Trulight127
3925 LINNE RD, Seguin, TX 78155 · Guadalupe County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 08:30 AM-04:30 PM
- Director / administrator
- Jessica Martinez
- Phone
- (210) 245-5437
- Regulated since
- Apr 12, 2017
- HHSC IDs
- Operation 1214459 · number 1598796- 11171
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 2 | Illness & medication (2), Supervision & ratios (1), Safety & premises (2), Records & paperwork (1) |
| 2025 | 23 | 15 | Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (5), Safety & premises (4), Staff background & training (2), Records & paperwork (1), Other (5) |
| 2024 | 15 | 10 | Illness & medication (3), Supervision & ratios (4), Discipline & child guidance (3), Safety & premises (1), Other (4) |
| 2023 | 15 | 9 | Cleanliness & sanitation (3), Illness & medication (2), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (1), Staff background & training (1), Records & paperwork (1), Other (3) |
| 2022 | 9 | 7 | Cleanliness & sanitation (1), Supervision & ratios (2), Discipline & child guidance (3), Safety & premises (1), Other (2) |
| 2021 | 9 | 8 | Illness & medication (3), Supervision & ratios (1), Discipline & child guidance (3), Records & paperwork (1), Other (1) |
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 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 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 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 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 22, 2026 Report · Deficiencies cited
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Safety & premises
The agency failed to update foster home screening after being notified of a major life change in the foster home. This resulted in a child living in an unlicensed home for 58 days.
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 2026-09-04. Correction verified 2026-09-08.
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Records & paperwork
The agency failed to complete an addendum to a home-study after being notified of a major life change in the foster home. This resulted in a child living in an unlicensed home for 58 days.
HHSC 749.2453(b) — You must update a foster home screening- A foster home screening update may be made by using an addendum
HHSC risk weight: Medium. Corrected 2026-09-04. Correction verified 2026-09-08.
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Supervision & ratios
The agency failed to verify the new home that the foster family had relocated to resulting in a child in care residing in an unlicensed home for 58 days.
HHSC 749.2803(b) — Foster Home Changes-new or temporary verification certificate must be issued for change in location, extend expiration date or change to non-expiring
HHSC risk weight: Medium Low. Corrected 2026-09-04. Correction verified 2026-09-08.
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Safety & premises
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Jul 14, 2026 Inspection · No deficiencies cited
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 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
During a review conducted on June 16, 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 2/11/26, 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 1 medium-high weighted citation in a pattern/trend category on February 11, 2026. Specifically, the operation was cited for 749.1521(1) Medication Storage-Store medication in a locked container: The operation met compliance on 2/26/2026. - The operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - 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 2026-06-17. Correction verified 2026-06-17.
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Illness & medication Serious
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 5, 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 21, 2026 Inspection · 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 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Inspection · Deficiencies cited
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Safety & premises
Admission assessment was completed 2 days after admission date for a planned placement.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-04-07. Correction verified 2026-04-07.
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Safety & premises
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Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 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 11, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
Over the counter medications were observed unlocked on the bathroom counter in the foster parents bedroom and vitamins were observed on their bedroom nightstand. An insulin pen was also observed unsecured in the kitchen refrigerator.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-26.
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Illness & medication Serious
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Feb 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2026 Inspection · 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 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation Serious
During a review conducted on December 15, 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 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 11/21/25, 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 1 medium-high weighted citation in a pattern/trend category on November 21, 2025. Specifically, the operation was cited for 749.3041(4) Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair. The operation met compliance on 12/3/2025. - The operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - 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 $150.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-12-16. Correction verified 2025-12-16.
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Cleanliness & sanitation Serious
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Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2025 Assessment · Deficiencies cited
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Other Serious
A baby walker was being used in the foster home with an infant in care.
HHSC 749.1813(a)(1) — Infant requirements-A foster home may not use baby walkers with infants
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2025-12-16.
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Other Serious
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Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2025 Report · Deficiencies cited
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Safety & premises Serious
Foster parent stated that holds are used when the child in care is not doing what they are supposed to be doing.
HHSC 749.2063(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2026-01-02. Correction verified 2026-01-21.
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Other Serious
Foster parent stated that restraints have been longer than 1 minute.
HHSC 749.2281(1) — EBI Time Limits-Maximum length of time for short personal restraint is one minute
HHSC risk weight: Medium High. Corrected 2026-01-02. Correction verified 2026-01-21.
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Records & paperwork
Documentation was not completed on restraints completed in the foster home.
HHSC 749.2305(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2026-01-02. Correction verified 2026-01-21.
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Safety & premises Serious
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Nov 21, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation Serious
The outdoor area around the foster home is not safe for children. The foster dad's outdoor work items such as a rake, a knife, a hand saw, and fuel were observed accessible to children. Wood with exposed nails and debris from a broken wooden structure were also seen along the perimeter of the home. All outdoor areas accessible to children must be kept clean, safe, and in good repair.
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 2025-11-28. Correction verified 2025-12-03.
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Cleanliness & sanitation Serious
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Nov 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Report · Deficiencies cited
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Staff background & training Serious
A frequent visitor did not have a background check.
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 2025-11-24. Correction verified 2025-12-03.
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Illness & medication Serious
Psychotropic medication was observed to be in a locked box, however, the medication box was not secured by a second lock. This was corrected at inspection. The foster parent placed the locked box in a locked cabinet.
HHSC 749.1521(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: High. Corrected at inspection. Corrected 2025-11-20.
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Staff background & training Serious
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Nov 18, 2025 Inspection · 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 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2025 Assessment · Deficiencies cited
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Illness & medication Serious
Medication was observed unlocked inside of Ziplock bags in the foster parent's mother's bedroom.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-11-03.
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Illness & medication Serious
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Oct 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2025 Inspection · Deficiencies cited
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Supervision & ratios
Residential Child Care Regulation observed and photographed the foster home's cerificate to show an inaccurate number of foster children compared to what's listed in CLASS.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-11-03. Correction verified 2025-11-18.
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Supervision & ratios
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Oct 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 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 22, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation Serious
Two bottles of toilet bowl cleaner were observed sitting out on the floor next to the toilet in the foster parent?s bathroom.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2025-09-22. Correction verified 2025-10-02.
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Cleanliness & sanitation Serious
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Sep 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 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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Aug 27, 2025 Inspection · 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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Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 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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Jul 1, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation Serious
A bottle of bathroom cleaner was observed in an unlocked cabinet under the children's bathroom sink. The foster parent moved the cleaner out of children's reach during the visit.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2025-07-01. Correction verified 2025-07-10.
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Cleanliness & sanitation Serious
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Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2025 Assessment · Deficiencies cited
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Supervision & ratios Serious
During a review conducted on June 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 the 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 again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-06-13. Correction verified 2025-06-13.
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Supervision & ratios Serious
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Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 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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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 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2025 Report · Deficiencies cited
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Other Serious
Information to locate/contact the victim was denied and initiation was missed.
HHSC 745.8411(b)(4) — Responsibilities - Not delay or prevent inspection or investigation
HHSC risk weight: High. Corrected 2025-04-21. Correction verified 2025-04-21.
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Supervision & ratios Serious
Foster parent was unaware of their children's exact location while spending overnight with friends and their family.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-04-21. Correction verified 2025-05-06.
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Other Serious
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Mar 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Report · Deficiencies cited
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Safety & premises
Children were not notified within the appropriate timeframe of discharge.
HHSC 749.1363(d) — Non-emergency Discharge or Transfer-If child is not receiving treatment services, must inform him 4 days prior to the date unless justification given
HHSC risk weight: Medium Low. Corrected 2025-05-02. Correction verified 2025-05-07.
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Supervision & ratios
A child in care did not have result in record in a timely manner.
HHSC 749.1417(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at operation
HHSC risk weight: Medium Low. Corrected 2025-05-02. Correction verified 2025-05-07.
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Supervision & ratios
It is found that the agencies closure notice is not accurate to the closure date of the home.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-05-02. Correction verified 2025-05-07.
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Other Serious
It is found that the agency did not provide support or assistance to an agency caregiver throughout their time working under the agency.
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 2025-05-02. Correction verified 2025-05-07.
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Staff background & training
It is was found that a staff member completed a caregivers trainings.
HHSC 749.933(a)(2) — Training Timeline-Each person must complete the required annual training during each subsequent 12-month period or beginning of provision of care.
HHSC risk weight: Medium. Corrected 2025-05-02. Correction verified 2025-05-07.
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Safety & premises
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Feb 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 12, 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 28, 2025 Inspection · Deficiencies cited
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Safety & premises
Three non-emergency children in care's admission assessments were completed after admissions.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2025-02-11. Correction verified 2025-02-11.
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Safety & premises
A non-emergency child in care's preliminary service plan was completed 4 days after admission.
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 2025-02-11. Correction verified 2025-02-11.
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Safety & premises
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Jan 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2025 Report · Deficiencies cited
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Other Serious
Two children in care confirmed the foster parent(s) have cussed at them when in trouble.
HHSC 749.1957(9) — Other Prohibited Discipline-Subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-03-14. Correction verified 2025-03-12.
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Other Serious
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Jan 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Foster dad would not let the investigator into the home during the investigation.
HHSC 745.8411(b)(2) — Responsibilities - Provides access to all areas of the operation
HHSC risk weight: High. Corrected 2025-03-07. Correction verified 2025-03-05.
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Supervision & ratios Serious
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Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2024 Assessment · Deficiencies cited
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Supervision & ratios Serious
During a review conducted on December 12, 2024, 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 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: - 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. -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 plans.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2024-12-13.
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Supervision & ratios Serious
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Dec 6, 2024 Assessment · Deficiencies cited
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Illness & medication Serious
Medications in the home were observed to be accessible to a child in care. Medications were stored in the foster parent's bedroom closet. The closet door as well as the bedroom door were observed to be open on the day of the visit.
HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
HHSC risk weight: High. Corrected 2024-12-06. Correction verified 2024-12-13.
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Illness & medication Serious
A child in care was prescribed an antibiotic to be given twice per day for seven days. Foster parent indicated the child was given the medication as prescribed, however, only 4 days of administration were documented, with 1 of the 4 days lacking documentation of the AM dose.
HHSC 749.1541(c)(5) — Medication Record-Must include date (day, month, year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-12-13.
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Illness & medication Serious
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Dec 5, 2024 Inspection · No deficiencies cited
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 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2024 Report · Deficiencies cited
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Other Serious
Foster parents left child in care unsupervised while child in care was eating and access to a dog that has a history of biting another child similar in age and situation.
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 2024-12-24. Correction verified 2024-12-13.
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Other Serious
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Nov 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 5, 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 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 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2024 Inspection · Deficiencies cited
-
Illness & medication Serious
A PM dose of medication was not administered on 5/8/24 for one child in care.
HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders
HHSC risk weight: High. Corrected 2024-07-01. Correction verified 2024-07-10.
-
Illness & medication Serious
-
Jun 20, 2024 Inspection · Deficiencies cited
-
Safety & premises Serious
3 of 5 children's emergency admission assessments were not completed at the time of admission.
HHSC 749.1189(6) — Emergency admission-Documentation in the child's record the child's high risk behaviors and related safety plan staff and caregivers will implement
HHSC risk weight: High. Corrected 2024-07-08. Correction verified 2024-07-18.
-
Safety & premises Serious
-
Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 27, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
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 2024-08-16. Correction verified 2024-08-26.
-
Other Serious
A child was subjected to demeaning behavior by a caregiver.
HHSC 749.1003(b)(4)(A)(vii) — Children's rights-Adhere to child's rights to be free from being subjected to demeaning behavior to embarrass, control, harm, intimidate or isolate
HHSC risk weight: Medium High. Corrected 2024-08-16. Correction verified 2024-08-26.
-
Discipline & child guidance Serious
Caregiver and child in care confirmed that the caregiver hit the child in care as discipline.
HHSC 749.1953(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 2024-08-16. Correction verified 2024-08-26.
-
Discipline & child guidance
The home study did not discuss or assess the foster parent's feelings about her daughter (bio mother), to include the issue of her neglecting or abusing her children which led to them coming into care.
HHSC 749.2447(16) — Foster Home Screening-Agency documents prospective foster parents' sensitivity to and feelings about child's biological family
HHSC risk weight: Medium Low. Corrected 2024-08-23. Correction verified 2024-08-23.
-
Other
The home study did not discuss and assess the adult household member's involvement in the care of foster children.
HHSC 749.2447(17) — Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-08-23.
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Other
The foster parent's previous relationship that resulted in two children was not discussed in the home study.
HHSC 749.2447(4) — Foster Home Screening-Agency documents history of all interpersonal relationships, including marriages and reasons why relationships ended
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-08-23.
-
Discipline & child guidance Serious
-
Apr 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2024 Report
No violations cited on this visit.
-
Feb 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Report · Deficiencies cited
-
Supervision & ratios
During interviews it was indicated that a child was at school and not tardy during a monthly visit by case manager. The case manager monthly visit document reflected the child was present at the home when she would have been at school.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-03-20. Correction verified 2024-03-20.
-
Supervision & ratios
An email thread reflected another agency requested records for a foster parent on January 19th and January 31st and the operation did not respond with the request until February 5th.
HHSC 749.2475(d)(1) — Background Information-10th day after completion of pending investigations or deficiencies must release outcomes
HHSC risk weight: Medium. Corrected 2024-03-20. Correction verified 2024-03-20.
-
Supervision & ratios
-
Jan 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
Medical lock box did not have a lock upon observation.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-01-11. Correction verified 2024-01-19.
-
Illness & medication Serious
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 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 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2023 Report · Deficiencies cited
-
Supervision & ratios
Video cameras are used in children's bedroom and case worker approval is not found within the service plans.
HHSC 749.2595(b)(1) — Supervision-Video cameras may not be used with children other than infants and toddlers unless parent or person legally authorized gives consent
HHSC risk weight: Medium. Corrected 2024-01-26. Correction verified 2024-01-26.
-
Cleanliness & sanitation Serious
Clutter was found in the upstairs living area and fan a within guest room had collected dust.
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 2024-01-26. Correction verified 2024-01-26.
-
Records & paperwork
Date of home visit does not match home date of signatures listed.
HHSC 749.579(1) — Active child record-Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2024-01-26. Correction verified 2024-01-26.
-
Supervision & ratios
-
Dec 13, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Caregiver admitted spanking a child in care.
HHSC 749.1953(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 2024-01-19. Correction verified 2024-01-31.
-
Discipline & child guidance Serious
-
Dec 6, 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 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Inspection · Deficiencies cited
-
Other
Residential Child Care Regulation observed a foster home file who had been with a previous agency, missing quarterly evaluations and the agency requested the transfer summary 10 months after verification.
HHSC 749.2475(d)(1) — Background Information-10th day after completion of pending investigations or deficiencies must release outcomes
HHSC risk weight: Medium. Corrected 2023-11-30. Correction verified 2023-11-22.
-
Other
-
Nov 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2023 Report
No violations cited on this visit.
-
Jul 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
Foster home had loose wood boards on the front porch that are a hazard to children in care. Foster home had debris scattered across the floor of the rooms of the children in care.
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 2023-07-31. Correction verified 2023-08-24.
-
Cleanliness & sanitation Serious
-
Jul 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
Child in care had access to medication which led to hospitalization.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-09-14. Correction verified 2023-09-15.
-
Illness & medication Serious
-
Jul 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 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 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2023 Report · Deficiencies cited
-
Other
The service plan for one child was completed on 05/31/22 and the next service plan was not completed until 11/29/22, which was on the 182 day.
HHSC 749.1331(1) — Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
HHSC risk weight: Medium Low. Corrected 2023-09-06. Correction verified 2023-09-05.
-
Other
-
Jul 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Inspection · Deficiencies cited
-
Safety & premises Serious
Licensing observed a foster home file with no fire inspection documentation.
HHSC 749.2903(a) — Fire Inspection-FFH not serving PMN children must have fire inspection or fire safety evaluation
HHSC risk weight: High. Corrected 2023-07-13. Correction verified 2023-07-12.
-
Safety & premises Serious
-
Jun 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2023 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
During a walk through of the home it was observed that a hole was present on one of the walls at the top of the stairs on the second floor. It was also observed that a pan of cat litter was filled and left uncovered in one of the upstairs bathroom that is shared by the children in care.
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 2023-07-03. Correction verified 2023-07-12.
-
Cleanliness & sanitation Serious
-
May 22, 2023 Report · Deficiencies cited
-
Staff background & training Serious
Two foster children over age 14 were adopted in one of the agency's homes on 04-16-2023 and the agency didn't run checks until 06-02-2023.
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 2023-06-28. Correction verified 2023-06-30.
-
Other Serious
A foster admitted to using profane language while verbally de escalating an adopted child in the home while two foster children were present.
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 2023-07-31. Correction verified 2023-08-11.
-
Staff background & training Serious
-
May 19, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
The standard was left pending at the time of the inspection. The operation did not provide documentation of their annual budget.
HHSC 749.151(8) — Operational responsibilities - Prepare annual budget and control expenditures to ensure as required
HHSC risk weight: Medium. Corrected 2023-06-16. Correction verified 2023-06-02.
-
Supervision & ratios
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2023 Assessment · Deficiencies cited
-
Discipline & child guidance
This is a recitation of the reporting standard cited in standards investigation 2944660. The operation did not submit a compliance response within the required time frame, however the operation did submit a response afterward.
HHSC 749.503(e)(6)(A) — Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency.
HHSC risk weight: Medium. Corrected 2023-01-11. Correction verified 2023-01-06.
-
Discipline & child guidance
-
Jan 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2022 Inspection · Deficiencies cited
-
Safety & premises Serious
Licensing observed a foster home with an agency staff conducted fire inspection in July 2021 and no fire inspection since.
HHSC 749.2905(b) — Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year
HHSC risk weight: Medium High. Corrected 2023-01-20. Correction verified 2023-02-08.
-
Safety & premises Serious
-
Dec 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2022 Report · Deficiencies cited
-
Discipline & child guidance
A DFPS investigation was not reported to Licensing within 24-hour timeframe.
HHSC 749.503(e)(5)(A) — Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency
HHSC risk weight: Medium. Corrected 2022-12-23. Correction verified 2022-12-29.
-
Discipline & child guidance
-
Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2022 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
It was verified pet waste, snack wrappers, and moldy linens were left in the home for a significant amount of time without being cleaned.
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 2022-11-03. Correction verified 2022-11-14.
-
Cleanliness & sanitation Serious
-
Sep 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was confirmed two of three children in the home were spanked by the foster parent.
HHSC 749.1953(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 2022-06-08. Correction verified 2022-06-27.
-
Discipline & child guidance Serious
-
Apr 4, 2022 Inspection · Deficiencies cited
-
Other Serious
Licensing observed a foster home file with no documentation of an 02-21-2022 quarterly home visit. Licensing also interviewed the newly hired compliance auditor who estimates about 5% of visits are still going undone.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-04-04.
-
Other Serious
-
Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2022 Assessment · Deficiencies cited
-
Discipline & child guidance Serious
The operation has not yet informed managing conservators of an abuse/neglect finding in one of their homes as of eight days after the finding was issued.
HHSC 749.517(a)(2) — Serious incidents-Notify parents of each child admitted any time the operation is deficient for standards related to abuse/neglect or exploitation.
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-03-30.
-
Discipline & child guidance Serious
-
Feb 22, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Investigation interviews indicated two foster children were left alone on two days with no babysitter. The baby sitter didn't respond to multiple attempts at phone interviewing.
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 2022-04-14. Correction verified 2022-04-18.
-
Supervision & ratios Serious
-
Feb 16, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Licensing observed a foster home file with foster children placed in January and no documentation of monthly visits. There was also a home which went over 60 days without a visit.The operation agreed to monthly visits to assess foster parents' stress level from foster children's behaviors on a monthly basis as part of a provider plan of action.
HHSC 749.2815(c)(4) — Supervisory Visits- Document and evaluate any challenging behaviors of the current children in the home, stress levels, and methods for responding
HHSC risk weight: Medium. Corrected 2022-03-02. Correction verified 2022-04-04.
-
Supervision & ratios
-
Feb 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2022 Inspection · Deficiencies cited
-
Other Serious
Licensing observed a foster home had a quartely visit in March 2021 and September 2021.
HHSC 749.2815(a)(1) — Supervisory Visits-must have supervisory visits in the foster home at least quarterly
HHSC risk weight: Medium High. Corrected 2022-01-19. Correction verified 2022-02-16.
-
Other Serious
-
Dec 22, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
Collateral medical contacts and a foster parent interview indicate concern that a foster parent stepped away from a foster child under age six while that foster child was in a bathtub when closer visual supervision would've prevented the foster child falling out of a bathtub and that the foster parent waited over two hours before bringing that foster child to a hospital the next day when the foster child had difficulty moving their body and had three crying episodes during the night. The collateral contacts indicate these concerns are preponderance for medical neglect and neglectful supervision dispositions.
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 2022-03-21. Correction verified 2022-03-30.
-
Illness & medication Serious
A foster parent admitted to not taking a foster child under age six years for medical care for two hours after discovering the foster child was unable to move half their body, knowing the foster child had fallen and hurt their head the night before and had woken up three times the night before crying.
HHSC 749.1401(a)(2) — General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2022-04-07. Correction verified 2022-04-11.
-
Supervision & ratios Serious
A foster parent admitted to stepping away from a three year old foster child in a bathtub to go get pajamas by the stairs. The foster parent was away from the foster child long enough for the foster child to fall out of the bathtub which the foster parent became aware of upon hearing the foster child scream.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2022-03-21. Correction verified 2022-03-30.
-
Illness & medication Serious
Operation personnel admitted that a foster child being admitted to a hospital for a head injury was not reported to the DFPS hotline because they believed the managing conservator would report it.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2022-03-21. Correction verified 2022-04-04.
-
Discipline & child guidance Serious
-
Dec 14, 2021 Report · Deficiencies cited (self-report)
-
Records & paperwork
The incident report was requested from the agency in writing on 3 separate occasions beginning on 12/14/2021 and was not provided to licensing until 01/31/2022.
HHSC 749.537(a) — Active records-Available for immediate review and reproduction by Licensing
HHSC risk weight: Medium. Corrected 2022-02-22. Correction verified 2022-02-25.
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Records & paperwork
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Dec 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
Licensing observed video evidence of a person confirmed to be a foster parent strike a foster child in the face.
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 2022-01-20. Correction verified 2022-01-28.
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Discipline & child guidance Serious
Licensing observed video evidence of a person confirmed to be a foster parent strike a foster child in the face.
HHSC 749.1953(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 2022-01-20. Correction verified 2022-01-28.
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Discipline & child guidance Serious
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Nov 25, 2021 Report · Deficiencies cited
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Illness & medication Serious
Foster parent did not report injury of a child within 24 hours as required by minimum standards.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-01-13.
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Illness & medication Serious
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Nov 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2021 Report · Deficiencies cited
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Other Serious
A child in care has been video taped while exhibiting negative behaviors. The child did not want to be taped and asked the foster parent to stop taping.
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 2022-01-07. Correction verified 2022-01-18.
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Other Serious
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Sep 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 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, via 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.