Kismet Residential Treatment Center
22218 MAIN BLVD, Tomball, TX 77377 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 16
- Ages
- 10-17
- Hours
- -
- Director / administrator
- Angie Kaye Bacon
- Phone
- (346) 645-1005
- Regulated since
- Nov 14, 2023
- HHSC IDs
- Operation 1420705 · number 1753012
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 1 | Illness & medication (1), Other (1) |
| 2025 | 3 | 0 | Supervision & ratios (1), Records & paperwork (1), Other (1) |
| 2024 | 9 | 1 | Illness & medication (2), Supervision & ratios (3), Safety & premises (1), Staff background & training (1), Records & paperwork (1), Other (1) |
| 2023 | 11 | 0 | Cleanliness & sanitation (1), Illness & medication (4), Safety & premises (2), Records & paperwork (2), Other (2) |
| 2022 | 3 | 0 | Supervision & ratios (1), Other (2) |
Inspections, investigations & assessments
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Sep 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 5, 2026 Inspection
No violations cited on this visit.
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Apr 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2026 Report · Deficiencies cited
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Illness & medication
Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.
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 2026-04-09. Correction verified 2026-04-24.
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Illness & medication
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Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · Deficiencies cited (self-report)
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Other Serious
Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2026-04-17. Correction verified 2026-04-24.
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Other Serious
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Feb 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 5, 2026 Inspection
No violations cited on this visit.
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Feb 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2025 Inspection · Deficiencies cited
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Supervision & ratios
Three fire extinguishers observed at the operations were last serviced in May of 2024.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2025-10-02. Correction verified 2025-10-02.
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Supervision & ratios
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Sep 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 30, 2025 Inspection · Deficiencies cited
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Records & paperwork
During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit
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 2025-02-07. Correction verified 2025-02-05.
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Other
During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.
HHSC 748.455(a)(2) — Unauthorized Absence - Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
HHSC risk weight: Medium. Corrected 2025-02-06. Correction verified 2025-02-05.
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Records & paperwork
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Jan 27, 2025 Report · 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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Dec 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Inspection · 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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Nov 12, 2024 Inspection · Deficiencies cited
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Records & paperwork
During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2024-11-26. Correction verified 2024-12-11.
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Staff background & training
During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.
HHSC 748.1209(b)(6) — Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
HHSC risk weight: Medium High. Corrected 2024-11-26. Correction verified 2024-12-11.
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Supervision & ratios
Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-11-26. Correction verified 2024-12-11.
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Illness & medication
Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's 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 2024-11-12. Correction verified 2024-12-11.
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Illness & medication
During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-11-26. Correction verified 2024-12-11.
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Records & paperwork
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Nov 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.
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 2024-10-01. Correction verified 2024-10-24.
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Supervision & ratios
The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.
HHSC 748.705(b)(9) — Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-24.
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Supervision & ratios Serious
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Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 29, 2024 Inspection · Deficiencies cited
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Safety & premises
It was found that only one previous employer was contacted for three current staff.
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 2024-06-05. Correction verified 2024-06-05.
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Other
Three staff did not have any unrelated reference checks in their file.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-05.
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Safety & premises
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May 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2023 Report · Deficiencies cited
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Safety & premises
The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.
HHSC 748.535(3)(C) — Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
HHSC risk weight: Medium. Corrected 2023-12-15. Correction verified 2023-12-13.
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Safety & premises
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Oct 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 2, 2023 Inspection · Deficiencies cited
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Other
4 of 4 admissions assessments did not include any recommendations for further testing or assessments.
HHSC 748.1217(c)(12) — Admission Assessment-Prior to initial service plan, add recommendations for further assessments or testing
HHSC risk weight: Medium Low. Corrected 2023-10-09. Correction verified 2023-10-13.
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Records & paperwork
Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2023-10-09. Correction verified 2023-10-13.
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Other
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Sep 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2023 Inspection · Deficiencies cited
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Other
One out of five child files are missing signed child's rights.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2023-07-13. Correction verified 2023-07-26.
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Illness & medication
Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.
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 at inspection. Corrected 2023-07-06.
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Records & paperwork
Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2023-07-13. Correction verified 2023-07-26.
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Other
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Jun 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection
No violations cited on this visit.
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May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2023 Report · Deficiencies cited
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Safety & premises
No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.
HHSC 748.3115(2) — Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-05-12.
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Cleanliness & sanitation
A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-05-19. Correction verified 2023-05-19.
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Safety & premises
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May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2023 Inspection · Deficiencies cited
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Illness & medication
1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-04-20. Correction verified 2023-04-19.
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Illness & medication
A medication error that occurred on 4/6/23 was not documented until 4/13/23.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2023-04-20. Correction verified 2023-04-19.
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Illness & medication
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Apr 2, 2023 Report · Deficiencies cited
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Illness & medication
The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23
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 2023-06-23. Correction verified 2023-06-26.
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Illness & medication
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Feb 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2022 Assessment · Deficiencies cited
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Supervision & ratios
The current Administrator was employed at another-non-contiguous operation.
HHSC 748.533(a)(5) — Child-care administrator-Can be administrator for two operations if the Operations are contiguous
HHSC risk weight: Medium Low. Corrected 2022-10-21. Correction verified 2022-10-21.
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Supervision & ratios
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Oct 4, 2022 Inspection · Deficiencies cited
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Other
Bedroom windows did not have a covering for privacy.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2022-10-11. Correction verified 2022-10-10.
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Other
Debriefing form not available for review.
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-10.
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Other
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.