Tshepang Center Residential Treatment Center, LLC
603 E DALLAS ST, Fresno, TX 77545 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 10
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Manuel A. Rubio
- Phone
- (832) 705-2639
- Regulated since
- Nov 1, 2024
- HHSC IDs
- Operation 1461828 · number 1786589
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 14 | 2 | Staff background & training (6), Records & paperwork (6), Other (2) |
| 2025 | 16 | 6 | Supervision & ratios (4), Discipline & child guidance (4), Safety & premises (2), Records & paperwork (2), Other (4) |
| 2024 | 30 | 6 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (12), Staff background & training (4), Records & paperwork (6), Other (4) |
| 2023 | 14 | 0 | Supervision & ratios (6), Safety & premises (2), Food & allergies (2), Records & paperwork (2), Other (2) |
Inspections, investigations & assessments
-
Sep 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2026 Assessment
No violations cited on this visit.
-
Sep 1, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2026 Report · Deficiencies cited (self-report)
-
Records & paperwork
In a review of the incident report and intake, it was found that the suicide attempt occurred on 6/30/26 and the intake was made the following day on 7/01/26.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-08-25.
-
Records & paperwork
In a review of the incident report, there is no documented time of the incident that occurred.
HHSC 748.311(2) — Serious Incident Documentation-Includes time and date of incident
HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-08-25.
-
Records & paperwork
In a review of the incident report, there is no documented information regarding the child's age, gender, and date of admission.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-08-25.
-
Records & paperwork
-
Jul 1, 2026 Report · Deficiencies cited (self-report)
-
Records & paperwork
In a review of the incident report and intake, it was found that the suicide attempt occurred on 6/30/26 and the intake was made the following day on 7/01/26.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-08-25.
-
Records & paperwork
In a review of the incident report, there is no documented time of the incident that occurred.
HHSC 748.311(2) — Serious Incident Documentation-Includes time and date of incident
HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-08-25.
-
Records & paperwork
In a review of the incident report, there is no documented information regarding the child's age, gender, and date of admission.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-08-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Inspection
No violations cited on this visit.
-
Jun 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
Staff files was reviewed and two out four files didn't obtain a current annual suicide training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2026-05-26. Correction verified 2026-06-12.
-
Staff background & training
Staff files was reviewed and two out of four files didn't obtain proof of diploma or G.E.D.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2026-05-25. Correction verified 2026-06-11.
-
Other
Staff files was reviewed and there was no proof of referrences for two out of the four files that were selected.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2026-05-25. Correction verified 2026-06-11.
-
Staff background & training
Staff files were reviewed and CPR training expired on 10/11/25, additional record ddid not contain CPR/1st Aid.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2026-06-02. Correction verified 2026-06-12.
-
Staff background & training Serious
-
May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
Staff files was reviewed and two out four files didn't obtain a current annual suicide training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2026-05-26. Correction verified 2026-06-12.
-
Staff background & training
Staff files was reviewed and two out of four files didn't obtain proof of diploma or G.E.D.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2026-05-25. Correction verified 2026-06-11.
-
Other
Staff files was reviewed and there was no proof of referrences for two out of the four files that were selected.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2026-05-25. Correction verified 2026-06-11.
-
Staff background & training
Staff files were reviewed and CPR training expired on 10/11/25, additional record ddid not contain CPR/1st Aid.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2026-06-02. Correction verified 2026-06-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
Based on the video observed, staff was seen pushing child towards the wall and grabbing him by the neck.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Other
Based on the video observed, there was no de-escalation methods used prior to restraint.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2025-12-22. Correction verified 2026-03-17.
-
Other
There was no post discussion documentation available for review.
HHSC 748.2853(1) — EBI Documentation-Date and time the caregiver offered the post discussion to the child
HHSC risk weight: Medium Low. Corrected 2025-12-22. Correction verified 2025-12-22.
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Safety & premises
Based on video observed, there was no documentation indicating the type of restraint administered nor the accurate length of time for the restraint.
HHSC 748.2855(a)(4) — EBI Documentation-Must include the specific emergency behavior intervention administered
HHSC risk weight: Medium. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Discipline & child guidance Serious
-
Nov 13, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
Based on the video observed, staff was seen pushing child towards the wall and grabbing him by the neck.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Other
Based on the video observed, there was no de-escalation methods used prior to restraint.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2025-12-22. Correction verified 2026-03-17.
-
Other
There was no post discussion documentation available for review.
HHSC 748.2853(1) — EBI Documentation-Date and time the caregiver offered the post discussion to the child
HHSC risk weight: Medium Low. Corrected 2025-12-22. Correction verified 2025-12-22.
-
Safety & premises
Based on video observed, there was no documentation indicating the type of restraint administered nor the accurate length of time for the restraint.
HHSC 748.2855(a)(4) — EBI Documentation-Must include the specific emergency behavior intervention administered
HHSC risk weight: Medium. Corrected 2025-12-22. Correction verified 2025-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Oct 4, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
Two children confirmed that they experienced mistreatment by staff during their time in care.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-12-23. Correction verified 2025-12-22.
-
Discipline & child guidance Serious
-
Oct 4, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
Two children confirmed that they experienced mistreatment by staff during their time in care.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-12-23. Correction verified 2025-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Oct 1, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During a visit to the operation there were eight children observed to be present with caregiver. Three of the present children require a one to one supervision level.
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 2025-10-03. Correction verified 2026-05-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 1, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During a visit to the operation there were eight children observed to be present with caregiver. Three of the present children require a one to one supervision level.
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 2025-10-03. Correction verified 2026-05-22.
-
Supervision & ratios
-
Sep 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Children in care confirmed three staff have been observed sleep during overnight awake staff duties.
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 2025-03-14. Correction verified 2025-03-12.
-
Supervision & ratios Serious
-
Jan 13, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Children in care confirmed three staff have been observed sleep during overnight awake staff duties.
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 2025-03-14. Correction verified 2025-03-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jan 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2025 Report · Deficiencies cited
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Records & paperwork
The case was reported to statewide Intake but the staff did not place the Report number therein. Thus Law Enforcement called in the case and the Op made a subsequent Report anew, this time with a report number.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Jan 5, 2025 Report · Deficiencies cited
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Records & paperwork
The case was reported to statewide Intake but the staff did not place the Report number therein. Thus Law Enforcement called in the case and the Op made a subsequent Report anew, this time with a report number.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
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Records & paperwork
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Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 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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Nov 25, 2024 Report · Deficiencies cited
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Records & paperwork Serious
A caregiver interfered with a child's call to the Ombudsman's office by not interrupting the call and preventing privacy.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2025-01-03. Correction verified 2025-01-27.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork Serious
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Nov 25, 2024 Report · Deficiencies cited
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Records & paperwork Serious
A caregiver interfered with a child's call to the Ombudsman's office by not interrupting the call and preventing privacy.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2025-01-03. Correction verified 2025-01-27.
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Records & paperwork Serious
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Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 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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Nov 15, 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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Nov 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 23, 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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Oct 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Inspection · Deficiencies cited
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Other
During the inspection it was found that a child's service plan did not have signatures of service planning team members.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2024-10-29. Correction verified 2024-10-30.
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Records & paperwork
During the inspection it was found that the child's parent was not given two weeks advance notice of a service plan meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2024-10-29. Correction verified 2024-10-29.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 22, 2024 Inspection · Deficiencies cited
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Other
During the inspection it was found that a child's service plan did not have signatures of service planning team members.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2024-10-29. Correction verified 2024-10-30.
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Records & paperwork
During the inspection it was found that the child's parent was not given two weeks advance notice of a service plan meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2024-10-29. Correction verified 2024-10-29.
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Other
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Sep 18, 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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Sep 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2024 Report · Deficiencies cited
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Other Serious
Staff member stated to have placed child in a head lock and according to officer that arrested child, child had visible marks on neck at the time of their arrest.
HHSC 748.2605(a)(2) — Personal Restraints Prohibited-Restraints that obstruct child's airway
HHSC risk weight: High. Corrected 2024-10-23. Correction verified 2024-10-23.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Sep 16, 2024 Report · Deficiencies cited
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Other Serious
Staff member stated to have placed child in a head lock and according to officer that arrested child, child had visible marks on neck at the time of their arrest.
HHSC 748.2605(a)(2) — Personal Restraints Prohibited-Restraints that obstruct child's airway
HHSC risk weight: High. Corrected 2024-10-23. Correction verified 2024-10-23.
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Other Serious
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Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 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
-
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.
-
Jul 26, 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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Jul 26, 2024 Inspection · Deficiencies cited
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Illness & medication
Medication records were reviewed to not be accurately filled out with dates and the count.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-08-02.
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Supervision & ratios
The operation did not complete a health inspection timely.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-08-02. Correction verified 2024-07-26.
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Supervision & ratios
Two employee records did not contain a statement indicating that they have read the policies.
HHSC 748.363(8) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-08-02.
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Staff background & training
One employee record did not contain proof of education.
HHSC 748.503 — Minimum qualifications for employees-Must provide supporting information and translation for documentation of education received outside US.
HHSC risk weight: Medium Low. Corrected 2024-08-02. Correction verified 2024-08-02.
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Records & paperwork
One employee record reviewed did not contain information obtained from a reference.
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 2024-08-02. Correction verified 2024-08-02.
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Staff background & training Serious
One employee record reviewed contained an expired CPR/First aid certificate.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2024-08-02. Correction verified 2024-08-02.
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Illness & medication
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Jul 26, 2024 Inspection · Deficiencies cited
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Illness & medication
Medication records were reviewed to not be accurately filled out with dates and the count.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-08-02.
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Supervision & ratios
The operation did not complete a health inspection timely.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-08-02. Correction verified 2024-07-26.
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Supervision & ratios
Two employee records did not contain a statement indicating that they have read the policies.
HHSC 748.363(8) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2024-08-02. Correction verified 2024-08-02.
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Staff background & training
One employee record did not contain proof of education.
HHSC 748.503 — Minimum qualifications for employees-Must provide supporting information and translation for documentation of education received outside US.
HHSC risk weight: Medium Low. Corrected 2024-08-02. Correction verified 2024-08-02.
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Records & paperwork
One employee record reviewed did not contain information obtained from a reference.
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 2024-08-02. Correction verified 2024-08-02.
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Staff background & training Serious
One employee record reviewed contained an expired CPR/First aid certificate.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2024-08-02. Correction verified 2024-08-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
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Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The operation does not have documented information for when any safety drills have been conducted.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2024-07-06. Correction verified 2024-07-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Jun 29, 2024 Inspection · Deficiencies cited
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Supervision & ratios
The operation does not have documented information for when any safety drills have been conducted.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2024-07-06. Correction verified 2024-07-26.
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Supervision & ratios
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Jun 28, 2024 Report · Deficiencies cited
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Supervision & ratios
At one point in time the operation did not have personal storage space for children in care. During the inspection on 7/11/24 the operation was observed to have 3 drawer plastic bins in each room.
HHSC 748.3351(2) — Interior Space-Provide personal storage space in the child's bedroom for each child's clothing and belongings
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-07-11.
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Supervision & ratios
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Jun 28, 2024 Report · Deficiencies cited
-
Supervision & ratios
At one point in time the operation did not have personal storage space for children in care. During the inspection on 7/11/24 the operation was observed to have 3 drawer plastic bins in each room.
HHSC 748.3351(2) — Interior Space-Provide personal storage space in the child's bedroom for each child's clothing and belongings
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-07-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 21, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
While conducting a walk through, two beds were observed to have collapsed.
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 2024-06-10. Correction verified 2024-07-26.
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Cleanliness & sanitation
-
May 29, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
While conducting a walk through, two beds were observed to have collapsed.
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 2024-06-10. Correction verified 2024-07-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 24, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
Children in care were able to smoke on the operations property while being left unsupervised.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-07-26.
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Supervision & ratios
-
May 24, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Children in care were able to smoke on the operations property while being left unsupervised.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-07-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The operation did not complete a health inspection timely.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-07-26.
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Supervision & ratios
-
May 2, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The operation did not complete a health inspection timely.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-07-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection it was noted that the fire inspection had expired. The operation has had a new inspection however they do not have the results.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-18.
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Supervision & ratios
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Dec 6, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection it was noted that the fire inspection had expired. The operation has had a new inspection however they do not have the results.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Oct 4, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During a review of the policies that the operation submitted there was not and fiscal plan or documentation to reserve funds or available credit for to at least equal cost for three months. Furthermore, there was no estimated 12-month budget of income or expense.
HHSC 748.101(2)(B) — Plans to submit - Fiscal plan - documentation to reserve funds or available credit at least equal to operating costs for first 3 months
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
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Records & paperwork
During a review of the child's service plan, it was found that the plan did not include the following: cultural identity needs and plans, instructions to the caregiver about the child's trauma history or triggers, nor does it include methods of responding that increase trust, help them feel safe, and adapt to their environment. The service plan also does not include a mock safety plan or caregiver inclusion. Finally, the plan does not have all treatment services provided.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2023-10-13. Correction verified 2023-10-06.
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Other
During a review of the service plan it does not identfy the normalcy decision maker in the team.
HHSC 748.1339(a)(2) — Initial Service Plan-Team must include person designated to make decisions regarding a child's participation in childhood activities
HHSC risk weight: Low. Corrected 2023-10-13. Correction verified 2023-10-06.
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Supervision & ratios
During a review of the policies, it was determined that the policy manual identifies the CEO as a controlling person but does identify all board as a controlling person...
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
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Food & allergies
During the inspection of the first aid kit there were a few items missing. There was not a thermometer, tweezers, or waterproof gloves.
HHSC 748.3273(7) — First Aid Kits-Each one must contain sterile gauze pads
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
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Safety & premises
Out of three personnel files reviewed all three files did not have a documentation of a driver's records check that is required. This was corrected at inspection as all driver's records were ran.
HHSC 748.363(11) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-10-04.
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Supervision & ratios
-
Oct 4, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During a review of the policies that the operation submitted there was not and fiscal plan or documentation to reserve funds or available credit for to at least equal cost for three months. Furthermore, there was no estimated 12-month budget of income or expense.
HHSC 748.101(2)(B) — Plans to submit - Fiscal plan - documentation to reserve funds or available credit at least equal to operating costs for first 3 months
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
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Records & paperwork
During a review of the child's service plan, it was found that the plan did not include the following: cultural identity needs and plans, instructions to the caregiver about the child's trauma history or triggers, nor does it include methods of responding that increase trust, help them feel safe, and adapt to their environment. The service plan also does not include a mock safety plan or caregiver inclusion. Finally, the plan does not have all treatment services provided.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2023-10-13. Correction verified 2023-10-06.
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Other
During a review of the service plan it does not identfy the normalcy decision maker in the team.
HHSC 748.1339(a)(2) — Initial Service Plan-Team must include person designated to make decisions regarding a child's participation in childhood activities
HHSC risk weight: Low. Corrected 2023-10-13. Correction verified 2023-10-06.
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Supervision & ratios
During a review of the policies, it was determined that the policy manual identifies the CEO as a controlling person but does identify all board as a controlling person...
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
-
Food & allergies
During the inspection of the first aid kit there were a few items missing. There was not a thermometer, tweezers, or waterproof gloves.
HHSC 748.3273(7) — First Aid Kits-Each one must contain sterile gauze pads
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-10-06.
-
Safety & premises
Out of three personnel files reviewed all three files did not have a documentation of a driver's records check that is required. This was corrected at inspection as all driver's records were ran.
HHSC 748.363(11) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-10-04.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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.