an Emergency Behavior Intervention.

      HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

    • Illness & medication

      3 out 4 staff interviewed stated that there was no emergency situation present and there could have been other alternatives to de-escalate the situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

    • Other

      When reviewing actions taken leading up to the restraint and the child's service plan the child was not provided a silent and quite place to calm down.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2023-06-30. Correction verified 2023-07-12.

    HHSC inspection history

  353. May 1, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  354. May 1, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  355. Apr 27, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  356. Apr 27, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  357. Apr 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  358. Apr 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  359. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  360. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  361. Apr 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  362. Apr 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  363. Mar 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  364. Mar 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  365. Mar 30, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  366. Mar 30, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  367. Mar 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  368. Mar 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  369. Mar 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  370. Mar 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  371. Mar 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  372. Mar 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  373. Mar 22, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  374. Mar 22, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  375. Mar 21, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  376. Mar 21, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  377. Mar 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  378. Mar 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  379. Mar 20, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  380. Mar 20, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  381. Mar 14, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  382. Mar 14, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  383. Mar 13, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      1 out of 4 child's service plans do not include an accurate assesment of the child's strengths, interests, and personality.

      HHSC 748.1217(c)(14) — Admission Assessment-Prior to initial service plan, add determination of whether operation can meet child's needs

      HHSC risk weight: Medium Low. Corrected 2023-03-27. Correction verified 2023-03-30.

    • Illness & medication

      1 out of 4 children did not have an immunization record.

      HHSC 748.1539(a) — Immunizations-Each child must meet and continue to meet the applicable immunization requirements

      HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-03-30.

    • Other

      1 out of 4 children has not received their hearing exam.

      HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected

      HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-03-30.

    HHSC inspection history

  384. Mar 13, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      1 out of 4 child's service plans do not include an accurate assesment of the child's strengths, interests, and personality.

      HHSC 748.1217(c)(14) — Admission Assessment-Prior to initial service plan, add determination of whether operation can meet child's needs

      HHSC risk weight: Medium Low. Corrected 2023-03-27. Correction verified 2023-03-30.

    • Illness & medication

      1 out of 4 children did not have an immunization record.

      HHSC 748.1539(a) — Immunizations-Each child must meet and continue to meet the applicable immunization requirements

      HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-03-30.

    • Other

      1 out of 4 children has not received their hearing exam.

      HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected

      HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-03-30.

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

  385. Mar 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  386. Mar 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  387. Mar 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  388. Mar 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  389. Mar 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  390. Mar 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  391. Mar 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  392. Mar 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  393. Mar 4, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  394. Mar 4, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  395. Mar 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  396. Mar 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  397. Mar 1, 2023 Inspection · Deficiencies cited
    • Illness & medication

      In the Meadows Home when reviewing the medication log there was a signature missing on who dispensed the medication.

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

      HHSC risk weight: Medium. Corrected 2023-03-15. Correction verified 2023-03-30.

    HHSC inspection history

  398. Mar 1, 2023 Inspection · Deficiencies cited
    • Illness & medication

      In the Meadows Home when reviewing the medication log there was a signature missing on who dispensed the medication.

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

      HHSC risk weight: Medium. Corrected 2023-03-15. Correction verified 2023-03-30.

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

  399. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  400. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  401. Feb 23, 2023 Report · Deficiencies cited
    • Illness & medication

      Medication Log for 1 out of 6 children investigated showed that their medication was given at the wrong time and not documented accordingly.

      HHSC 748.2203(c)(2) — Medication Error-Document the medication error

      HHSC risk weight: Medium High. Corrected 2023-05-05. Correction verified 2023-05-17.

    HHSC inspection history

  402. Feb 23, 2023 Report · Deficiencies cited
    • Illness & medication

      Medication Log for 1 out of 6 children investigated showed that their medication was given at the wrong time and not documented accordingly.

      HHSC 748.2203(c)(2) — Medication Error-Document the medication error

      HHSC risk weight: Medium High. Corrected 2023-05-05. Correction verified 2023-05-17.

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

  403. Feb 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  404. Feb 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  405. Feb 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  406. Feb 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  407. Feb 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  408. Feb 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  409. Feb 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  410. Feb 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  411. Feb 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  412. Feb 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  413. Feb 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  414. Feb 10, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  415. Nov 2, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      Yearly updated documentation showing inspections are unavailable at the operation has not been provided.

      HHSC 748.3001(C)(2) — Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us

      HHSC risk weight: Medium. Corrected 2022-11-16. Correction verified 2022-11-22.

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

  416. Nov 2, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      Yearly updated documentation showing inspections are unavailable at the operation has not been provided.

      HHSC 748.3001(C)(2) — Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us

      HHSC risk weight: Medium. Corrected 2022-11-16. Correction verified 2022-11-22.

    HHSC inspection history

  417. Oct 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  418. Oct 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  419. Oct 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  420. Oct 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  421. Sep 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  422. Sep 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  423. Sep 10, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  424. Sep 10, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  425. Sep 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  426. Sep 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  427. Aug 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  428. Aug 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  429. Aug 16, 2022 Inspection · Deficiencies cited
    • Other

      One bed in Meadows was missing the mattress cover.

      HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-08-16.

    • Cleanliness & sanitation

      Both Meadows and Terry cabin contained broken shelves in the fridge.

      HHSC 748.3445(b) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair

      HHSC risk weight: Medium High. Corrected 2022-08-30. Correction verified 2022-09-09.

    • Safety & premises

      Found a screw sticking out of the playground side rail, Loose-fill missing in the play ground. Swing must not be attached to a composite structure.

      HHSC 748.3475(a) — Safety Requirements-The administrator or designee must inspect the playground weekly to ensure no hazards are present

      HHSC risk weight: Medium High. Corrected 2022-08-30. Correction verified 2022-09-09.

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

  430. Aug 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  431. Aug 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  432. Aug 16, 2022 Inspection · Deficiencies cited
    • Other

      One bed in Meadows was missing the mattress cover.

      HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-08-16.

    • Cleanliness & sanitation

      Both Meadows and Terry cabin contained broken shelves in the fridge.

      HHSC 748.3445(b) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair

      HHSC risk weight: Medium High. Corrected 2022-08-30. Correction verified 2022-09-09.

    • Safety & premises

      Found a screw sticking out of the playground side rail, Loose-fill missing in the play ground. Swing must not be attached to a composite structure.

      HHSC 748.3475(a) — Safety Requirements-The administrator or designee must inspect the playground weekly to ensure no hazards are present

      HHSC risk weight: Medium High. Corrected 2022-08-30. Correction verified 2022-09-09.

    HHSC inspection history

  433. Aug 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  434. Aug 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  435. Jul 27, 2022 Assessment · No deficiencies cited

    No violations cited on this visit.

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

  436. Jul 27, 2022 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  437. Jul 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  438. Jul 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  439. Jul 15, 2022 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      Staff pushed child and was observed on camera doing so.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-09-07. Correction verified 2022-09-08.

    HHSC inspection history

  440. Jul 15, 2022 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      Staff pushed child and was observed on camera doing so.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-09-07. Correction verified 2022-09-08.

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

  441. Jul 15, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  442. Jul 15, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  443. Jul 8, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  444. Jul 8, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  445. Jul 4, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  446. Jul 4, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  447. Jun 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  448. Jun 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  449. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  450. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  451. Jun 13, 2022 Report · Deficiencies cited (self-report)
    • Other Serious

      A child in care was so distraught after the staff member pushed the child into their room and closed the door that the child began banging loudly on the door to her room.

      HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Discipline & child guidance Serious

      A staff member pushed a child two times causing the child to fall.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Other

      Staff member physically put himself directly in front of a child yelled and threatened the child. Staff member also yelled at other children who were in their bedrooms to be quiet unless they wanted some of this too.

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

      HHSC risk weight: Medium High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Safety & premises

      Staff member told a child in care that if they did not go to their room they would put the child there, then grabbed the child by the arm and escorted the child to the bedroom.

      HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Other

      When a child in care was having a behavior, the caregiver lost control and escalated the situation.

      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 2022-07-19. Correction verified 2022-08-16.

    • Other Serious

      A staff member was present when a child was pushed, yelled at and restrained by another staff member and did nothing to intervene.

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

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

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

  452. Jun 13, 2022 Report · Deficiencies cited (self-report)
    • Other Serious

      A child in care was so distraught after the staff member pushed the child into their room and closed the door that the child began banging loudly on the door to her room.

      HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Discipline & child guidance Serious

      A staff member pushed a child two times causing the child to fall.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Other

      Staff member physically put himself directly in front of a child yelled and threatened the child. Staff member also yelled at other children who were in their bedrooms to be quiet unless they wanted some of this too.

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

      HHSC risk weight: Medium High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Safety & premises

      Staff member told a child in care that if they did not go to their room they would put the child there, then grabbed the child by the arm and escorted the child to the bedroom.

      HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2022-07-19. Correction verified 2022-08-16.

    • Other

      When a child in care was having a behavior, the caregiver lost control and escalated the situation.

      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 2022-07-19. Correction verified 2022-08-16.

    • Other Serious

      A staff member was present when a child was pushed, yelled at and restrained by another staff member and did nothing to intervene.

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

      HHSC risk weight: High. Corrected 2022-07-19. Correction verified 2022-08-16.

    HHSC inspection history

  453. Jun 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  454. Jun 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  455. May 31, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  456. May 31, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  457. May 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  458. May 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  459. May 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  460. May 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  461. May 22, 2022 Report · Deficiencies cited (self-report)
    • Illness & medication Serious

      Child in care was stung by a bee at approximately 3:30 pm. Face sheet and service plan document child is allergic to bee stings. Later in the evening child stated they were having trouble breathing and started to vomit. Staff stated they did not feel child was having trouble breathing but gave child inhaler and administered Epi pen. Staff stated they did not follow instructions for Epi pen administration because they immediately removed the pen without waiting the required amount of time for medication to be fully injected. After child in care was administered the Epi pen incorrectly the child did not receive immediate follow-up medical care to address allergic reaction and any possible adverse reactions to the Epi pen. According to SIR, when child was eventually taken the emergency room the next morning the child required 2 units of IV fluids to treat dehydration. According to child, they were vomiting all night.

      HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain

      HHSC risk weight: High. Corrected 2022-07-27. Correction verified 2022-08-16.

    • Illness & medication

      Staff stated they were not sure if child required the Epi pen injection for allergic reaction due to bee sting but administered anyway. Staff stated child was not in distress and was not having trouble breathing. The child was given their inhaler. Staff did not request assistance from supervisor or medical professional. Child in care told staff they needed the Epi pen so staff administered. Staff then stated they did not inject Epi pen according to instructions because they did not leave in for 10 seconds and immediately removed from child's leg, the staff then saw medication dripping from Epi pen. The staff injected the leg and then immediately took it out.

      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 2022-07-27. Correction verified 2022-07-27.

    • Illness & medication

      Operation staff stated they were not trained to administer an EPI pen and didn't know how to use.

      HHSC 748.2003(b)(6) — Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication

      HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-07-27.

    HHSC inspection history

  462. May 22, 2022 Report · Deficiencies cited (self-report)
    • Illness & medication Serious

      Child in care was stung by a bee at approximately 3:30 pm. Face sheet and service plan document child is allergic to bee stings. Later in the evening child stated they were having trouble breathing and started to vomit. Staff stated they did not feel child was having trouble breathing but gave child inhaler and administered Epi pen. Staff stated they did not follow instructions for Epi pen administration because they immediately removed the pen without waiting the required amount of time for medication to be fully injected. After child in care was administered the Epi pen incorrectly the child did not receive immediate follow-up medical care to address allergic reaction and any possible adverse reactions to the Epi pen. According to SIR, when child was eventually taken the emergency room the next morning the child required 2 units of IV fluids to treat dehydration. According to child, they were vomiting all night.

      HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain

      HHSC risk weight: High. Corrected 2022-07-27. Correction verified 2022-08-16.

    • Illness & medication

      Staff stated they were not sure if child required the Epi pen injection for allergic reaction due to bee sting but administered anyway. Staff stated child was not in distress and was not having trouble breathing. The child was given their inhaler. Staff did not request assistance from supervisor or medical professional. Child in care told staff they needed the Epi pen so staff administered. Staff then stated they did not inject Epi pen according to instructions because they did not leave in for 10 seconds and immediately removed from child's leg, the staff then saw medication dripping from Epi pen. The staff injected the leg and then immediately took it out.

      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 2022-07-27. Correction verified 2022-07-27.

    • Illness & medication

      Operation staff stated they were not trained to administer an EPI pen and didn't know how to use.

      HHSC 748.2003(b)(6) — Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication

      HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-07-27.

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

  463. May 13, 2022 Report · Deficiencies cited
    • Supervision & ratios Serious

      It was confirmed that a caregiver was asleep when they were supposed to be supervising children in care.

      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 2022-06-24. Correction verified 2022-06-24.

    HHSC inspection history

  464. May 13, 2022 Report · Deficiencies cited
    • Supervision & ratios Serious

      It was confirmed that a caregiver was asleep when they were supposed to be supervising children in care.

      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 2022-06-24. Correction verified 2022-06-24.

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

  465. May 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  466. May 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  467. Apr 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  468. Apr 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  469. Apr 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  470. Apr 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  471. Mar 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  472. Mar 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  473. Mar 24, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  474. Mar 24, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  475. Mar 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  476. Mar 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  477. Mar 15, 2022 Inspection · Deficiencies cited
    • Illness & medication

      One out of six medication records was observed not having an accurate daily count.

      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 2022-03-28. Correction verified 2022-03-15.

    HHSC inspection history

  478. Mar 15, 2022 Inspection · Deficiencies cited
    • Illness & medication

      One out of six medication records was observed not having an accurate daily count.

      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 2022-03-28. Correction verified 2022-03-15.

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

  479. Mar 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  480. Mar 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  481. Mar 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  482. Mar 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  483. Mar 8, 2022 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      It is alleged that staff became physically aggressive with a child in care and executed an improper and unwarranted restraint on the child in care which resulted in an injury.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-04-15. Correction verified 2022-04-11.

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

  484. Mar 8, 2022 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      It is alleged that staff became physically aggressive with a child in care and executed an improper and unwarranted restraint on the child in care which resulted in an injury.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-04-15. Correction verified 2022-04-11.

    HHSC inspection history

  485. Mar 6, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  486. Mar 6, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  487. Mar 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  488. Mar 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  489. Mar 1, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  490. Mar 1, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  491. Mar 1, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  492. Mar 1, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  493. Feb 24, 2022 Report · Deficiencies cited
    • Safety & premises

      Staff member was providing vapes and smoking with children in care.

      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 2022-04-12. Correction verified 2022-04-11.

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

  494. Feb 24, 2022 Report · Deficiencies cited
    • Safety & premises

      Staff member was providing vapes and smoking with children in care.

      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 2022-04-12. Correction verified 2022-04-11.

    HHSC inspection history

  495. Feb 17, 2022 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Observed 3 door frames broken with nails protruding in children's bedrooms and 1 broken wall panel in a child's bathroom.

      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 2022-03-03. Correction verified 2022-03-10.

    HHSC inspection history

  496. Feb 17, 2022 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Observed 3 door frames broken with nails protruding in children's bedrooms and 1 broken wall panel in a child's bathroom.

      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 2022-03-03. Correction verified 2022-03-10.

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

  497. Feb 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  498. Feb 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  499. Jan 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  500. Jan 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  501. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  502. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  503. Jan 13, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  504. Jan 13, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  505. Jan 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  506. Jan 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  507. Dec 28, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  508. Dec 28, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  509. Dec 22, 2021 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      There was 1 staff supervising total of 8 children during recreation time and three of the children receive treatment services.

      HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

      HHSC risk weight: Medium High. Corrected 2022-02-15. Correction verified 2022-02-17.

    • Staff background & training

      A volunteer did not have all the required trainings to be a caregiver for children and supervised 8 residents with a staff.

      HHSC 748.723(a) — Volunteers and Contractors-if the person performs an employee function, he must meet the same requirements as an employee who performs that function

      HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-02-17.

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

  510. Dec 22, 2021 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      There was 1 staff supervising total of 8 children during recreation time and three of the children receive treatment services.

      HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

      HHSC risk weight: Medium High. Corrected 2022-02-15. Correction verified 2022-02-17.

    • Staff background & training

      A volunteer did not have all the required trainings to be a caregiver for children and supervised 8 residents with a staff.

      HHSC 748.723(a) — Volunteers and Contractors-if the person performs an employee function, he must meet the same requirements as an employee who performs that function

      HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-02-17.

    HHSC inspection history

  511. Dec 18, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  512. Dec 18, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  513. Dec 4, 2021 Report · Deficiencies cited (self-report)
    • Records & paperwork

      It was determined that the unauthorized absence was not reported within the required 6 hour time frame.

      HHSC 748.303(a)(9)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older

      HHSC risk weight: Medium. Corrected 2022-01-06. Correction verified 2022-01-07.

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

  514. Dec 4, 2021 Report · Deficiencies cited (self-report)
    • Records & paperwork

      It was determined that the unauthorized absence was not reported within the required 6 hour time frame.

      HHSC 748.303(a)(9)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older

      HHSC risk weight: Medium. Corrected 2022-01-06. Correction verified 2022-01-07.

    HHSC inspection history

  515. Nov 23, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  516. Nov 23, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  517. Nov 11, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  518. Nov 11, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  519. Nov 2, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  520. Nov 2, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  521. Oct 16, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  522. Oct 16, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  523. Oct 2, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  524. Oct 2, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  525. Sep 14, 2021 Report · Deficiencies cited (self-report)
    • Illness & medication

      Child in care contracted a communicable disease that was not reported within 24 hours after becoming aware of illness.

      HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease

      HHSC risk weight: Medium. Corrected 2021-11-26. Correction verified 2021-11-17.

    HHSC inspection history

  526. Sep 14, 2021 Report · Deficiencies cited (self-report)
    • Illness & medication

      Child in care contracted a communicable disease that was not reported within 24 hours after becoming aware of illness.

      HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease

      HHSC risk weight: Medium. Corrected 2021-11-26. Correction verified 2021-11-17.

    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.

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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.