East Texas Open Door INC
410 W GRAND AVE, Marshall, TX 75670 · Harrison County
Program
- Type
- General residential operation
- Licensed capacity
- 44
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Meagan Doan
- Phone
- (903) 935-2099
- Regulated since
- Mar 3, 1995
- HHSC IDs
- Operation 103605 · number 228620
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 16 | 0 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (6), Records & paperwork (4), Other (2) |
| 2025 | 6 | 2 | Supervision & ratios (4), Safety & premises (2) |
| 2024 | 2 | 0 | Supervision & ratios (2) |
| 2023 | 42 | 10 | Cleanliness & sanitation (8), Illness & medication (4), Supervision & ratios (18), Safety & premises (2), Staff background & training (2), Records & paperwork (2), Other (6) |
| 2022 | 38 | 10 | Illness & medication (4), Supervision & ratios (8), Discipline & child guidance (2), Safety & premises (6), Records & paperwork (6), Other (12) |
| 2021 | 10 | 0 | Illness & medication (2), Records & paperwork (2), Other (6) |
Inspections, investigations & assessments
-
Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection
No violations cited on this visit.
-
Aug 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
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.
-
Mar 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2026 Inspection · Deficiencies cited
-
Records & paperwork
Of the four child's records reviewed, one was missing a signed child's rights.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-07.
-
Records & paperwork
One of four child's records did not have a completed admissions assessment.
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 2026-04-01. Correction verified 2026-04-07.
-
Illness & medication
Two of four medication records reviewed, did not have an accurate 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 2026-04-01. Correction verified 2026-04-07.
-
Cleanliness & sanitation
During the inspection, I observed the siding of the house was rotted out in several locations on both buildings, a bench in the back yard was used as an anchor for the volleyball net with a metal stake being stuck through the bench slats to bear the weight while being exposed in a way a child could injure themselves on it, the paint in the upstairs room of the kitchen building was cracked above a window, and the paint on the outside rear face of the house as incomplete.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-01.
-
Other
During the inspection, I observed an unsecured and unattended gas can, containing gasoline, in the yard of one of the houses.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-03-18.
-
Supervision & ratios
During the inspection, I observed the refrigerator in the kitchen lacked a thermometer, one freezer thermometer read ten degrees Fahrenheit, the other freezer thermometer read four degrees Fahrenheit, and the deep freezer in the other building read fifteen degrees Fahrenheit.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 18, 2026 Inspection · Deficiencies cited
-
Records & paperwork
Of the four child's records reviewed, one was missing a signed child's rights.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-07.
-
Records & paperwork
One of four child's records did not have a completed admissions assessment.
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 2026-04-01. Correction verified 2026-04-07.
-
Illness & medication
Two of four medication records reviewed, did not have an accurate 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 2026-04-01. Correction verified 2026-04-07.
-
Cleanliness & sanitation
During the inspection, I observed the siding of the house was rotted out in several locations on both buildings, a bench in the back yard was used as an anchor for the volleyball net with a metal stake being stuck through the bench slats to bear the weight while being exposed in a way a child could injure themselves on it, the paint in the upstairs room of the kitchen building was cracked above a window, and the paint on the outside rear face of the house as incomplete.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-01.
-
Other
During the inspection, I observed an unsecured and unattended gas can, containing gasoline, in the yard of one of the houses.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-03-18.
-
Supervision & ratios
During the inspection, I observed the refrigerator in the kitchen lacked a thermometer, one freezer thermometer read ten degrees Fahrenheit, the other freezer thermometer read four degrees Fahrenheit, and the deep freezer in the other building read fifteen degrees Fahrenheit.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-07.
-
Records & paperwork
-
Mar 9, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
While reviewing the serious incident report provided, it was determined the documentation did not include the names of the children/adults involved in the incident. There were three children involved in the incident; however, the report only named one child. The incident occurred at the operation, and the staff present that witnessed the incident were not included on the report.
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 2026-04-23. Correction verified 2026-04-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 9, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
While reviewing the serious incident report provided, it was determined the documentation did not include the names of the children/adults involved in the incident. There were three children involved in the incident; however, the report only named one child. The incident occurred at the operation, and the staff present that witnessed the incident were not included on the report.
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 2026-04-23. Correction verified 2026-04-27.
-
Supervision & ratios
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2026 Report · Deficiencies cited
-
Supervision & ratios
The operation has not been administering suicide screenings every 90 days as required by minimum standards.
HHSC 748.125(d)(4)(D) — Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
HHSC risk weight: Medium. Corrected 2026-03-31. Correction verified 2026-04-06.
-
Supervision & ratios
-
Feb 4, 2026 Report · Deficiencies cited
-
Supervision & ratios
The operation has not been administering suicide screenings every 90 days as required by minimum standards.
HHSC 748.125(d)(4)(D) — Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
HHSC risk weight: Medium. Corrected 2026-03-31. Correction verified 2026-04-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 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 violations cited on this visit.
-
Oct 16, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 25, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the after-hours monitoring inspection, it was observed that the operation's posted evacuation diagrams did not have a specified shelter in place location for severe weather.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected 2025-09-05. Correction verified 2025-09-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 25, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the after-hours monitoring inspection, it was observed that the operation's posted evacuation diagrams did not have a specified shelter in place location for severe weather.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected 2025-09-05. Correction verified 2025-09-05.
-
Supervision & ratios
-
Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2025 Report · Deficiencies cited (self-report)
-
Safety & premises Serious
The caregivers did not de-escalate a heated altercation between two residents, which resulted in a child having a seizure and requiring emergency medical attention.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected at inspection. Corrected 2025-06-30.
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Safety & premises Serious
-
Jun 20, 2025 Report · Deficiencies cited (self-report)
-
Safety & premises Serious
The caregivers did not de-escalate a heated altercation between two residents, which resulted in a child having a seizure and requiring emergency medical attention.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected at inspection. Corrected 2025-06-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the monitoring inspection, the thermometer located in the freezer was not at the required 0 degrees.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-03-27.
-
Supervision & ratios
-
Mar 27, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
During the monitoring inspection, the thermometer located in the freezer was not at the required 0 degrees.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-03-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 11, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
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 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 25, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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
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 2024-03-26. Correction verified 2024-03-26.
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Supervision & ratios
-
Mar 25, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 25, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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
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 2024-03-26. Correction verified 2024-03-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 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 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 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 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 22, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 22, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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
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 2023-09-23. Correction verified 2023-09-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 22, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 22, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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
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 2023-09-23. Correction verified 2023-09-23.
-
Supervision & ratios
-
Sep 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2023 Inspection · 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
No violations cited on this visit.
-
Sep 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, it was discovered the operation has not completed a severe weather drill in over 12 months.
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 2023-09-11. Correction verified 2023-09-14.
-
Other Serious
During the inspection, it was observed that the door to access the attic was unlocked and accessible to children who were permitted to be upstairs.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2023-09-07. Correction verified 2023-09-07.
-
Cleanliness & sanitation
During the inspection, the bathroom in bedroom four had a paper towel dispenser but no paper towels.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2023-09-07. Correction verified 2023-09-07.
-
Supervision & ratios
During a walkthrough of the operation, I observed two freezers with non-working thermometers.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-09-07. Correction verified 2023-09-07.
-
Supervision & ratios
-
Sep 1, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, it was discovered the operation has not completed a severe weather drill in over 12 months.
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 2023-09-11. Correction verified 2023-09-14.
-
Other Serious
During the inspection, it was observed that the door to access the attic was unlocked and accessible to children who were permitted to be upstairs.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2023-09-07. Correction verified 2023-09-07.
-
Cleanliness & sanitation
During the inspection, the bathroom in bedroom four had a paper towel dispenser but no paper towels.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2023-09-07. Correction verified 2023-09-07.
-
Supervision & ratios
During a walkthrough of the operation, I observed two freezers with non-working thermometers.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-09-07. Correction verified 2023-09-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 31, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was observed that the operation's evacuation plan has one exit that leads directly through the kitchen.
HHSC 748.3233(b)(4)(C) — Evacuation-Emergency evacuation & relocation diagram includes at least 2 exit routes that are not through a kitchen or other hazardous area
HHSC risk weight: Medium High. Corrected 2023-10-09. Correction verified 2023-10-09.
-
Supervision & ratios
During the investigation, it was observed that the operation's back gate was locked with a padlock. The emergency evacuation plan instructs children to meet at the large parking lot across the street, however, those who exit through the back door will not be able to open the gate without a key to the padlock.
HHSC 748.3233(b)(4)(E) — Evacuation-Emergency evacuation & relocation diagram includes 2 exit routes that are not doors or windows that require key to open from inside
HHSC risk weight: Medium High. Corrected 2023-10-09. Correction verified 2023-10-09.
-
Supervision & ratios
-
Aug 31, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was observed that the operation's evacuation plan has one exit that leads directly through the kitchen.
HHSC 748.3233(b)(4)(C) — Evacuation-Emergency evacuation & relocation diagram includes at least 2 exit routes that are not through a kitchen or other hazardous area
HHSC risk weight: Medium High. Corrected 2023-10-09. Correction verified 2023-10-09.
-
Supervision & ratios
During the investigation, it was observed that the operation's back gate was locked with a padlock. The emergency evacuation plan instructs children to meet at the large parking lot across the street, however, those who exit through the back door will not be able to open the gate without a key to the padlock.
HHSC 748.3233(b)(4)(E) — Evacuation-Emergency evacuation & relocation diagram includes 2 exit routes that are not doors or windows that require key to open from inside
HHSC risk weight: Medium High. Corrected 2023-10-09. Correction verified 2023-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 29, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
It was relayed to Childcare Regulation that the spouse of a staff person at the facility began living at the operation in the beginning of August 2023. The Administrator confirmed this information to DFPS. A background check was not submitted prior to this person moving in.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-08-30. Correction verified 2023-09-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Aug 29, 2023 Assessment · Deficiencies cited
-
Staff background & training Serious
It was relayed to Childcare Regulation that the spouse of a staff person at the facility began living at the operation in the beginning of August 2023. The Administrator confirmed this information to DFPS. A background check was not submitted prior to this person moving in.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-08-30. Correction verified 2023-09-01.
-
Staff background & training Serious
-
Aug 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2023 Report · Deficiencies cited
-
Illness & medication
A child in care received medication 4 hours later than it was to be received.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2023-11-24. Correction verified 2023-11-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 10, 2023 Report · Deficiencies cited
-
Illness & medication
A child in care received medication 4 hours later than it was to be received.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2023-11-24. Correction verified 2023-11-24.
-
Illness & medication
-
Aug 4, 2023 Report · Deficiencies cited
-
Supervision & ratios
Several children indicated that a staff member yelled and made shaming remarks to children placed at the operation. An incident of this was recorded and shared with the investigator.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-11-24. Correction verified 2023-11-24.
-
Supervision & ratios
-
Aug 4, 2023 Report · Deficiencies cited
-
Supervision & ratios
Several children indicated that a staff member yelled and made shaming remarks to children placed at the operation. An incident of this was recorded and shared with the investigator.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-11-24. Correction verified 2023-11-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
During the inspection, there was an unlocked box of over the counter medication on a book shelf in the conference room, which children have access to.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2023-07-11. Correction verified 2023-07-17.
-
Cleanliness & sanitation
During an inspection, there was excessive dust and cob webs on vents, walls, and ceilings.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2023-07-11. Correction verified 2023-07-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Jun 30, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
During the inspection, there was an unlocked box of over the counter medication on a book shelf in the conference room, which children have access to.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2023-07-11. Correction verified 2023-07-17.
-
Cleanliness & sanitation
During an inspection, there was excessive dust and cob webs on vents, walls, and ceilings.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2023-07-11. Correction verified 2023-07-17.
-
Illness & medication Serious
-
Jun 22, 2023 Report · Deficiencies cited
-
Records & paperwork
Three of the five children interviewed reported that a staff provoked children in care by making belittling and ridiculing comments and laughing at the children, which resulted in a staff being assaulted.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2023-08-30. Correction verified 2023-08-29.
-
Records & paperwork
-
Jun 22, 2023 Report · Deficiencies cited
-
Records & paperwork
Three of the five children interviewed reported that a staff provoked children in care by making belittling and ridiculing comments and laughing at the children, which resulted in a staff being assaulted.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2023-08-30. Correction verified 2023-08-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 17, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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.
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 2023-03-21. Correction verified 2023-03-21.
-
Supervision & ratios
-
Mar 20, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on March 17, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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.
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 2023-03-21. Correction verified 2023-03-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2023 Inspection · Deficiencies cited
-
Safety & premises
During the inspection, the fire extinguisher in the attic/game room of the grey home had expired tags and reflected the last service date of Sept 2020.
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-02-16.
-
Cleanliness & sanitation
During the inspection, there was a hole in the wall in bedroom 2.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-26.
-
Cleanliness & sanitation
During the inspection, there was a bottle of Scrub Free Total Bathroom Cleaner on a shelf in the living area.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-02-16.
-
Supervision & ratios
During the inspection, the freezer combo in the grey home did not have a thermometer.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-02-26. Correction verified 2023-02-27.
-
Safety & premises
-
Feb 16, 2023 Inspection · Deficiencies cited
-
Safety & premises
During the inspection, the fire extinguisher in the attic/game room of the grey home had expired tags and reflected the last service date of Sept 2020.
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-02-16.
-
Cleanliness & sanitation
During the inspection, there was a hole in the wall in bedroom 2.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-26.
-
Cleanliness & sanitation
During the inspection, there was a bottle of Scrub Free Total Bathroom Cleaner on a shelf in the living area.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-02-16.
-
Supervision & ratios
During the inspection, the freezer combo in the grey home did not have a thermometer.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-02-26. Correction verified 2023-02-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
During the investigation, it was determined that the caregivers did not use the minimal amount of reasonable and necessary physical force during an EBI implementation as they can be seen, on video footage, sitting on and straddling the child.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2023-04-06. Correction verified 2023-04-10.
-
Other
During the investigation, it was discovered that the caregivers did not attempt to shield the restraint of a child from other residents that were present.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2023-04-06. Correction verified 2023-04-10.
-
Other Serious
-
Feb 4, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
During the investigation, it was determined that the caregivers did not use the minimal amount of reasonable and necessary physical force during an EBI implementation as they can be seen, on video footage, sitting on and straddling the child.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2023-04-06. Correction verified 2023-04-10.
-
Other
During the investigation, it was discovered that the caregivers did not attempt to shield the restraint of a child from other residents that were present.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2023-04-06. Correction verified 2023-04-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
It was discovered through interviews with collaterals, that staff failed to supervise children accordingly, as staff member would fall asleep during their working hours.
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 2023-02-22. Correction verified 2023-02-22.
-
Supervision & ratios Serious
-
Jan 9, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
It was discovered through interviews with collaterals, that staff failed to supervise children accordingly, as staff member would fall asleep during their working hours.
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 2023-02-22. Correction verified 2023-02-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jan 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2022 Inspection · Deficiencies cited
-
Illness & medication
During the inspection, I observed three missing medications documentation entries in one child's record.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-08.
-
Illness & medication
-
Nov 28, 2022 Inspection · Deficiencies cited
-
Illness & medication
During the inspection, I observed three missing medications documentation entries in one child's record.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 9/16/22, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the 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 plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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, including having an open investigation.
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 2022-09-17. Correction verified 2023-09-22.
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Supervision & ratios
-
Sep 16, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 9/16/22, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the 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 plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to 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, including having an open investigation.
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 2022-09-17. Correction verified 2023-09-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During the walk through of the operation exposed wire was found near the central fire detector system.
HHSC 748.3301(a)(3) — Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
HHSC risk weight: High. Corrected at inspection. Corrected 2022-07-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 19, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During the walk through of the operation exposed wire was found near the central fire detector system.
HHSC 748.3301(a)(3) — Physical Site- Buildings must comply with applicable building, plumbing, electrical, fire, and similar codes.
HHSC risk weight: High. Corrected at inspection. Corrected 2022-07-19.
-
Supervision & ratios Serious
-
Jul 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2022 Inspection · Deficiencies cited
-
Records & paperwork
On 5/30/22 there was a report of four clients testing COV-19 positive diagnosis. There was no documentation available for review of this incident during my inspection
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-06-20. Correction verified 2022-06-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 8, 2022 Inspection · Deficiencies cited
-
Records & paperwork
On 5/30/22 there was a report of four clients testing COV-19 positive diagnosis. There was no documentation available for review of this incident during my inspection
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-06-20. Correction verified 2022-06-23.
-
Records & paperwork
-
Jun 7, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Several children indicated staff threatened to physical harm children in care.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2022-08-18. Correction verified 2022-08-18.
-
Other
Several children indicated staff uses profane language 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 2022-08-18. Correction verified 2022-08-18.
-
Safety & premises
Staff ran a personal errand while transporting 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 2022-08-18. Correction verified 2022-08-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jun 7, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
Several children indicated staff threatened to physical harm children in care.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2022-08-18. Correction verified 2022-08-18.
-
Other
Several children indicated staff uses profane language 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 2022-08-18. Correction verified 2022-08-18.
-
Safety & premises
Staff ran a personal errand while transporting 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 2022-08-18. Correction verified 2022-08-18.
-
Discipline & child guidance Serious
-
Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2022 Report · Deficiencies cited
-
Safety & premises Serious
A caregiver asked the other children in the home to help her restrain a child who needed to be hospitalized. The restraint was conducted by untrained teenagers.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2022-07-08. Correction verified 2022-07-13.
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Other Serious
There were three girls on this child. One straddling her torso, one holding her head, and one holding her ankles. This could have caused pain, panic, or breathing problems for the child being restrained.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2022-07-08. Correction verified 2022-07-13.
-
Other
The child did not have a post discussion with a caregiver after she was restrained by the children.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-13.
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Other
There has been nothing shared verbally or in writing by the children or staff that the situation was discussed with them.
HHSC 748.2851(c)(2) — EBI Follow-Up-Caregivers involved in EBI must make reasonable efforts to debrief with children in care who witness the incident
HHSC risk weight: Medium Low. Corrected 2022-07-08. Correction verified 2022-07-13.
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Records & paperwork
There was no documentation of this EBI restraint.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-13.
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Other
The caregiver did not use prudent judgment when she asked the other residents to help her to physically control the child who had swallowed glass. The caregiver chose to look for more glass in the bedroom while this was happening. The victim child could have been seriously injured.
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 2022-07-08. Correction verified 2022-07-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
May 28, 2022 Report · Deficiencies cited
-
Safety & premises Serious
A caregiver asked the other children in the home to help her restrain a child who needed to be hospitalized. The restraint was conducted by untrained teenagers.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2022-07-08. Correction verified 2022-07-13.
-
Other Serious
There were three girls on this child. One straddling her torso, one holding her head, and one holding her ankles. This could have caused pain, panic, or breathing problems for the child being restrained.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2022-07-08. Correction verified 2022-07-13.
-
Other
The child did not have a post discussion with a caregiver after she was restrained by the children.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-13.
-
Other
There has been nothing shared verbally or in writing by the children or staff that the situation was discussed with them.
HHSC 748.2851(c)(2) — EBI Follow-Up-Caregivers involved in EBI must make reasonable efforts to debrief with children in care who witness the incident
HHSC risk weight: Medium Low. Corrected 2022-07-08. Correction verified 2022-07-13.
-
Records & paperwork
There was no documentation of this EBI restraint.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-13.
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Other
The caregiver did not use prudent judgment when she asked the other residents to help her to physically control the child who had swallowed glass. The caregiver chose to look for more glass in the bedroom while this was happening. The victim child could have been seriously injured.
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 2022-07-08. Correction verified 2022-07-13.
-
Safety & premises Serious
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 19, 2022 Inspection · Deficiencies cited
-
Other
One of the four children read had no TB test or results in the chart.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2022-05-30. Correction verified 2022-05-23.
-
Safety & premises
One staff chose to use a restraint on a child when the situation, as written, did not constitute an emergency.
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 2022-05-30. Correction verified 2022-06-16.
-
Records & paperwork
In one of the restraint reports, there was nothing under the "debriefing" section. In two other reports, the documentation was minimal and lacked detail.
HHSC 748.2853(1) — EBI Documentation-Date and time the caregiver offered the post discussion to the child
HHSC risk weight: Medium Low. Corrected 2022-05-30. Correction verified 2022-06-16.
-
Other
-
May 19, 2022 Inspection · Deficiencies cited
-
Other
One of the four children read had no TB test or results in the chart.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2022-05-30. Correction verified 2022-05-23.
-
Safety & premises
One staff chose to use a restraint on a child when the situation, as written, did not constitute an emergency.
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 2022-05-30. Correction verified 2022-06-16.
-
Records & paperwork
In one of the restraint reports, there was nothing under the "debriefing" section. In two other reports, the documentation was minimal and lacked detail.
HHSC 748.2853(1) — EBI Documentation-Date and time the caregiver offered the post discussion to the child
HHSC risk weight: Medium Low. Corrected 2022-05-30. Correction verified 2022-06-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
At least one staff member has been dozing off during her graveyard shifts and has been seen sleeping by more than one child.
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 2022-04-01. Correction verified 2022-04-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Feb 18, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
At least one staff member has been dozing off during her graveyard shifts and has been seen sleeping by more than one child.
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 2022-04-01. Correction verified 2022-04-05.
-
Supervision & ratios Serious
-
Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2022 Report · Deficiencies cited
-
Supervision & ratios
The general responsibilities of all employees regardless of whether they are counted in the child/caregiver ratio is to demonstrate competency and prudent judgement in the absence of a more specific rule requirement. In this incident the two children were involved in a verbal altercation 30 min prior to arriving back at the facility, once at the facility one of the children is refusing to take verbal direction from staff and is attempting to make contact with the second child. While staff offered a chance to go to a separate house that evening, the second child refused and chose to return to "White house". Even after staff observed the other child outside and heard her making derogatory comments, they allowed the second child to return to her assigned housing where the altercation occurred.
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 2022-03-23. Correction verified 2022-03-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 6, 2022 Report · Deficiencies cited
-
Supervision & ratios
The general responsibilities of all employees regardless of whether they are counted in the child/caregiver ratio is to demonstrate competency and prudent judgement in the absence of a more specific rule requirement. In this incident the two children were involved in a verbal altercation 30 min prior to arriving back at the facility, once at the facility one of the children is refusing to take verbal direction from staff and is attempting to make contact with the second child. While staff offered a chance to go to a separate house that evening, the second child refused and chose to return to "White house". Even after staff observed the other child outside and heard her making derogatory comments, they allowed the second child to return to her assigned housing where the altercation occurred.
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 2022-03-23. Correction verified 2022-03-25.
-
Supervision & ratios
-
Feb 1, 2022 Inspection · Deficiencies cited
-
Illness & medication
The medication boxes at both the White and Corner House was observed during today's inspection, and both were in locked closet but the boxes were not locked. When the individual boxes are not locked it operation is not meeting the requirement to have these medication double locked. Before I left each house I had the staff lock the combination boxes. The boxes were checked and observed as locked before I left each house.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-01.
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Illness & medication
-
Feb 1, 2022 Inspection · Deficiencies cited
-
Illness & medication
The medication boxes at both the White and Corner House was observed during today's inspection, and both were in locked closet but the boxes were not locked. When the individual boxes are not locked it operation is not meeting the requirement to have these medication double locked. Before I left each house I had the staff lock the combination boxes. The boxes were checked and observed as locked before I left each house.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2021 Report · Deficiencies cited
-
Other
It was determined that direct care staff were not allowing children in care to call their caseworkers.
HHSC 748.1107(a) — Child Rights parent contact-Allow contact between a child and his parent whose parental rights have not been terminated
HHSC risk weight: Medium. Corrected 2022-02-10. Correction verified 2022-02-16.
-
Other
-
Nov 30, 2021 Report · Deficiencies cited
-
Other
It was determined that direct care staff were not allowing children in care to call their caseworkers.
HHSC 748.1107(a) — Child Rights parent contact-Allow contact between a child and his parent whose parental rights have not been terminated
HHSC risk weight: Medium. Corrected 2022-02-10. Correction verified 2022-02-16.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Nov 23, 2021 Inspection · Deficiencies cited
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Records & paperwork
One of four child records reviewed did not have a signed copy of the Child's Rights. There were two unsigned copies of the child's rights in the child records.
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 2021-11-30. Correction verified 2021-11-30.
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Records & paperwork
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Nov 23, 2021 Inspection · Deficiencies cited
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Records & paperwork
One of four child records reviewed did not have a signed copy of the Child's Rights. There were two unsigned copies of the child's rights in the child records.
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 2021-11-30. Correction verified 2021-11-30.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Nov 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 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 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 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 5, 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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Nov 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 3, 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 3, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
Medication errors were marked in the records, but the codes and details in the error logs were delayed by 3 days.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2021-11-12. Correction verified 2021-11-03.
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Illness & medication
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Nov 1, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
Medication errors were marked in the records, but the codes and details in the error logs were delayed by 3 days.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2021-11-12. Correction verified 2021-11-03.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Oct 27, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 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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Oct 26, 2021 Inspection · Deficiencies cited
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Other
There were several things missing in the vans first aid kit, including: scissors, adhesive tape, tweezers, and gloves.
HHSC 748.3273(2) — First Aid Kits-Each one must contain adhesive tape
HHSC risk weight: Medium. Corrected 2021-11-05. Correction verified 2021-12-08.
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Other
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Oct 26, 2021 Inspection · Deficiencies cited
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Other
There were several things missing in the vans first aid kit, including: scissors, adhesive tape, tweezers, and gloves.
HHSC 748.3273(2) — First Aid Kits-Each one must contain adhesive tape
HHSC risk weight: Medium. Corrected 2021-11-05. Correction verified 2021-12-08.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 12, 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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Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2021 Inspection · Deficiencies cited
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Other
There were two beds in the gray house that were missing mattress protectors. These were not vacant beds, so the staff was going to locate mattress protectors.
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 2021-10-15. Correction verified 2021-10-13.
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Other
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Oct 12, 2021 Inspection · Deficiencies cited
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Other
There were two beds in the gray house that were missing mattress protectors. These were not vacant beds, so the staff was going to locate mattress protectors.
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 2021-10-15. Correction verified 2021-10-13.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 8, 2021 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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Oct 8, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 30, 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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Sep 6, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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.