RecordWell Data

1 Care Premier Services LLC

340 N SAM HOUSTON PKWY E STE A247, Houston, TX 77060 · Harris County

30cited violations
19serious
110inspections & investigations
1enforcement actions

Program

Type
Child-placing agency
Ages
-
Hours
10:00 AM-04:00 PM
Director / administrator
Nicole Lashawn Mays
Phone
(713) 594-0469
Regulated since
Sep 13, 2019
HHSC IDs
Operation 1316516 · number 1681265- 13191
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202611 Staff background & training (1)
202522 Illness & medication (2)
202485 Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (3), Staff background & training (2), Other (1)
2023118 Illness & medication (3), Supervision & ratios (2), Discipline & child guidance (1), Staff background & training (1), Other (4)
202283 Illness & medication (1), Supervision & ratios (2), Discipline & child guidance (1), Staff background & training (1), Records & paperwork (1), Other (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. Sep 1, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Jul 22, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. May 9, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Apr 28, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  5. Apr 17, 2026 Report · Deficiencies cited
    • Staff background & training Serious

      A household member providing supervision/care to children placed in the home does not have an appropriate Background Check.

      HHSC 745.621(b)(3) — Renewal background checks submitted - When change in role requires subject to have fingerprint-based check now instead of only name-based TX check

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

    HHSC inspection history

  6. Apr 14, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  7. Apr 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Feb 24, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  9. Jan 27, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Jan 10, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  11. Dec 27, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  12. Nov 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Sep 2, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Aug 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Aug 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  16. Jul 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Jul 27, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  18. Jul 11, 2025 Report · Deficiencies cited
    • Illness & medication Serious

      The foster parent was found to be overmedicating the child in care, and admitted to the error during their face to face interview. In addition, the case manager reviewed medication logs in both June and July and did not note the error in dosage.

      HHSC 749.1463(b)(5) — Administration of Medication-Ensure the child has taken the medication as prescribed

      HHSC risk weight: High. Corrected 2025-08-21. Correction verified 2025-09-02.

    • Illness & medication Serious

      The provided Medication Logs do not contain the prescribed dosage of medication. July log has medication strength as .1mg and give ,5mg June has .5mg pill and give .1mg Actual prescription: Clonidine HCL .1mg oral tablet Take .5 tablet (.05mg total) by mouth every night. Prescribed quantity: 15 tablets (30 day supply).

      HHSC 749.1541(c)(4) — Medication Record-Must include medication name, strength & dosage

      HHSC risk weight: Medium High. Corrected 2025-08-21. Correction verified 2025-09-02.

    HHSC inspection history

  19. Jun 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. May 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. May 28, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  22. May 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. May 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. May 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Apr 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Apr 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. Apr 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  28. Apr 22, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  29. Apr 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  30. Apr 15, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  31. Apr 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  32. Mar 26, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Mar 12, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Feb 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  35. Feb 22, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  36. Feb 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Jan 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Dec 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Dec 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  40. Nov 21, 2024 Assessment · Deficiencies cited
    • Staff background & training Serious

      An out-of-state background check was not requested on a person whose application included living out of state in the last five years.

      HHSC 745.619 — Background Check Requirements - Submit All Identifying Information

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

    HHSC inspection history

  41. Nov 6, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. Nov 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  43. Oct 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  44. Aug 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. Jul 28, 2024 Inspection · Deficiencies cited
    • Staff background & training Serious

      A foster parent has had an inactive background check since May 2024.

      HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

      HHSC risk weight: High. Corrected 2024-07-29. Correction verified 2024-08-29.

    HHSC inspection history

  46. Jul 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  47. Jul 11, 2024 Report · Deficiencies cited
    • Other Serious

      The foster parent admitted to breaking a phone in the presence of children in care and to utilizing reading the Bible and writing summaries as punishment.

      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 2024-08-20. Correction verified 2024-09-05.

    HHSC inspection history

  48. Jul 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. Jun 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Apr 16, 2024 Inspection · Deficiencies cited
    • Supervision & ratios

      One file did not include the date the home screening was signed by the CPMS and had an illegible signature for the person who did the home study; there was an inconsistency between the budget/income form and the income verification.

      HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected 2024-04-23. Correction verified 2024-04-23.

    • Discipline & child guidance

      The health status for one child in the home was not noted.

      HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)

      HHSC risk weight: Medium. Corrected 2024-04-23. Correction verified 2024-04-23.

    • Safety & premises

      It was found that one file did not include a home study addendum or update for changes with pets, frequent visitors, and vehicles.

      HHSC 749.2453(b) — You must update a foster home screening- A foster home screening update may be made by using an addendum

      HHSC risk weight: Medium. Corrected 2024-04-23. Correction verified 2024-04-23.

    • Safety & premises Serious

      Documentation was missing for the discussion of the plans and procedures for fire and severe weather emergencies. Documentation did not include the time a fire drill was conducted at the foster home.

      HHSC 749.2908(a)(1) — Disaster and Emergency- foster homes must discuss the plans and procedures for handling emergencies

      HHSC risk weight: Medium High. Corrected 2024-04-23. Correction verified 2024-04-23.

    HHSC inspection history

  51. Mar 26, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  52. Mar 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Mar 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  54. Mar 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Mar 6, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Mar 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Feb 23, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Feb 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  59. Feb 13, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  60. Feb 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  61. Feb 1, 2024 Assessment · Deficiencies cited
    • Safety & premises Serious

      Fire extinguishers located in the kitchen and upstairs were last serviced 10/2022.

      HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.

      HHSC risk weight: Medium High. Corrected 2024-02-07. Correction verified 2024-02-06.

    HHSC inspection history

  62. Jan 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  63. Jan 6, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  64. Jan 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Dec 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Dec 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  68. Dec 9, 2023 Report · Deficiencies cited
    • Other

      A child's service plan review did not have the signature of the professional service provider. Refer 749.1319(b).

      HHSC 749.1337 — Service Plan Review/Update-Notification, participation, implementation, documentation requirements for a review are the same as for an initial plan

      HHSC risk weight: Medium Low. Corrected 2024-04-24. Correction verified 2024-04-24.

    • Illness & medication Serious

      A child was prescribed psychotropic medication. The child either did not receive their medication or was administered the incorrect dosage.

      HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders

      HHSC risk weight: High. Corrected 2024-04-24. Correction verified 2024-04-24.

    • Illness & medication

      Several medication logs did not document the reason for the medication provided to a child.

      HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication

      HHSC risk weight: Medium. Corrected 2024-04-24. Correction verified 2024-04-24.

    • Illness & medication Serious

      A child's medication log did not have the strength and dosage documented.

      HHSC 749.1541(c)(4) — Medication Record-Must include medication name, strength & dosage

      HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-04-24.

    HHSC inspection history

  69. Dec 9, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Dec 9, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. Dec 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  72. Oct 6, 2023 Report · Deficiencies cited
    • Other Serious

      A caregiver interfered with an ongoing investigation when she was purposely dishonest to RCCR and law enforcement regarding her knowledge and ongoing contact with a child she encouraged to AWOL from the State of Texas.

      HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation

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

    • Discipline & child guidance Serious

      A child's right to be free of neglectful supervision was not upheld when a caregiver encouraged a child to AWOL, leave the state of Texas, and maintained contact with the child but encouraged her not to return. This standard was found deficient as part of a DFPS Investigation.

      HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation

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

    • Staff background & training

      A caregiver failed to provide hygiene items to children in a timely manner.

      HHSC 749.1003(b)(3)(F) — Children's rights-Adhere to the child's right to have personal care, hygiene, and grooming equipment/supplies and training in how to use

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

    • Other Serious

      A caregiver used profane language towards a child in care, via text message.

      HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language

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

    • Supervision & ratios Serious

      A caregiver failed to intervene and ensure a child?s safety when she encouraged the child to AWOL, leave the state and not return. The caregiver also failed to intervene timely when two children were fighting, leading to another child breaking up the fight.

      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 2024-03-20. Correction verified 2024-03-20.

    • Other Serious

      A caregiver did not demonstrate prudent judgement when encouraging a child to AWOL from the state of Texas and not return. The caregiver continued to have contact with the child, while she was AWOL, and sent her documents to get enrolled in school while on AWOL.

      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 2024-03-20. Correction verified 2024-03-20.

    HHSC inspection history

  73. Sep 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  74. Aug 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Aug 23, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  76. Aug 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  77. Jul 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. May 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Apr 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  80. Apr 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  81. Apr 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Apr 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  83. Apr 12, 2023 Assessment · Deficiencies cited
    • Supervision & ratios Serious

      The foster home was over capacity with 6 foster placements and 1 adopted placement in the home.

      HHSC 749.2551(a) — Capacity-1 parent FH with 1 additional caregiver or 2 parent FH may care for up to 6, except as noted in chart below

      HHSC risk weight: Medium High. Corrected 2023-04-19. Correction verified 2023-04-19.

    HHSC inspection history

  84. Apr 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Apr 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  86. Apr 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Jan 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  88. Dec 16, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      The treatment services in the home screening and the treatment services on the agency home's main page were inconsistent; the date of contact/interview with references was not noted in the home screening.

      HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

      HHSC risk weight: Medium. Corrected 2022-12-23. Correction verified 2022-12-21.

    • Other

      The home screening only indicated one community reference interview was conducted.

      HHSC 749.2449(A)(8) — Interview For Foster Home Screening- Must include two interviews with neighbors, school personnel, clergy, or other unrelated members of community

      HHSC risk weight: Medium. Corrected 2022-12-23. Correction verified 2022-12-21.

    HHSC inspection history

  89. Dec 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Dec 13, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      4 of 4 records reviewed did not include the child's birth and neonatal history; 1 of 4 records did not include (c)(7) the child's previous placements and (c)(9) the child's skills and special interest.

      HHSC 749.1133(c)(3) — Admission Assessment-Includes child's birth and neonatal history

      HHSC risk weight: Medium Low. Corrected 2022-12-20. Correction verified 2022-12-14.

    HHSC inspection history

  91. Dec 8, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Oct 31, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  93. Sep 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  94. Sep 16, 2022 Assessment · Deficiencies cited
    • Illness & medication

      In seven records reviewed the prescribing physician's name and the reason for the medication was missing from the medication administration forms.

      HHSC 749.1541(c)(2) — Medication Record-Must include prescribing health-care professional's name

      HHSC risk weight: Medium. Corrected 2022-09-23. Correction verified 2022-09-28.

    HHSC inspection history

  95. Sep 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  96. Sep 7, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  97. Sep 6, 2022 Report · Deficiencies cited
    • Discipline & child guidance Serious

      The Caregiver for a 5-year-old child in care was unaware that the child had been missing from the home for one and a half hours.

      HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation

      HHSC risk weight: High. Corrected 2023-01-06. Correction verified 2023-01-10.

    • Supervision & ratios Serious

      A caregiver failed to secure the front door of the home, causing a 5-year-old nonverbal, Autistic child to run away from the home for one and a half hours.

      HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child

      HHSC risk weight: High. Corrected 2023-01-06. Correction verified 2023-01-10.

    HHSC inspection history

  98. Aug 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. Jul 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Jul 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  101. Jul 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  102. Jun 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  103. Jun 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  104. May 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  105. Apr 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  106. Apr 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  107. Apr 26, 2022 Inspection · Deficiencies cited
    • Staff background & training Serious

      7 of 7 child records reviewed did not notate the child's preferred method of de-escalation. The section was left blank.

      HHSC 749.1111(b)(6) — Child Orientation-Include policies on emergency behavior intervention; include child's input on preferred de-escalation techniques

      HHSC risk weight: Medium High. Corrected 2022-05-03. Correction verified 2022-04-27.

    • Other

      Two foster home screenings did not include interviews with the children in care, in the home, at the time of the home screening.

      HHSC 749.2449(a)(2) — Interview For Foster Home Screening-Must include at least one individual interview with each child 3 yrs old or older living in the home

      HHSC risk weight: Medium. Corrected 2022-05-03. Correction verified 2022-04-27.

    HHSC inspection history

  108. Apr 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  109. Nov 16, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  110. Nov 12, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

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, via 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.