Creighton Oaks Residential Treatment Center
11313 LONG DRIVE, Conroe, TX 77302 · Montgomery County
Program
- Type
- General residential operation
- Licensed capacity
- 71
- Ages
- 8-17
- Hours
- -
- Director / administrator
- Kenneth Williams
- Phone
- (346) 402-4241
- Regulated since
- Aug 19, 2022
- HHSC IDs
- Operation 1377821 · number 1721455
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 8 | 3 | Cleanliness & sanitation (1), Supervision & ratios (2), Safety & premises (1), Records & paperwork (2), Other (2) |
| 2025 | 5 | 2 | Supervision & ratios (4), Records & paperwork (1) |
| 2024 | 29 | 19 | Cleanliness & sanitation (5), Illness & medication (2), Supervision & ratios (7), Discipline & child guidance (4), Safety & premises (1), Records & paperwork (1), Other (9) |
| 2023 | 14 | 10 | Cleanliness & sanitation (5), Illness & medication (2), Supervision & ratios (1), Discipline & child guidance (1), Staff background & training (1), Records & paperwork (1), Other (3) |
| 2022 | 4 | 1 | Illness & medication (1), Supervision & ratios (1), Safety & premises (1), Other (1) |
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 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · Deficiencies cited
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Other
Documetnation of a completed suicide screening at admission could not be found in the child's file.
HHSC 748.1205(a)(14) — Admission Documentation- Includes the results of the suicide screening at admission, if required.
HHSC risk weight: Low. Corrected 2026-08-18. Correction verified 2026-08-18.
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Records & paperwork
There was no documented notification to the parent after a child was restrained.
HHSC 748.2857(b) — A copy of the documentation provided to the parent must be maintained in the child?s record.
HHSC risk weight: Medium Low. Corrected 2026-08-18. Correction verified 2026-08-18.
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Other
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Aug 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
A caregiver did not provide a safe environment when they did not ensure the facilities vehicle keys were stored properly. The keys were left inside the unlocked vehicle. A child in care was able to access the vehicle and leave the operation unaccompanied.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2026-09-09. Correction verified 2026-09-14.
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Supervision & ratios Serious
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Jun 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Cleaning products were found under the kitchen sink in Peach house.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-06-18.
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Records & paperwork
2 of 2 files did not have pre-employment affidavits.
HHSC 748.363(8) — Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
HHSC risk weight: Medium. Corrected 2026-06-26. Correction verified 2026-07-02.
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Safety & premises
2 of 2 files did not have employment verification completed.
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2026-06-26. Correction verified 2026-07-02.
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Cleanliness & sanitation Serious
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2026 Report · Deficiencies cited
-
Supervision & ratios
During a review of a serious incident report documenting the incident, it was noticed that the serious incident report was missing the following information: operations physical address and the telephone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-07-28.
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Supervision & ratios
-
May 28, 2026 Report · Deficiencies cited (self-report)
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Other Serious
During the course of the investigation, it was found that a staff member failed to maintain prudent judgement by having conversations with a child in care about wanting to adopt him.
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 2026-07-23. Correction verified 2026-07-17.
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Other Serious
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Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
The CLASS system shows the most recent fire inspection was 04-09-2024. The operation had records of requests to have the inspection completed by 04-09-2025. The FIre marshall inspected the operation on 04-16-2025 and the operation didn't pass. The operation had a change in management and got a passing inspection on 10-06-2025.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-10-08.
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Supervision & ratios
The operation had no documentation of any emergency drills in over six months.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2025-10-22. Correction verified 2025-10-21.
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Supervision & ratios Serious
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May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · Deficiencies cited
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Supervision & ratios
While reviewing files it was found that multiple items were missing.
HHSC 748.363(5) — Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position.
HHSC risk weight: Medium. Corrected 2025-04-22. Correction verified 2025-04-22.
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Records & paperwork
2 of 3 employee files did not have documented reference checks.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2025-04-22. Correction verified 2025-04-22.
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Supervision & ratios
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Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care obtained bullets from the operations van.
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 2025-02-25. Correction verified 2025-02-25.
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Supervision & ratios Serious
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Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
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 2025-02-26. Correction verified 2025-03-24.
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Other Serious
While reviewing video of the incident a child was inappropriately restrained.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2025-02-26. Correction verified 2025-03-25.
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Discipline & child guidance Serious
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Dec 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 3, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
A child in care did not receive two doses of their morning medication.
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 2024-12-13. Correction verified 2025-01-02.
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Illness & medication Serious
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Nov 7, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation did not report a child in care unauthorized absence to Licensing or their parent within the allotted timeframe per minimum standards.
HHSC 748.303(a)(10)(B) — Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
HHSC risk weight: Medium. Corrected 2024-11-15. Correction verified 2024-11-14.
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Supervision & ratios
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Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2024 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation Serious
The bathroom sink and shower water in room 2 of the Green house was observed to with no hot water.
HHSC 748.3315 — Water-A thermostat must control the temperature of hot water accessible to children, so the temperature is no higher than 120 degrees Fahrenheit
HHSC risk weight: High. Corrected 2024-10-08. Correction verified 2024-10-22.
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Cleanliness & sanitation Serious
There were several food items observed to be expired and without expiration dates in the library refrigerator/freezer.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-22.
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Supervision & ratios Serious
During the course of the investigation, it was revealed that multiple children in care stole equipment with the intent to sell, indicating insufficient supervision and increased risk to their safety.
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 2024-11-08. Correction verified 2024-11-30.
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Cleanliness & sanitation Serious
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Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Fire extinguisher on the second floor of the green house expired in August of 2024.
HHSC 748.3117(b) — Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-09-24.
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Supervision & ratios
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Sep 17, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
A child made an outcry of physical abuse to multiple staff by a staff member that was not reported.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-10-25. Correction verified 2024-11-14.
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Discipline & child guidance Serious
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Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2024 Report · Deficiencies cited
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Other Serious
The green house was observed to have dead wasps in the light fixture.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2024-09-13. Correction verified 2024-10-08.
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Cleanliness & sanitation Serious
It was observed that a broken dresser in Bedroom 5 of the green house has not been removed.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2024-09-13. Correction verified 2024-10-08.
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Other Serious
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Aug 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 10, 2024 Report · Deficiencies cited (self-report)
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Other
A staff member admitted to sleeping on shift.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-08-30. Correction verified 2024-09-03.
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Other
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Aug 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
The allegation is related to a DFPS abuse/neglect investigation.
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 2024-08-30. Correction verified 2024-09-10.
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Discipline & child guidance Serious
A staff member admitted to hitting a child in care.
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 2024-08-30. Correction verified 2024-09-10.
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Discipline & child guidance Serious
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Jul 29, 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 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2024 Report · Deficiencies cited
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Other
A child in care had a prohibited item which wasn't locked back up and resulted in another getting injured.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-01.
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Illness & medication Serious
A child in care did not receive immediate medical attention after receiving burns to their arms.
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 2024-07-31. Correction verified 2024-08-01.
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Other
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2024 Report · Deficiencies cited
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Other Serious
A staff member drove children in care around with confiscated drugs in the glovebox.
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 2024-07-19. Correction verified 2024-08-01.
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Other Serious
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Jun 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Report · Deficiencies cited
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Safety & premises Serious
An incident report, dated 9/11/23, described a 12-year-old being restrained for attempting to runaway into the woods.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-04-16. Correction verified 2024-04-24.
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Safety & premises Serious
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Mar 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 27, 2024 Inspection · Deficiencies cited
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Records & paperwork
While reviewing search records for children's rooms/possessions it was observed that required information was missing from the reports.
HHSC 748.1117(3) — Documentation of searches-Document the reason for the search in the child's record
HHSC risk weight: Low. Corrected 2024-03-15. Correction verified 2024-03-11.
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Other
While reviewing the files, children did not have safety plans in place at the time of admission.
HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
HHSC risk weight: Medium. Corrected 2024-03-15. Correction verified 2024-03-11.
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Other
While reviewing files it was observed that the admission assessments did not contain all required information.
HHSC 748.1217(a) — Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
HHSC risk weight: Medium. Corrected 2024-03-15. Correction verified 2024-03-11.
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Other
While reviewing the screenings it was found they were not being completed within 30 days of the last screening.
HHSC 748.125(d)(4)(C) — Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-02-27.
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Supervision & ratios Serious
While reviewing files it was found the supervision section did not include information about day to day supervision requirements in the home or supervision outside the home.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-03-11.
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Records & paperwork
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Feb 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
During the walkthrough of the operation various cleaning chemicals were observed unsecured in the kitchen drawers and under the kitchen sink.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-11.
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Supervision & ratios
During the walkthrough of the operation food was observed in refrigerator unsealed in two different units. Staff was asked to throw away several pounds of bad cheese during the walk through.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-11.
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Cleanliness & sanitation Serious
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Feb 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
After speaking with multiple caregivers and residence, I became aware that a caregiver was not present during the incident and the operation was out of ratio with 15 residents and 2 staff members.
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 2024-03-13. Correction verified 2024-05-25.
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Supervision & ratios Serious
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Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 8, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
Photos were reviewed of exposed nails and screws on a bedframe, broke outlet cover and holes in the walls.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-10.
-
Cleanliness & sanitation Serious
-
Feb 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Report · Deficiencies cited
-
Other Serious
A staff member made inappropriate comments regarding a child's physical ability and inappropriate comments regarding sexuality.
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 2024-04-11. Correction verified 2024-04-10.
-
Other Serious
-
Feb 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
1 service plan referenced the child by a name other than their own and 3 entries on the unauthorized absence log had information pertaining to a different child than the one being discussed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-02-14. Correction verified 2024-02-06.
-
Supervision & ratios
-
Jan 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was found during the investigation that vehicle keys were left unsecured which resulted in children in care stealing the operation van.
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 2023-12-05. Correction verified 2023-11-29.
-
Illness & medication Serious
During the investigation it was found the office door, which is the second lock for medications, was left unlocked and children in care were able to access the office.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2023-12-05. Correction verified 2023-12-19.
-
Discipline & child guidance Serious
-
Oct 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
Three children's service plans reviewed were missing some high risk behaviors although it is noted in other sections of the plan that the children have history of unsafe behaviors such as verbal and/or physical aggression, substance use, delinquency, threats of self-harm and harm to peers, and/or run away. There was also no documentation of known triggers for the children on the plan.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2023-12-11. Correction verified 2023-11-30.
-
Records & paperwork
One incident report on 10/15/23 involving a teenager in care, was called in past the 6-hour required timeframe for reporting to the A/N hotline for an unauthorized absence and Law Enforcement was not contacted. For another unauthorized absence incident involving two other children in care, on 10/14/23, law enforcement was also not contacted.
HHSC 748.303(a)(10)(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 2023-12-11. Correction verified 2023-11-30.
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Other Serious
-
Oct 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
During the walkthrough each of the bedrooms were observed to be unclean, with beds unmade, clothing and shoes throw around the room.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2023-10-11. Correction verified 2023-11-15.
-
Cleanliness & sanitation Serious
During the walk through of the operation, multiple bathrooms were found to have trash on the floors, urine on and around the toilets and soap on the floors.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2023-10-11. Correction verified 2023-11-15.
-
Cleanliness & sanitation Serious
-
Oct 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2023 Report · Deficiencies cited
-
Other
During the investigation, required documentation couldn't be provided for a serious incident.
HHSC 748.311(8) — Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
HHSC risk weight: Medium. Corrected 2024-03-15. Correction verified 2024-03-09.
-
Other
-
Sep 30, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
A portion of two door frames were observed to be broken. One of the doors was observed to have broken door handle.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2023-08-22. Correction verified 2023-08-28.
-
Cleanliness & sanitation Serious
-
Aug 10, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
While reviewing 4 staff files it was discovered staff were not receiving instructor-led pre-service psychotropic medication training by a health-care professional.
HHSC 748.869(c) — Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
HHSC risk weight: Medium High. Corrected 2023-08-24. Correction verified 2023-08-28.
-
Staff background & training Serious
-
Aug 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A bathroom sink was observed clogged and filled with water.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-07-05. Correction verified 2023-07-18.
-
Cleanliness & sanitation Serious
A recliner in the common area was observered with a large tear in it.The mirror in the gym was cracked. Two mattress covers were observed torn and hanging off the mattresses.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-07-05. Correction verified 2023-07-18.
-
Cleanliness & sanitation
-
Jun 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 13, 2023 Report · Deficiencies cited
-
Supervision & ratios
A staff was observed sleeping by a Department staff and operation staff.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2023-10-06. Correction verified 2023-09-27.
-
Supervision & ratios
-
Jun 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2023 Report · Deficiencies cited
-
Illness & medication Serious
Several children were caught intentionally inhaling axe body spray. This incident was never reported by the agency to Licensing.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2023-07-20. Correction verified 2023-07-18.
-
Illness & medication Serious
-
May 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Inspection
No violations cited on this visit.
-
Feb 4, 2023 Report · Deficiencies cited
-
Other Serious
A caregiver admitted to using inappropriate/profane language about a child in care in their presence.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-04-05. Correction verified 2023-03-27.
-
Other Serious
-
Feb 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 2, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2022 Report · Deficiencies cited (self-report)
-
Other
Documentation provided stated the post discussion was held with the child and a staff that was not involved in the restraint.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2022-11-28. Correction verified 2022-11-22.
-
Safety & premises
Documentation provided only listed a two-person restraint as being used, but no specifics.
HHSC 748.2855(a)(4) — EBI Documentation-Must include the specific emergency behavior intervention administered
HHSC risk weight: Medium. Corrected 2022-11-28. Correction verified 2022-11-22.
-
Other
-
Sep 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2022 Report · Deficiencies cited
-
Supervision & ratios
All staff stated there were all in different location when the incident occured.
HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being
HHSC risk weight: Medium. Corrected 2022-08-09. Correction verified 2022-08-19.
-
Supervision & ratios
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
Two of seven children's medication file reviewed revealed a medication being administered not according to the label/order.
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 at inspection. Corrected 2022-04-14.
-
Illness & medication Serious
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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.