Refuge House San Antonio, INC.
8000 W IH 10 STE 600, San Antonio, TX 78230 · Bexar County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:00 AM-04:30 PM
- Director / administrator
- Lindsay Caryl Reed
- Phone
- (972) 849-7337
- Regulated since
- Sep 9, 2008
- HHSC IDs
- Operation 348353 · number 891410- 4971
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 4 | 4 | Supervision & ratios (2), Other (2) |
| 2024 | 2 | 2 | Discipline & child guidance (2) |
| 2023 | 2 | 0 | Safety & premises (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 9, 2025 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 9, 2025 Report
No violations cited on this visit.
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Oct 29, 2025 Report · Deficiencies cited
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Other Serious
Allegation foster parent yells at children in care and broke the property of the victim was corroborated during interviews.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-12-18. Correction verified 2026-01-02.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Oct 29, 2025 Report · Deficiencies cited
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Other Serious
Allegation foster parent yells at children in care and broke the property of the victim was corroborated during interviews.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-12-18. Correction verified 2026-01-02.
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Other Serious
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Oct 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Foster parents allowed three children in care to visit a community pool without adult supervision which led to one child pushing another child under the water multiple times.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2025-09-30. Correction verified 2025-10-10.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Aug 21, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Foster parents allowed three children in care to visit a community pool without adult supervision which led to one child pushing another child under the water multiple times.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2025-09-30. Correction verified 2025-10-10.
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Supervision & ratios Serious
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May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
Interviews stated that foster parents hit the child on the hand and leg for bothering their sibling.
HHSC 749.1953(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 2024-05-02. Correction verified 2024-05-14.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Mar 20, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
Interviews stated that foster parents hit the child on the hand and leg for bothering their sibling.
HHSC 749.1953(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 2024-05-02. Correction verified 2024-05-14.
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Discipline & child guidance Serious
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Mar 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2023 Inspection · Deficiencies cited
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Safety & premises
During the monitoring inspection, four children's files were reviewed, and all four files had a plethora of missing information. Missing information includes addresses and contact information of siblings, allergies, contact information for caseworkers, date of placement agreement, no indication of high-risk behaviors nor history of trauma section, current medical and dental information, behavior level, parent's expectations of placement, school and general information.
HHSC 749.1133(b) — Admission Assessment-All information required in this subsection must be documented in admission assessment prior to child's non-emergency admission
HHSC risk weight: Medium Low. Corrected 2023-04-06. Correction verified 2023-04-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Mar 23, 2023 Inspection · Deficiencies cited
-
Safety & premises
During the monitoring inspection, four children's files were reviewed, and all four files had a plethora of missing information. Missing information includes addresses and contact information of siblings, allergies, contact information for caseworkers, date of placement agreement, no indication of high-risk behaviors nor history of trauma section, current medical and dental information, behavior level, parent's expectations of placement, school and general information.
HHSC 749.1133(b) — Admission Assessment-All information required in this subsection must be documented in admission assessment prior to child's non-emergency admission
HHSC risk weight: Medium Low. Corrected 2023-04-06. Correction verified 2023-04-06.
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Safety & premises
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Oct 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 22, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.