Meridell Achievement Center
12550 W STATE HIGHWAY 29, Liberty Hill, TX 78642 · Williamson County
Program
- Type
- General residential operation
- Licensed capacity
- 134
- Ages
- 5-17
- Hours
- 12:00 AM-
- Director / administrator
- Glenn Scruggs
- Phone
- (512) 528-2109
- Regulated since
- Nov 8, 1985
- HHSC IDs
- Operation 94940 · number 50218
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 24 | 2 | Cleanliness & sanitation (4), Illness & medication (4), Supervision & ratios (6), Records & paperwork (2), Other (8) |
| 2025 | 28 | 8 | Cleanliness & sanitation (4), Illness & medication (6), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (4), Staff background & training (4), Records & paperwork (2), Other (4) |
| 2024 | 100 | 24 | Cleanliness & sanitation (10), Illness & medication (8), Supervision & ratios (22), Discipline & child guidance (8), Safety & premises (4), Staff background & training (8), Records & paperwork (10), Other (30) |
| 2023 | 52 | 10 | Cleanliness & sanitation (6), Illness & medication (8), Supervision & ratios (20), Staff background & training (8), Records & paperwork (2), Other (8) |
| 2022 | 40 | 2 | Cleanliness & sanitation (2), Illness & medication (6), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (2), Staff background & training (6), Records & paperwork (10), Other (8) |
| 2021 | 2 | 0 | Illness & medication (2) |
Inspections, investigations & assessments
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 17, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Report · Deficiencies cited
-
Other
During the course of the investigation, it was determined that a caregiver used derogatory language in the presence of children.
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 2026-08-14. Correction verified 2026-08-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
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Jul 30, 2026 Report · Deficiencies cited
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Other
During the course of the investigation, it was determined that a caregiver used derogatory language in the presence of children.
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 2026-08-14. Correction verified 2026-08-13.
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Other
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Jul 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
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.
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Report · 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.
-
Jul 8, 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 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2026 Report · Deficiencies cited
-
Illness & medication
Through interviews it was determined that a staff threatened to kick a child due to allergies, after a child attempted to hug her after animal therapy. Through interviews it was determined that staff showed a child in care her medication, allowing her to grab and ingest the pills. Through interviews it was determined that staff are bribing children in care for privileges and to take away consequences.
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 2026-07-22. Correction verified 2026-07-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 20, 2026 Report · Deficiencies cited
-
Illness & medication
Through interviews it was determined that a staff threatened to kick a child due to allergies, after a child attempted to hug her after animal therapy. Through interviews it was determined that staff showed a child in care her medication, allowing her to grab and ingest the pills. Through interviews it was determined that staff are bribing children in care for privileges and to take away consequences.
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 2026-07-22. Correction verified 2026-07-22.
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Illness & medication
-
Jun 11, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
Concerns were identified during the walk through of the Falcon Unit. There was a clogged toilet, two different rooms had holes in the walls, and paint was peeling in several rooms and halls in the Unit.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2026-06-25. Correction verified 2026-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
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Jun 11, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
Concerns were identified during the walk through of the Falcon Unit. There was a clogged toilet, two different rooms had holes in the walls, and paint was peeling in several rooms and halls in the Unit.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2026-06-25. Correction verified 2026-07-08.
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Cleanliness & sanitation
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Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
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 7, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 5, 2026 Report · Deficiencies cited (self-report)
-
Records & paperwork
Review of the Serious Incident Report showed only one staff involved was listed and the other staff were not. No child witnesses were listed and the incident occurred in an area where other children and staff were present and could see the incident.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2026-08-07. Correction verified 2026-08-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
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Jun 5, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the Serious Incident Report showed only one staff involved was listed and the other staff were not. No child witnesses were listed and the incident occurred in an area where other children and staff were present and could see the incident.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2026-08-07. Correction verified 2026-08-05.
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Records & paperwork
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May 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 21, 2026 Report · Deficiencies cited
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Illness & medication
An emergency medication was administered to a child during a nonemergency situation. This led to a personal restraint being used that was avoidable.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2026-07-20. Correction verified 2026-07-22.
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Other
A child threatened to fight staff, and a staff member did not demonstrate control when they responded telling the child to just do it.
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 2026-07-20. Correction verified 2026-07-22.
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Illness & medication
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May 21, 2026 Report · Deficiencies cited
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Illness & medication
An emergency medication was administered to a child during a nonemergency situation. This led to a personal restraint being used that was avoidable.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2026-07-20. Correction verified 2026-07-22.
-
Other
A child threatened to fight staff, and a staff member did not demonstrate control when they responded telling the child to just do it.
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 2026-07-20. Correction verified 2026-07-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 19, 2026 Report · Deficiencies cited
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Cleanliness & sanitation Serious
Staff failed to complete required 15 minute checks as 2 children were able to engage in inappropriate activity in a bathroom for 18 minutes.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-06-29. Correction verified 2026-07-08.
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Cleanliness & sanitation Serious
-
May 19, 2026 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
Staff failed to complete required 15 minute checks as 2 children were able to engage in inappropriate activity in a bathroom for 18 minutes.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-06-29. Correction verified 2026-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
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May 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 5, 2026 Report · Deficiencies cited
-
Other
A staff member pushed a child after the child hit them with a stuffed animal.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 5, 2026 Report · Deficiencies cited
-
Other
A staff member pushed a child after the child hit them with a stuffed animal.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-07-08.
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Other
-
Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
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 2026-03-27. Correction verified 2026-03-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 22, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
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 2026-03-27. Correction verified 2026-03-26.
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Supervision & ratios
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
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Other
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 7, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
-
Other
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
-
Supervision & ratios
-
Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2026 Report · Deficiencies cited
-
Supervision & ratios
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 6, 2026 Report · Deficiencies cited
-
Supervision & ratios
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-19.
-
Supervision & ratios
-
Jan 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 21, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2026-01-27. Correction verified 2026-02-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Dec 21, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2026-01-27. Correction verified 2026-02-19.
-
Illness & medication Serious
-
Dec 16, 2025 Report · Deficiencies cited (self-report)
-
Discipline & child guidance
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
HHSC 748.2307(4) — Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
HHSC risk weight: Medium High. Corrected 2026-02-04. Correction verified 2026-02-19.
-
Discipline & child guidance
-
Dec 16, 2025 Report · Deficiencies cited (self-report)
-
Discipline & child guidance
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
HHSC 748.2307(4) — Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
HHSC risk weight: Medium High. Corrected 2026-02-04. Correction verified 2026-02-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Dec 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 1, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication
A child's injury and ER visit was reported to the hotline late.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-05.
-
Illness & medication
-
Dec 1, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication
A child's injury and ER visit was reported to the hotline late.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 25, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2025-12-14. Correction verified 2025-12-22.
-
Illness & medication Serious
-
Oct 25, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2025-12-14. Correction verified 2025-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2025 Report · Deficiencies cited (self-report)
-
Staff background & training
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
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 2025-12-12. Correction verified 2025-12-15.
-
Records & paperwork
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2025-12-24. Correction verified 2025-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 13, 2025 Report · Deficiencies cited (self-report)
-
Staff background & training
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
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 2025-12-12. Correction verified 2025-12-15.
-
Records & paperwork
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2025-12-24. Correction verified 2025-12-19.
-
Staff background & training
-
Oct 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2025-11-24. Correction verified 2025-11-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Oct 4, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2025-11-24. Correction verified 2025-11-24.
-
Cleanliness & sanitation
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 27, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
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 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2025 Report · Deficiencies cited
-
Staff background & training Serious
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2025-07-24. Correction verified 2025-07-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jun 5, 2025 Report · Deficiencies cited
-
Staff background & training Serious
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2025-07-24. Correction verified 2025-07-18.
-
Staff background & training Serious
-
May 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 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 · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 30, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-05-19.
-
Other
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
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 2025-05-05. Correction verified 2025-05-19.
-
Supervision & ratios
-
Mar 30, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-05-19.
-
Other
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
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 2025-05-05. Correction verified 2025-05-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2025 Report · Deficiencies cited (self-report)
-
Safety & premises
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-03-10. Correction verified 2025-03-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Feb 11, 2025 Report · Deficiencies cited (self-report)
-
Safety & premises
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-03-10. Correction verified 2025-03-14.
-
Safety & premises
-
Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Report · Deficiencies cited (self-report)
-
Other Serious
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-03-14. Correction verified 2025-03-14.
-
Other Serious
-
Jan 22, 2025 Report · Deficiencies cited (self-report)
-
Other Serious
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-03-14. Correction verified 2025-03-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Jan 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2025 Inspection · Deficiencies cited
-
Safety & premises
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-01-27. Correction verified 2025-01-27.
-
Cleanliness & sanitation
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-01-27. Correction verified 2025-01-27.
-
Safety & premises
-
Jan 11, 2025 Inspection · Deficiencies cited
-
Safety & premises
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-01-27. Correction verified 2025-01-27.
-
Cleanliness & sanitation
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-01-27. Correction verified 2025-01-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jan 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Report · Deficiencies cited (self-report)
-
Other
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-01-10. Correction verified 2025-02-10.
-
Other
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-01-10. Correction verified 2025-02-10.
-
Other
-
Dec 4, 2024 Report · Deficiencies cited (self-report)
-
Other
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-01-10. Correction verified 2025-02-10.
-
Other
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-01-10. Correction verified 2025-02-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Dec 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2024 Report · Deficiencies cited
-
Safety & premises
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2025-01-28. Correction verified 2025-02-10.
-
Safety & premises
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-01-28. Correction verified 2025-02-10.
-
Safety & premises
-
Nov 29, 2024 Report · Deficiencies cited
-
Safety & premises
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2025-01-28. Correction verified 2025-02-10.
-
Safety & premises
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2025-01-28. Correction verified 2025-02-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Nov 27, 2024 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was discovered that a child's records was not documented accurately.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-02-14. Correction verified 2025-02-10.
-
Supervision & ratios
-
Nov 27, 2024 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was discovered that a child's records was not documented accurately.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-02-14. Correction verified 2025-02-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 18, 2024 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2024 Report
No violations cited on this visit.
-
Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2024 Inspection · Deficiencies cited
-
Illness & medication Serious
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2024-12-16. Correction verified 2025-01-07.
-
Illness & medication Serious
-
Oct 18, 2024 Inspection · Deficiencies cited
-
Illness & medication Serious
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2024-12-16. Correction verified 2025-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
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 2024-12-18. Correction verified 2025-01-07.
-
Other
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2025-01-07.
-
Discipline & child guidance Serious
-
Oct 18, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
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 2024-12-18. Correction verified 2025-01-07.
-
Other
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2025-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Oct 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2024 Inspection · Deficiencies cited
-
Staff background & training Serious
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected at inspection. Corrected 2024-10-18.
-
Other
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
HHSC 748.1349(a)(3) — Initial Service Plan-Give copy or summary of plan to child's caregivers
HHSC risk weight: Medium Low. Corrected 2024-10-16. Correction verified 2024-11-26.
-
Cleanliness & sanitation
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-10-16. Correction verified 2024-10-18.
-
Cleanliness & sanitation
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-10-09. Correction verified 2024-10-18.
-
Staff background & training Serious
-
Oct 9, 2024 Inspection · Deficiencies cited
-
Staff background & training Serious
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected at inspection. Corrected 2024-10-18.
-
Other
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
HHSC 748.1349(a)(3) — Initial Service Plan-Give copy or summary of plan to child's caregivers
HHSC risk weight: Medium Low. Corrected 2024-10-16. Correction verified 2024-11-26.
-
Cleanliness & sanitation
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-10-16. Correction verified 2024-10-18.
-
Cleanliness & sanitation
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-10-09. Correction verified 2024-10-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Oct 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 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 · Deficiencies cited
-
Supervision & ratios
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2024-12-05. Correction verified 2025-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 30, 2024 Report · Deficiencies cited
-
Supervision & ratios
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2024-12-05. Correction verified 2025-01-07.
-
Supervision & ratios
-
Sep 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
HHSC 748.1009 — Child/caregiver ratio-Must employ an adequate number of caregivers to meet the needs of children
HHSC risk weight: High. Corrected 2024-10-22. Correction verified 2024-10-18.
-
Supervision & ratios Serious
-
Sep 14, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
HHSC 748.1009 — Child/caregiver ratio-Must employ an adequate number of caregivers to meet the needs of children
HHSC risk weight: High. Corrected 2024-10-22. Correction verified 2024-10-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 2, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2024-08-09. Correction verified 2024-08-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Aug 2, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2024-08-09. Correction verified 2024-08-13.
-
Cleanliness & sanitation Serious
-
Jul 30, 2024 Report · Deficiencies cited
-
Illness & medication Serious
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-10-18.
-
Illness & medication Serious
-
Jul 30, 2024 Report · Deficiencies cited
-
Illness & medication Serious
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24.
HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-10-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2024 Report · Deficiencies cited
-
Other
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2024-09-13. Correction verified 2024-09-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 13, 2024 Report · Deficiencies cited
-
Other
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2024-09-13. Correction verified 2024-09-17.
-
Other
-
Jun 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 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 · Deficiencies cited
-
Records & paperwork
3 Staff Charts were reviewed did not have Licensing Affidavits.
HHSC 748.363(7) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2024-07-22. Correction verified 2024-08-13.
-
Records & paperwork
-
Jun 20, 2024 Inspection · Deficiencies cited
-
Records & paperwork
3 Staff Charts were reviewed did not have Licensing Affidavits.
HHSC 748.363(7) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2024-07-22. Correction verified 2024-08-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-05-24. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 20, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-05-24. Correction verified 2024-06-20.
-
Cleanliness & sanitation
-
May 18, 2024 Report · Deficiencies cited
-
Other
The preliminary service plan reviewed for the investigation is missing information including a description of the child's immediate treatment and care needs.
HHSC 748.1331(b)(1) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate treatment and care needs
HHSC risk weight: Medium Low. Corrected 2024-06-30. Correction verified 2024-08-13.
-
Records & paperwork
The incident Report reviewed for the investigation is missing the names of children involved in the incident.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2024-06-30. Correction verified 2024-08-13.
-
Other
-
May 18, 2024 Report · Deficiencies cited
-
Other
The preliminary service plan reviewed for the investigation is missing information including a description of the child's immediate treatment and care needs.
HHSC 748.1331(b)(1) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate treatment and care needs
HHSC risk weight: Medium Low. Corrected 2024-06-30. Correction verified 2024-08-13.
-
Records & paperwork
The incident Report reviewed for the investigation is missing the names of children involved in the incident.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2024-06-30. Correction verified 2024-08-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 18, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-06-20. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 18, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-06-20. Correction verified 2024-06-20.
-
Supervision & ratios Serious
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2024 Report · Deficiencies cited (self-report)
-
Illness & medication
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-07-19. Correction verified 2024-08-13.
-
Illness & medication
-
May 15, 2024 Report · Deficiencies cited (self-report)
-
Illness & medication
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-07-19. Correction verified 2024-08-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2024 Report · Deficiencies cited
-
Records & paperwork
Request for immediate reproduction of video documentation was denied to investigator at the time request.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2024-06-14. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
May 1, 2024 Report · Deficiencies cited
-
Records & paperwork
Request for immediate reproduction of video documentation was denied to investigator at the time request.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2024-06-14. Correction verified 2024-06-20.
-
Records & paperwork
-
Apr 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 12, 2024 Report · Deficiencies cited
-
Staff background & training
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2024-06-05. Correction verified 2024-06-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Apr 12, 2024 Report · Deficiencies cited
-
Staff background & training
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2024-06-05. Correction verified 2024-06-05.
-
Staff background & training
-
Apr 7, 2024 Report · Deficiencies cited
-
Other
Three out of five children interviewed stated a staff member will cuss at them.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 7, 2024 Report · Deficiencies cited
-
Other
Three out of five children interviewed stated a staff member will cuss at them.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
-
Other
-
Apr 6, 2024 Report · Deficiencies cited
-
Other
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
-
Other
-
Apr 6, 2024 Report · Deficiencies cited
-
Other
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 4, 2024 Inspection · Deficiencies cited
-
Staff background & training Serious
In reviewing background checks if was found two employees did not have active backgrounds checks.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2024-04-11. Correction verified 2024-05-15.
-
Records & paperwork
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2024-04-18. Correction verified 2024-05-15.
-
Discipline & child guidance
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
HHSC 748.303(a)(4)(A) — Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-05-15.
-
Other Serious
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-04-18. Correction verified 2024-05-15.
-
Staff background & training Serious
-
Apr 4, 2024 Inspection · Deficiencies cited
-
Staff background & training Serious
In reviewing background checks if was found two employees did not have active backgrounds checks.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2024-04-11. Correction verified 2024-05-15.
-
Records & paperwork
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2024-04-18. Correction verified 2024-05-15.
-
Discipline & child guidance
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
HHSC 748.303(a)(4)(A) — Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-05-15.
-
Other Serious
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-04-18. Correction verified 2024-05-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2024 Report · Deficiencies cited
-
Records & paperwork
Interviews validated there was no documentation written for the restraint.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2024-06-25. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Apr 1, 2024 Report · Deficiencies cited
-
Records & paperwork
Interviews validated there was no documentation written for the restraint.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2024-06-25. Correction verified 2024-06-20.
-
Records & paperwork
-
Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2024 Report · Deficiencies cited
-
Other
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-07-03. Correction verified 2024-06-20.
-
Other
-
Apr 1, 2024 Report · Deficiencies cited
-
Other
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-07-03. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2024 Report · Deficiencies cited
-
Supervision & ratios
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-05-15.
-
Supervision & ratios
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-07-20.
-
Supervision & ratios Serious
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
HHSC 748.1009 — Child/caregiver ratio-Must employ an adequate number of caregivers to meet the needs of children
HHSC risk weight: High. Corrected 2024-05-02. Correction verified 2024-05-15.
-
Other
5 staff and 2 children stated staff yell at children in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Other
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Other
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Supervision & ratios
Documented and verbal complaints regarding ratio, child safety, and staff behaviors have been made by both children and staff, however, issues continue to be ongoing.
HHSC 748.535(3)(F) — Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
HHSC risk weight: Medium. Corrected 2024-05-03. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 29, 2024 Report · Deficiencies cited
-
Supervision & ratios
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-05-15.
-
Supervision & ratios
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2024-05-02. Correction verified 2024-07-20.
-
Supervision & ratios Serious
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
HHSC 748.1009 — Child/caregiver ratio-Must employ an adequate number of caregivers to meet the needs of children
HHSC risk weight: High. Corrected 2024-05-02. Correction verified 2024-05-15.
-
Other
5 staff and 2 children stated staff yell at children in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Other
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Other
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Supervision & ratios
Documented and verbal complaints regarding ratio, child safety, and staff behaviors have been made by both children and staff, however, issues continue to be ongoing.
HHSC 748.535(3)(F) — Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
HHSC risk weight: Medium. Corrected 2024-05-03. Correction verified 2024-06-20.
-
Supervision & ratios
-
Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2024 Report · 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.
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-03-18. Correction verified 2024-03-21.
-
Supervision & ratios
-
Mar 11, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-03-18. Correction verified 2024-03-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
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 2024-06-25. Correction verified 2024-06-20.
-
Discipline & child guidance Serious
-
Feb 16, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
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 2024-06-25. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2024 Report · Deficiencies cited
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Illness & medication
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
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Staff background & training
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
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Illness & medication
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Feb 9, 2024 Report · Deficiencies cited
-
Illness & medication
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
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Staff background & training
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-06-05. Correction verified 2024-06-20.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Feb 9, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Feb 9, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Cleanliness & sanitation
-
Feb 8, 2024 Inspection · Deficiencies cited
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Other Serious
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2024-02-22. Correction verified 2024-02-27.
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Other Serious
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Feb 8, 2024 Inspection · Deficiencies cited
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Other Serious
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2024-02-22. Correction verified 2024-02-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
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Feb 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 8, 2024 Report · Deficiencies cited
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Supervision & ratios
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-20. Correction verified 2024-02-27.
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Supervision & ratios
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-03-14. Correction verified 2024-03-21.
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Other
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-03-14. Correction verified 2024-03-28.
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Discipline & child guidance
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2024-03-14. Correction verified 2024-03-21.
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Supervision & ratios
-
Feb 8, 2024 Report · Deficiencies cited
-
Supervision & ratios
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-20. Correction verified 2024-02-27.
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Supervision & ratios
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-03-14. Correction verified 2024-03-21.
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Other
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-03-14. Correction verified 2024-03-28.
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Discipline & child guidance
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2024-03-14. Correction verified 2024-03-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 11, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-02-22. Correction verified 2024-03-11.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Dec 11, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-02-22. Correction verified 2024-03-11.
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Illness & medication
-
Dec 11, 2023 Report · Deficiencies cited
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Supervision & ratios
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Other
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Cleanliness & sanitation
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
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Cleanliness & sanitation
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
HHSC 748.3365(c)(3) — Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
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Supervision & ratios Serious
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Supervision & ratios
-
Dec 11, 2023 Report · Deficiencies cited
-
Supervision & ratios
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Other
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-27.
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Cleanliness & sanitation
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
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Cleanliness & sanitation
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
HHSC 748.3365(c)(3) — Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
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Supervision & ratios Serious
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-02-16. Correction verified 2024-02-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Dec 6, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-02-12. Correction verified 2024-02-08.
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Supervision & ratios
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Dec 6, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-02-12. Correction verified 2024-02-08.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Nov 30, 2023 Report · Deficiencies cited
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Other Serious
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2024-01-25. Correction verified 2024-02-08.
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Other Serious
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Nov 30, 2023 Report · Deficiencies cited
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Other Serious
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2024-01-25. Correction verified 2024-02-08.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 17, 2023 Report · Deficiencies cited
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Other
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
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 2023-12-22. Correction verified 2024-01-09.
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Other Serious
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2024-01-09.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Nov 17, 2023 Report · Deficiencies cited
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Other
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
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 2023-12-22. Correction verified 2024-01-09.
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Other Serious
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2024-01-09.
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Other
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2023 Report · Deficiencies cited
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Illness & medication
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-01-05. Correction verified 2024-01-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 31, 2023 Report · Deficiencies cited
-
Illness & medication
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-01-05. Correction verified 2024-01-09.
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Illness & medication
-
Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2023 Inspection · Deficiencies cited
-
Illness & medication
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-10-10.
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Cleanliness & sanitation
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
HHSC 748.3365(c)(3) — Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-10-17.
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Illness & medication
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Oct 10, 2023 Inspection · Deficiencies cited
-
Illness & medication
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-10-10.
-
Cleanliness & sanitation
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
HHSC 748.3365(c)(3) — Bedding-must provide each child with clean bed linens once a week or as needed for cleanliness; linens changed/laundered if used by different child
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-10-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 30, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
HHSC 748.535(3)(F) — Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
HHSC risk weight: Medium. Corrected 2023-12-06. Correction verified 2024-01-09.
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Records & paperwork Serious
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-12-06. Correction verified 2024-01-09.
-
Supervision & ratios
-
Sep 30, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
HHSC 748.535(3)(F) — Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
HHSC risk weight: Medium. Corrected 2023-12-06. Correction verified 2024-01-09.
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Records & paperwork Serious
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-12-06. Correction verified 2024-01-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Operation did not have required No Trespassing signs posted at entrance of facility.
HHSC 748.3319(a) — Required Postings-Residential Treatment Center's must have
HHSC risk weight: Medium. Corrected 2023-11-06. Correction verified 2023-10-09.
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Supervision & ratios
-
Sep 10, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
Operation did not have required No Trespassing signs posted at entrance of facility.
HHSC 748.3319(a) — Required Postings-Residential Treatment Center's must have
HHSC risk weight: Medium. Corrected 2023-11-06. Correction verified 2023-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2023 Inspection · Deficiencies cited
-
Illness & medication
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-08-17. Correction verified 2023-08-28.
-
Supervision & ratios
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-28.
-
Staff background & training
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2023-08-17. Correction verified 2023-08-28.
-
Illness & medication
-
Jul 27, 2023 Inspection · Deficiencies cited
-
Illness & medication
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-08-17. Correction verified 2023-08-28.
-
Supervision & ratios
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-28.
-
Staff background & training
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2023-08-17. Correction verified 2023-08-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
HHSC 748.1331(b)(3) — Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
HHSC risk weight: Medium Low. Corrected 2023-05-26. Correction verified 2023-06-12.
-
Staff background & training
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
HHSC 748.833(a)(2) — Orientation exemption-Ensure required abuse/neglect training has been completed in the past 12 months.
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-06-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 16, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
HHSC 748.1331(b)(3) — Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
HHSC risk weight: Medium Low. Corrected 2023-05-26. Correction verified 2023-06-12.
-
Staff background & training
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
HHSC 748.833(a)(2) — Orientation exemption-Ensure required abuse/neglect training has been completed in the past 12 months.
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-06-12.
-
Supervision & ratios
-
May 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2023 Report · 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
-
Mar 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 31, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
In reviewing the Initial Service Plan there was no direction on supervision provided.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-04-20. Correction verified 2023-04-19.
-
Supervision & ratios
-
Mar 15, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
In reviewing the Initial Service Plan there was no direction on supervision provided.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-04-20. Correction verified 2023-04-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-04-14.
-
Supervision & ratios
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
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 2023-03-27. Correction verified 2023-04-14.
-
Staff background & training
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-04-14. Correction verified 2023-04-14.
-
Supervision & ratios
-
Feb 22, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-03-27. Correction verified 2023-04-14.
-
Supervision & ratios
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
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 2023-03-27. Correction verified 2023-04-14.
-
Staff background & training
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-04-14. Correction verified 2023-04-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 24, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-01-26. Correction verified 2023-02-01.
-
Staff background & training Serious
-
Jan 24, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-01-26. Correction verified 2023-02-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jan 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 31, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 31, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2022 Inspection · Deficiencies cited
-
Records & paperwork
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
HHSC 748.1331(b)(4) — Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
HHSC 748.1337(b)(1)(D) — Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
HHSC 748.1339(c) — Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities
HHSC risk weight: Low. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
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 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Other
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Cleanliness & sanitation
During the inspection thirteen out of sixteen bathrooms had mildew.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-30.
-
Illness & medication
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Dec 6, 2022 Inspection · Deficiencies cited
-
Records & paperwork
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
HHSC 748.1331(b)(4) — Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
HHSC 748.1337(b)(1)(D) — Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
HHSC 748.1339(c) — Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities
HHSC risk weight: Low. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
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 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Other
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Cleanliness & sanitation
During the inspection thirteen out of sixteen bathrooms had mildew.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-30.
-
Illness & medication
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-21.
-
Records & paperwork
-
Dec 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 11, 2022 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-22.
-
Staff background & training
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
HHSC 748.1011 — Child/caregiver ratio-Includes only qualified caregivers working directly with a child or group of children
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-22.
-
Staff background & training
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
HHSC 748.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
HHSC risk weight: Medium Low. Corrected 2022-11-30. Correction verified 2022-11-22.
-
Supervision & ratios
-
Oct 11, 2022 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-22.
-
Staff background & training
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
HHSC 748.1011 — Child/caregiver ratio-Includes only qualified caregivers working directly with a child or group of children
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-22.
-
Staff background & training
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
HHSC 748.949(b)(4) — Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
HHSC risk weight: Medium Low. Corrected 2022-11-30. Correction verified 2022-11-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 13, 2022 Report · Deficiencies cited
-
Supervision & ratios
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-21.
-
Supervision & ratios
-
Sep 13, 2022 Report · Deficiencies cited
-
Supervision & ratios
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
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 2022-12-02. Correction verified 2022-12-06.
-
Staff background & training
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
HHSC 748.113(8) — EBI policy - Training for emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2022-12-02. Correction verified 2022-12-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Aug 30, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
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 2022-12-02. Correction verified 2022-12-06.
-
Staff background & training
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
HHSC 748.113(8) — EBI policy - Training for emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2022-12-02. Correction verified 2022-12-02.
-
Discipline & child guidance Serious
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 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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Aug 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 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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Aug 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 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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Jul 12, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
HHSC 748.303(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-07-15. Correction verified 2022-07-14.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Jul 12, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
HHSC 748.303(a)(11)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-07-15. Correction verified 2022-07-14.
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Illness & medication
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Jul 12, 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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Jul 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 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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Jun 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 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 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 17, 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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Jun 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2022-08-09. Correction verified 2022-08-04.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Jun 4, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2022-08-09. Correction verified 2022-08-04.
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Illness & medication
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Jun 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 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 29, 2022 Report · Deficiencies cited (self-report)
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Other
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2022-07-11. Correction verified 2022-06-29.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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May 29, 2022 Report · Deficiencies cited (self-report)
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Other
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2022-07-11. Correction verified 2022-06-29.
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Other
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Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 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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Mar 17, 2022 Report · Deficiencies cited
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Safety & premises
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2022-05-20. Correction verified 2022-06-20.
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Safety & premises
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Mar 17, 2022 Report · Deficiencies cited
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Safety & premises
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2022-05-20. Correction verified 2022-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Mar 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 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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Mar 11, 2022 Report · Deficiencies cited (self-report)
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Other
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
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 at inspection. Corrected 2022-04-01.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 11, 2022 Report · Deficiencies cited (self-report)
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Other
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
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 at inspection. Corrected 2022-04-01.
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Other
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Jan 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2022 Report · Deficiencies cited (self-report)
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Other
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2022-03-16. Correction verified 2022-03-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
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Jan 17, 2022 Report · Deficiencies cited (self-report)
-
Other
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2022-03-16. Correction verified 2022-03-22.
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Other
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Jan 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 5, 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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Jan 1, 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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Jan 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 31, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-02-14. Correction verified 2022-02-14.
-
Illness & medication
-
Dec 27, 2021 Report · Deficiencies cited (self-report)
-
Illness & medication
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2022-02-14. Correction verified 2022-02-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 24, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 24, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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.