Make A Way, INC
407 N CEDAR RIDGE DR STE 140, Duncanville, TX 75116 · Dallas County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 11:00 AM-03:00 PM
- Director / administrator
- Kristina Denise Williams
- Phone
- (817) 291-9631
- Regulated since
- Dec 22, 2017
- HHSC IDs
- Operation 1268603 · number 1645895- 12071
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 3 | 0 | Supervision & ratios (2), Other (1) |
| 2025 | 10 | 3 | Cleanliness & sanitation (2), Supervision & ratios (2), Records & paperwork (3), Other (3) |
| 2024 | 26 | 5 | Cleanliness & sanitation (1), Illness & medication (6), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (4), Records & paperwork (4), Other (7) |
| 2023 | 6 | 2 | Supervision & ratios (2), Safety & premises (1), Staff background & training (2), Other (1) |
| 2022 | 21 | 6 | Supervision & ratios (4), Discipline & child guidance (3), Safety & premises (3), Food & allergies (1), Staff background & training (2), Other (8) |
Inspections, investigations & assessments
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2026 Inspection · Deficiencies cited
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Supervision & ratios
The transfer summary did not include a statement concerning whether the operation would recommend the foster home for verification in the future.
HHSC 749.2497(d)(12) — Verification-A transfer or closing summary a statement concerning whether you would recommend the foster home for verification in the future
HHSC risk weight: Medium. Corrected 2026-06-02. Correction verified 2026-05-22.
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Other
The transfer summary did not include the number of children the home has fostered for the last two years, the type of treatment services provided to each child, or the reason for each child's discharge.
HHSC 749.2497(d)(4) — Verification-Transfer/closing summary must include # of children fostered, type of tmt. services provided and reason for discharge.
HHSC risk weight: Medium. Corrected 2026-06-02. Correction verified 2026-05-22.
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Supervision & ratios
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 8, 2026 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on April 8, 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 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. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on July 31, 2025. Specifically, the operation was cited for 749.2593(c)(2) Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment. The operation met compliance on August 29, 2025. - 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: 749.635(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 $100.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-04-09.
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Supervision & ratios
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Apr 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 25, 2026 Inspection · 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 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2026 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.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 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 23, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
A butcher knife was observed outside on the ground accessible to children.
HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2025-07-30. Correction verified 2025-08-07.
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Other
The pool pump did not have a fence around it and the children had access to it.
HHSC 749.3133(n) — Swimming Pools-pool chemicals and pumps must be inaccessible to all children.
HHSC risk weight: Medium High. Corrected 2025-07-30. Correction verified 2025-08-07.
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Cleanliness & sanitation
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Jul 17, 2025 Assessment · Deficiencies cited
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Records & paperwork
An arrest of a household member was not reported.
HHSC 749.503(e)(7)(A) — Serious Incident-Report to Licensing as soon as you are aware of arrest/indictment/criminal complaint of person under the auspices of agency.
HHSC risk weight: Medium. Corrected 2025-07-21. Correction verified 2025-07-24.
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Records & paperwork
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
The caregiver did not provide a safe environment when the children in care where exposed to inappropriate shows on the television. Also, the caregiver used profanity during the inspection at the home when speaking with HHSC staff and children were present.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2025-08-20. Correction verified 2025-08-28.
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Records & paperwork
The foster home was licensed for 4 foster children, however the bedroom designated for foster children only provided square footage for two foster children.
HHSC 749.3021(a) — Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
HHSC risk weight: Medium. Corrected 2025-08-20. Correction verified 2025-08-28.
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Supervision & ratios Serious
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2025 Assessment · Deficiencies cited
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Records & paperwork
A child with high-risk behaviors ran away from the home. Due to the child's history behaviors, immediate reporting was required and not conducted.
HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2025-07-16. Correction verified 2025-07-16.
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Records & paperwork
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Jul 8, 2025 Report · 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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Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walk through of the home, a youth's bed sheet was observed on the floor and urine soiled. There were also food stains on the mattress cover and the mattress cover was torn.
HHSC 749.3031(b) — Beds and bedding-beds must be clean and comfortable
HHSC risk weight: Medium. Corrected 2025-08-22. Correction verified 2025-08-28.
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Other Serious
During the walk through of the foster home's outdoor area, the above ground pool was cloudy, and the bottom could not be seen.
HHSC 749.3133(k) — Swimming Pools-bottom of the pool must be visible at all times.
HHSC risk weight: High. Corrected 2025-08-20. Correction verified 2025-08-28.
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Cleanliness & sanitation
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Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2025 Report · 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 17, 2025 Report · Deficiencies cited
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Supervision & ratios
The quarterly home visit reviewed had several areas of inaccurate information, including the foster parent's name stressors in the home, pools, and home environment.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-08-22. Correction verified 2025-08-28.
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Supervision & ratios
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Jun 16, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 12, 2025 Report · No deficiencies cited
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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Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 27, 2025 Report · 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 18, 2025 Report · Deficiencies cited
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Other Serious
During a previous investigation children in care were told to lie about methods of discipline.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2025-05-23. Correction verified 2025-06-02.
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Other Serious
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Apr 11, 2025 Report · 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 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Report · 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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Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 3, 2025 Report · No deficiencies cited
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 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 16, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
During inspection, two medicine bottles were observed to be on the bathroom shelf and not locked away.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-12-23. Correction verified 2024-12-30.
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Safety & premises
Two out of two fire extinguishers reviewed were found to be last serviced in October 2023.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2024-12-30.
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Cleanliness & sanitation
During the inspection, a hole was found in the door of the foster children's bedroom where the door handle should be.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2024-12-30.
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Illness & medication Serious
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Dec 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 5, 2024 Inspection · Deficiencies cited
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Records & paperwork
The staff file reviewed did not contain a copy of the Affidavit for Applicants. The form was obtained and notarized during the inspection.
HHSC 749.553(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 at inspection. Corrected 2024-11-05.
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Records & paperwork
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Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2024 Inspection · Deficiencies cited
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Other Serious
During the inspection, the foster parent refused access to the master bedroom and the outside balcony on the second floor.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2024-10-09. Correction verified 2024-10-18.
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Other Serious
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Sep 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 25, 2024 Report · Deficiencies cited
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Other Serious
Two children's service plans reviewed did not address how the caregivers will assist in minimizing high-risk behaviors for the youth in care.
HHSC 749.1309(b)(1)(H)(i) — Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others
HHSC risk weight: High. Corrected 2024-11-15. Correction verified 2024-11-13.
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Illness & medication
The medication for a youth in care does not document the reason the medication was prescribed or who prescribed the medication.
HHSC 749.1541(c)(3) — Medication Record-Must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-11-15. Correction verified 2024-11-13.
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Other Serious
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Sep 5, 2024 Report · Deficiencies cited
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Records & paperwork
The household expense report in the Foster Home Screening did not include the amount of money foster parent is receiving from a household member.
HHSC 749.2447(6)(B) — Foster Home Screening-Verify and document that prospective foster parents have sufficient income/other available assets
HHSC risk weight: Medium. Corrected 2025-03-28. Correction verified 2025-02-14.
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Other
The floor plan did not indicate which rooms were for children's use.
HHSC 749.2470(3)(A) — Verification-Includes obtaining floor plan showing dimensions and purposes of all rooms in the home and identifying indoor areas for children's use
HHSC risk weight: Medium Low. Corrected 2025-03-28. Correction verified 2025-02-14.
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Records & paperwork
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Aug 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2024 Inspection · Deficiencies cited
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Other
One out of three homes reviewed did not conduct an unannounced quarterly visit for 2023.
HHSC 749.2815(b) — Supervisory Visits-At least two supervisory visit per year must be unannounced
HHSC risk weight: Medium High. Corrected 2024-06-12. Correction verified 2024-06-11.
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Safety & premises
Two out of three homes reviewed did not have a severe weather drill for 2023.
HHSC 749.2908(a)(3) — Disaster and Emergency-must conduct a severe weather drill each year
HHSC risk weight: Medium High. Corrected 2024-06-12. Correction verified 2024-06-11.
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Other
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Jun 4, 2024 Report · 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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Apr 13, 2024 Report · Deficiencies cited
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Other Serious
A foster parent used their body by ?bowing up? as a form of a threat towards a child in care that was exhibiting unwanted behavior.
HHSC 749.1951(b)(2) — Disciplinary Measures-Must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2024-05-24. Correction verified 2024-06-03.
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Discipline & child guidance
A foster parent used derogatory language towards a child in care.
HHSC 749.1957(4) — Other Prohibited Discipline-Using sarcastic or cruel humor, & verbal abuse
HHSC risk weight: Medium High. Corrected 2024-05-24. Correction verified 2024-06-03.
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Records & paperwork
The home screening did not include all CPA's that the foster parent was previously licensed prior to being verified with the current agency.
HHSC 749.2447(23)(A) — Foster Home Screening-Agency must request and assess home study and related documentation from CPA that previously studied the family
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-06-04.
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Other
The home screening did not assess the foster parent's income by reviewing the bank statements or tax returns.
HHSC 749.2447(6)(B)(ii) — Foster Home Screening-Document and assess for each prospective parent copy of 2 bank statements and/or previous year's tax return
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-06-03.
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Other Serious
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Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 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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Illness & medication Serious
During today's inspection, medication was being kept in the master bedroom not in a locked container.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-03-06. Correction verified 2024-03-04.
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Safety & premises
The fire inspection was last tagged in August 2022.
HHSC 749.2913(b)(2) — Fire Extinguisher-Have a maintenance check once a year by a person qualified to inspect fire extinguishers.
HHSC risk weight: Medium High. Corrected 2024-03-06. Correction verified 2024-03-04.
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Safety & premises
Caregiver admitted to still smoking in the garage.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2024-03-06. Correction verified 2024-03-04.
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Illness & medication Serious
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Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2024 Report · Deficiencies cited
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Illness & medication
Multiple medication logs were reviewed. There were multiple days that did not have a signature on who administered the medication to the children.
HHSC 749.1541(c)(6) — Medication Record-Must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2024-03-26. Correction verified 2024-03-29.
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Illness & medication
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Feb 17, 2024 Report · Deficiencies cited
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Records & paperwork
3 medical and 2 dental reports for a child in care did not have copies of the results of the visits.
HHSC 749.1401(b)(1) — General medical requirements-Child's record includes copy of results of each medical exam
HHSC risk weight: Medium. Corrected 2024-03-26. Correction verified 2024-04-03.
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Illness & medication
The caregiver had the child?s medication stored in a weekly medication organizer.
HHSC 749.1463(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-04-03.
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Illness & medication
A child in care was not given their medication on 38 different occasions. There were also two different times that the child had missed their dosage. The caregiver did not document these errors.
HHSC 749.1563(c) — Medication Error-Caregiver documents required information within 24 hours
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-04-03.
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Records & paperwork
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Feb 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2024 Report · Deficiencies cited
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Supervision & ratios
The caregiver did not properly supervise a child in care by not following the service plan indicating they needed constant supervision.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-03-25.
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Other
The respite provider and babysitter was not given information on a child that had a history of sexual acting out and engaging in inappropriate behavior.
HHSC 749.2625(4)(B) — Respite- must share the child's history of physical aggression or sexual behavior problems with the babysitter, overnight care, or respite provider
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-03-28.
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Supervision & ratios
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Jan 9, 2024 Inspection · Deficiencies cited
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Supervision & ratios
One of two home screenings reviewed did not include the assessment of how the prospective foster parent's addressed their own loss.
HHSC 749.2447(15) — Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about a child's experiences of separation from family
HHSC risk weight: Medium. Corrected 2024-01-17. Correction verified 2024-01-17.
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Discipline & child guidance
One of two home screening reviewed did not have all the household member's health statuses discussed.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2024-01-17. Correction verified 2024-01-17.
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Supervision & ratios
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Dec 30, 2023 Report · Deficiencies cited
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Safety & premises
Caregiver admitted to smoking in the home and in the garage.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2024-02-12. Correction verified 2024-02-28.
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Safety & premises
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Nov 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
A frequent visitor for the foster home does not have a background check completed.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-10-23. Correction verified 2023-10-23.
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Staff background & training Serious
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Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2023 Report · Deficiencies cited
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Supervision & ratios
A caregiver failed to follow the child?s service plan supervision.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2023-10-18. Correction verified 2023-10-20.
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Supervision & ratios
A child in care was allowed access to a toy that shoots without supervision.
HHSC 749.2961(c) — Must determine if appropriate for a child to use a toy that explodes/shoots, child must be supervised when using/around toys that explodes/shoots
HHSC risk weight: Medium High. Corrected 2023-10-18. Correction verified 2023-10-20.
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Supervision & ratios
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Aug 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2023 Report · Deficiencies cited (self-report)
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Other
The unauthorized Absence annual log did not indicate the date or time the interview was conducted with the child. It also did not discuss the condition of the child or mention the trauma informed strategies the child could use in the future in place of running away.
HHSC 749.592(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 2023-10-10. Correction verified 2023-10-06.
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Other
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Jul 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2023 Report · Deficiencies cited (self-report)
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Staff background & training Serious
Interviews conducted indicate the child was supervised by an unauthorized person.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-06-20. Correction verified 2023-06-19.
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Staff background & training Serious
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May 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2022 Report · Deficiencies cited
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Food & allergies
The foster children and biological children eat their meals separately. This is not the most family like setting for the children in care.
HHSC 749.1003(b)(1)(A) — Children's rights-Safety & care including right to good care & treatment that meets child's needs
HHSC risk weight: Medium High. Corrected 2023-02-20. Correction verified 2023-02-27.
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Safety & premises
The foster parent used degrading and harmful language towards a child in care, who may not fulling understand the discussion due to their development.
HHSC 749.1951(b)(4) — Disciplinary Measures-Must be appropriate to the child's level of understanding, age, & developmental level
HHSC risk weight: Medium High. Corrected 2023-02-20. Correction verified 2023-02-27.
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Food & allergies
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Dec 12, 2022 Report · Deficiencies cited
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Staff background & training Serious
A household member does not have a current background check.
HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
HHSC risk weight: High. Corrected 2022-12-21. Correction verified 2022-12-21.
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Staff background & training Serious
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Dec 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2022 Inspection · Deficiencies cited
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Other
Two out of two homes reviewed did not document the visits separately for the quarterly visit. The visits did not document who were present and they did not have the signatures for the date of the visits.
HHSC 749.2815(d) — Supervisory Visits-Document rules evaluated, deficiencies, compliance plans; document change to home study info, incl. reason for verification change
HHSC risk weight: Medium. Corrected 2022-10-18. Correction verified 2022-10-12.
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Other
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Sep 30, 2022 Report · Deficiencies cited
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Other
The foster child?s clay was thrown away by the foster parent.
HHSC 749.1003(b)(3)(I) — Children's rights-Adhere to the child's right to have personal possessions at his home and to acquire additional possessions within limits
HHSC risk weight: Medium Low. Corrected 2022-11-14. Correction verified 2022-11-14.
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Other
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Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2022 Report · Deficiencies cited
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Staff background & training Serious
A babysitter did not have a background and provided care for foster youth multiple times.
HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HHSC risk weight: High. Corrected 2022-09-19. Correction verified 2022-09-16.
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Staff background & training Serious
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Jun 19, 2022 Report · Deficiencies cited
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Other Serious
The foster parent and care giver refused to complete a drug test.
HHSC 745.4151(c)(4)(D) — Mandatory drug testing-employee who is alleged to be abusing drugs must be tested within 24 hours
HHSC risk weight: High. Corrected 2022-12-26. Correction verified 2023-01-04.
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Discipline & child guidance Serious
Three children in care (17 yo, 16 yo and 16yo) were left alone in the home which resulted in an altercation ending in injuries and a fire in the foster home.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2022-12-26. Correction verified 2023-01-04.
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Supervision & ratios
The preliminary service plan required supervision at all times, and the caregivers failed to implement the service plan requirements by leaving the children unsupervised.
HHSC 749.1301(f) — Preliminary Service Planning-Implement and follow the preliminary service plan
HHSC risk weight: Medium. Corrected 2022-12-26. Correction verified 2023-01-04.
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Other
The service planning team members did not sign one of the child's service plans.
HHSC 749.1309(b)(1)(N) — Initial Service Plan-Must include signatures of service planning team members
HHSC risk weight: Low. Corrected 2022-12-26. Correction verified 2023-01-04.
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Safety & premises
Adult children moved into the home and there was not an update completed to the home screening.
HHSC 749.2453(a)(2) — You must update a foster home screening- When there is a major life change in the foster family as described in 749.2805
HHSC risk weight: Medium. Corrected 2022-12-26. Correction verified 2023-01-04.
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Safety & premises
The home screening addendum to add services does not assess the foster parent's ability to care for treatment service children.
HHSC 749.2453(a)(3) — You must update a foster home screening- When there is a change that affects a foster home's verification as described in 749.2803
HHSC risk weight: Medium. Corrected 2022-12-26. Correction verified 2023-01-04.
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Supervision & ratios Serious
The assigned caregiver did not provide the level of supervision required to intervene when the child needed assistance and to provide a child's safety.
HHSC 749.2593(a)(4) — Supervision-The caregiver is responsible for being able to intervene when necessary to ensure each child's safety
HHSC risk weight: High. Corrected 2022-12-26. Correction verified 2023-01-04.
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Other Serious
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Jun 2, 2022 Report · Deficiencies cited
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Supervision & ratios
The preliminary service plans did not specifically address the appropriate supervision requirements for the children in care.
HHSC 749.1301(a) — Preliminary Service Planning-Complete a preliminary service plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium. Corrected 2022-07-25. Correction verified 2022-07-25.
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Other
The home screening did not address all the previous relationships the foster parent was involved in and how this could affect the ability to care for children.
HHSC 749.2447(10) — Foster Home Screening-Agency documents the quality of current and previous interpersonal relationships including marriages
HHSC risk weight: Medium. Corrected 2022-07-25. Correction verified 2022-07-28.
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Discipline & child guidance
The home screening does not document the health status of all household members.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2022-07-25. Correction verified 2022-07-28.
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Other
The home screening does not document the summary for the family.
HHSC 749.2451(b) — Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
HHSC risk weight: Medium Low. Corrected 2022-07-25. Correction verified 2022-07-28.
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Supervision & ratios Serious
A caregiver did not provide adequate supervision with the children in care, resulting in a child feeling unsafe by the other children in the home.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2022-07-18. Correction verified 2022-08-05.
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Supervision & ratios
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Feb 1, 2022 Inspection · Deficiencies cited
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Other
The home screening does not document the foster parent's willingness to respect, encourage and provide opportunity for a child's religious affiliation.
HHSC 749.2447(12)(A) — Foster Home Screening-Evaluate and document prospective foster parents' willingness to respect and encourage a child's religious affiliation
HHSC risk weight: Medium Low. Corrected 2022-02-18. Correction verified 2022-02-18.
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Other
The home screening does not document the foster parent's child development and their child-care experiences.
HHSC 749.2447(13) — Foster Home Screening-Agency documents prospective foster parents' values, feelings, and practices in regard to child care and discipline
HHSC risk weight: Medium High. Corrected 2022-02-18. Correction verified 2022-02-18.
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Discipline & child guidance
The complete health status of all household members was not documented on the home screening.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-02-18.
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Other
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Jan 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 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.