Davidson Respite House
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 42
- Ages
- 0-17
- Hours
- -
- Director / administrator
- Raven Nychae Lewis
- Phone
- (210) 737-1212
- Regulated since
- Aug 17, 1998
- HHSC IDs
- Operation 151863 · number 531665
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Illness & medication (1) |
| 2025 | 20 | 12 | Illness & medication (2), Supervision & ratios (10), Discipline & child guidance (2), Safety & premises (1), Staff background & training (2), Records & paperwork (1), Other (2) |
| 2024 | 15 | 5 | Cleanliness & sanitation (1), Illness & medication (4), Supervision & ratios (3), Safety & premises (2), Staff background & training (1), Other (4) |
| 2023 | 7 | 2 | Supervision & ratios (2), Discipline & child guidance (2), Other (3) |
| 2022 | 2 | 2 | Other (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2026 Report · 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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Jul 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2026 Inspection · Deficiencies cited
-
Illness & medication
During the after-hours inspection, it was observed at the Najim house that a child's medication had not been distributed and was kept in the medication cart. The staff member could not determine that the medication dose was administered in a proper time frame.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-03-27. Correction verified 2026-04-09.
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Illness & medication
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2025 Inspection · 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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Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Report · Deficiencies cited
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Other Serious
Due to the child's previous high-risk behaviors towards other children in care the staff did not minimize the risk according to service plan. Although the staff were present in the room the video surveillance shows the staff were not positioned so that they can see the children in their care and react immediately.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2025-11-13. Correction verified 2025-11-13.
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Supervision & ratios Serious
Although staff was present in the room with the children, the staff did not provide adequate supervision as required therefore the children were able to engage in inappropriate touching.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-11-13. Correction verified 2025-11-13.
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Other Serious
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Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Inspection · Deficiencies cited
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Safety & premises Serious
Paint was chipping off the wall in one of the restrooms at the Najim House. Also, three window screens were torn on the outside windows.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2025-09-15. Correction verified 2025-09-17.
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Safety & premises Serious
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 19, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A direct-care staff left two children unattended in their highchairs for about 30 seconds before another direct-care staff member entered the room to supervise the children. Although an adult was in the room while the children were unattended, that adult was a therapist not counted in child/caregiver ratio.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-10-10. Correction verified 2025-10-14.
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Supervision & ratios Serious
-
Aug 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2025 Report · Deficiencies cited
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Supervision & ratios
Victim child was able to walk at least 20 feet away from the splash pad and was unsupervised for approximately three minutes. The child was known to wander off and required one on one supervision according to the child?s Service Plan.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2025-09-09. Correction verified 2025-09-09.
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Supervision & ratios
-
Jul 30, 2025 Report · Deficiencies cited
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Other
Child had access to chemicals, and it was unknown to staff these items were being stored in the child's room.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2025-09-12. Correction verified 2025-09-17.
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Supervision & ratios Serious
Child had access to chemicals on more than one occasion and unknown if child was ingesting.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-09-12. Correction verified 2025-09-17.
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Other
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Jul 28, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Caregiver was asleep while caring for a child.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-09-09. Correction verified 2025-09-09.
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Supervision & ratios Serious
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Jul 25, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Although staff was present with the child, the staff appears distracted by reaching for item from the drawer and was not aware the child had moved to roll over and fall onto the mat on the floor.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-08-27. Correction verified 2025-09-09.
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Supervision & ratios Serious
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 29, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Caregiver fell asleep while caring for children in care.
HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HHSC risk weight: High. Corrected 2025-07-09. Correction verified 2025-07-16.
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Supervision & ratios Serious
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Report · 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
No violations cited on this visit.
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Mar 19, 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 19, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A child in care was not appropriately supervised leading to the child leaving the residence and walking into a second building behind the residence.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-04-21. Correction verified 2025-04-23.
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Supervision & ratios Serious
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · Deficiencies cited
-
Staff background & training
Three child files did not include proof of orientation completed or documents verifying orientation was completed within the required time frame.
HHSC 748.1209(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium Low. Corrected 2025-03-18. Correction verified 2025-04-02.
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Staff background & training
Two of the three files reviewed were missing Pre-employment affidavit document in staff personnel file.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2025-03-18. Correction verified 2025-04-02.
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Discipline & child guidance
Two of the three employee files did not include required reporting abuse, neglect, and exploitation document.
HHSC 748.507(2) — Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
HHSC risk weight: Medium High. Corrected 2025-03-18. Correction verified 2025-04-02.
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Staff background & training
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Mar 10, 2025 Report · Deficiencies cited
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Supervision & ratios
Staff left assigned children with another staff resulting in staff being out of ratio.
HHSC 748.1017(a) — Child/caregiver ratio-Child/caregiver ratio applies to activities conducted by the operation, that occur away from the operation
HHSC risk weight: Medium High. Corrected 2025-05-16. Correction verified 2025-05-19.
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Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2025-05-16. Correction verified 2025-05-19.
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Supervision & ratios Serious
Child was unsupervised and left behind at the aquarium during a field trip. Staff did not realize child was missing until they returned to the operation.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-05-16. Correction verified 2025-05-19.
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Supervision & ratios
-
Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Report · Deficiencies cited
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Illness & medication Serious
Medical ca/treatment for a child was delayed, allowing the condition to worsen and cause pain to the child.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2025-03-10. Correction verified 2025-03-11.
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Records & paperwork
The Follow Up section of the provided Form K-905-2403 for the Clinic Visit on 1/28/2025 was not completed.
HHSC 748.1531(b)(2) — Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
HHSC risk weight: Medium. Corrected 2025-03-10. Correction verified 2025-03-11.
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Illness & medication
Three medication records in the provided logs were missing the strength of the prescribed medications.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2025-03-10. Correction verified 2025-03-11.
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Illness & medication Serious
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Dec 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2024 Report · No deficiencies cited
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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Oct 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Child in care was left unattended on a changing table, which resulted in the child falling of the changing table to the ground.
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 2024-12-03. Correction verified 2024-12-03.
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Supervision & ratios Serious
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Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2024 Report · Deficiencies cited
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Other
A child's preliminary service plan did not include her immediate needs.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2024-10-25. Correction verified 2024-10-23.
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Illness & medication Serious
A bottle of ibuprofen was found in a child's drawer.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-10-01. Correction verified 2024-10-15.
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Illness & medication Serious
Multiple staff were aware a child had medication in their room and did not confiscate it.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2024-10-25. Correction verified 2024-10-23.
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Other
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Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2024 Inspection · Deficiencies cited
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Illness & medication
The address, and relationship of person is missing on the discharge summary of one of the child's file. The medication list, dosage, frequency and reason required information is missing from the documentation. The entire discharge requirement format is missing from a child's file evaluated.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2024-10-07. Correction verified 2024-10-10.
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Safety & premises
No documentation of an updated fire inspection was provided during the monitoring inspection. Documentation provided by staff was to an expired inspection.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-10-07. Correction verified 2024-10-10.
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Safety & premises
Fire extinguishers are not being conducted monthly and reported to be done every three months.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2024-10-07. Correction verified 2024-10-10.
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Illness & medication
First aid ointment inside the vehicle and first aid kit was expired.
HHSC 748.3271(3) — First Aid Kits-Each one must be in good condition and not have expired medications or supplies
HHSC risk weight: Medium High. Corrected 2024-10-07. Correction verified 2024-10-10.
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Illness & medication
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Sep 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
The operation staff were not aware a resident had not returned to the operation until it was bought to their attention.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-09-23. Correction verified 2024-09-26.
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Supervision & ratios Serious
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Aug 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2024 Report · Deficiencies cited (self-report)
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Other
Video footage confirms a child in care was redirected physically in an inappropriate manner by a staff member, while sweeping. Video footage also shows the inappropriate redirection which caused discomfort to the child.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-22.
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Other
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Jun 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2024 Report · Deficiencies cited
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Cleanliness & sanitation
A staff member entered the bathroom while child was showering.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-07-22. Correction verified 2024-07-25.
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Cleanliness & sanitation
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Jun 5, 2024 Assessment · Deficiencies cited
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Staff background & training
A prior employee was not inactivated with the operation within the required timeframe.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2024-06-07. Correction verified 2024-06-28.
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Staff background & training
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Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Report · Deficiencies cited (self-report)
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Other
The preliminary service does not show immediate needs listed.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2024-07-05. Correction verified 2024-07-16.
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Other
Appropriate staff was no informed of relevant information of children in care.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2024-07-05. Correction verified 2024-07-16.
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Other
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Apr 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 20, 2024 Report · No deficiencies cited (self-report)
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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Apr 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Staff member was sleeping on duty.
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 2024-02-14. Correction verified 2024-02-15.
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Supervision & ratios Serious
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Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2023 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
Staff member was observed physically holding a child inappropriately.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected at inspection. Corrected 2024-01-23.
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Discipline & child guidance Serious
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Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2023 Report · Deficiencies cited (self-report)
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Other
A caregiver used inappropriate discipline for a child in care.
HHSC 748.115(1) — Discipline policy - Guide caregivers and employees in the methods used for discipline of children
HHSC risk weight: Medium. Corrected 2023-07-04. Correction verified 2023-07-12.
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Other
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May 30, 2023 Inspection · Deficiencies cited
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Supervision & ratios
While reviewing the serious incident report the following items were missing from the incident report operation's physical address, telephone number, child's age, gender and date of admission.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-22.
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Supervision & ratios
During the inspection it was found the operation does not have a treatment director, the operation provides treatment services to almost all children in their care.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2023-08-24. Correction verified 2023-08-22.
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Supervision & ratios
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May 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2023 Report · Deficiencies cited
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Other
Staff member used inappropriate redirection technique towards a child in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-04-20. Correction verified 2023-04-19.
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Other
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Feb 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
During the investigation it was determined that children were subjected to corporal punishment when staff members pulled them by their arms.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2023-03-17. Correction verified 2023-03-30.
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Other
During the investigation it was determined that caregivers used prohibited punishment when they yelled at children in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-03-17. Correction verified 2023-03-30.
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Discipline & child guidance Serious
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Jan 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2022 Report · Deficiencies cited (self-report)
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Other Serious
Caregiver was asleep while caring for two children.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-01-24. Correction verified 2023-01-20.
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Other Serious
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Dec 7, 2022 Report · Deficiencies cited (self-report)
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Other Serious
Staff was sleeping while holding a infant in care in their arms, in a chair.
HHSC 748.1763(c) — Infant sleep requirements-Infant may not sleep in prone position with a sleeping adult at any time, including in adult's bed, on a couch, etc
HHSC risk weight: High. Corrected 2023-01-20. Correction verified 2023-01-20.
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Other Serious
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Jul 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 26, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, 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.