Hope Haven Of East Texas
10829 FM 16 W, Lindale, TX 75771 · Smith County
Program
- Type
- General residential operation
- Licensed capacity
- 16
- Ages
- 13-17
- Hours
- 12:00 AM-
- Director / administrator
- Erica Nicolle Miellmier
- Phone
- (430) 235-2032
- Regulated since
- Nov 30, 2018
- HHSC IDs
- Operation 1291334 · number 1663308
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 9 | 1 | Illness & medication (4), Supervision & ratios (2), Staff background & training (1), Other (2) |
| 2025 | 42 | 4 | Cleanliness & sanitation (4), Illness & medication (6), Supervision & ratios (24), Staff background & training (2), Other (6) |
| 2024 | 46 | 4 | Cleanliness & sanitation (2), Illness & medication (8), Supervision & ratios (18), Discipline & child guidance (2), Food & allergies (4), Staff background & training (6), Records & paperwork (2), Other (4) |
| 2023 | 38 | 8 | Illness & medication (6), Supervision & ratios (8), Discipline & child guidance (4), Safety & premises (4), Staff background & training (6), Records & paperwork (6), Other (4) |
| 2022 | 14 | 0 | Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (2), Safety & premises (2), Food & allergies (2), Other (2) |
| 2021 | 2 | 0 | Supervision & ratios (2) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 14, 2026 Assessment
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.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · Deficiencies cited
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Illness & medication
During the investigation inspection, three medication records were reviewed and one child's medication record did not match how many pills were remaining in the bottle. The record indicated there were 16 pills remaining, however, there were 17 pills remaining in the bottle.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-08-17. Correction verified 2026-08-06.
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Illness & medication
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Aug 3, 2026 Inspection · Deficiencies cited
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Illness & medication
During the investigation inspection, three medication records were reviewed and one child's medication record did not match how many pills were remaining in the bottle. The record indicated there were 16 pills remaining, however, there were 17 pills remaining in the bottle.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-08-17. Correction verified 2026-08-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2026 Report · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2026 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2026 Report · Deficiencies cited
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Staff background & training Serious
During an investigation, it was noted that a staff did not have a background check that was current. The staff had left the operation and come back but was not ran again.
HHSC 745.621(a)(1) — Initial background checks submitted - At the time you submit your application
HHSC risk weight: High. Corrected at inspection. Corrected 2026-09-11.
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Staff background & training Serious
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Jul 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · 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 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
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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Apr 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2026 Report · Deficiencies cited
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Supervision & ratios
The operation did not notify Statewide Intake immediately when victim children were confirmed to have run from the school. Immediate notification is required if the children are trafficking victims.
HHSC 748.303(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 2026-05-08. Correction verified 2026-05-05.
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Supervision & ratios
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Mar 20, 2026 Report · Deficiencies cited
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Supervision & ratios
The operation did not notify Statewide Intake immediately when victim children were confirmed to have run from the school. Immediate notification is required if the children are trafficking victims.
HHSC 748.303(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 2026-05-08. Correction verified 2026-05-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 19, 2026 Assessment · Deficiencies cited
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Other
A preliminary service plan was completed, signed and dated after the 72-hour required time frame.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2026-03-27. Correction verified 2026-04-07.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 19, 2026 Assessment · Deficiencies cited
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Other
A preliminary service plan was completed, signed and dated after the 72-hour required time frame.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2026-03-27. Correction verified 2026-04-07.
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Other
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Mar 11, 2026 Assessment · Deficiencies cited
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Illness & medication
During a review conducted on March 12, 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 March 5, 2026. Specifically, the operation was cited for standard 748.2101(1) Medication Storage- Medication in a locked container. During an investigation, a child in care took medication out of a staff's bag and attempted to ingest it. The medication was not stored in a locked container. Emergency services were contacted. Compliance was met on March 9, 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: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $100.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-13.
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Illness & medication
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Mar 11, 2026 Assessment · Deficiencies cited
-
Illness & medication
During a review conducted on March 12, 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 March 5, 2026. Specifically, the operation was cited for standard 748.2101(1) Medication Storage- Medication in a locked container. During an investigation, a child in care took medication out of a staff's bag and attempted to ingest it. The medication was not stored in a locked container. Emergency services were contacted. Compliance was met on March 9, 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: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $100.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
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Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 2, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 2, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 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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Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 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.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2025 Inspection · 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.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 26, 2025 Report · Deficiencies cited (self-report)
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Other
A suicide screening was not completed the day of the incident even though a child in care had exhibited three warning signs.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2026-01-22. Correction verified 2026-01-29.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Nov 26, 2025 Report · Deficiencies cited (self-report)
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Other
A suicide screening was not completed the day of the incident even though a child in care had exhibited three warning signs.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2026-01-22. Correction verified 2026-01-29.
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Other
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
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.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2025 Report · Deficiencies cited
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Supervision & ratios
It was discovered while conducting interviews, the operation failed to include a child's name on the incident report that witnessed and was involved in the incident. Staff and child interviews indicated the child that name was not included witnessed the incident and refused to get out of the car when staff left to follow the victim child who had walked away from the operation.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-12-09. Correction verified 2025-12-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 15, 2025 Report · Deficiencies cited
-
Supervision & ratios
It was discovered while conducting interviews, the operation failed to include a child's name on the incident report that witnessed and was involved in the incident. Staff and child interviews indicated the child that name was not included witnessed the incident and refused to get out of the car when staff left to follow the victim child who had walked away from the operation.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-12-09. Correction verified 2025-12-10.
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Supervision & ratios
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2025 Report · Deficiencies cited
-
Other Serious
During an investigation, it was determined that children in care were using vapes.
HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-09-22.
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Supervision & ratios
During an investigation, 2 children indicated that staff had given them vapes while in care at the operation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-09-15. Correction verified 2025-09-22.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Aug 11, 2025 Report · Deficiencies cited
-
Other Serious
During an investigation, it was determined that children in care were using vapes.
HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-09-22.
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Supervision & ratios
During an investigation, 2 children indicated that staff had given them vapes while in care at the operation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-09-15. Correction verified 2025-09-22.
-
Other Serious
-
Aug 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2025 Assessment · Deficiencies cited
-
Other
A preliminary service plan was not completed within 72 hours of admission.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2025-06-13. Correction verified 2025-06-17.
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Other
-
Jun 4, 2025 Assessment · Deficiencies cited
-
Other
A preliminary service plan was not completed within 72 hours of admission.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2025-06-13. Correction verified 2025-06-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2025 Inspection · Deficiencies cited
-
Illness & medication
During the monitoring inspection, one child's medication record had an inaccurate medication count.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-06-12. Correction verified 2025-06-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 2, 2025 Inspection · Deficiencies cited
-
Illness & medication
During the monitoring inspection, one child's medication record had an inaccurate medication count.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-06-12. Correction verified 2025-06-17.
-
Illness & medication
-
May 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
May 20, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2025 Assessment
No violations cited on this visit.
-
May 16, 2025 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 7, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During a Heightened Monitoring visit, it was noted that multiple doors had holes in them. several walls also had holes in them, and 1 bathtub was not draining water. Several sinks needed to be cleaned as well.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-05-16. Correction verified 2025-05-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 7, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During a Heightened Monitoring visit, it was noted that multiple doors had holes in them. several walls also had holes in them, and 1 bathtub was not draining water. Several sinks needed to be cleaned as well.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-05-16. Correction verified 2025-05-21.
-
Cleanliness & sanitation
-
Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During the investigation weekly screenings for the first thirty days were requested; however, they were not provided. After discussion with the administrator, it was reported the screenings were not in the operation's online records. Therefore, the administrator inquired if the screenings had been completed; however, there has not been a response provided.
HHSC 748.125(f)(2)(A) — Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer.
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-13.
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Cleanliness & sanitation
During the investigation, it was discovered through interviews the staff on duty failed to intervene during the incident allowing two residents to witness, control, and de-escalate a traumatic incident with a peer, while staff was instructed by residents to remain outside the bathroom. A child was allowed to have a prohibited item listed on the child's safety plan, after the staff found a plan written by the child to harm oneself with the prohibited item.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-13.
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Supervision & ratios Serious
During the investigation it was discovered during interviews and documentation, the victim child was on increased supervision and could not be with two residents without staff presence. Three residents reported staff was not present to intervene when the incident occurred. The staff reported two residents went to the victim's aid, while the staff put up chemicals. One of the residents that went to check on the victim was listed on the victim's safety plan, as to not be with this peer without staff supervision.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-05-07. Correction verified 2025-05-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 2, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During the investigation weekly screenings for the first thirty days were requested; however, they were not provided. After discussion with the administrator, it was reported the screenings were not in the operation's online records. Therefore, the administrator inquired if the screenings had been completed; however, there has not been a response provided.
HHSC 748.125(f)(2)(A) — Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer.
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-13.
-
Cleanliness & sanitation
During the investigation, it was discovered through interviews the staff on duty failed to intervene during the incident allowing two residents to witness, control, and de-escalate a traumatic incident with a peer, while staff was instructed by residents to remain outside the bathroom. A child was allowed to have a prohibited item listed on the child's safety plan, after the staff found a plan written by the child to harm oneself with the prohibited item.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-05-13.
-
Supervision & ratios Serious
During the investigation it was discovered during interviews and documentation, the victim child was on increased supervision and could not be with two residents without staff presence. Three residents reported staff was not present to intervene when the incident occurred. The staff reported two residents went to the victim's aid, while the staff put up chemicals. One of the residents that went to check on the victim was listed on the victim's safety plan, as to not be with this peer without staff supervision.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-05-07. Correction verified 2025-05-13.
-
Supervision & ratios
-
Mar 28, 2025 Inspection
No violations cited on this visit.
-
Mar 28, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2025 Report · Recorded (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2025 Report · Recorded (self-report)
No violations cited on this visit.
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, it was discovered in the kitchen freezer an uncovered cup with lemon drink and an uncovered bowl of ice cream. The house manager removed and disposed of these items during the inspection.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 24, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, it was discovered in the kitchen freezer an uncovered cup with lemon drink and an uncovered bowl of ice cream. The house manager removed and disposed of these items during the inspection.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-24.
-
Supervision & ratios
-
Feb 19, 2025 Report · Deficiencies cited
-
Supervision & ratios
A child was referred to periodontics for gingival recession during a dental visit in October 2024. At the time of the investigation initial visit in March 2025, the child had yet to complete the periodontic visit. The operation reported issues with the referral and insurance, however, were not able to provide documentation to reflect continued efforts to get the child's referral completed in a timely manner.
HHSC 748.1501(d) — Dental Care-must obtain follow-up dental work recommended by the dentist
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-25.
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Supervision & ratios
A child was referred to follow up in one month for allergies, blood pressure, and to get a flu shot. The operation was not able to provide documentation to reflect the follow-up visit was completed.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-25.
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Supervision & ratios
A child was seen by medical personnel for an annual physical and referred to an optometrist in September 2024. The child was seen by an optometrist in October 2024; glasses were ordered and ready for pick-up within 3 weeks, however, operation staff did not pick-up the glasses until nearly 5 months later in March 2025.
HHSC 748.1547(2) — Vision and hearing examination-If a child in care needs an examination, ensure the professional and medical recommendations are carried out
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-25.
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Illness & medication
A child was placed at the operation on 5/23/2024. According to the Common App, the child was prescribed Abilify/Aripiprazole on 5/6/2025, prior to placement. According to documents provided by the operation and interviews, the child was never administered Abilify, in error. The operation was not able to provide medication records to reflect the child was administered the prescribed medication.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-04-17. Correction verified 2025-05-02.
-
Supervision & ratios
-
Feb 19, 2025 Report · Deficiencies cited
-
Supervision & ratios
A child was referred to periodontics for gingival recession during a dental visit in October 2024. At the time of the investigation initial visit in March 2025, the child had yet to complete the periodontic visit. The operation reported issues with the referral and insurance, however, were not able to provide documentation to reflect continued efforts to get the child's referral completed in a timely manner.
HHSC 748.1501(d) — Dental Care-must obtain follow-up dental work recommended by the dentist
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-25.
-
Supervision & ratios
A child was referred to follow up in one month for allergies, blood pressure, and to get a flu shot. The operation was not able to provide documentation to reflect the follow-up visit was completed.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-25.
-
Supervision & ratios
A child was seen by medical personnel for an annual physical and referred to an optometrist in September 2024. The child was seen by an optometrist in October 2024; glasses were ordered and ready for pick-up within 3 weeks, however, operation staff did not pick-up the glasses until nearly 5 months later in March 2025.
HHSC 748.1547(2) — Vision and hearing examination-If a child in care needs an examination, ensure the professional and medical recommendations are carried out
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-25.
-
Illness & medication
A child was placed at the operation on 5/23/2024. According to the Common App, the child was prescribed Abilify/Aripiprazole on 5/6/2025, prior to placement. According to documents provided by the operation and interviews, the child was never administered Abilify, in error. The operation was not able to provide medication records to reflect the child was administered the prescribed medication.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-04-17. Correction verified 2025-05-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Inspection · Deficiencies cited
-
Illness & medication
During the investigation inspection, medication records were reviewed and one record did not include the name of staff who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2025-02-13. Correction verified 2025-02-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 6, 2025 Inspection · Deficiencies cited
-
Illness & medication
During the investigation inspection, medication records were reviewed and one record did not include the name of staff who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2025-02-13. Correction verified 2025-02-24.
-
Illness & medication
-
Feb 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The operation failed to report the quarterly EBI data timely.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 3, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The operation failed to report the quarterly EBI data timely.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-11.
-
Supervision & ratios
-
Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 7, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
Completed supervision check forms were reviewed for HHS Investigation 3128973, and it was observed the operation was not following supervision checks per the child's safety plan; the operation failed to check on the child every 15 minutes on multiple occasions on 11/18/2024 and 11/19/2024. The child was interviewed and corroborated the discrepancy. The operation was cited on 12/12/2024 and provided a comply by date of 12/18/2024. The operation failed to show compliance, timely.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.
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Supervision & ratios
Serious incident reports were reviewed for HHS Investigation 3128973, and it was observed the documentation was lacking required information such as the operation's physical address, telephone number, and the treating physician's name, findings, and treatment. The operation was cited on 12/12/2024 and provided a comply by date of 12/18/2024. The operation failed to show compliance, timely.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 7, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
Completed supervision check forms were reviewed for HHS Investigation 3128973, and it was observed the operation was not following supervision checks per the child's safety plan; the operation failed to check on the child every 15 minutes on multiple occasions on 11/18/2024 and 11/19/2024. The child was interviewed and corroborated the discrepancy. The operation was cited on 12/12/2024 and provided a comply by date of 12/18/2024. The operation failed to show compliance, timely.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.
-
Supervision & ratios
Serious incident reports were reviewed for HHS Investigation 3128973, and it was observed the documentation was lacking required information such as the operation's physical address, telephone number, and the treating physician's name, findings, and treatment. The operation was cited on 12/12/2024 and provided a comply by date of 12/18/2024. The operation failed to show compliance, timely.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-01-10. Correction verified 2025-01-10.
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Supervision & ratios
-
Jan 6, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The administrator confirmed he would not be providing RCCR with a schedule showing his presence at the operation under advisement of his supervisor. The operation has not yet offered correction for this standard, and the administrator noted the standard is currently in Administrative Review with a hearing upcoming. As such, compliance for this standard has not yet been met.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2025-01-17. Correction verified 2025-03-05.
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Staff background & training
The operation has not yet met compliance with this standard as a refresher course in their EBI system has not yet been conducted with staff. The administrator confirmed it has not yet been completed, and the operation is seeking an instructor to meet this need.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2025-01-17. Correction verified 2025-01-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 6, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The administrator confirmed he would not be providing RCCR with a schedule showing his presence at the operation under advisement of his supervisor. The operation has not yet offered correction for this standard, and the administrator noted the standard is currently in Administrative Review with a hearing upcoming. As such, compliance for this standard has not yet been met.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2025-01-17. Correction verified 2025-03-05.
-
Staff background & training
The operation has not yet met compliance with this standard as a refresher course in their EBI system has not yet been conducted with staff. The administrator confirmed it has not yet been completed, and the operation is seeking an instructor to meet this need.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2025-01-17. Correction verified 2025-01-17.
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Supervision & ratios
-
Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 31, 2024 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was discovered through child and staff interviews that a staff member was not confidential in discussing with a child in care's skin checks with the child in front of other children. The child asked the staff to speak with her privately as it shocked her that the staff would discuss this with her in front of her peers.
HHSC 748.1101(b)(6)(C) — Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
HHSC risk weight: Medium Low. Corrected 2025-02-07. Correction verified 2025-02-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 31, 2024 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was discovered through child and staff interviews that a staff member was not confidential in discussing with a child in care's skin checks with the child in front of other children. The child asked the staff to speak with her privately as it shocked her that the staff would discuss this with her in front of her peers.
HHSC 748.1101(b)(6)(C) — Children's rights-to confidential care/treatment, include keep medical & operation records private. Discussing them only when it's about child's care
HHSC risk weight: Medium Low. Corrected 2025-02-07. Correction verified 2025-02-07.
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Supervision & ratios
-
Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Report · Deficiencies cited
-
Records & paperwork
During the course of the investigation, two children in care reported staff grabbed a child by the arm and snatched a hot pocket out of the child's hand. The child and the staff began to argue, with the child telling staff not to touch her, which escalated the child and as a result the child destroyed the kitchen. There is video footage that supports the staff grabbed the child's arm. There was a previous incident before with this child and staff in which the child was cooking and staff grabbed the child's arm stating the staff wanted to show the child something. The child told staff at that time not to touch the child, and the child didn't want to be touched.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-12-31. Correction verified 2024-12-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Dec 5, 2024 Report · Deficiencies cited
-
Records & paperwork
During the course of the investigation, two children in care reported staff grabbed a child by the arm and snatched a hot pocket out of the child's hand. The child and the staff began to argue, with the child telling staff not to touch her, which escalated the child and as a result the child destroyed the kitchen. There is video footage that supports the staff grabbed the child's arm. There was a previous incident before with this child and staff in which the child was cooking and staff grabbed the child's arm stating the staff wanted to show the child something. The child told staff at that time not to touch the child, and the child didn't want to be touched.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-12-31. Correction verified 2024-12-31.
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Records & paperwork
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, I observed the adminstrator was not present at the operation during the inspection, interviews with staff and children indicate he is only present at the operation once or twice a week for meetings.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2025-01-06.
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Staff background & training
This standard was evaluated in follow-up to Investigation #3121194, and the agency has not yet conducted an EBI refresher course including the restraint positions identified in the policies and procedures.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-12-04. Correction verified 2025-01-06.
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Supervision & ratios
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, I observed the adminstrator was not present at the operation during the inspection, interviews with staff and children indicate he is only present at the operation once or twice a week for meetings.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2025-01-06.
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Staff background & training
This standard was evaluated in follow-up to Investigation #3121194, and the agency has not yet conducted an EBI refresher course including the restraint positions identified in the policies and procedures.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-12-04. Correction verified 2025-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2024 Report · Deficiencies cited
-
Supervision & ratios
While reviewing the three victim child plans, it was discovered two of the three victim child plans had inaccurate information regarding another child in the plan.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-12-30. Correction verified 2024-12-31.
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Supervision & ratios
-
Nov 24, 2024 Report · Deficiencies cited
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Supervision & ratios
While reviewing the three victim child plans, it was discovered two of the three victim child plans had inaccurate information regarding another child in the plan.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-12-30. Correction verified 2024-12-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
During the investigation, a child reported the operation was not following supervision checks per the safety plan. A review of the completed supervision check forms corroborated the child's allegations. The operation failed to check on the child every 15 minutes multiple times on 11/18/2024 and 11/19/2024.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2025-01-07.
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Supervision & ratios
During the investigation, serious incident reports were reviewed, and it was observed the documentation was lacking required information such as the operation's physical address and the treating physician's name, finding, and treatment.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2025-01-07.
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Supervision & ratios
-
Nov 17, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
During the investigation, a child reported the operation was not following supervision checks per the safety plan. A review of the completed supervision check forms corroborated the child's allegations. The operation failed to check on the child every 15 minutes multiple times on 11/18/2024 and 11/19/2024.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2025-01-07.
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Supervision & ratios
During the investigation, serious incident reports were reviewed, and it was observed the documentation was lacking required information such as the operation's physical address and the treating physician's name, finding, and treatment.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-12-18. Correction verified 2025-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2024 Report · Deficiencies cited (self-report)
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Other Serious
Caregivers failed to supervise a child with high-risk behaviors, resulting in the child running within 24 hours of placement.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-12-13. Correction verified 2024-12-20.
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Other Serious
-
Nov 7, 2024 Report · Deficiencies cited (self-report)
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Other Serious
Caregivers failed to supervise a child with high-risk behaviors, resulting in the child running within 24 hours of placement.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-12-13. Correction verified 2024-12-20.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Nov 3, 2024 Report · Deficiencies cited
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Supervision & ratios
During the course of the investigation, a child in care was observed by staff picking up a marijuana roach. The staff told the child multiple times to drop the roach; however, the child did not. The staff witnessed the child walk around to multiple people at the park asking for a lighter; as well as asking the staff. The staff had the children load the van, because the child would not dispose of the roach. The child pretended to throw the roach out the window; and the staff believed she did. After returning to the operation, it was discovered that the child had not disposed of the roach as she was attempting to light it. The staff failed to obtain possession of the roach to ensure it was disposed of. The staff failed to check to see if the child actually disposed the roach.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 3, 2024 Report · Deficiencies cited
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Supervision & ratios
During the course of the investigation, a child in care was observed by staff picking up a marijuana roach. The staff told the child multiple times to drop the roach; however, the child did not. The staff witnessed the child walk around to multiple people at the park asking for a lighter; as well as asking the staff. The staff had the children load the van, because the child would not dispose of the roach. The child pretended to throw the roach out the window; and the staff believed she did. After returning to the operation, it was discovered that the child had not disposed of the roach as she was attempting to light it. The staff failed to obtain possession of the roach to ensure it was disposed of. The staff failed to check to see if the child actually disposed the roach.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-14.
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Supervision & ratios
-
Oct 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2024 Inspection · Deficiencies cited
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Illness & medication
During the inspection, I observed a child's prescription Iron Supplement was not refilled in a timely fashion, resulting in the child missing a dose of her medication on 10/14/24. The Administrator confirmed the responsible staff admitted to failing to pick the prescription up before the medication ran out.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-10-25. Correction verified 2024-11-25.
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Supervision & ratios
During the inspection, I observed the adminstrator was not present at the operation during the inspection, exhibits a historical pattern of not being present at the operation, and interviews indicate he is present at the operation only for staff meetings.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-11-01. Correction verified 2024-11-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 25, 2024 Inspection · Deficiencies cited
-
Illness & medication
During the inspection, I observed a child's prescription Iron Supplement was not refilled in a timely fashion, resulting in the child missing a dose of her medication on 10/14/24. The Administrator confirmed the responsible staff admitted to failing to pick the prescription up before the medication ran out.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-10-25. Correction verified 2024-11-25.
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Supervision & ratios
During the inspection, I observed the adminstrator was not present at the operation during the inspection, exhibits a historical pattern of not being present at the operation, and interviews indicate he is present at the operation only for staff meetings.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-11-01. Correction verified 2024-11-25.
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Illness & medication
-
Oct 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 17, 2024 Report · Deficiencies cited (self-report)
-
Staff background & training
During the investigation, I confirmed two staff members did not receive EBI training within six months of their previous training.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-11-15. Correction verified 2024-11-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 17, 2024 Report · Deficiencies cited (self-report)
-
Staff background & training
During the investigation, I confirmed two staff members did not receive EBI training within six months of their previous training.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-11-15. Correction verified 2024-11-25.
-
Staff background & training
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2024 Inspection · Deficiencies cited
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Illness & medication
During the inspection, it was discovered that one of the four child medication records reviewed indicated a child had missed a dose on four days.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-09-18. Correction verified 2024-10-24.
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Illness & medication
During the inspection, three of the four child medication records reviewed were missing the reason the medication was prescribed. This was corrected at inspection.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-09-18.
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Cleanliness & sanitation
During the inspection, it was discovered a toilet would not flush in one of the bathrooms in which three girls share. There is a do not use sign on the toilet. There is a work order for this toilet dated 6/8/2024, which appears to have been ample time for this toilet to have been fixed.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-10-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Sep 18, 2024 Inspection · Deficiencies cited
-
Illness & medication
During the inspection, it was discovered that one of the four child medication records reviewed indicated a child had missed a dose on four days.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-09-18. Correction verified 2024-10-24.
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Illness & medication
During the inspection, three of the four child medication records reviewed were missing the reason the medication was prescribed. This was corrected at inspection.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-09-18.
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Cleanliness & sanitation
During the inspection, it was discovered a toilet would not flush in one of the bathrooms in which three girls share. There is a do not use sign on the toilet. There is a work order for this toilet dated 6/8/2024, which appears to have been ample time for this toilet to have been fixed.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-10-24.
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Illness & medication
-
Sep 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2024 Inspection · Deficiencies cited
-
Illness & medication
The name and signature of of each staff administering medicaitons was not present. One staff's signature was illegible, and several medication counts were prefilled (without initials or signatures).
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2024-06-21. Correction verified 2024-06-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 13, 2024 Inspection · Deficiencies cited
-
Illness & medication
The name and signature of of each staff administering medicaitons was not present. One staff's signature was illegible, and several medication counts were prefilled (without initials or signatures).
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2024-06-21. Correction verified 2024-06-24.
-
Illness & medication
-
Jun 10, 2024 Report · Deficiencies cited
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Other
A direct care staff was yelling and shaking her finger in the face of a child in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-08-07. Correction verified 2024-08-08.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Jun 10, 2024 Report · Deficiencies cited
-
Other
A direct care staff was yelling and shaking her finger in the face of a child in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-08-07. Correction verified 2024-08-08.
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Other
-
Jun 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
During this investigation, it was discovered during interviews children in care have been making out with each other in their beds and bedrooms. Five of the five children interviewed girls have played kissing games. Two of the five girls reported making out in the bed together in their bedroom. Four of the seven collateral adults interviewed reported visiting the operation several times a week and observing concerns regarding supervision.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-08-12. Correction verified 2024-08-09.
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Supervision & ratios Serious
-
May 31, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
During this investigation, it was discovered during interviews children in care have been making out with each other in their beds and bedrooms. Five of the five children interviewed girls have played kissing games. Two of the five girls reported making out in the bed together in their bedroom. Four of the seven collateral adults interviewed reported visiting the operation several times a week and observing concerns regarding supervision.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-08-12. Correction verified 2024-08-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 2, 2024 Inspection · Deficiencies cited
-
Food & allergies
The first aid kit in the Hope Haven Hilander was missing waterproof gloves, a thermometer, and tweezers. A case manager added the missing items during the monitoring inspection.
HHSC 748.3273(10) — First Aid Kits-Each one must contain waterproof, disposable gloves
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-05-02.
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Staff background & training
One of the four employee records reviewed did not contain orientation training.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2024-05-09. Correction verified 2024-05-17.
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Food & allergies
-
May 2, 2024 Inspection · Deficiencies cited
-
Food & allergies
The first aid kit in the Hope Haven Hilander was missing waterproof gloves, a thermometer, and tweezers. A case manager added the missing items during the monitoring inspection.
HHSC 748.3273(10) — First Aid Kits-Each one must contain waterproof, disposable gloves
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-05-02.
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Staff background & training
One of the four employee records reviewed did not contain orientation training.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2024-05-09. Correction verified 2024-05-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Food & allergies
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Report · Deficiencies cited
-
Discipline & child guidance
A caregiver failed to follow the operation's approved policies and procedures. According to the operation's electronic and social media policy only authorized staff can handle these concerns. An off duty, unauthorized staff member provided a child with a history of social media abuse the password to social media.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-06-17. Correction verified 2024-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Apr 5, 2024 Report · Deficiencies cited
-
Discipline & child guidance
A caregiver failed to follow the operation's approved policies and procedures. According to the operation's electronic and social media policy only authorized staff can handle these concerns. An off duty, unauthorized staff member provided a child with a history of social media abuse the password to social media.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-06-17. Correction verified 2024-06-11.
-
Discipline & child guidance
-
Mar 20, 2024 Report · Deficiencies cited
-
Supervision & ratios
Children at the operation were sleeping on mattresses placed directly on the floor.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2024-05-17. Correction verified 2024-05-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 20, 2024 Report · Deficiencies cited
-
Supervision & ratios
Children at the operation were sleeping on mattresses placed directly on the floor.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2024-05-17. Correction verified 2024-05-17.
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Supervision & ratios
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Inspection · Deficiencies cited
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Food & allergies
During the inspection, I observed the facility first aid kit to be lacking a pair of tweezers.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2024-02-09. Correction verified 2024-02-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Food & allergies
-
Feb 1, 2024 Inspection · Deficiencies cited
-
Food & allergies
During the inspection, I observed the facility first aid kit to be lacking a pair of tweezers.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2024-02-09. Correction verified 2024-02-02.
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Food & allergies
-
Jan 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2023 Report · Deficiencies cited
-
Discipline & child guidance
During an abuse/neglect investigation it was noted that while a staff was playing with a child in care, the staff in a non-disciplinary manner, touched the child on her bottom, making a comment to the effect that the staff was bad. This was confirmed by another staff in a written incident report. Two collateral children were interviewed indicating this staff previously "touched or smacked" one of the two residents on the bottom.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-01-31. Correction verified 2024-01-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Dec 14, 2023 Report · Deficiencies cited
-
Discipline & child guidance
During an abuse/neglect investigation it was noted that while a staff was playing with a child in care, the staff in a non-disciplinary manner, touched the child on her bottom, making a comment to the effect that the staff was bad. This was confirmed by another staff in a written incident report. Two collateral children were interviewed indicating this staff previously "touched or smacked" one of the two residents on the bottom.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-01-31. Correction verified 2024-01-24.
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Discipline & child guidance
-
Dec 12, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Interviews with staff and children indicate three children were allowed unsupervised access to a personal laptop, with one child requiring increased supervision due to recent behaviors.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-02-14. Correction verified 2024-02-14.
-
Supervision & ratios Serious
-
Dec 12, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
Interviews with staff and children indicate three children were allowed unsupervised access to a personal laptop, with one child requiring increased supervision due to recent behaviors.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-02-14. Correction verified 2024-02-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Nov 29, 2023 Inspection · Deficiencies cited
-
Records & paperwork
One of the four records reviewed failed to have a child's signature indicating the child's rights had been reviewed. There was no signature nor was there an explanation of why the child did not sign. The agency provided another copy of the child's right form for this child that indicated the form was signed eleven months later.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
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Records & paperwork
Three of the four records did not include documentation in the child's record indicating the child's parent had been notified of the service plan meeting.
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2023-12-13. Correction verified 2023-12-19.
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Records & paperwork
Two of the four child records reviewed were missing service plan reviews. One of the records had the initial service plan only. Another record was missing one service plan review.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-12-13. Correction verified 2023-12-19.
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Safety & premises
While reviewing the fire drills, it was noted that only one drill had been conducted this year. The drill was conducted in January 2023, and there has not been a follow up drill completed. Staff reported the severe weather and fire drill were both completed at the same time in January 2023.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
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Safety & premises
While reviewing the severe weather drills, it was noted that only one drill had been conducted this year. The drill was conducted in January 2023, and there has not been a follow up drill completed. Staff reported the severe weather and fire drill were both completed at the same time in January 2023.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
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Records & paperwork
-
Nov 29, 2023 Inspection · Deficiencies cited
-
Records & paperwork
One of the four records reviewed failed to have a child's signature indicating the child's rights had been reviewed. There was no signature nor was there an explanation of why the child did not sign. The agency provided another copy of the child's right form for this child that indicated the form was signed eleven months later.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
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Records & paperwork
Three of the four records did not include documentation in the child's record indicating the child's parent had been notified of the service plan meeting.
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2023-12-13. Correction verified 2023-12-19.
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Records & paperwork
Two of the four child records reviewed were missing service plan reviews. One of the records had the initial service plan only. Another record was missing one service plan review.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-12-13. Correction verified 2023-12-19.
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Safety & premises
While reviewing the fire drills, it was noted that only one drill had been conducted this year. The drill was conducted in January 2023, and there has not been a follow up drill completed. Staff reported the severe weather and fire drill were both completed at the same time in January 2023.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
-
Safety & premises
While reviewing the severe weather drills, it was noted that only one drill had been conducted this year. The drill was conducted in January 2023, and there has not been a follow up drill completed. Staff reported the severe weather and fire drill were both completed at the same time in January 2023.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2023-12-13. Correction verified 2023-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2023 Report · Deficiencies cited (self-report)
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Other
A staff member was told to stand in the restroom and turn around while a child used the restroom. This made both the child and the caregiver uncomfortable.
HHSC 748.1101(b)(3)(E) — Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-11-13.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Nov 12, 2023 Report · Deficiencies cited (self-report)
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Other
A staff member was told to stand in the restroom and turn around while a child used the restroom. This made both the child and the caregiver uncomfortable.
HHSC 748.1101(b)(3)(E) — Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-11-13.
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Other
-
Nov 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the investigation, it was discovered that a caregiver was yelling, screaming, and/or cursing at the children,
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2023-12-19.
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Illness & medication
During the investigation, it was discovered that the operation did not follow their plans to restrict medication administration by a staff member after a medication error.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2023-12-22. Correction verified 2023-12-19.
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Illness & medication Serious
During the investigation, it was discovered that a caregiver was leaving staff keys accessible to children and leaving the staff office door and medication closet opened and accessible to children.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2023-12-19.
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Other
During the investigation, it was discovered that a caregiver playfully spanked a child on the bottom making the child feel weird about the situation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-19.
-
Discipline & child guidance Serious
-
Oct 27, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the investigation, it was discovered that a caregiver was yelling, screaming, and/or cursing at the children,
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2023-12-19.
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Illness & medication
During the investigation, it was discovered that the operation did not follow their plans to restrict medication administration by a staff member after a medication error.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2023-12-22. Correction verified 2023-12-19.
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Illness & medication Serious
During the investigation, it was discovered that a caregiver was leaving staff keys accessible to children and leaving the staff office door and medication closet opened and accessible to children.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2023-12-22. Correction verified 2023-12-19.
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Other
During the investigation, it was discovered that a caregiver playfully spanked a child on the bottom making the child feel weird about the situation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Oct 20, 2023 Assessment · Deficiencies cited
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Supervision & ratios
During the investigation inspection, the administrator was not present at the operation. The administrator has not been present at the operation the last few times Licensing has been to the operation.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-24.
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Supervision & ratios
-
Oct 20, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During the investigation inspection, the administrator was not present at the operation. The administrator has not been present at the operation the last few times Licensing has been to the operation.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 16, 2023 Inspection · Deficiencies cited
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Staff background & training
A follow-up inspection was conducted at the operation regarding an ANE investigation in which this standard was cited. The operation reported as a correction that a training had been conducted on 10/6/2023. The administrator reported the training had been conducted, however, there was no sign-in sheet to provide evidence the training had actually took place. The administrator stated the staff that led the training is no longer employed with the operation, and he was not aware if a sign-in sheet was completed.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-11-15. Correction verified 2023-11-15.
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Staff background & training
-
Oct 16, 2023 Inspection · Deficiencies cited
-
Staff background & training
A follow-up inspection was conducted at the operation regarding an ANE investigation in which this standard was cited. The operation reported as a correction that a training had been conducted on 10/6/2023. The administrator reported the training had been conducted, however, there was no sign-in sheet to provide evidence the training had actually took place. The administrator stated the staff that led the training is no longer employed with the operation, and he was not aware if a sign-in sheet was completed.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-11-15. Correction verified 2023-11-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2023 Report · Deficiencies cited
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Illness & medication
During the investigation, it was observed that the operation did not notify the parent about the child's serious injury, which resulted in seeking medical attention, until the following day and not directly after ensuring the child was safe.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 3, 2023 Report · Deficiencies cited
-
Illness & medication
During the investigation, it was observed that the operation did not notify the parent about the child's serious injury, which resulted in seeking medical attention, until the following day and not directly after ensuring the child was safe.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.
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Illness & medication
-
Sep 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
Children in care and staff reported that children were allowed to possess and utilize personal sexual stimulators at the operation. A child in care admitted to using a personal sexual stimulator on another child while at the operation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 17, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Children in care and staff reported that children were allowed to possess and utilize personal sexual stimulators at the operation. A child in care admitted to using a personal sexual stimulator on another child while at the operation.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-10-16.
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Supervision & ratios
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2023 Inspection · Deficiencies cited
-
Staff background & training
One of the four employee records reviewed included a normalcy training that was over a month late.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-24.
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Staff background & training
One of the four employee records reviewed had a transportation training that was at least three weeks late.
HHSC 748.930(b)(4) — Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
May 18, 2023 Inspection · Deficiencies cited
-
Staff background & training
One of the four employee records reviewed included a normalcy training that was over a month late.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-24.
-
Staff background & training
One of the four employee records reviewed had a transportation training that was at least three weeks late.
HHSC 748.930(b)(4) — Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-24.
-
Staff background & training
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 11, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Two children in care reported witnessing a caregiver was sleep while being the only staff on duty. One of the two children reported witnessing the caregiver with headphones on and asleep. The caregiver admitted to falling asleep while on duty.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-03-30. Correction verified 2023-02-21.
-
Supervision & ratios Serious
-
Feb 28, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Two children in care reported witnessing a caregiver was sleep while being the only staff on duty. One of the two children reported witnessing the caregiver with headphones on and asleep. The caregiver admitted to falling asleep while on duty.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-03-30. Correction verified 2023-02-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 17, 2022 Inspection · Deficiencies cited
-
Illness & medication
There were two missing staff signatures (initials) on a medication record for a specific medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2022-10-21. Correction verified 2022-10-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Oct 17, 2022 Inspection · Deficiencies cited
-
Illness & medication
There were two missing staff signatures (initials) on a medication record for a specific medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2022-10-21. Correction verified 2022-10-19.
-
Illness & medication
-
Oct 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2022 Inspection · Deficiencies cited
-
Illness & medication
When reviewing medication records, two of the children's logs did not include the reason the medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-09-15. Correction verified 2022-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Sep 9, 2022 Inspection · Deficiencies cited
-
Illness & medication
When reviewing medication records, two of the children's logs did not include the reason the medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-09-15. Correction verified 2022-09-16.
-
Illness & medication
-
Sep 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection it was found that one admission assessment was not completed within in 30 days after the child was placed. This is the policy of Hope Haven.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-07-13.
-
Safety & premises
During the inspection it was found that out of the seven fire drills reviewed not all fire drills were six months or less.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-07-13.
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Cleanliness & sanitation
During the inspection it was found that a package of potato's were rotten. The treatment director disposed of the potato's on site.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-06.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Jul 6, 2022 Inspection · Deficiencies cited
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Supervision & ratios
During the inspection it was found that one admission assessment was not completed within in 30 days after the child was placed. This is the policy of Hope Haven.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-07-13.
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Safety & premises
During the inspection it was found that out of the seven fire drills reviewed not all fire drills were six months or less.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-07-13.
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Cleanliness & sanitation
During the inspection it was found that a package of potato's were rotten. The treatment director disposed of the potato's on site.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-06.
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Supervision & ratios
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Jun 18, 2022 Inspection · Deficiencies cited
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Food & allergies
The first aid kits in the vans did not have thermometers, and this is a requirement per minimum standards.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2022-06-24. Correction verified 2022-06-21.
HHSC inspection history · no longer published by HHSC; kept here
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Food & allergies
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Jun 18, 2022 Inspection · Deficiencies cited
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Food & allergies
The first aid kits in the vans did not have thermometers, and this is a requirement per minimum standards.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2022-06-24. Correction verified 2022-06-21.
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Food & allergies
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Jun 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Inspection · Deficiencies cited
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Other
One of the beds in room 1 was missing a mattress protector, and the child refused to put one on her bed.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-04-01.
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Other
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Feb 10, 2022 Inspection · Deficiencies cited
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Other
One of the beds in room 1 was missing a mattress protector, and the child refused to put one on her bed.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-04-01.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Feb 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 24, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 8, 2021 Report · Deficiencies cited
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Supervision & ratios
Interviews, staff schedule and director confirm that they have not followed the required ratio of 8:1 when residents wake up at all times. Director stated this was done outside of normal plan as some staff needed to use leave.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2021-12-28. Correction verified 2021-12-31.
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Supervision & ratios
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Nov 8, 2021 Report · Deficiencies cited
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Supervision & ratios
Interviews, staff schedule and director confirm that they have not followed the required ratio of 8:1 when residents wake up at all times. Director stated this was done outside of normal plan as some staff needed to use leave.
HHSC 748.1007(b)(1) — Child/caregiver ratio-Awake caregiver may care for 15 children if any child in group requires treatment services
HHSC risk weight: Medium High. Corrected 2021-12-28. Correction verified 2021-12-31.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Oct 16, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 16, 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.