Inspirational Hope House
596 MOSSWOOD DR, Conroe, TX 77302 · Montgomery County
Program
- Type
- General residential operation
- Licensed capacity
- 27
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Brandi Dolores Walker Brown
- Phone
- (936) 202-8303
- Regulated since
- Oct 23, 2023
- HHSC IDs
- Operation 1416720 · number 1750110
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 1 | Supervision & ratios (1), Records & paperwork (1) |
| 2025 | 16 | 11 | Illness & medication (1), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (4), Records & paperwork (2), Other (3) |
| 2024 | 7 | 4 | Cleanliness & sanitation (2), Illness & medication (2), Records & paperwork (2), Other (1) |
| 2023 | 21 | 9 | Cleanliness & sanitation (1), Illness & medication (2), Supervision & ratios (10), Discipline & child guidance (1), Staff background & training (2), Records & paperwork (1), Other (4) |
| 2022 | 10 | 4 | Illness & medication (2), Supervision & ratios (2), Staff background & training (2), Other (4) |
Inspections, investigations & assessments
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2026 Report
No violations cited on this visit.
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Aug 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Operation staff allowed a child in care to render first aid to another child in care.
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 2026-04-24. Correction verified 2026-04-28.
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Supervision & ratios Serious
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Feb 27, 2026 Inspection · Deficiencies cited
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Records & paperwork
The date completed and summary of the interview with reference is missing.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2026-03-06. Correction verified 2026-05-26.
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Records & paperwork
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Feb 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care was physically assaulted by staff member at the operation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2026-01-23. Correction verified 2026-01-22.
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Discipline & child guidance Serious
A child in care was physically assaulted by staff member at the operation.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2026-01-23. Correction verified 2026-01-22.
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Other Serious
Interviews with children and staff yielded consistent and corroborated statements that a staff member used profanity while on duty in the presence of children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-01-23. Correction verified 2026-01-22.
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Illness & medication Serious
A staff member performed emergency behavior intervention on child in care about a MP3 player to have the child return a MP3 player.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2026-01-23. Correction verified 2026-01-24.
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Supervision & ratios Serious
A staff member at the operation performed an inappropriate restraint on a child in care, restricting the child's ability to breathe and causing pain.
HHSC 748.2461(a)(1) — Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child
HHSC risk weight: High. Corrected 2026-01-23. Correction verified 2026-01-24.
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Safety & premises Serious
A staff member used emergency behavior intervention to get a child in care to return a missing MP3 player.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2026-01-23. Correction verified 2026-01-24.
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Safety & premises Serious
A staff member performed emergency behavior intervention immediately on a child in care before attempting de-escalation.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2026-01-23. Correction verified 2026-01-24.
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Safety & premises Serious
Child in care was not released by staff member from emergency behavior intervention when the child stated it hurt them.
HHSC 748.2553(1)(A) — EBI Release-Child released from short personal restraint immediately in emergency health situation and treatment obtained immediately
HHSC risk weight: High. Corrected 2026-01-23. Correction verified 2026-01-24.
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Supervision & ratios
A staff member at the operation did not complete the post emergency behavior intervention with the child whom they performed the intervention on.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2026-01-23. Correction verified 2026-01-24.
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Discipline & child guidance Serious
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Sep 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Report · Deficiencies cited
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Other Serious
A staff member was observed attempting to intimidate and/or encourage a child in care to engage in a physical altercation with her.
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-09.
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Other Serious
A staff member directed profanity towards children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-09.
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Safety & premises
A staff member allowed children in care to pick fleas off dogs belonging to the staff member while on an outing.
HHSC 748.705(b)(7) — Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity
HHSC risk weight: Medium. Corrected 2025-09-08. Correction verified 2025-09-09.
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Other Serious
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2025 Report · Deficiencies cited
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Records & paperwork
The incident that lead to the report and subsequent investigation was not documented accurately and correctly. The incident report is missing the child's age, date of admission, name of child witness, and staff signature.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2025-08-25. Correction verified 2025-08-18.
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Records & paperwork
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Jul 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Based on the interviews with residents and staff, there is only one staff member supervising up to 8 children on Side B between 5am, when the children wake up, and 6:20am, when they leave for bus stop.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-06-11. Correction verified 2025-07-18.
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Supervision & ratios Serious
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May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Inspection · Deficiencies cited
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Records & paperwork
Out of 4 children files reviewed for compliance, 2 child records are missing the child's signature on their admission assessment.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected 2025-03-14. Correction verified 2025-05-30.
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Records & paperwork
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Feb 3, 2025 Assessment · Deficiencies cited
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Supervision & ratios
The operation did not report quarterly EBI information within 15 days following the end of the quarter.
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 2025-02-06. Correction verified 2025-03-03.
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Supervision & ratios
-
Feb 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Report · Deficiencies cited
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Other Serious
A staff member made inappropriate comments and showed unsuitable videos to children in care.
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 2024-11-29. Correction verified 2024-11-29.
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Other Serious
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Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 22, 2024 Report · Deficiencies cited
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Records & paperwork
A 12-year-old child in care was allowed to watch a rated R movie, which contained strong violence, language, and disturbing imagery. This child reported nightmares and hallucinations after viewing this movie.
HHSC 748.705(b)(2) — Reasonable & prudent parent standard-must consider the child's cognitive, social, emotional and physical development level
HHSC risk weight: Medium. Corrected 2024-10-07. Correction verified 2024-10-07.
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Records & paperwork
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Jul 23, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
During the inspection it was observed that two bathroom showers contained mold.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-07-30. Correction verified 2024-10-18.
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Cleanliness & sanitation
During the inspection it was found that one bathroom sink had a broken knob. It was also found in another bathroom that the sink was backed up and not draining properly.
HHSC 748.3395(a) — Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean
HHSC risk weight: Medium. Corrected 2024-07-30. Correction verified 2024-10-18.
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Cleanliness & sanitation Serious
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Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2024 Report · Deficiencies cited
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Records & paperwork
The investigator was unable to review some of the incident reports on the children, as they were illegible.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2024-07-29. Correction verified 2024-07-29.
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Records & paperwork
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May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
Multiple medication logs reviewed did not contain the year the medication was administered. One child's medication log did not contain the time the medication was administered. One child's medication log reviewed did not contain the signature of the staff member who administered it.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-04-17. Correction verified 2024-04-17.
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Illness & medication Serious
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Feb 16, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
Multiple medication logs reviewed contained the incorrect pill count.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2024-02-23. Correction verified 2024-02-23.
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Illness & medication Serious
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Jan 3, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2023 Report · Deficiencies cited
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Supervision & ratios
Upon review of a service plan there was inaccurate information regarding the child's recent behaviors.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-12-22. Correction verified 2023-12-22.
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Supervision & ratios
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Sep 18, 2023 Inspection · Deficiencies cited
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Staff background & training
There are 3 previous employees still listed as active in CLASS.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2023-09-20. Correction verified 2023-10-02.
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Supervision & ratios Serious
There was only one evacuation posting posted downstairs in the whole operation.
HHSC 748.191(3) — Required Postings-Post emergency and evacuation relocation plans in each building and living quarters used by children where all may view them
HHSC risk weight: Medium High. Corrected 2023-10-02. Correction verified 2023-10-02.
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Supervision & ratios
The operation does not have any documented weather drills.
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 2023-10-02. Correction verified 2023-10-02.
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Staff background & training
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Aug 29, 2023 Report · Deficiencies cited
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Other Serious
It was observed staff was arguing with residents and staff was also arguing amongst each other in front of the residents.
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 2023-10-13. Correction verified 2023-10-13.
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Other Serious
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Aug 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
One staff member with a condition on her background check stating she cannot be left in charge at the operation was the only staff member present with the children upon my arrival.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2023-08-14. Correction verified 2023-08-14.
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Supervision & ratios Serious
Upon my arrival to the operation there was one staff member present with eight children who are receiving treatment services.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-08-14. Correction verified 2023-08-14.
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Supervision & ratios Serious
Children in care were not appropriately supervised. There were multiple children both upstairs and downstairs in different areas of the operation with one staff member present downstairs cooking upon my arrival.
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 2023-08-14. Correction verified 2023-08-14.
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Staff background & training Serious
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Jul 27, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
Multiple children in care were neglectfully supervised.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-11-03. Correction verified 2023-11-03.
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Supervision & ratios
Staff members were not providing the level of supervision required per their service plans.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2023-11-03. Correction verified 2023-11-03.
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Discipline & child guidance Serious
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Jul 21, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
A staff member at the operation was not providing adequate supervision to children in care due to sleeping.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-01-24. Correction verified 2024-01-24.
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Supervision & ratios Serious
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Jul 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2023 Inspection · Deficiencies cited
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Other
One child receiving treatment services service plan did not contain any signatures.
HHSC 748.1347(b) — Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
HHSC risk weight: Low. Corrected 2023-07-25. Correction verified 2023-07-19.
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Other
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Jun 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2023 Report · Deficiencies cited (self-report)
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Other
Upon review of documents received from IHH, Unauthorized log was not maintained for the month of March for child in care
HHSC 748.453(b) — Unauthorized Absence - Maintain each annual summary log for five years
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-01.
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Other
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May 23, 2023 Inspection · Deficiencies cited
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Records & paperwork
One child's file reviewed did not contain the child's right's documentation.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2023-05-30. Correction verified 2023-05-26.
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Supervision & ratios
One staff's file reviewed did not contain a signed statement saying they have read a copy of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2023-05-30. Correction verified 2023-05-26.
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Records & paperwork
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May 3, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
Service plan did not have medication listed for a child in care.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2023-06-13. Correction verified 2023-06-13.
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Illness & medication Serious
Child in care was not taking medication as prescribed.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2023-06-13. Correction verified 2023-06-13.
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Illness & medication
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Apr 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2023 Report · Deficiencies cited
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Supervision & ratios
Documentation received from the operation contained inaccurate information and incomplete forms.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-05-16. Correction verified 2023-05-16.
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Cleanliness & sanitation Serious
The laundry room where cleaning supplies was stored was not locked.
HHSC 748.3421(1) — Poisons-The operation must ensure that poisonous or flammable materials are stored in their original, labeled containers
HHSC risk weight: High. Corrected at inspection. Corrected 2023-04-25.
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Supervision & ratios
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Apr 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2023 Inspection · Deficiencies cited
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Other
Two out of three child files reviewed contained preliminary service plans that were not signed.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2023-04-11. Correction verified 2023-04-11.
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Other
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Apr 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
One staff member's file showed conflicting information regarding their high school education. One staff members high school diploma was believed to be unauthentic.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-04-25. Correction verified 2023-04-20.
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Supervision & ratios
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Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
Policy did not include how the operation will explain to a child in care the way to report an inappropriate EBI.
HHSC 748.113(5)(A)(vii) — EBI policy - for orientation, explain and document to a child the way to report an inappropriate EBI
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-14.
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Other
Discipline policy did not include positive measures for positive responses to appropriate behaviors. Does not include the importance of nurturing behavior, stimulation, and promptly meeting the child?s needs.
HHSC 748.115(3) — Discipline policy - Include measures for positive responses to appropriate behavior
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-14.
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Other
Form is missing a section regarding suicide screening and safety plans if needed.
HHSC 748.1205(a)(14) — Admission Documentation- Includes the results of the suicide screening at admission, if required.
HHSC risk weight: Low. Corrected 2022-10-14. Correction verified 2022-10-13.
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Staff background & training
Form is missing that a general daily schedule will be reviewed.
HHSC 748.1209(b)(12) — Child Orientation-Include general daily schedule for routine activities
HHSC risk weight: Medium Low. Corrected 2022-10-14. Correction verified 2022-10-13.
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Other
Form is missing a place for an initial evaluation of the placement. A place for the child's understanding and a place for whether and how they will meet the needs.
HHSC 748.1217(a) — Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-13.
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Other
Form is missing a place for reasons for choosing.
HHSC 748.1219(2)(D) — Treatment Services Admission-ID: Admission assessment must include reason(s) for choosing treatment services for child
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-14.
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Supervision & ratios
Form is missing a place for how they would meet immediate needs.
HHSC 748.1331(b)(3) — Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
HHSC risk weight: Medium Low. Corrected 2022-10-14. Correction verified 2022-10-13.
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Supervision & ratios Serious
The operation does not currently have a designated administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2022-10-17. Correction verified 2022-10-17.
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Illness & medication Serious
The operation needs a small medication fridge or a lock for the large fridge to store cold medications.
HHSC 748.2101(4) — Medication Storage-make provisions for storing medication that requires refrigeration
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-13.
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Illness & medication Serious
There is no inventory form for discontinued or expired meds.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-14.
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Staff background & training Serious
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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.
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- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.