Positive Serenity Life Support
14881 SKINNER RD, Cypress, TX 77429 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 18
- Ages
- 6-17
- Hours
- -
- Director / administrator
- Tina Michelle Giles
- Phone
- (415) 847-4230
- Regulated since
- Nov 21, 2025
- HHSC IDs
- Operation 1509138 · number 1818667
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 14 | 1 | Cleanliness & sanitation (2), Illness & medication (3), Supervision & ratios (1), Safety & premises (2), Staff background & training (1), Records & paperwork (4), Other (1) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Aug 12, 2026 Inspection · Deficiencies cited
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Records & paperwork
Out of the 4 children's records reviewed 2 children's records had a late notification of child's rights. Both children were admitted on 6/18/2026 and the children rights were dated 7/17/2026.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-08-24.
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Records & paperwork
Our of the 4 children's records reviewed 2 child's rights did not have signatures of the children that the rights were explained to.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-24.
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Records & paperwork
Out of 4 children's records reviewed none of the records had suicide screenings.
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 2026-08-21. Correction verified 2026-08-24.
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Safety & premises
Out of the 4 children's files reviewed 3 admissions assessments were incomplete.
HHSC 748.1271(1) — Emergency Admission Documentation-Include brief description of circumstances necessitating emergency admission
HHSC risk weight: Medium Low. Corrected 2026-08-21. Correction verified 2026-08-24.
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Records & paperwork
Out of the 4 children's records reviewed 3 of the children's records did not have a service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2026-08-21. Correction verified 2026-08-24.
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Illness & medication
Upon review of one of the child's records the records showed the child to be allergic to a medication however the service plan stated the child had no known allergies.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-08-24.
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Illness & medication
One child was prescribed Prazosin 2mg and Prazosin 1mg, with the expectation to take a total of 3 mg per day. There was a medication record combining the Prazosin 2mg and 1mg together and indicating the child was taking Prazosin 3 mg. The operation failed to provide medication records for Prazosin 2mg and an additional record for Prazosin 1mg.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2026-08-21. Correction verified 2026-08-24.
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Illness & medication Serious
One of the two child medication records reviewed did not include whether the child had/had no allergies
HHSC 748.2151(f) — Medication record-must include identification or prohibited prescription medication, non-prescription medication, or supplements for the child
HHSC risk weight: High. Corrected 2026-08-21. Correction verified 2026-08-31.
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Supervision & ratios
The operation has not completed any severe weather drills. The operation has had child placements since May 2026.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-08-24.
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Cleanliness & sanitation
During the walk-through it was discovered the plate for the light switch fixture was broken.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-08-31.
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Cleanliness & sanitation
During a walk through of the operation none of the bathrooms had any hand towels at the sink.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-08-31.
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Records & paperwork
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 5, 2026 Inspection · Deficiencies cited
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Other
Out of 4 personnel files reviewed 3 files did not have at least 2 reference checks.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2026-05-14. Correction verified 2026-05-15.
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Other
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Feb 12, 2026 Inspection · Deficiencies cited
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Safety & premises
During the inspection it was found that the cabinet under the kitchen sink contained dishwasher detergent that would be a poison hazard to a child in care. The cabinet was not locked nor secured.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-12.
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Staff background & training
During a review of a personel file it was found that the file only contained the training records. Several itmes were missing from the file.
HHSC 748.361(a) — Personnel records - All active records maintained at the operation
HHSC risk weight: Medium Low. Corrected 2026-02-20. Correction verified 2026-02-20.
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Safety & premises
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Oct 22, 2025 Inspection · 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.