Paradigm Treatment Texas
11949 ESCARPMENT BLVD, Austin, TX 78739 · Travis County
Program
- Type
- General residential operation
- Licensed capacity
- 40
- Ages
- 13-17
- Hours
- -
- Director / administrator
- Jeffery Scott Edmonds
- Phone
- (737) 256-7376
- Regulated since
- Oct 19, 2023
- HHSC IDs
- Operation 1420265 · number 1752756
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 6 | 0 | Staff background & training (2), Records & paperwork (2), Other (2) |
| 2024 | 12 | 2 | Cleanliness & sanitation (2), Supervision & ratios (6), Safety & premises (2), Staff background & training (2) |
| 2023 | 42 | 6 | Illness & medication (4), Supervision & ratios (16), Discipline & child guidance (2), Records & paperwork (12), Other (8) |
| 2022 | 32 | 12 | Cleanliness & sanitation (2), Illness & medication (6), Supervision & ratios (6), Safety & premises (4), Staff background & training (10), Other (4) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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May 10, 2026 Report · Recorded (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 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 (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 (self-report)
No violations cited on this visit.
-
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 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 2, 2025 Report · No deficiencies cited (self-report)
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.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 21, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2025 Assessment · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · Deficiencies cited
-
Records & paperwork
1 of 2 child records did not have the dental examination results.
HHSC 748.1501(b)(1) — Dental Care-Written record of each dental examination must include a copy of the examination results
HHSC risk weight: Medium Low. Corrected 2025-03-17. Correction verified 2025-03-18.
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Staff background & training
During an inspection, the operation was not able to access training documentation for 2 of 3 staff and was not able to access a notarized affidavit for 1 of 3 staff.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2026-05-27. Correction verified 2026-05-27.
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Records & paperwork
-
Mar 11, 2025 Inspection · Deficiencies cited
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Records & paperwork
1 of 2 child records did not have the dental examination results.
HHSC 748.1501(b)(1) — Dental Care-Written record of each dental examination must include a copy of the examination results
HHSC risk weight: Medium Low. Corrected 2025-03-17. Correction verified 2025-03-18.
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Staff background & training
During an inspection, the operation was not able to access training documentation for 2 of 3 staff and was not able to access a notarized affidavit for 1 of 3 staff.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2026-05-27. Correction verified 2026-05-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2025 Inspection · Deficiencies cited
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Other
It was observed during the walk through multiple beds did not have mattress covers on mattresses, that were not waterproof.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2025-02-12. Correction verified 2025-02-03.
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Other
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Jan 29, 2025 Inspection · Deficiencies cited
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Other
It was observed during the walk through multiple beds did not have mattress covers on mattresses, that were not waterproof.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2025-02-12. Correction verified 2025-02-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jan 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 25, 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 14, 2024 Inspection · Deficiencies cited
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Safety & premises
Three out of four vehicles used to transport children had expired inspection stickers. Two vehicle's inspection stickers expired in May 2024 and the third expired in September 2024.
HHSC 748.4083(b) — Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
HHSC risk weight: Medium Low. Corrected 2024-11-22. Correction verified 2024-11-15.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises
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Nov 14, 2024 Inspection · Deficiencies cited
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Safety & premises
Three out of four vehicles used to transport children had expired inspection stickers. Two vehicle's inspection stickers expired in May 2024 and the third expired in September 2024.
HHSC 748.4083(b) — Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
HHSC risk weight: Medium Low. Corrected 2024-11-22. Correction verified 2024-11-15.
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Safety & premises
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Nov 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 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 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 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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Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 4, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
The serious incident report was missing the operation's full physical address (section 1); five staff names who were involved and/or assisted (section 4) with the incident; witnesses (children/staff) who may have seen or heard the incident (section 5)]; and the child's reported suicidal ideation/suicidal comment(s) and time child was transported to the hospital (section 7).
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-02.
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Supervision & ratios
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Oct 4, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
The serious incident report was missing the operation's full physical address (section 1); five staff names who were involved and/or assisted (section 4) with the incident; witnesses (children/staff) who may have seen or heard the incident (section 5)]; and the child's reported suicidal ideation/suicidal comment(s) and time child was transported to the hospital (section 7).
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Sep 14, 2024 Report · Deficiencies cited
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Supervision & ratios
Video footage at school revealed there were there were initially 4 staff with 18 kids however 1 staff member and 1 child left leaving the operation out of ratio at 17 kids to 3 staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-11-04. Correction verified 2024-11-14.
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Cleanliness & sanitation Serious
Video footage obtained revealed two children were in a bathroom for approximately 12 minutes and engaged in inappropriate activity.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-11-04. Correction verified 2024-11-14.
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Supervision & ratios
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Sep 14, 2024 Report · Deficiencies cited
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Supervision & ratios
Video footage at school revealed there were there were initially 4 staff with 18 kids however 1 staff member and 1 child left leaving the operation out of ratio at 17 kids to 3 staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-11-04. Correction verified 2024-11-14.
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Cleanliness & sanitation Serious
Video footage obtained revealed two children were in a bathroom for approximately 12 minutes and engaged in inappropriate activity.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-11-04. Correction verified 2024-11-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2024 Inspection · Deficiencies cited
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Staff background & training
Two out of two child files reviewed reflected it did not include operation policies on their religious program and practices as well as gifts.
HHSC 748.1209(b)(8) — Child Orientation-Include policies on the religious program and practices
HHSC risk weight: Low. Corrected 2024-07-30. Correction verified 2024-07-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Jul 16, 2024 Inspection · Deficiencies cited
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Staff background & training
Two out of two child files reviewed reflected it did not include operation policies on their religious program and practices as well as gifts.
HHSC 748.1209(b)(8) — Child Orientation-Include policies on the religious program and practices
HHSC risk weight: Low. Corrected 2024-07-30. Correction verified 2024-07-19.
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Staff background & training
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Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 16, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Observation during walkthrough of operation revealed fire extinguishers in the three homes and the school to have been last inspected December 2022.
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 2024-04-19. Correction verified 2024-04-22.
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Supervision & ratios
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Apr 16, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Observation during walkthrough of operation revealed fire extinguishers in the three homes and the school to have been last inspected December 2022.
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 2024-04-19. Correction verified 2024-04-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Feb 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
During interviews and documentation it was determined that the operations secured items policy is that staff members are to hand the residents any checked out items. A child in care was allowed to retrieve secured items and was able to grab a razor without staff knowledge.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2023-11-13. Correction verified 2023-11-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 17, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During interviews and documentation it was determined that the operations secured items policy is that staff members are to hand the residents any checked out items. A child in care was allowed to retrieve secured items and was able to grab a razor without staff knowledge.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2023-11-13. Correction verified 2023-11-30.
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Supervision & ratios
-
Aug 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Inspection · Deficiencies cited
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Other
Child files reviewed did not indicate any known contraindications to the use of restraints during their pre or post admission documentation.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-05.
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Supervision & ratios
Placement agreement currently in place did not indicate the reason and length of time when child is placed at the operation.
HHSC 748.1207(a)(3) — Placement agreement-Must include the reason for placement & anticipated length of time in care
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-09-05.
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Supervision & ratios
Operation does not have goals or expectations from the parent in their current admission procedure/documentation.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include parent's expectations for placement, duration of placement, & family involvement
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-09-05.
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Supervision & ratios
Child in care placed at the operation for 55 days with no TB test.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-11.
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Other
Staff file reviewed indicated CPR/First Aid was completed after 90 days of employment and had access to children in care.
HHSC 748.911(c)(1) — Each caregiver must be certified in first aid within 90 days of employment.
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-11.
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Other
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Aug 29, 2023 Inspection · Deficiencies cited
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Other
Child files reviewed did not indicate any known contraindications to the use of restraints during their pre or post admission documentation.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-05.
-
Supervision & ratios
Placement agreement currently in place did not indicate the reason and length of time when child is placed at the operation.
HHSC 748.1207(a)(3) — Placement agreement-Must include the reason for placement & anticipated length of time in care
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-09-05.
-
Supervision & ratios
Operation does not have goals or expectations from the parent in their current admission procedure/documentation.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include parent's expectations for placement, duration of placement, & family involvement
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-09-05.
-
Supervision & ratios
Child in care placed at the operation for 55 days with no TB test.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-09-11.
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Other
Staff file reviewed indicated CPR/First Aid was completed after 90 days of employment and had access to children in care.
HHSC 748.911(c)(1) — Each caregiver must be certified in first aid within 90 days of employment.
HHSC risk weight: Medium High. Corrected 2023-09-05. Correction verified 2023-09-11.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Aug 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Two child records reviewed were missing items in children's rights.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-08-07. Correction verified 2023-08-04.
-
Supervision & ratios
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Two child records reviewed were missing items in children's rights.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-08-07. Correction verified 2023-08-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 5, 2023 Report
No violations cited on this visit.
-
Jun 5, 2023 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 30, 2023 Inspection · Deficiencies cited
-
Other Serious
When requesting drug tests not all staff was drug tested. HR is allowing staff to set up dates to get drug tested by today and get drug tested by the end of June.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2023-06-30. Correction verified 2023-07-14.
-
Illness & medication
2 out of 2 documents reviewed showed medications for clients were taken past the hour scheduled to be taken.
HHSC 748.2003(b)(4) — Administration of prescription medication-Administer each child's medication within one hour of preparation
HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-07-14.
-
Supervision & ratios Serious
Multiple doors leading to the swimming pool do not have a lock.
HHSC 748.3603(j) — Doors from operation leading to pool area must have lock that can only be opened by adult unless lock violates fire code and documentation is on file
HHSC risk weight: High. Corrected 2023-06-13. Correction verified 2023-07-14.
-
Other Serious
-
May 30, 2023 Inspection · Deficiencies cited
-
Other Serious
When requesting drug tests not all staff was drug tested. HR is allowing staff to set up dates to get drug tested by today and get drug tested by the end of June.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2023-06-30. Correction verified 2023-07-14.
-
Illness & medication
2 out of 2 documents reviewed showed medications for clients were taken past the hour scheduled to be taken.
HHSC 748.2003(b)(4) — Administration of prescription medication-Administer each child's medication within one hour of preparation
HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-07-14.
-
Supervision & ratios Serious
Multiple doors leading to the swimming pool do not have a lock.
HHSC 748.3603(j) — Doors from operation leading to pool area must have lock that can only be opened by adult unless lock violates fire code and documentation is on file
HHSC risk weight: High. Corrected 2023-06-13. Correction verified 2023-07-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
May 24, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Two staff members were made unaware of 2 residents leaving the home and walking around the facility during their bedtime for about an hour.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-19. Correction verified 2023-07-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
May 24, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Two staff members were made unaware of 2 residents leaving the home and walking around the facility during their bedtime for about an hour.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-19. Correction verified 2023-07-31.
-
Discipline & child guidance Serious
-
May 22, 2023 Inspection · Deficiencies cited
-
Other
New director not added into controlling persons withing 24hrs of DOH.
HHSC 748.153(3)(B) — Notification - New controlling person
HHSC risk weight: Medium High. Corrected 2023-05-29. Correction verified 2023-05-23.
-
Records & paperwork
4 out of 4 incident reports reviewed did not contain a resolution section.
HHSC 748.311(10) — Serious Incident Documentation-Includes resolution of the incident
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
-
Records & paperwork
4 out of 4 records reviewed contained no section for addtional information for child runaways.
HHSC 748.311(11) — Serious Incident Documentation-Must include an update regarding the unauthorized absence and the child?s return.
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
-
Records & paperwork
1 out of 2 records reviewed contained no notarized affidavit.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
-
Other
-
May 22, 2023 Inspection · Deficiencies cited
-
Other
New director not added into controlling persons withing 24hrs of DOH.
HHSC 748.153(3)(B) — Notification - New controlling person
HHSC risk weight: Medium High. Corrected 2023-05-29. Correction verified 2023-05-23.
-
Records & paperwork
4 out of 4 incident reports reviewed did not contain a resolution section.
HHSC 748.311(10) — Serious Incident Documentation-Includes resolution of the incident
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
-
Records & paperwork
4 out of 4 records reviewed contained no section for addtional information for child runaways.
HHSC 748.311(11) — Serious Incident Documentation-Must include an update regarding the unauthorized absence and the child?s return.
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
-
Records & paperwork
1 out of 2 records reviewed contained no notarized affidavit.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-05-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation did not include the address, telephone number, or relationship of the person to whom the child was discharged to on the discharge summary.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2023-07-17. Correction verified 2023-07-17.
-
Supervision & ratios
-
May 2, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation did not include the address, telephone number, or relationship of the person to whom the child was discharged to on the discharge summary.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2023-07-17. Correction verified 2023-07-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Inspection · Deficiencies cited
-
Illness & medication
4 out of 4 records did not have the immunization record documented in the resident's record.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2023-03-24. Correction verified 2023-03-24.
-
Records & paperwork
4 out of 4 records did not contain the neonatal history recorded in the resident's chart.
HHSC 748.1217(c)(3) — Admission Assessment-Prior to initial service plan, add child's birth and neonatal history
HHSC risk weight: Low. Corrected 2023-03-24. Correction verified 2023-03-21.
-
Records & paperwork
4 out of 4 records did not have medical, and dental records documented in the child's record.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2023-03-24. Correction verified 2023-03-21.
-
Records & paperwork
4 out of 4 records were missing the vision and hearing exam in the children's record's.
HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
HHSC risk weight: Medium High. Corrected 2023-03-24. Correction verified 2023-03-21.
-
Illness & medication
-
Mar 10, 2023 Inspection · Deficiencies cited
-
Illness & medication
4 out of 4 records did not have the immunization record documented in the resident's record.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2023-03-24. Correction verified 2023-03-24.
-
Records & paperwork
4 out of 4 records did not contain the neonatal history recorded in the resident's chart.
HHSC 748.1217(c)(3) — Admission Assessment-Prior to initial service plan, add child's birth and neonatal history
HHSC risk weight: Low. Corrected 2023-03-24. Correction verified 2023-03-21.
-
Records & paperwork
4 out of 4 records did not have medical, and dental records documented in the child's record.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2023-03-24. Correction verified 2023-03-21.
-
Records & paperwork
4 out of 4 records were missing the vision and hearing exam in the children's record's.
HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
HHSC risk weight: Medium High. Corrected 2023-03-24. Correction verified 2023-03-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation did not include the name or information of the person the child was discharged to on the discharge summary.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2023-04-25. Correction verified 2023-04-11.
-
Supervision & ratios
-
Feb 10, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation did not include the name or information of the person the child was discharged to on the discharge summary.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2023-04-25. Correction verified 2023-04-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
Four employees do not have cleared fingerprint results from the CBCU and have began employment. Three of four of the employees work directly with the children. One of four of the staff's background checks is showing as inactive in CLASS.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-12-27. Correction verified 2023-01-03.
-
Safety & premises
Several fire extinguishers were observed to have low pressure or in the red, no documentation of service date, and one fire extinguisher was last serviced in October 2018,
HHSC 748.3113(c) — Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
HHSC risk weight: Medium High. Corrected 2022-12-27. Correction verified 2022-12-19.
-
Staff background & training Serious
-
Dec 13, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
Four employees do not have cleared fingerprint results from the CBCU and have began employment. Three of four of the employees work directly with the children. One of four of the staff's background checks is showing as inactive in CLASS.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-12-27. Correction verified 2023-01-03.
-
Safety & premises
Several fire extinguishers were observed to have low pressure or in the red, no documentation of service date, and one fire extinguisher was last serviced in October 2018,
HHSC 748.3113(c) — Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
HHSC risk weight: Medium High. Corrected 2022-12-27. Correction verified 2022-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2022 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
One staff who has a Provisional background check with conditions was reported to have been working at the operation with direct access to children in care and administering medications to children in care, this staff was working at the operation on 1/27/23.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2023-02-03. Correction verified 2023-02-01.
-
Staff background & training Serious
During the investigation, it was found that one (1) staff who was reported to be an employee of the operation has a pending fingerprint background check but has been working at the operation on an as needed basis as a nurse. Another staff who was reported to be a personal trainer on campus for the children in care who is considered a volunteer of the operation did not have a background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-02-03. Correction verified 2023-02-01.
-
Supervision & ratios
The operation continued to care for a teenager in care who has history of trauma related to human trafficking as documented in the child's Biopsychosocial Assessment, however the operation doesn't provide this service.
HHSC 748.1345(1)(B) — Initial Service Plan-For ED and ASD treatment services, PLSP must review identified needs and plan for treatment based on child's diagnoses
HHSC risk weight: Medium Low. Corrected 2023-02-17. Correction verified 2023-02-17.
-
Illness & medication
During the investigation, it was found that a direct care staff administered a prescription medication to a teenager in care that was requested by the child, but this medication was not supposed to be administered to this child because there was no health care professional order for the prescription medication. There were no reported injuries, adverse actions or drug reactions for the child that would have caused harm. It was also found that children in care have been administered two different as needed prescription medications from the same prescription bottle prescribed to the operation as a whole.
HHSC 748.2003(b)(11) — Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication
HHSC risk weight: Medium High. Corrected 2023-02-17. Correction verified 2023-02-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Dec 4, 2022 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
One staff who has a Provisional background check with conditions was reported to have been working at the operation with direct access to children in care and administering medications to children in care, this staff was working at the operation on 1/27/23.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2023-02-03. Correction verified 2023-02-01.
-
Staff background & training Serious
During the investigation, it was found that one (1) staff who was reported to be an employee of the operation has a pending fingerprint background check but has been working at the operation on an as needed basis as a nurse. Another staff who was reported to be a personal trainer on campus for the children in care who is considered a volunteer of the operation did not have a background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-02-03. Correction verified 2023-02-01.
-
Supervision & ratios
The operation continued to care for a teenager in care who has history of trauma related to human trafficking as documented in the child's Biopsychosocial Assessment, however the operation doesn't provide this service.
HHSC 748.1345(1)(B) — Initial Service Plan-For ED and ASD treatment services, PLSP must review identified needs and plan for treatment based on child's diagnoses
HHSC risk weight: Medium Low. Corrected 2023-02-17. Correction verified 2023-02-17.
-
Illness & medication
During the investigation, it was found that a direct care staff administered a prescription medication to a teenager in care that was requested by the child, but this medication was not supposed to be administered to this child because there was no health care professional order for the prescription medication. There were no reported injuries, adverse actions or drug reactions for the child that would have caused harm. It was also found that children in care have been administered two different as needed prescription medications from the same prescription bottle prescribed to the operation as a whole.
HHSC 748.2003(b)(11) — Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication
HHSC risk weight: Medium High. Corrected 2023-02-17. Correction verified 2023-02-17.
-
Staff background & training Serious
-
Dec 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2022 Report · Deficiencies cited
-
Illness & medication Serious
A child in care was able to obtain another child's prescription medication due to the medication storage area being left open and unlocked and unattended by staff.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2023-01-10. Correction verified 2023-01-25.
-
Illness & medication Serious
A child in care was able to gain access to the operation's medication storage area and obtain another child's prescription medication without any staff witnessing the incident.
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 2023-01-10. Correction verified 2023-01-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Nov 24, 2022 Report · Deficiencies cited
-
Illness & medication Serious
A child in care was able to obtain another child's prescription medication due to the medication storage area being left open and unlocked and unattended by staff.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2023-01-10. Correction verified 2023-01-25.
-
Illness & medication Serious
A child in care was able to gain access to the operation's medication storage area and obtain another child's prescription medication without any staff witnessing the incident.
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 2023-01-10. Correction verified 2023-01-25.
-
Illness & medication Serious
-
Nov 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 27, 2022 Inspection · Deficiencies cited
-
Other
Sanitation Inspection was not provided.
HHSC 748.3001(a)(1) — Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-20.
-
Safety & premises
Fire Inspection was not provided.
HHSC 748.3101(1) — Fire Inspection-Must have fire inspection before initial permit issued
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-25.
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Supervision & ratios
Bedroom facing the pool has a metal structure that can be hazardous for a child if they fall over the balcony.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-05.
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Cleanliness & sanitation
The 2 doors leading to the water heater were not locked. 1 out of 2 doors that contain electrical wires were not locked.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-05.
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Other
Three mattresses were missing the cover.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-27.
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Supervision & ratios
Copy of Clinical Social Worker License not in personnel record.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-10-11. Correction verified 2022-10-05.
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Staff background & training Serious
1 out of 2 staff records reviewed that will be working with residents directly did not have a copy of their TB results.
HHSC 748.505(b)(2) — Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583
HHSC risk weight: High. Corrected 2022-10-11. Correction verified 2022-10-06.
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Staff background & training
1 out of 4 staff records reviewed was missing their affidavit in their file.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-10-11. Correction verified 2022-10-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Sep 27, 2022 Inspection · Deficiencies cited
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Other
Sanitation Inspection was not provided.
HHSC 748.3001(a)(1) — Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-20.
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Safety & premises
Fire Inspection was not provided.
HHSC 748.3101(1) — Fire Inspection-Must have fire inspection before initial permit issued
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-25.
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Supervision & ratios
Bedroom facing the pool has a metal structure that can be hazardous for a child if they fall over the balcony.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-05.
-
Cleanliness & sanitation
The 2 doors leading to the water heater were not locked. 1 out of 2 doors that contain electrical wires were not locked.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2022-10-11. Correction verified 2022-10-05.
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Other
Three mattresses were missing the cover.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-27.
-
Supervision & ratios
Copy of Clinical Social Worker License not in personnel record.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-10-11. Correction verified 2022-10-05.
-
Staff background & training Serious
1 out of 2 staff records reviewed that will be working with residents directly did not have a copy of their TB results.
HHSC 748.505(b)(2) — Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583
HHSC risk weight: High. Corrected 2022-10-11. Correction verified 2022-10-06.
-
Staff background & training
1 out of 4 staff records reviewed was missing their affidavit in their file.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-10-11. Correction verified 2022-10-05.
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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.