Hope For Tomorrow Dba Bridge To Hope
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 17
- Ages
- 0-17
- Hours
- -
- Director / administrator
- Julie Anna Stillman Watts
- Phone
- (325) 643-4673
- Regulated since
- Dec 14, 2021
- HHSC IDs
- Operation 1376148 · number 1720357
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 16 | 6 | Cleanliness & sanitation (2), Illness & medication (10), Supervision & ratios (4) |
| 2024 | 18 | 4 | Illness & medication (8), Safety & premises (4), Records & paperwork (2), Other (4) |
| 2023 | 22 | 8 | Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (4), Other (12) |
| 2022 | 8 | 2 | Supervision & ratios (6), Safety & premises (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
A child was dropped off at an appointment without staff ensuring there was someone there, resulting in the child waiting outside unsupervised for about 45 minutes.
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 2026-02-09. Correction verified 2026-02-13.
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Supervision & ratios Serious
-
Dec 9, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
A child was dropped off at an appointment without staff ensuring there was someone there, resulting in the child waiting outside unsupervised for about 45 minutes.
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 2026-02-09. Correction verified 2026-02-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2025 Report · Deficiencies cited
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Illness & medication
Medication polices regarding administering medications in the staff office and locking medications/storage were not being followed.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-06-23. Correction verified 2025-06-26.
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Illness & medication
It was determined that children's medications were being crushed when administered.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-06-23. Correction verified 2025-06-26.
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Illness & medication Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-13.
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Illness & medication
It was found no medication error documentation was completed/provided for four children's medication errors.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2025-06-23. Correction verified 2025-06-26.
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Illness & medication Serious
Several children mentioned supervision concerns during the investigation. Children were able to obtain, crush, and snort medications with no staff being aware. A child was able to go outside, cut their arms, be found by another child, and brought inside and cleaned up with minimal staff intervention.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-06-23. Correction verified 2025-06-26.
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Cleanliness & sanitation
A child in care brought inside and cleaned up another child's wounds with minimal staff intervention.
HHSC 748.705(b)(7) — Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity
HHSC risk weight: Medium. Corrected 2025-06-23. Correction verified 2025-06-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 28, 2025 Report · Deficiencies cited
-
Illness & medication
Medication polices regarding administering medications in the staff office and locking medications/storage were not being followed.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-06-23. Correction verified 2025-06-26.
-
Illness & medication
It was determined that children's medications were being crushed when administered.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-06-23. Correction verified 2025-06-26.
-
Illness & medication Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-13.
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Illness & medication
It was found no medication error documentation was completed/provided for four children's medication errors.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2025-06-23. Correction verified 2025-06-26.
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Illness & medication Serious
Several children mentioned supervision concerns during the investigation. Children were able to obtain, crush, and snort medications with no staff being aware. A child was able to go outside, cut their arms, be found by another child, and brought inside and cleaned up with minimal staff intervention.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-06-23. Correction verified 2025-06-26.
-
Cleanliness & sanitation
A child in care brought inside and cleaned up another child's wounds with minimal staff intervention.
HHSC 748.705(b)(7) — Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity
HHSC risk weight: Medium. Corrected 2025-06-23. Correction verified 2025-06-26.
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Illness & medication
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Apr 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 22, 2025 Report · Deficiencies cited
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Supervision & ratios
6 children interviewed stated a night staff does not complete night checks, and 3 of those children stated they have seen the night staff asleep. Per the operation's policies and procedures, staff should be awake, provide 24 hour supervision, and conduct checks every 15-20 minutes.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-03-14. Correction verified 2025-03-14.
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Supervision & ratios
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Jan 22, 2025 Report · Deficiencies cited
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Supervision & ratios
6 children interviewed stated a night staff does not complete night checks, and 3 of those children stated they have seen the night staff asleep. Per the operation's policies and procedures, staff should be awake, provide 24 hour supervision, and conduct checks every 15-20 minutes.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-03-14. Correction verified 2025-03-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 4, 2024 Inspection · Deficiencies cited
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Other
Two first aid kits reviewed did not have all the required supplies needed.
HHSC 748.3273(6) — First Aid Kits-Each one must contain scissors
HHSC risk weight: Medium Low. Corrected 2024-12-18. Correction verified 2024-12-17.
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Other
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Dec 4, 2024 Inspection · Deficiencies cited
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Other
Two first aid kits reviewed did not have all the required supplies needed.
HHSC 748.3273(6) — First Aid Kits-Each one must contain scissors
HHSC risk weight: Medium Low. Corrected 2024-12-18. Correction verified 2024-12-17.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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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 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2024 Report · Deficiencies cited (self-report)
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Illness & medication
The child went to the emergency room on 10/31/24, and the incident was reported to licensing on 11/6/24.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2025-01-13. Correction verified 2025-01-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Nov 7, 2024 Report · Deficiencies cited (self-report)
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Illness & medication
The child went to the emergency room on 10/31/24, and the incident was reported to licensing on 11/6/24.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2025-01-13. Correction verified 2025-01-17.
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Illness & medication
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Report · 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 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2024 Report · Deficiencies cited
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Illness & medication
Five children stated they cheeked medication and were able to crush and snort the medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-11-20. Correction verified 2024-12-04.
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Illness & medication
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Sep 1, 2024 Report · Deficiencies cited
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Illness & medication
Five children stated they cheeked medication and were able to crush and snort the medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-11-20. Correction verified 2024-12-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 29, 2024 Report · Deficiencies cited (self-report)
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Other
Several children interviewed said that a staff member yells at them, several community members state they have heard staff uses a tone of voice that is unprofessional toward the children. Two staff members have also stated that staff yells at the children
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-11-08. Correction verified 2024-11-14.
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Other
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Aug 29, 2024 Report · Deficiencies cited (self-report)
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Other
Several children interviewed said that a staff member yells at them, several community members state they have heard staff uses a tone of voice that is unprofessional toward the children. Two staff members have also stated that staff yells at the children
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-11-08. Correction verified 2024-11-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 23, 2024 Report · Deficiencies cited
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Records & paperwork Serious
Multiple children and staff stated a former employee told children in care to lie about reporting and threatened retaliation.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2024-10-30. Correction verified 2024-11-14.
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Records & paperwork Serious
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Aug 23, 2024 Report · Deficiencies cited
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Records & paperwork Serious
Multiple children and staff stated a former employee told children in care to lie about reporting and threatened retaliation.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2024-10-30. Correction verified 2024-11-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork Serious
-
Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 26, 2024 Report · Deficiencies cited
-
Safety & premises Serious
Multiple children reported staff driving recklessly- speeding, going off the road, and almost hitting a barrier.
HHSC 748.4041 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: High. Corrected 2024-10-09. Correction verified 2024-10-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
Jul 26, 2024 Report · Deficiencies cited
-
Safety & premises Serious
Multiple children reported staff driving recklessly- speeding, going off the road, and almost hitting a barrier.
HHSC 748.4041 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: High. Corrected 2024-10-09. Correction verified 2024-10-16.
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Safety & premises Serious
-
Jul 26, 2024 Report · Deficiencies cited
-
Safety & premises
A staff member took a child to a road and behind the vehicle, out of sight from other staff and children, while the child was elevated.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-10-09. Correction verified 2024-10-16.
-
Safety & premises
-
Jul 26, 2024 Report · Deficiencies cited
-
Safety & premises
A staff member took a child to a road and behind the vehicle, out of sight from other staff and children, while the child was elevated.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-10-09. Correction verified 2024-10-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2024 Report · Deficiencies cited
-
Illness & medication
A child was administered a 20mg and 30mg medication, equaling 50mg, instead of the prescribed 30mg, as noted in the medication reviewed from the prescribing physician. This is stopped on the day the operation was made aware of the error and the operation met with the physician to see how to continue.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-08-23. Correction verified 2024-08-28.
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Illness & medication
A child was given the wrong dosage of medication for a month, after a change in medication from a medication review. No staff administering medication caught the error. It does not seem the medication change was communicated to staff appropriately.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2024-08-23. Correction verified 2024-08-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 28, 2024 Report · Deficiencies cited
-
Illness & medication
A child was administered a 20mg and 30mg medication, equaling 50mg, instead of the prescribed 30mg, as noted in the medication reviewed from the prescribing physician. This is stopped on the day the operation was made aware of the error and the operation met with the physician to see how to continue.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-08-23. Correction verified 2024-08-28.
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Illness & medication
A child was given the wrong dosage of medication for a month, after a change in medication from a medication review. No staff administering medication caught the error. It does not seem the medication change was communicated to staff appropriately.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2024-08-23. Correction verified 2024-08-28.
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Illness & medication
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Jun 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Report · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2023 Report · Deficiencies cited
-
Other Serious
An employee pulled two children's arms behind their back, pretending to arrest them.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2023-12-15. Correction verified 2023-12-28.
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Other
4 children in care were made uncomfortable by an employee pulling at their clothing and pulling them by the arms.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-15. Correction verified 2023-12-28.
-
Supervision & ratios
An employee was alone with a child when the child's high risk behaviors in their service plan cautions against being alone with the child. The administrator and staff of the operation stated this individual was not to be alone with residents at the operation.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2023-12-15. Correction verified 2023-12-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Nov 12, 2023 Report · Deficiencies cited
-
Other Serious
An employee pulled two children's arms behind their back, pretending to arrest them.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2023-12-15. Correction verified 2023-12-28.
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Other
4 children in care were made uncomfortable by an employee pulling at their clothing and pulling them by the arms.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-15. Correction verified 2023-12-28.
-
Supervision & ratios
An employee was alone with a child when the child's high risk behaviors in their service plan cautions against being alone with the child. The administrator and staff of the operation stated this individual was not to be alone with residents at the operation.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2023-12-15. Correction verified 2023-12-29.
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Other Serious
-
Nov 2, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the DFPS ANE investigation, this standard was found to be deficient. A child in care was pulled out of the shower and restrained in a non-emergency situation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-08.
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Safety & premises
A child in care was pulled out of the shower and restrained, which was not an emergency situation.
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 2024-01-10. Correction verified 2024-01-08.
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Other Serious
A child was pulled out of the shower and restrained. The child was restrained again on the porch. Staff had their weight on the child and a few collaterals stated it was done incorrectly. The child in care said she was hurt and had to spit after the restraint.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-08.
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Other
Several children in care stated they saw the situation occur.
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 2024-01-10. Correction verified 2024-01-08.
-
Discipline & child guidance Serious
-
Nov 2, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the DFPS ANE investigation, this standard was found to be deficient. A child in care was pulled out of the shower and restrained in a non-emergency situation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-08.
-
Safety & premises
A child in care was pulled out of the shower and restrained, which was not an emergency situation.
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 2024-01-10. Correction verified 2024-01-08.
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Other Serious
A child was pulled out of the shower and restrained. The child was restrained again on the porch. Staff had their weight on the child and a few collaterals stated it was done incorrectly. The child in care said she was hurt and had to spit after the restraint.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-08.
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Other
Several children in care stated they saw the situation occur.
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 2024-01-10. Correction verified 2024-01-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2023 Report · Deficiencies cited
-
Supervision & ratios
A staff member did not report a child's suicide attempt to the appropriate operation supervisors or to the Hotline.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2023-12-01. Correction verified 2023-11-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 19, 2023 Report · Deficiencies cited
-
Supervision & ratios
A staff member did not report a child's suicide attempt to the appropriate operation supervisors or to the Hotline.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2023-12-01. Correction verified 2023-11-30.
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Supervision & ratios
-
Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 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 · Deficiencies cited (self-report)
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Other
A staff caregiver put their hands on a child's forehead and pushed their head back. A staff caregiver engaged in banter with a child during this incident.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-10-13. Correction verified 2023-10-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Sep 11, 2023 Report · Deficiencies cited (self-report)
-
Other
A staff caregiver put their hands on a child's forehead and pushed their head back. A staff caregiver engaged in banter with a child during this incident.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-10-13. Correction verified 2023-10-11.
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Other
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2023 Report · Deficiencies cited
-
Other Serious
The service plan of a child in care with high-risk behaviors does not have a plan to address the behavior and minimize risk.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2023-07-05. Correction verified 2023-07-05.
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Other Serious
-
May 16, 2023 Report · Deficiencies cited
-
Other Serious
The service plan of a child in care with high-risk behaviors does not have a plan to address the behavior and minimize risk.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2023-07-05. Correction verified 2023-07-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
May 12, 2023 Inspection · Deficiencies cited
-
Safety & premises
Fire extinguishers in the home were recently out of date and need to be serviced.
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 2023-05-19. Correction verified 2023-05-17.
-
Safety & premises
-
May 12, 2023 Inspection · Deficiencies cited
-
Safety & premises
Fire extinguishers in the home were recently out of date and need to be serviced.
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 2023-05-19. Correction verified 2023-05-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 9, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Two of the operation's vans did not have current inspection stickers.
HHSC 748.4083(b) — Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
HHSC risk weight: Medium Low. Corrected 2022-11-23. Correction verified 2022-11-14.
-
Supervision & ratios
-
Nov 9, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Two of the operation's vans did not have current inspection stickers.
HHSC 748.4083(b) — Vehicle and maintenance-Each vehicle used must be registered and have a current inspection sticker for the state in which it is registered
HHSC risk weight: Medium Low. Corrected 2022-11-23. Correction verified 2022-11-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2022 Report · Deficiencies cited
-
Supervision & ratios
Documentation had to requested on multiple occasions from the operation. Documentation was initially requested in person on 10.27.22 during the inspection. It was requested again to be sent via email on 11.3.22 by 5PM. Part of the documentation was received on 11.4.22. The remainder of the documentation was requested by EOBD via email on 11.8.22. Another email had to be sent on 11.10.22 for the remainder of the documentation to be obtained. All requested documentation was received on 11.10.22.
HHSC 748.401 — Archived child record-kept safe from damage and available for Licensing review within 48 hours.
HHSC risk weight: Medium Low. Corrected 2022-12-13. Correction verified 2022-12-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 18, 2022 Report · Deficiencies cited
-
Supervision & ratios
Documentation had to requested on multiple occasions from the operation. Documentation was initially requested in person on 10.27.22 during the inspection. It was requested again to be sent via email on 11.3.22 by 5PM. Part of the documentation was received on 11.4.22. The remainder of the documentation was requested by EOBD via email on 11.8.22. Another email had to be sent on 11.10.22 for the remainder of the documentation to be obtained. All requested documentation was received on 11.10.22.
HHSC 748.401 — Archived child record-kept safe from damage and available for Licensing review within 48 hours.
HHSC risk weight: Medium Low. Corrected 2022-12-13. Correction verified 2022-12-13.
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Supervision & ratios
-
Oct 15, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
A child in care was left without staff supervision at a store for about 45 minutes. Although the staff and children stated that staff did count the children, the child was still left, and the others were able to go to another store until noticing.
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 2023-01-26. Correction verified 2023-01-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 15, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
A child in care was left without staff supervision at a store for about 45 minutes. Although the staff and children stated that staff did count the children, the child was still left, and the others were able to go to another store until noticing.
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 2023-01-26. Correction verified 2023-01-26.
-
Supervision & ratios Serious
-
Sep 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2022 Report · Deficiencies cited
-
Safety & premises
5 of the 7 children interviewed described negative interactions with staff such as being called demeaning names, being treated unfairly, and staff assuming children are misbehaving.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2022-08-24. Correction verified 2022-08-24.
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Safety & premises
-
Jun 2, 2022 Report · Deficiencies cited
-
Safety & premises
5 of the 7 children interviewed described negative interactions with staff such as being called demeaning names, being treated unfairly, and staff assuming children are misbehaving.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2022-08-24. Correction verified 2022-08-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.