Aim To Achieve Ranch
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 21
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Tarasha Lynette Robinson
- Phone
- (409) 877-1961
- Regulated since
- Nov 14, 2023
- HHSC IDs
- Operation 1419602 · number 1752267
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 9 | 2 | Supervision & ratios (3), Discipline & child guidance (1), Safety & premises (1), Records & paperwork (1), Other (3) |
| 2023 | 5 | 0 | Cleanliness & sanitation (2), Supervision & ratios (1), Staff background & training (2) |
| 2022 | 20 | 3 | Illness & medication (4), Supervision & ratios (7), Discipline & child guidance (2), Safety & premises (1), Staff background & training (3), Records & paperwork (1), Other (2) |
Inspections, investigations & assessments
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
Operation staff didn't complete the required documentation after conducting a search at the operation for suspected prohibited items.
HHSC 748.1117 — Documentation of searches-Caregiver documents searches in the child's record
HHSC risk weight: Medium Low. Corrected 2026-09-15. Correction verified 2026-09-15.
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Supervision & ratios
It was found that two children's service plans weren't being followed for outside supervision.
HHSC 748.705(b)(9) — Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
HHSC risk weight: Medium. Corrected 2026-09-15. Correction verified 2026-09-15.
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Supervision & ratios
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Jul 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2026 Inspection · Deficiencies cited
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Safety & premises
During the walkthrough, it was noticed that all fire extinguishers were out of date.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2026-07-10. Correction verified 2026-07-10.
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Supervision & ratios
During the walkthrough of the inspection, it was noticed that the back refrigerator and freezer were missing a thermometer.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-07-10. Correction verified 2026-07-15.
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Safety & premises
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Jul 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 19, 2026 Report · Deficiencies cited
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Records & paperwork
Incident that resulted in law enforcement assistance and arrest of child in care was not reported timely to Licensing.
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 2026-07-28. Correction verified 2026-08-14.
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Records & paperwork
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Jun 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
A caregiver pulled on a child's hair multiple times as a means to get the child under control.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2026-03-06. Correction verified 2026-03-06.
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Other Serious
In a review of the investigation, it was found that a caregiver pushed down on a child's face.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2026-03-06. Correction verified 2026-03-06.
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Other
There were multiple children present during the inappropriate restraint. There were two staff members present during the altercation, and one staff member did not remove the other children present.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2026-03-06. Correction verified 2026-03-06.
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Other
During an incident between a staff member and a resident, another staff member was present but did not intervene and assist the staff member.
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 2026-03-06. Correction verified 2026-03-06.
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Discipline & child guidance Serious
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Jan 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Five children receiving emergency care services have been in care longer than the maximum 15 days allowed. The operation has not submitted placement extensions.
HHSC 748.4205 — Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
HHSC risk weight: Low. Corrected 2023-10-05. Correction verified 2023-10-04.
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Supervision & ratios
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Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2023 Inspection · Deficiencies cited
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Staff background & training
An employee no longer associated with the operation background check hasn't been inactivated after the seven day requirement.
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 at inspection. Corrected 2023-07-31.
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Staff background & training
The requirement of validating the people list hasn't been met.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-31.
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Staff background & training
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Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
During inspection of the children's bedrooms, the beds were observed to have splinters and exposed pieces of wood (newly built beds and ladders) that could cause injuries. Slats of some of the beds were found to not have been properly secured to the bed frame. One slat was observed on the floor under the bed.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-24.
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Cleanliness & sanitation
During the inspection of bathrooms and kitchen, it was observed that none of the hot water faucets produced sufficient hot water. After a further inspection of the hot water heater, it was determined that the pilot light was out and cannot be readily reset.
HHSC 748.3397(d)(2) — Bathing-Provide sufficient hot water to meet the demands of the children
HHSC risk weight: Medium Low. Corrected 2023-02-24. Correction verified 2023-02-24.
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Cleanliness & sanitation
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Nov 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2022 Inspection · Deficiencies cited
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Discipline & child guidance
The operation's policy on reporting serious incidents is missing significant policies and procedures for reporting serious incidents and other occurrences. The policy is missing notification requirements as applicable in 748.317 and 748.319. The operation must use form 7266 "Notification of Abuse/Neglect/Exploitation Deficiency" to notify parents of the deficiency. These changes to the minimum standards were in effect April 2021. The policies must be consistent with Subchapter D, Div 1- Reporting Serious Incidents and Other Occurrences. Serious incident reporting requirements were updated in minimum standards effective April 2022.
HHSC 748.103(b)(1) — Policies and procedures to submit - Related to record keeping, including where records will be located.
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-17.
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Discipline & child guidance
The operation's abuse and neglect policy reviewed is not consistent with 748.121. The policy does not address the following: -Methods for increasing employee awareness of issues regarding child abuse and neglect -Strategies for coordination between the operation and appropriate community organizations -Methods for increasing employee awareness of prevention techniques for child abuse and neglect -Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention.
HHSC 748.103(b)(10) — Policies and procedures to submit - Abuse and neglect
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-18.
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Supervision & ratios
The operation's child care policies do not address a child?s right to correspond by phone and mail with family members and friends, how a child obtains clothing, does not address how teenagers are provided reasonable opportunities to select clothing, nor policies regarding mail restrictions and receipt of electronic messages and mail. The operation's child care policies do not address care for pregnant teens that is consistent with 748.111(15). **The operation's admission policy does not indicate that this population of youth are accepted or excluded from admission. The child care policies do not address nutrition and hydration for children in care that is consistent with 748.1691, 748.1693, 748.1697, 748.1699, 748.1701, and 748.1703.
HHSC 748.103(b)(5) — Policies and procedures to submit - Child-care
HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-12-05.
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Supervision & ratios
The operation's EBI policy contained on pages 85-92 were reviewed. The EBI policy: -does not provide a complete description of the EBI caregivers may use, only names the curriculum. -does not identify the specific techniques the caregivers can use, only names the two types of EBI allowed to use. -does not include the determination of the basis for the EBI; does not address instructions for caregivers on attempting less restrictive behavior interventions that prove to be ineffective at defusing the situation; does not address requirements under 748.2551; does not address requirements under 748.2553(2), 748.2601, 748.2603, 748.2801(2), and 748.2805(2). -does not address the caregiver's responsibility for documentation following use of EBI as required by 748.2853 and 748.2855(a). -does not address notifications to the managing conservator when EBI is used with a child. -does not address triggered review requirements of EBI for a specific child 748.2901 (Personal Restraints), 748.2903, 748.2905, 748.2907, and 748.2909. -does not include the operation's requirement to conduct quarterly EBI data collection. -does not include the operation's requirement to conduct an annual operation evaluation of EBI.
HHSC 748.103(b)(6) — Policies and procedures to submit - Emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-14.
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Supervision & ratios
The operation's discipline policy does not address: -who may discipline a child -explanation to staff what is considered "unproductive work" -restriction of child's activities as a behavior management tool consistent with 748.2309
HHSC 748.103(b)(7) — Policies and procedures to submit - discipline
HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-10.
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Staff background & training
-Employee job descriptions are not consistent with 748.505 minimum qualification requirements and 748.507 general responsibilities requirements. -There is not a job description for the required position of a Professional Level Service Provider. -The administrator's job description is not consistent with 748.535-responsibilities of administrator. Chapter 748 SC E-Child Care Administrator responsibilities have been updated as of April 2022.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-14.
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Staff background & training
The operation's staff training policy was reviewed. The policy does not include the following for general pre-service training: -location and use of fire extinguishers and first aid equipment -curriculum components for pre-service training in normalcy -curriculum components for pre-service training in administering psychotropic medication -requirement that training on administering psychotropic medication must be instructor led training and the instructor must be a health care professional or a pharmacist The policy does not include the following for annual training: -curriculum components for normalcy -curriculum components for administering psychotropic medication -psychotropic medication instructor led training requirement
HHSC 748.105(4) — Personnel Policies - Develop written policies on the training requirements for employees
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-14.
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Staff background & training Serious
The operation's background check policy is not consistent with TAC Chapter 745, to include, but not limited to: -requirements for when to submit for an initial background check that is consistent with 745.621 -determinations regarding background checks consistent with 745.641 and 745.651 -745.673 pertaining to subject of BGC at operation is under investigation for child abuse or neglect -745.681 pertaining to risk evaluations
HHSC 748.105(6) — Personnel Policies - Ensure that personnel policies comply with background check requirements
HHSC risk weight: High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Supervision & ratios
The operation's education policy does not address requirements in 748.1303.
HHSC 748.111(9) — Child-care policy - Plans for meeting educational needs of each child
HHSC risk weight: Medium Low. Corrected 2022-11-11. Correction verified 2022-11-10.
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Illness & medication Serious
The operation's medication administration policy does not fully address the requirements in informing the person legally authorized to give medical consent.
HHSC 748.2003(a) — Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
HHSC risk weight: High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Illness & medication
The operation's medication policy does not address how discontinued or expired medications are to be destroyed.
HHSC 748.2103(b) — Medication Destruction-Discontinued or expired meds & meds left at facility destroyed by health-care professional/pharmacist or LCCA & adult witness
HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-15.
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Illness & medication
The medication administration and documentation policy does not provide clear instructions to staff regarding the required timeframe for recording medication administration.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Other
The EBI incident form does not include requirement for staff to document the length of time a child was restrained. The EBI incident form does not include requirement for staff to document a child's condition following the release from an EBI as required under 748.2855(a)(11).
HHSC 748.2855(a)(6) — EBI Documentation-Must include the length of time the child was restrained or secluded
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-14.
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Records & paperwork
The serious incident form does not include requirements for documentation that is consistent with 748.313(3)(B thru E) and 748.313(4).
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-10.
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Illness & medication
The operation's disaster and emergency plan does not designate an employee responsible for securing children?s emergency numbers, emergency medical authorizations, and medications during the emergency.
HHSC 748.3231(b)(2) — Evacuation-Plan requires person in charge during emergency to make an employee responsible for securing medical consents & medications
HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-15.
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Other
The bunk beds for children do not include securely attached ladders as required.
HHSC 748.3369(d) — Bedding-A bunk bed must be equipped with a securely attached ladder capable of supporting the child using the bed and an employee
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-11-17.
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Safety & premises Serious
Children's bunk beds are not equipped with required bedrails.
HHSC 748.3369(e) — Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
HHSC risk weight: High. Corrected at inspection. Corrected 2022-11-11.
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Supervision & ratios
The operation's recreation policy describes camping, hiking, fishing, and building construction as recreation activity opportunities offered and planned. However, the recreation policy does not address requirements for when children participate in higher risk recreational activity. The operation's recreation policy must meet or exceed 748.3709 thru 748.3713 and 748.3841 thru 748.3861, as applicable.
HHSC 748.3709(1) — Higher Risk Activity-There must be a person that is responsible for and supervises a higher risk recreational activity
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Supervision & ratios
The operation's policy and procedures does not include plans for handling transportation emergencies that is consistent with 748.4009 (a) thru (c).
HHSC 748.4009(a) — General requirements-Driver & caregivers must have clear instructions in handling transportation emergencies
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Supervision & ratios
The operation's professional staffing plan does address plans for handling emergencies. The professional staffing does not address a designated person must be on call and accessible to caregivers and that all caregivers (and CCR) are informed of emergency system and how to contact the person on call.
HHSC 748.537(a) — On Call Staff-A person designated to handle emergencies must be on call and accessible to caregivers
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-11-15.
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Discipline & child guidance
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.