Unity Children's Home - Girls
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 32
- Ages
- 6-17
- Hours
- -
- Director / administrator
- Harriet Coleman Callion
- Phone
- (281) 355-0905
- Regulated since
- Jun 13, 2018
- HHSC IDs
- Operation 1210694 · number 1594840
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Supervision & ratios (1) |
| 2025 | 4 | 0 | Cleanliness & sanitation (2), Supervision & ratios (1), Records & paperwork (1) |
| 2024 | 12 | 3 | Illness & medication (6), Supervision & ratios (2), Discipline & child guidance (1), Staff background & training (1), Records & paperwork (2) |
| 2023 | 35 | 9 | Illness & medication (7), Supervision & ratios (8), Discipline & child guidance (7), Records & paperwork (7), Other (6) |
| 2022 | 11 | 4 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (3), Safety & premises (2), Other (4) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2026 Inspection
No violations cited on this visit.
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Jun 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on June 15, 2026, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring necessitating previous extension. Furthermore, due to the recent citation issued on April 8, 2026, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium-high weighted citation in a pattern/trend category on April 8, 2026. Specifically, the operation was cited for standard 748.2551(b)(2) - EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention. The operation met compliance on 4/22/2026. - Operation failed to satisfy the conditions of the plan - Operation was unable to meet compliance with Medium-High or High weighted licensing citations - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring, including having open investigations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $150.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-06-16. Correction verified 2026-06-16.
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Supervision & ratios
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 25, 2026 Report · 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 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Report · 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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Mar 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Report
No violations cited on this visit.
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Report · No deficiencies cited (self-report)
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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Jan 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2025 Assessment · Deficiencies cited
-
Cleanliness & sanitation
During a review conducted on December 12, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium-high weighted citation in a pattern/trend category on September 25, 2025. Specifically, the operation was cited for standard 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions. The operation met compliance on 9/25/2025. - Operation failed to satisfy the conditions of the plan - Operation was unable to meet compliance with Medium-High or High weighted licensing citations - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring, including having open investigations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $150.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2025-12-13. Correction verified 2025-12-13.
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Cleanliness & sanitation
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Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Report
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Inspection · Deficiencies cited
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Records & paperwork
During the review of one child file today, multiple date of birth was noted. The date of birth in the children list is different from the date of birth in the childs behavior managment plan. The date in the children list says 14 while the date in the behavior management plan says 12. Citation was corrected at inspection.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-10-21.
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Records & paperwork
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Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
Lettuce was observed in the refrigerator that was brown and slimy with a label of 8/3/2025.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-09-25.
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Cleanliness & sanitation
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Sep 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Report · Deficiencies cited
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Supervision & ratios
Several Serious Incident reports did not have the facility address and the telephone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2025-09-11. Correction verified 2025-09-09.
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Supervision & ratios
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Assessment
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Report · Deficiencies cited
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Supervision & ratios
It was determined that a staff members name was forged on a document.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-01-02. Correction verified 2024-12-26.
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Supervision & ratios
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Dec 9, 2024 Assessment · Deficiencies cited
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Illness & medication
During a review conducted on December 9, 2024, it was determined that: (1) Your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a Medium-High weighted citation in a pattern/trend category on November 27, 2024. Specifically, the operation was cited for 748.2003(b)(3)-Administration of prescription medication. The operation has not met compliance. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2024-12-10. Correction verified 2024-12-10.
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Illness & medication
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Dec 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Report · Deficiencies cited
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Illness & medication
Child was prescribed 2 medications during her visit with the doctor, operation staff confirmed during interview that he received the medication from the pharmacy but did not administer medications to the child because they were waiting for approval from CVS caseworker
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-12-03. Correction verified 2024-12-03.
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Illness & medication
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Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Inspection · Deficiencies cited
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Staff background & training
During the review of one staff file, the last Truama Training taken by staff was 4-12-23. No Evidence that the Truama training has been taken in 2024 by staff
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2024-10-11. Correction verified 2024-10-11.
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Staff background & training
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Oct 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · Deficiencies cited
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Illness & medication
According to information in the Serious Incident report, it stated that victim child did not need any medical care. However, child was taken to HCA ER and was prescribed pain medications to be administered as needed and also recommended to follow up with PCP
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-11.
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Illness & medication
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During the review of one staff file, different dates of hire was noticed in the staff file. One of the date of hire is 8-14-23 while the other date of hire says 8-28-23. Also, during the review of one childs file, 2 dates of birth was noticed. One of the date says 4-13-24 while the other says 4-13-10. Both errors were corrected at inspection.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-18.
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Supervision & ratios
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Jul 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2024 Report · Deficiencies cited
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Illness & medication
During a Heighted monitoring visit, it was observed that medication was being prepped 4 hours prior to being administered. It was also reported by the LCCA that medication is prepped 1 1/2 to 2 hours prior to being administered.
HHSC 748.2003(b)(4) — Administration of prescription medication-Administer each child's medication within one hour of preparation
HHSC risk weight: Medium. Corrected 2024-06-28. Correction verified 2024-06-28.
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Illness & medication
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May 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2024 Inspection
No violations cited on this visit.
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Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 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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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2024 Inspection · Deficiencies cited
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Records & paperwork
During the review of one childs file today, date of birth in the childs initial service plan and pre liminary service plan has it as January 16th while the date of birth for the child in the childs biography cover page has it as January 6th but has same year of birth.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-02-28.
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Records & paperwork
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Feb 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
Staff failed to provide adequate supervision to children which resulted to a child gaining access to prescribed medications.
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 2024-05-06. Correction verified 2024-05-08.
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Illness & medication Serious
Staff did not have medication in a locked container nor inaccessible to children.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2024-05-06. Correction verified 2024-05-08.
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Illness & medication Serious
Staff on duty were not aware of child's ongoing activity when child got access to prescribed medications and ingested it. Also, staff stated that she did not witness the incident and don't want to speculate about it.
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 2024-05-06. Correction verified 2024-05-08.
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Discipline & child guidance Serious
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Feb 13, 2024 Inspection · Deficiencies cited
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Records & paperwork
During the review of one staff file today, the job description for the staff was misssing in the file. Inspector was not able to locate job description in the file. The administrator also reviewed the staff file in presence of the inspector and did not find the staff job description.
HHSC 748.363(4) — Personnel records-Personnel records-Include current job description.
HHSC risk weight: Medium. Corrected 2024-02-20. Correction verified 2024-02-28.
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Records & paperwork
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Feb 2, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 4, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2023 Report · Deficiencies cited
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Discipline & child guidance
Victim Child alleged that staff were aware of the incident where residents had nonconsensual sex inside the facility and did not report it., did not take her to the hospital and did not notify law enforcement.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2024-03-13. Correction verified 2024-03-18.
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Other Serious
During forensic interview, victim child alleged to have been chock by the aggressors during while sexually been assaulted. Victin child stated alleged to not been able to breath while being chocked.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-03-13. Correction verified 2024-03-18.
-
Discipline & child guidance
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
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.
-
Dec 14, 2023 Inspection
No violations cited on this visit.
-
Dec 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 9, 2023 Report · Deficiencies cited
-
Supervision & ratios
Resident in care was taken to dental office for dental repair and not reported within the required time frame.
HHSC 748.303(e)(2)(A) — Serious Incident-Report to Licensing no later than 24 hours after disaster or emergency that requires an operation to close
HHSC risk weight: Medium. Corrected 2024-02-08. Correction verified 2024-02-08.
-
Records & paperwork
Serious incident reports received are missing pertinent information.
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 2024-02-08. Correction verified 2024-02-08.
-
Supervision & ratios
-
Nov 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Records reviewed on all six residents. There was not an individualized statement within each child's service plan indicating the need of a camera within the bedrooms.
HHSC 748.3353(b)(2) — Video cameras only used to supervise children when specific criteria met. Document justification in child's service plan & ensure alternative privacy
HHSC risk weight: Medium Low. Corrected 2025-04-24. Correction verified 2025-05-20.
-
Records & paperwork
-
Nov 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2023 Report · Deficiencies cited
-
Illness & medication
It was found that a child was not provided a prescribed pre diabetic medication for a month due to the medication not being delivered.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-22.
-
Illness & medication
-
Oct 16, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined a staff member has fallen asleep while being responsible for children in care with significant high risk behaviors.
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 2024-01-24. Correction verified 2024-01-24.
-
Discipline & child guidance Serious
It was determined that a staff member neglected to appropriately supervise children with high-risk behaviors.
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 2024-01-24. Correction verified 2024-01-24.
-
Discipline & child guidance Serious
-
Oct 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2023 Report · Deficiencies cited
-
Illness & medication Serious
During the course of the investigation, it was determined that consent was not obtained for medication.
HHSC 748.2001(a) — Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
HHSC risk weight: High. Corrected 2023-12-07. Correction verified 2023-12-05.
-
Illness & medication Serious
-
Oct 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2023 Report · Deficiencies cited (self-report)
-
Other
It was determined that suicide screening was not administered for a child during admission.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2023-09-26. Correction verified 2024-01-31.
-
Other
-
Sep 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2023 Report · Deficiencies cited
-
Illness & medication
One prescribed medication was not listed in the child in care's service plan.
HHSC 748.1337(b)(1)(D)(viii) — Initial Service Plan-Include instructions to caregivers about actions to take or conditions to be aware of in order to meet child's special needs
HHSC risk weight: Medium. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Illness & medication
One prescribed medication was not included in the child in care's discharge paperwork.
HHSC 748.1437(5) — Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
HHSC risk weight: Medium. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Supervision & ratios
Program Manager stated in her interview that she prefills the medical form 2403.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Illness & medication
One medication, prescribed by a healthcare professional, was not administered to the child in care.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Illness & medication
The administrator was made aware of a child in care not receiving a prescribed medication but the child in care was still not receiving the medication two weeks after meeting.
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 2024-02-20. Correction verified 2024-02-20.
-
Illness & medication
-
Aug 30, 2023 Report · Deficiencies cited (self-report)
-
Other
It is documented that a child in care inflicted cuts on her arm on 08/24/2023, there is no documentation showing that a suicide screening was administered.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2023-11-03. Correction verified 2023-12-05.
-
Other Serious
A child in care suffered self-inflicted cuts to her arm on 08/24/2023 and was not seen by a medical professional until 08/28/2023 where the determination was made to admit her into a behavioral hospital for evaluation.
HHSC 748.125(e)(1)(A) — You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide.
HHSC risk weight: High. Corrected 2023-11-03. Correction verified 2023-12-05.
-
Records & paperwork
A child in care inflicted cuts on her arm during a crisis situation on 08/24/2023, this was not reported to Licensing until 08/30/2023.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2023-11-03. Correction verified 2023-12-05.
-
Other
-
Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
Staff was observed asleep while supervising children with high-risk behavior putting them in substantial risk of harm.
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 2024-02-23. Correction verified 2024-02-21.
-
Supervision & ratios Serious
Multiple sources reported witnessing staff sleeping or resting their eyes while supervising children including children with high risk behaviors.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-02-23. Correction verified 2024-02-21.
-
Discipline & child guidance Serious
-
Aug 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Upon review of the personnel records, one of the caregiver was missing an affadavit.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-07-21. Correction verified 2023-07-27.
-
Records & paperwork
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
In an investigation conducted by DFPS, it was confirmed that an employee did not appropriately supervise children in care when starting a personal relationship with two children in care while working at the operation.
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 2024-01-19. Correction verified 2024-01-24.
-
Supervision & ratios
A staff member violated the operations' Appropriate Boundaries and Relationships/Staff Resident Relationships Policy, Sexual Misconduct Policy, and Conflict of Interest Policy when engaging in an inappropriate relationship with a child in care while under the auspices of the operation.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-01-24.
-
Discipline & child guidance Serious
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 18, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver pulled the hair of a child in care, grabbed the child by the neck and threatened the child.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2023-07-07. Correction verified 2023-07-12.
-
Other
A caregiver used profane language and directed it toward a child in care when speaking to the child.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-07-07. Correction verified 2023-07-12.
-
Discipline & child guidance Serious
-
May 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Four of four records reviewed did not contain a signature from the DFPS caseworker.
HHSC 748.1339(a)(2) — Initial Service Plan-Team must include person designated to make decisions regarding a child's participation in childhood activities
HHSC risk weight: Low. Corrected 2023-05-24. Correction verified 2023-12-19.
-
Other
One of four caregivers started in 2020 but his TB test was from 2013. It was not indicated in his employee binder that he previously worked for any other RTC/GRO/CPA.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-05-17. Correction verified 2023-12-19.
-
Illness & medication
Four of four records did not include their past medication records.
HHSC 748.2151(g) — Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
HHSC risk weight: Medium Low. Corrected 2023-05-24. Correction verified 2023-12-19.
-
Records & paperwork
The reports are not detailed in what interventions the caregivers actually used. It is mostly stated that staff redirects the children but does not specify how. For a fight, it was stated that the residents were separated but does not specify how.
HHSC 748.311(8) — Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
HHSC risk weight: Medium. Corrected 2023-05-24. Correction verified 2023-12-19.
-
Records & paperwork
Four of four records reviewed did not contain a copy of the admission assessment, preliminary, or daily progress notes. Three of the four records did not have any updated incidents reports from 2022.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2023-05-24. Correction verified 2023-12-19.
-
Records & paperwork
-
May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 30, 2023 Report · Deficiencies cited
-
Supervision & ratios
Operational employees did not notify Licensing of police responding to an incident at the operation.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2023-07-04. Correction verified 2023-07-14.
-
Supervision & ratios
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2023 Report · Deficiencies cited
-
Discipline & child guidance
The Administrator failed to mention the injury sustained by a resident (a brace on her right wrist for 7 days), as a result of a physical altercation, when she made a report to the Abuse and Neglect hotline.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-23.
-
Discipline & child guidance
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2023 Report · Deficiencies cited
-
Supervision & ratios
The purpose of this rule is to ensure the privacy of the child while in therapy. During the inspection, a camera was observed in the therapy room and requested to be remove prior to leaving the operation. The operation did remove the camera in the therapy treatment room prior to licensing leaving the inspection.
HHSC 748.1101(b)(3)(E) — Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
HHSC risk weight: Medium. Corrected 2023-04-26. Correction verified 2023-07-17.
-
Supervision & ratios
The operation placed video cameras in the bedrooms and therapy room without prior approval from each girls treatment team per minimum standards.
HHSC 748.3353(b)(2) — Video cameras only used to supervise children when specific criteria met. Document justification in child's service plan & ensure alternative privacy
HHSC risk weight: Medium Low. Corrected 2023-05-08. Correction verified 2023-06-21.
-
Supervision & ratios
The operation did not make a prudent judgement when placing camera in to bedrooms without prior approval from treatment team.
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 2023-05-08. Correction verified 2023-07-17.
-
Supervision & ratios
-
Apr 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 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.
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 30, 2022 Inspection · Deficiencies cited
-
Other
The unauthorized absence log was observed missing the required information. The log was also observed with untrue/inaccurate information documented.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-10-07. Correction verified 2022-10-20.
-
Other
A child's file was reviewed; there was no unauthorized debriefing documentation. The administrative staff were unable to produce to requested documentation prior to the conclusion of the inspection.
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2022-10-07. Correction verified 2022-10-20.
-
Other
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Investigation interviews indicate care givers became aware on 09-18-2022 of allegations of a care giver being sexually in appropriate in the presence of children in care and there was a miscommunication among the care givers resulting in this care giver being able to return to work with no restrictions or precautions in place until 09-19-2022 when an additional similar allegation prompted the operation to implement a plan.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-01-19. Correction verified 2023-03-23.
-
Supervision & ratios Serious
-
Sep 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
According to the operation, a child in care was asked to write a statement regarding a report made by the child in an effort to not put anyone in any type of litigation.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2022-04-26. Correction verified 2022-07-14.
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Supervision & ratios Serious
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Feb 16, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2022 Inspection · Deficiencies cited
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Other
1 out of 4 files reviewed does not have a signature of the treatment director
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2022-02-11. Correction verified 2022-03-18.
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Safety & premises
Upon inspection of facility the evacuation plan was not posted in any of the units or around the facility (CI)
HHSC 748.191(3) — Required Postings-Post emergency and evacuation relocation plans in each building and living quarters used by children where all may view them
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-09.
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Illness & medication
During inspection it was noticed that medication for a child in care was not logged correctly. There were two medication logs for one medication, stating there were 3 pills left on one log and 28 on another log. The pill card or script card had 1 pill. (CI)
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-09.
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Cleanliness & sanitation Serious
During the walk through of the facility it was noticed that doors were broken, graffiti was on the unit walls/ doors, and walls were not in good repair
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-02-25. Correction verified 2022-03-18.
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Safety & premises Serious
During the walk through of the facility it was noticed that two bunkbeds did not have a bedrail on the top bunk
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 2022-02-28. Correction verified 2022-03-18.
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Supervision & ratios
During walkthrough of kitchen, it was noticed that meat in the refrigerator was not properly thawed. Food was seen opened and bleeding on a sliver pan in the refrigerator. Photo was taken. (CI)
HHSC 748.3441(m) — Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-09.
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Other
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Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2022 Inspection · Deficiencies cited
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Other
During the walk through it was observed that 5 beds were missing cover protectors in the girls unit.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-01-28.
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Other
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Jan 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.