The Residence By Infinity Elite II
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 10
- Ages
- 9-17
- Hours
- -
- Director / administrator
- Shara G Fontaine
- Phone
- (346) 298-3376
- Regulated since
- Aug 9, 2022
- HHSC IDs
- Operation 1375279 · number 1719866
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 0 | Supervision & ratios (6) |
| 2025 | 68 | 6 | Cleanliness & sanitation (12), Illness & medication (4), Supervision & ratios (30), Safety & premises (2), Food & allergies (2), Staff background & training (2), Records & paperwork (8), Other (8) |
| 2024 | 22 | 4 | Illness & medication (2), Supervision & ratios (8), Safety & premises (4), Staff background & training (2), Records & paperwork (2), Other (4) |
| 2023 | 52 | 10 | Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (18), Discipline & child guidance (4), Safety & premises (4), Food & allergies (2), Staff background & training (2), Records & paperwork (6), Other (10) |
| 2022 | 46 | 8 | Cleanliness & sanitation (2), Illness & medication (8), Supervision & ratios (12), Discipline & child guidance (2), Food & allergies (2), Staff background & training (8), Records & paperwork (2), Other (10) |
| 2021 | 4 | 0 | Supervision & ratios (2), Other (2) |
Enforcement actions
- Seen Oct 1, 2026 — Adverse action in effect (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
-
Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
On June 3, 2026, an HM inspection was attempted at the operation by RCC. There was no staff present at the operation.
HHSC 748.151(4) — Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-08-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 8, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
On June 3, 2026, an HM inspection was attempted at the operation by RCC. There was no staff present at the operation.
HHSC 748.151(4) — Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-08-21.
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Supervision & ratios
-
May 29, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
Today HM Inspector showed up to complete the inspection for Heightened Monitoring and no staff or administrator was available to complete the required inspection. Inspector tried calling and texting the administrator to come to the operation and no response.
HHSC 748.151(4) — Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-08-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 29, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
Today HM Inspector showed up to complete the inspection for Heightened Monitoring and no staff or administrator was available to complete the required inspection. Inspector tried calling and texting the administrator to come to the operation and no response.
HHSC 748.151(4) — Operational responsibilities - Allow Licensing to inspect the operation during its hours of operation
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-08-21.
-
Supervision & ratios
-
May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on April 9, 2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 9, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on April 9, 2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-10.
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Supervision & ratios
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Inspection · Deficiencies cited
-
Illness & medication
Four psychotropic medications were observed stored single locked.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2025-12-29. Correction verified 2026-01-06.
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Illness & medication
Medications for two discharged residents was observed stored at the operation.
HHSC 748.2101(8) — Medication Storage & Destruction-remove medication of discharged/deceased child immediately & destroy in way that ensures children do not have access
HHSC risk weight: Medium. Corrected 2025-12-29. Correction verified 2026-01-06.
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Illness & medication
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Dec 22, 2025 Inspection · Deficiencies cited
-
Illness & medication
Four psychotropic medications were observed stored single locked.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2025-12-29. Correction verified 2026-01-06.
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Illness & medication
Medications for two discharged residents was observed stored at the operation.
HHSC 748.2101(8) — Medication Storage & Destruction-remove medication of discharged/deceased child immediately & destroy in way that ensures children do not have access
HHSC risk weight: Medium. Corrected 2025-12-29. Correction verified 2026-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The backyard of the operation was observed to have several nails exposed in two different areas.
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 2025-11-19. Correction verified 2025-12-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Nov 12, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The backyard of the operation was observed to have several nails exposed in two different areas.
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 2025-11-19. Correction verified 2025-12-10.
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Supervision & ratios
-
Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2025 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 1, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A child's 30, 60 and 90 day placement extension documentation were observed to be pre-dated and completed at initial placement for placement extensions.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-10-08. Correction verified 2025-10-29.
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Safety & premises
Three placement extensions for a child in care was observed without an applicable reason to keep the child in the emergency placement.
HHSC 748.4209(a) — Placement Extension-Child's service planning team must document the reason for the placement extension in the child's record
HHSC risk weight: Low. Corrected 2025-10-08. Correction verified 2025-10-29.
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Supervision & ratios Serious
During the inspection, a staff was seen and heard sleeping while supervising a child in care for at least 10 minutes.
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 2025-10-03. Correction verified 2025-10-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Oct 1, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A child's 30, 60 and 90 day placement extension documentation were observed to be pre-dated and completed at initial placement for placement extensions.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-10-08. Correction verified 2025-10-29.
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Safety & premises
Three placement extensions for a child in care was observed without an applicable reason to keep the child in the emergency placement.
HHSC 748.4209(a) — Placement Extension-Child's service planning team must document the reason for the placement extension in the child's record
HHSC risk weight: Low. Corrected 2025-10-08. Correction verified 2025-10-29.
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Supervision & ratios Serious
During the inspection, a staff was seen and heard sleeping while supervising a child in care for at least 10 minutes.
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 2025-10-03. Correction verified 2025-10-13.
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Supervision & ratios
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Sep 15, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
The operation did not comply with the conditions of notification of discharge to licensing on multiple variances.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-10-01.
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Supervision & ratios Serious
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Sep 15, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
The operation did not comply with the conditions of notification of discharge to licensing on multiple variances.
HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-10-01.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Sep 4, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The childs file reviewed did not include a complete preliminary plan for discharge.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-09-11. Correction verified 2025-10-01.
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Supervision & ratios
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Sep 4, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The childs file reviewed did not include a complete preliminary plan for discharge.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-09-11. Correction verified 2025-10-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 20, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The childs service plan reviewed did not include the child's signature or a explaination of refusal.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-08-27. Correction verified 2025-10-29.
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Supervision & ratios
One employee record did not contain true and accurate information of their date of birth. A child's admission assessment lacks pertinent details. The staff list did not accurately reflect active employees.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-10-01.
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Staff background & training
Suicide prevention training does not contain how many hours the training was conducted.
HHSC 748.363(13) — Personnel records-Include record of training and training hours.
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-10-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 20, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The childs service plan reviewed did not include the child's signature or a explaination of refusal.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-08-27. Correction verified 2025-10-29.
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Supervision & ratios
One employee record did not contain true and accurate information of their date of birth. A child's admission assessment lacks pertinent details. The staff list did not accurately reflect active employees.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-10-01.
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Staff background & training
Suicide prevention training does not contain how many hours the training was conducted.
HHSC 748.363(13) — Personnel records-Include record of training and training hours.
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-10-29.
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Supervision & ratios
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Aug 8, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Multiple children are utilizing the downstairs bathroom located inside of the recreational area to shower, when their bedroom is upstairs.
HHSC 748.3391(c) — Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
HHSC risk weight: Low. Corrected 2025-08-15. Correction verified 2025-08-20.
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Cleanliness & sanitation
Ice cream was observed expired and chicken was observed with open packaging in the deep freezer. Both food items were disposed of during the inspection.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
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Aug 8, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Multiple children are utilizing the downstairs bathroom located inside of the recreational area to shower, when their bedroom is upstairs.
HHSC 748.3391(c) — Bathrooms-Child must not have to cross a common use room to access a bathroom from the child's bedroom
HHSC risk weight: Low. Corrected 2025-08-15. Correction verified 2025-08-20.
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Cleanliness & sanitation
Ice cream was observed expired and chicken was observed with open packaging in the deep freezer. Both food items were disposed of during the inspection.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-08.
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Cleanliness & sanitation
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Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The childs service plan reviewed did not indicate the childs participation or signature.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-07-14. Correction verified 2025-10-30.
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Supervision & ratios
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Jul 9, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The childs service plan reviewed did not indicate the childs participation or signature.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-07-14. Correction verified 2025-10-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The provided Menu did not list all daily meals and snacks provided by the operation. Nor did it list food substitutions, and there were no menus for review for the last 90 days.
HHSC 748.1703(a) — Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
HHSC risk weight: Low. Corrected 2025-05-20. Correction verified 2025-05-23.
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Supervision & ratios
Per the Administrator, Health/Sanitation Inspections are not available in the area that the operation is located, there is no documentation of that determination for review.
HHSC 748.3001(c)(1) — Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
HHSC risk weight: Medium. Corrected 2025-05-20. Correction verified 2025-05-23.
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Supervision & ratios
The posted Emergency Evacuation diagram does not include the 2nd floor to the operation, nor does it include the designated location inside operation to take shelter from threatening weather.
HHSC 748.3233(b)(1) — Evacuation-Emergency evacuation & relocation diagram must include a floor plan of the operation
HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-27.
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Food & allergies
The provided First Aid Kit did not have a thermometer or waterproof disposable gloves.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2025-05-20. Correction verified 2025-05-23.
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Other
A written Recreation Plan was not available for review during the inspection.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2025-05-20. Correction verified 2025-05-23.
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Other
During the inspection, there were no documented Unauthorized Absence Logs for review.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected 2025-05-20. Correction verified 2025-05-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 14, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The provided Menu did not list all daily meals and snacks provided by the operation. Nor did it list food substitutions, and there were no menus for review for the last 90 days.
HHSC 748.1703(a) — Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
HHSC risk weight: Low. Corrected 2025-05-20. Correction verified 2025-05-23.
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Supervision & ratios
Per the Administrator, Health/Sanitation Inspections are not available in the area that the operation is located, there is no documentation of that determination for review.
HHSC 748.3001(c)(1) — Sanitation inspection- inspection not available, you must obtain documentation stating inspection not available
HHSC risk weight: Medium. Corrected 2025-05-20. Correction verified 2025-05-23.
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Supervision & ratios
The posted Emergency Evacuation diagram does not include the 2nd floor to the operation, nor does it include the designated location inside operation to take shelter from threatening weather.
HHSC 748.3233(b)(1) — Evacuation-Emergency evacuation & relocation diagram must include a floor plan of the operation
HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-27.
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Food & allergies
The provided First Aid Kit did not have a thermometer or waterproof disposable gloves.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2025-05-20. Correction verified 2025-05-23.
-
Other
A written Recreation Plan was not available for review during the inspection.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2025-05-20. Correction verified 2025-05-23.
-
Other
During the inspection, there were no documented Unauthorized Absence Logs for review.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected 2025-05-20. Correction verified 2025-05-23.
-
Supervision & ratios
-
May 14, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During today's inspection, bedroom three was observed to have still have the window screens to still be damaged along with an additional screen.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-06-10.
-
Cleanliness & sanitation
-
May 14, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During today's inspection, bedroom three was observed to have still have the window screens to still be damaged along with an additional screen.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-06-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Assessment · Deficiencies cited
-
Cleanliness & sanitation
The operation was cited for this standard during the last HM inspection on 4-2-25. During the follow up by inspection at the facility today, it was observed that the damaged couch and cabinet in the restroom has not been repaired or removed to ensure the safety of the children.
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 2025-04-24. Correction verified 2025-05-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 17, 2025 Assessment · Deficiencies cited
-
Cleanliness & sanitation
The operation was cited for this standard during the last HM inspection on 4-2-25. During the follow up by inspection at the facility today, it was observed that the damaged couch and cabinet in the restroom has not been repaired or removed to ensure the safety of the children.
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 2025-04-24. Correction verified 2025-05-14.
-
Cleanliness & sanitation
-
Apr 17, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During todays inspection, one children bedroom window screen was observed to be damaged which may result to insects gaining access into the children room.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2025-04-19. Correction verified 2025-05-14.
-
Other
Several dead flies were observed in the common area down stairs beside the damged couch.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Supervision & ratios
Food were observed stored on the ground inside the storage in the kitchen area during the walkthrough.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Supervision & ratios
One pack of mashed potatoes was observed open inside the fridge during the walkthrough.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Records & paperwork
Staff file reviewd did not have date of employement.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Records & paperwork
Licensing representative requested for staff file for review at about 10:am but file was not made availabe to licensing staff until after 1 hour of the request becasue the administrator was not at the facility.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-04-28.
-
Cleanliness & sanitation
-
Apr 17, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During todays inspection, one children bedroom window screen was observed to be damaged which may result to insects gaining access into the children room.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2025-04-19. Correction verified 2025-05-14.
-
Other
Several dead flies were observed in the common area down stairs beside the damged couch.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Supervision & ratios
Food were observed stored on the ground inside the storage in the kitchen area during the walkthrough.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Supervision & ratios
One pack of mashed potatoes was observed open inside the fridge during the walkthrough.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Records & paperwork
Staff file reviewd did not have date of employement.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-05-14.
-
Records & paperwork
Licensing representative requested for staff file for review at about 10:am but file was not made availabe to licensing staff until after 1 hour of the request becasue the administrator was not at the facility.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-04-24. Correction verified 2025-04-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 2, 2025 Inspection · Deficiencies cited
-
Other
One child initial service plan was missing the names of the participants.
HHSC 748.1337(b)(1)(K) — Initial Service Plan-Include names and roles of persons who participated in service plan development
HHSC risk weight: Low. Corrected 2025-04-07. Correction verified 2025-04-15.
-
Records & paperwork
The advance 2 weeks notice to the DFPS staff regarding initial service planning meeting was missing in the childs file.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2025-05-15. Correction verified 2025-06-06.
-
Cleanliness & sanitation
During the walkthrough of the facility, one of the couch in the living room area was observed not to be in good repair condition. The chair is very uncomfortable and you can feel the spring when you seat on it. One cabinet was also observed to be damaged in the restroom.
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 2025-04-07. Correction verified 2025-04-17.
-
Records & paperwork
During the review of a childs file, multiple dates of birth were noticed. The date of birth in the intake form, the binder cover and placement summary says 9 years while the discipline notification form for the child says child is 10 years.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2025-04-07. Correction verified 2025-06-06.
-
Other
-
Apr 2, 2025 Inspection · Deficiencies cited
-
Other
One child initial service plan was missing the names of the participants.
HHSC 748.1337(b)(1)(K) — Initial Service Plan-Include names and roles of persons who participated in service plan development
HHSC risk weight: Low. Corrected 2025-04-07. Correction verified 2025-04-15.
-
Records & paperwork
The advance 2 weeks notice to the DFPS staff regarding initial service planning meeting was missing in the childs file.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2025-05-15. Correction verified 2025-06-06.
-
Cleanliness & sanitation
During the walkthrough of the facility, one of the couch in the living room area was observed not to be in good repair condition. The chair is very uncomfortable and you can feel the spring when you seat on it. One cabinet was also observed to be damaged in the restroom.
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 2025-04-07. Correction verified 2025-04-17.
-
Records & paperwork
During the review of a childs file, multiple dates of birth were noticed. The date of birth in the intake form, the binder cover and placement summary says 9 years while the discipline notification form for the child says child is 10 years.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2025-04-07. Correction verified 2025-06-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 25, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
The Administrator refused to allow DFPS access to video of staff supervision, to document in their investigation.
HHSC 745.8411(b)(3) — Responsibilities - Provides access to all records
HHSC risk weight: High. Corrected 2025-06-13. Correction verified 2025-06-10.
-
Supervision & ratios Serious
-
Mar 25, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
The Administrator refused to allow DFPS access to video of staff supervision, to document in their investigation.
HHSC 745.8411(b)(3) — Responsibilities - Provides access to all records
HHSC risk weight: High. Corrected 2025-06-13. Correction verified 2025-06-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 21, 2025 Assessment · 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 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2025 Report · Deficiencies cited
-
Supervision & ratios
During the review of this investigation, it was noted that staff used the date 1-26-25 as the date of incident involving the victim child in an incident report while child was admitted to the facility on 1-28-25 according to the child's 72 hours service plan. Child was not at the facility on 1-26-25.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-04-30. Correction verified 2025-04-28.
-
Supervision & ratios
-
Feb 20, 2025 Report · Deficiencies cited
-
Supervision & ratios
During the review of this investigation, it was noted that staff used the date 1-26-25 as the date of incident involving the victim child in an incident report while child was admitted to the facility on 1-28-25 according to the child's 72 hours service plan. Child was not at the facility on 1-26-25.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-04-30. Correction verified 2025-04-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Inspection · Deficiencies cited
-
Other
A child exhibited warning signs of suicide, and no documentation of a risk assessment was conducted.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2024-12-02. Correction verified 2024-12-18.
-
Supervision & ratios
The operation did not have an annual evaluation for review.
HHSC 748.2951(d) — Evaluation-Results of each overall annual evaluation made available to Licensing for review.
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-09.
-
Supervision & ratios
The freezer in the garage contained food items. There was no thermometer located inside the freezer to obtain a temperature reading.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-09.
-
Safety & premises Serious
A child received their 72-Hour Health Screening late.
HHSC 748.4203 — Admission-Each child receiving emergency care services must receive a health screening or EPSDT examination within 72 hours after admission
HHSC risk weight: High. Corrected 2024-12-02. Correction verified 2024-12-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Nov 22, 2024 Inspection · Deficiencies cited
-
Other
A child exhibited warning signs of suicide, and no documentation of a risk assessment was conducted.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2024-12-02. Correction verified 2024-12-18.
-
Supervision & ratios
The operation did not have an annual evaluation for review.
HHSC 748.2951(d) — Evaluation-Results of each overall annual evaluation made available to Licensing for review.
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-09.
-
Supervision & ratios
The freezer in the garage contained food items. There was no thermometer located inside the freezer to obtain a temperature reading.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-09.
-
Safety & premises Serious
A child received their 72-Hour Health Screening late.
HHSC 748.4203 — Admission-Each child receiving emergency care services must receive a health screening or EPSDT examination within 72 hours after admission
HHSC risk weight: High. Corrected 2024-12-02. Correction verified 2024-12-24.
-
Other
-
Nov 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2024 Report · Deficiencies cited
-
Staff background & training
Upon conducting background checks, a former employee's employment status read active. Work duration was August 2024 to September 8, 2024. Her background still viewed as active on 10/7/24.
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 2024-11-09. Correction verified 2025-01-13.
-
Records & paperwork
Admin did not document serious incident reports after the children were bitten, until after being inquired about an incident report for the victim child by their caseworker. All children were later instructed to put in writing what occurred and that they declined medical care.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-11-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Sep 6, 2024 Report · Deficiencies cited
-
Staff background & training
Upon conducting background checks, a former employee's employment status read active. Work duration was August 2024 to September 8, 2024. Her background still viewed as active on 10/7/24.
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 2024-11-09. Correction verified 2025-01-13.
-
Records & paperwork
Admin did not document serious incident reports after the children were bitten, until after being inquired about an incident report for the victim child by their caseworker. All children were later instructed to put in writing what occurred and that they declined medical care.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-11-15.
-
Staff background & training
-
Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The 2nd. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2024-08-09. Correction verified 2024-08-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 2, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The 2nd. Quarter EBI Report has not been submitted to Child Care Regulation.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2024-08-09. Correction verified 2024-08-05.
-
Supervision & ratios
-
Aug 1, 2024 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered during the investigation, it was determined a staff member did not provide appropriate supervision resulting in an adolescent running away.
HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs
HHSC risk weight: Medium High. Corrected 2024-09-24. Correction verified 2024-10-08.
-
Supervision & ratios
-
Aug 1, 2024 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered during the investigation, it was determined a staff member did not provide appropriate supervision resulting in an adolescent running away.
HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs
HHSC risk weight: Medium High. Corrected 2024-09-24. Correction verified 2024-10-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2024 Inspection · Deficiencies cited
-
Safety & premises
The fire extinguisher located in the kitchen, although still current on inspection, indicates empty (lost pressure) and needs to be refilled or replaced.
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 2024-07-29. Correction verified 2024-07-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 22, 2024 Inspection · Deficiencies cited
-
Safety & premises
The fire extinguisher located in the kitchen, although still current on inspection, indicates empty (lost pressure) and needs to be refilled or replaced.
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 2024-07-29. Correction verified 2024-07-31.
-
Safety & premises
-
Jul 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2024 Inspection · Deficiencies cited
-
Illness & medication
Based on information gathered during a review of the operation's documents, it was found two out two children's Discharge Summaries did not contain the reason medication was prescribed.
HHSC 748.1437(5) — Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
HHSC risk weight: Medium. Corrected 2024-05-16. Correction verified 2024-05-16.
-
Illness & medication
-
May 9, 2024 Inspection · Deficiencies cited
-
Illness & medication
Based on information gathered during a review of the operation's documents, it was found two out two children's Discharge Summaries did not contain the reason medication was prescribed.
HHSC 748.1437(5) — Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
HHSC risk weight: Medium. Corrected 2024-05-16. Correction verified 2024-05-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 26, 2024 Inspection · Deficiencies cited
-
Other Serious
Condition #1: Met Condition #2: Met Condition #3: Met Condition #4: Met Condition #5: Met/Not Met -Quarterly Individual Meetings: (Met) -Every 2-month observations of direct care staff: (Not Met) Two staff have no documentation of observations (to occur every 2 months) conducted by the LCCA. One staff has not had a documented observation conducted since Sept 2023 (required to occur every 2 months).
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2024-02-09. Correction verified 2024-02-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Jan 26, 2024 Inspection · Deficiencies cited
-
Other Serious
Condition #1: Met Condition #2: Met Condition #3: Met Condition #4: Met Condition #5: Met/Not Met -Quarterly Individual Meetings: (Met) -Every 2-month observations of direct care staff: (Not Met) Two staff have no documentation of observations (to occur every 2 months) conducted by the LCCA. One staff has not had a documented observation conducted since Sept 2023 (required to occur every 2 months).
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2024-02-09. Correction verified 2024-02-20.
-
Other Serious
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 27, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
One child receiving emergency care services have been in care longer than the maximum 15 days allowed. The operation has not submitted a placement extension.
HHSC 748.4205 — Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
HHSC risk weight: Low. Corrected 2023-12-01. Correction verified 2023-11-30.
-
Supervision & ratios
-
Nov 27, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
One child receiving emergency care services have been in care longer than the maximum 15 days allowed. The operation has not submitted a placement extension.
HHSC 748.4205 — Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
HHSC risk weight: Low. Corrected 2023-12-01. Correction verified 2023-11-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Per condition 5, the operation LCCA should have conducted a meeting with all staff employed within 15 days of the start the probation period. All staff that attended the meeting should have signed an attendance log.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-10-25.
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Other
In 2 out of the 4 files reviewed the admission assessment did not have the all the required components such as the parents and siblings name, address and contact information. There was also no documentation in the file as required per minimum standards.
HHSC 748.1221(c)(1) — Admission Assessment-Document why a particular piece of information is unavailable
HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Illness & medication
In 1 out of 4 files reviewed there is no indication if the child has any allergies, there is a space on the admission assessment form for that to be documented however it is blank.
HHSC 748.1271(3) — Emergency Admission Documentation-Include any allergies (food, medication, sting, skin allergies)
HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-10-25.
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Staff background & training
The staff list provided during the inspection was not consistent with the CLASS background check data. The staff list was last validated on the day of the inspection.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Supervision & ratios
The single evacuation plan in the operation was observed without a designated shelter inside location.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-14.
-
Cleanliness & sanitation
The bathroom sink upstairs was not equipped with soap or anything for the children to dry thier hands.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-09-07.
-
Food & allergies
In 4 out of the 4 files reviewed there was no documentation on the exterior of the record to indicate if the child had any chronic conditions.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Safety & premises
4 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
HHSC 748.4205 — Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
HHSC risk weight: Low. Corrected 2023-09-14. Correction verified 2023-10-09.
-
Supervision & ratios Serious
-
Sep 7, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Per condition 5, the operation LCCA should have conducted a meeting with all staff employed within 15 days of the start the probation period. All staff that attended the meeting should have signed an attendance log.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Other
In 2 out of the 4 files reviewed the admission assessment did not have the all the required components such as the parents and siblings name, address and contact information. There was also no documentation in the file as required per minimum standards.
HHSC 748.1221(c)(1) — Admission Assessment-Document why a particular piece of information is unavailable
HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Illness & medication
In 1 out of 4 files reviewed there is no indication if the child has any allergies, there is a space on the admission assessment form for that to be documented however it is blank.
HHSC 748.1271(3) — Emergency Admission Documentation-Include any allergies (food, medication, sting, skin allergies)
HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Staff background & training
The staff list provided during the inspection was not consistent with the CLASS background check data. The staff list was last validated on the day of the inspection.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Supervision & ratios
The single evacuation plan in the operation was observed without a designated shelter inside location.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-14.
-
Cleanliness & sanitation
The bathroom sink upstairs was not equipped with soap or anything for the children to dry thier hands.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-09-07.
-
Food & allergies
In 4 out of the 4 files reviewed there was no documentation on the exterior of the record to indicate if the child had any chronic conditions.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2023-09-14. Correction verified 2023-10-25.
-
Safety & premises
4 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
HHSC 748.4205 — Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
HHSC risk weight: Low. Corrected 2023-09-14. Correction verified 2023-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Aug 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2023 Report · Deficiencies cited
-
Records & paperwork
Two children in care were charged with a crime by law enforcement on 05/06/2023, the incident was not reported to Licensing until 05/08/2023.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2023-06-14. Correction verified 2023-06-14.
-
Records & paperwork
-
May 6, 2023 Report · Deficiencies cited
-
Records & paperwork
Two children in care were charged with a crime by law enforcement on 05/06/2023, the incident was not reported to Licensing until 05/08/2023.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2023-06-14. Correction verified 2023-06-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2023 Report · Deficiencies cited (self-report)
-
Other
1 of 2 children interviewed stated they have heard staff yell and use profane language towards 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 2023-06-01. Correction verified 2023-06-01.
-
Other
-
Apr 7, 2023 Report · Deficiencies cited (self-report)
-
Other
1 of 2 children interviewed stated they have heard staff yell and use profane language towards 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 2023-06-01. Correction verified 2023-06-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 4, 2023 Report · Deficiencies cited
-
Supervision & ratios
The operation did not have available staff to pick a child up from school when needed.
HHSC 748.535(3)(C) — Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
HHSC risk weight: Medium. Corrected 2023-06-09. Correction verified 2023-06-09.
-
Supervision & ratios Serious
Children interviewed stated the staff do not check on them and are always on their phone.
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 2023-05-18. Correction verified 2023-05-18.
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Other Serious
Staff member lied to RCCI investigator when asked if they went by a different name.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2023-05-18. Correction verified 2023-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 4, 2023 Report · Deficiencies cited
-
Supervision & ratios
The operation did not have available staff to pick a child up from school when needed.
HHSC 748.535(3)(C) — Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
HHSC risk weight: Medium. Corrected 2023-06-09. Correction verified 2023-06-09.
-
Supervision & ratios Serious
Children interviewed stated the staff do not check on them and are always on their phone.
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 2023-05-18. Correction verified 2023-05-18.
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Other Serious
Staff member lied to RCCI investigator when asked if they went by a different name.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2023-05-18. Correction verified 2023-10-09.
-
Supervision & ratios
-
Mar 28, 2023 Assessment · Deficiencies cited
-
Safety & premises
The restraint report does not include the specific EBI administered or the specific restraint technique used.
HHSC 748.2855(a)(4) — EBI Documentation-Must include the specific emergency behavior intervention administered
HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-04.
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Records & paperwork
A staff member reported contacting the LCCA for onsite help and was denied.
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 2023-04-04. Correction verified 2023-04-04.
-
Supervision & ratios Serious
3 out of 4 children interviewed stated a staff member does not come upstairs to check on them. A staff member did not immediately intervene with a child who was self-harming. Additional supervision was not provided to a child who was making suicidal ideations and self-harming.
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 2023-04-04. Correction verified 2023-04-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Mar 28, 2023 Assessment · Deficiencies cited
-
Safety & premises
The restraint report does not include the specific EBI administered or the specific restraint technique used.
HHSC 748.2855(a)(4) — EBI Documentation-Must include the specific emergency behavior intervention administered
HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-04.
-
Records & paperwork
A staff member reported contacting the LCCA for onsite help and was denied.
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 2023-04-04. Correction verified 2023-04-04.
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Supervision & ratios Serious
3 out of 4 children interviewed stated a staff member does not come upstairs to check on them. A staff member did not immediately intervene with a child who was self-harming. Additional supervision was not provided to a child who was making suicidal ideations and self-harming.
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 2023-04-04. Correction verified 2023-04-04.
-
Safety & premises
-
Mar 20, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Three out of three child's admission assessment does not include a description of the circumstances that led to the child?s referral for substitute care. Three out of three admission assessment did not state the services the operations plans to provide the child.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-04-04.
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Supervision & ratios
Three out of three serious incident reports reviewed were all missing some part of identifying information for the operation such as address or telephone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-04-04.
-
Supervision & ratios
-
Mar 20, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Three out of three child's admission assessment does not include a description of the circumstances that led to the child?s referral for substitute care. Three out of three admission assessment did not state the services the operations plans to provide the child.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-04-04.
-
Supervision & ratios
Three out of three serious incident reports reviewed were all missing some part of identifying information for the operation such as address or telephone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2023-04-03. Correction verified 2023-04-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 21, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
The operation is refusing to follow a safety plan requested by CCI stating they do not have any back-up caregivers.
HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Discipline & child guidance Serious
There is currently an open Abuse Neglect investigation involving a staff member. The operation was asked to remove the staff member during the course of the investigation. The operation has refused the safety plan that appropriately addressed the risk to children.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2023-02-24. Correction verified 2023-02-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 21, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
The operation is refusing to follow a safety plan requested by CCI stating they do not have any back-up caregivers.
HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Discipline & child guidance Serious
There is currently an open Abuse Neglect investigation involving a staff member. The operation was asked to remove the staff member during the course of the investigation. The operation has refused the safety plan that appropriately addressed the risk to children.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2023-02-24. Correction verified 2023-02-24.
-
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 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
-
Jan 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2023 Inspection · Deficiencies cited
-
Discipline & child guidance
One child's admission assessment did not include their history of physical, sexual, or emotional abuse or neglect.
HHSC 748.1217(b)(4) — Admission Assessment-At admission, must include any history of physical, sexual, or emotional abuse or neglect
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-01-25.
-
Illness & medication
There were 3 medication counts that were different than what was documented.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-02-08.
-
Records & paperwork
In one child's file reviewed, the reason for their placement extension was not documented.
HHSC 748.4209(a) — Placement Extension-Child's service planning team must document the reason for the placement extension in the child's record
HHSC risk weight: Low. Corrected 2023-01-25. Correction verified 2023-01-25.
-
Discipline & child guidance
-
Jan 11, 2023 Inspection · Deficiencies cited
-
Discipline & child guidance
One child's admission assessment did not include their history of physical, sexual, or emotional abuse or neglect.
HHSC 748.1217(b)(4) — Admission Assessment-At admission, must include any history of physical, sexual, or emotional abuse or neglect
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-01-25.
-
Illness & medication
There were 3 medication counts that were different than what was documented.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-01-25. Correction verified 2023-02-08.
-
Records & paperwork
In one child's file reviewed, the reason for their placement extension was not documented.
HHSC 748.4209(a) — Placement Extension-Child's service planning team must document the reason for the placement extension in the child's record
HHSC risk weight: Low. Corrected 2023-01-25. Correction verified 2023-01-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Jan 5, 2023 Report · Deficiencies cited
-
Other
At the time of the investigation inspection, 1 out of 2 files reviewed was missing child's current service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2023-01-27. Correction verified 2023-01-25.
-
Other
Five out of five kids interviewed disclosed staff yells at them, and three out of five kids interviewed disclosed hearing staff call a child in care mother a bad name.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-02-03. Correction verified 2023-02-08.
-
Other
-
Jan 5, 2023 Report · Deficiencies cited
-
Other
At the time of the investigation inspection, 1 out of 2 files reviewed was missing child's current service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2023-01-27. Correction verified 2023-01-25.
-
Other
Five out of five kids interviewed disclosed staff yells at them, and three out of five kids interviewed disclosed hearing staff call a child in care mother a bad name.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-02-03. Correction verified 2023-02-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Sep 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2022 Inspection · Deficiencies cited
-
Illness & medication
One child's record reviewed did not contain their immunization record or proof the immunization record was requested.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
-
Supervision & ratios
Operation did not have written plan for protecting children in care from TB as stated in their policies/procedures.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2022-07-28. Correction verified 2022-07-28.
-
Staff background & training
One staff file reviewed did not have the required 4 hours of preservice training.
HHSC 748.863(a)(3) — Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
-
Illness & medication
-
Jul 21, 2022 Inspection · Deficiencies cited
-
Illness & medication
One child's record reviewed did not contain their immunization record or proof the immunization record was requested.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
-
Supervision & ratios
Operation did not have written plan for protecting children in care from TB as stated in their policies/procedures.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2022-07-28. Correction verified 2022-07-28.
-
Staff background & training
One staff file reviewed did not have the required 4 hours of preservice training.
HHSC 748.863(a)(3) — Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 21, 2022 Inspection · Deficiencies cited
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Other
One child's admission assessment reviewed did not include the child's trauma history.
HHSC 748.1217(b)(5) — Admission Assessment-At admission, must include any history of trauma.
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Other
One child's file reviewed did not contain a preliminary service plan.
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 2022-06-28. Correction verified 2022-06-28.
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Illness & medication
One child's medication log did not contain the prescribing healthcare professionals name, the reason the medication was prescribed, the medication's name, the dosage and the strength.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Food & allergies
One child's file did not indicate whether the child had any known allergies.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Illness & medication Serious
One emergency placement child's admission assessment does not list the child's medications.
HHSC 748.4231(b)(3) — Admission assessment for emergency and respite care services-obtain as soon as possible information on the medications the child is taking
HHSC risk weight: High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Supervision & ratios Serious
One staff member who was supervising a child in care was observed to be sleeping.
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 2022-06-28. Correction verified 2022-06-28.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jun 21, 2022 Inspection · Deficiencies cited
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Other
One child's admission assessment reviewed did not include the child's trauma history.
HHSC 748.1217(b)(5) — Admission Assessment-At admission, must include any history of trauma.
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Other
One child's file reviewed did not contain a preliminary service plan.
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 2022-06-28. Correction verified 2022-06-28.
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Illness & medication
One child's medication log did not contain the prescribing healthcare professionals name, the reason the medication was prescribed, the medication's name, the dosage and the strength.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Food & allergies
One child's file did not indicate whether the child had any known allergies.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Illness & medication Serious
One emergency placement child's admission assessment does not list the child's medications.
HHSC 748.4231(b)(3) — Admission assessment for emergency and respite care services-obtain as soon as possible information on the medications the child is taking
HHSC risk weight: High. Corrected 2022-06-28. Correction verified 2022-06-28.
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Supervision & ratios Serious
One staff member who was supervising a child in care was observed to be sleeping.
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 2022-06-28. Correction verified 2022-06-28.
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Other
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Jun 8, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
A staff member harbored a child in care on runaway status and failed to report the child's whereabouts.
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 2022-07-18. Correction verified 2022-07-21.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Jun 8, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
A staff member harbored a child in care on runaway status and failed to report the child's whereabouts.
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 2022-07-18. Correction verified 2022-07-21.
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Discipline & child guidance Serious
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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2022 Report · Deficiencies cited
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Other
A contractor worker witnessed the staff saying belittling remarks towards children in care.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2022-07-06. Correction verified 2022-07-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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May 15, 2022 Report · Deficiencies cited
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Other
A contractor worker witnessed the staff saying belittling remarks towards children in care.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2022-07-06. Correction verified 2022-07-05.
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Other
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May 11, 2022 Report · Deficiencies cited
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Other
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign.
HHSC 748.1101(b)(5)(B) — Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
HHSC risk weight: Medium. Corrected 2022-07-21. Correction verified 2022-07-21.
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Records & paperwork
Case worker reported the agency did not provide the child's progress notes after the child was discharge.
HHSC 748.1439(b)(2) — Discharge Documentation-Send copy of child's background info, including progress notes for past 60 days, to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2022-07-21. Correction verified 2022-07-21.
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Other
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May 11, 2022 Report · Deficiencies cited
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Other
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign.
HHSC 748.1101(b)(5)(B) — Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
HHSC risk weight: Medium. Corrected 2022-07-21. Correction verified 2022-07-21.
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Records & paperwork
Case worker reported the agency did not provide the child's progress notes after the child was discharge.
HHSC 748.1439(b)(2) — Discharge Documentation-Send copy of child's background info, including progress notes for past 60 days, to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2022-07-21. Correction verified 2022-07-21.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2022 Report · Deficiencies cited
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Supervision & ratios
Operation is not providing documentations in a timely manner.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-08.
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Supervision & ratios
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Apr 9, 2022 Report · Deficiencies cited
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Supervision & ratios
Operation is not providing documentations in a timely manner.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Apr 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2022 Inspection · Deficiencies cited
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Other
One discharged child's file did not list the circumstance of the discharge. The discharge summary also did not have the date or time the child was notified.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
Two out of three child files reviewed contained conflicting information on multiple documents.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Illness & medication
Three out of three child files reviewed did not contain an immunization record.
HHSC 748.1539(b) — Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
Required documents for files were not all kept in one consistent place for review.
HHSC 748.361(d) — Personnel records-The system for maintaining all records must be uniform throughout the operation
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
The operation had the forms but had not filled them out for their awol's.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Staff background & training
staff orientation checklist is missing the topic of the types of children they serve.
HHSC 748.831(a)(3) — Orientation-Orientation must include the needs and characteristics of children that the operation serves
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Staff background & training
In 1 out of 2 staff files the employee needed the refresher EBI course by 3/7/22 and has not completed it.
HHSC 748.931(a)(1)(B)(iii) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-04-12.
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Other
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Mar 29, 2022 Inspection · Deficiencies cited
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Other
One discharged child's file did not list the circumstance of the discharge. The discharge summary also did not have the date or time the child was notified.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
Two out of three child files reviewed contained conflicting information on multiple documents.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Illness & medication
Three out of three child files reviewed did not contain an immunization record.
HHSC 748.1539(b) — Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
Required documents for files were not all kept in one consistent place for review.
HHSC 748.361(d) — Personnel records-The system for maintaining all records must be uniform throughout the operation
HHSC risk weight: Medium Low. Corrected 2022-04-12. Correction verified 2022-04-12.
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Supervision & ratios
The operation had the forms but had not filled them out for their awol's.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Staff background & training
staff orientation checklist is missing the topic of the types of children they serve.
HHSC 748.831(a)(3) — Orientation-Orientation must include the needs and characteristics of children that the operation serves
HHSC risk weight: Medium. Corrected 2022-04-12. Correction verified 2022-04-12.
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Staff background & training
In 1 out of 2 staff files the employee needed the refresher EBI course by 3/7/22 and has not completed it.
HHSC 748.931(a)(1)(B)(iii) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-04-12.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2022 Inspection · Deficiencies cited
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Staff background & training
Background checks have never been validated.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2022-01-21. Correction verified 2022-01-21.
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Cleanliness & sanitation Serious
Stair well bannister was missing piece.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-03-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Jan 7, 2022 Inspection · Deficiencies cited
-
Staff background & training
Background checks have never been validated.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2022-01-21. Correction verified 2022-01-21.
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Cleanliness & sanitation Serious
Stair well bannister was missing piece.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-03-29.
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Staff background & training
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Dec 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Inspection · Deficiencies cited
-
Supervision & ratios
One child's admission assessment did not include a determination of whether the operation can meet the immediate needs of a child.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2021-11-24.
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Other
One child's admission assessment did not include a description of circumstances that led to the child's referral for substitute care.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-24.
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Supervision & ratios
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Nov 10, 2021 Inspection · Deficiencies cited
-
Supervision & ratios
One child's admission assessment did not include a determination of whether the operation can meet the immediate needs of a child.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2021-11-24.
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Other
One child's admission assessment did not include a description of circumstances that led to the child's referral for substitute care.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-24.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.