Harmony Therapy And Treatment Center LLC
26619 OAK RIDGE DR, Spring, TX 77380 · Montgomery County
Program
- Type
- General residential operation
- Licensed capacity
- 16
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Lily Fekad Woldu
- Phone
- (281) 719-5044
- Regulated since
- Jun 29, 2023
- HHSC IDs
- Operation 1397838 · number 1735762
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 26 | 11 | Cleanliness & sanitation (1), Supervision & ratios (12), Discipline & child guidance (1), Safety & premises (3), Staff background & training (4), Records & paperwork (2), Other (3) |
| 2025 | 13 | 3 | Supervision & ratios (4), Discipline & child guidance (1), Food & allergies (1), Staff background & training (1), Records & paperwork (3), Other (3) |
| 2024 | 20 | 11 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (10), Safety & premises (3), Records & paperwork (1), Other (4) |
| 2023 | 7 | 4 | Cleanliness & sanitation (1), Supervision & ratios (1), Staff background & training (3), Other (2) |
| 2022 | 24 | 5 | Cleanliness & sanitation (1), Illness & medication (4), Supervision & ratios (5), Safety & premises (1), Food & allergies (2), Records & paperwork (2), Other (9) |
Inspections, investigations & assessments
-
Sep 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2026 Report · Recorded (self-report)
No violations cited on this visit.
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
During the inspection, I observed one of four staff records reviewed contained a drug test which omitted THC from the screening panel.
HHSC 745.4151(c)(5)(A) — Drug testing procedures-All drug testing will at a minimum screen for marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP)
HHSC risk weight: High. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Supervision & ratios Serious
The operation failed to correct deficiencies and/or comply with corrections, restrictions, or conditions that the inspector specifies in the sanitation report provided on 3/9/2026.
HHSC 748.3005 — Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-06-04.
-
Supervision & ratios
The operation's first aid kit did not contain the required guide to first aid and adhesive tape.
HHSC 748.3273(1) — First Aid Kits-Each one must contain a current guide to first aid and emergency care
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-06-04.
-
Supervision & ratios Serious
RCCR Inspectors and Supervisor observed live bugs at the operation, during the monitoring inspection.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Discipline & child guidance
During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required employee signed abuse and neglect policy.
HHSC 748.363(10) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Supervision & ratios
During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required employee performance evaluation.
HHSC 748.363(14) — Personnel records - Include any documentation of the person's performance with the operation.
HHSC risk weight: Medium Low. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Records & paperwork
During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required form 2912.
HHSC 748.363(8) — Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
HHSC risk weight: Medium. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Supervision & ratios
During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required employee signed operational policy.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Safety & premises Serious
During the inspection, I observed holes cut in the upholstery of the middle row of seats, there was damage to the interior handle on the front passenger door. The seat belt on the driver's side of the middle row of seats is damaged and frayed.
HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Supervision & ratios
During the inspection, I observed the operation's transportation van had registration tags which were out of date.
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 at inspection. Corrected 2026-06-04.
-
Safety & premises
During the monitoring inspection, four personnel records were reviewed, and one personnel record did not have the required reference checks.
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Staff background & training
During the monitoring inspection, four personnel records were reviewed, and one personnel file did not have the required orientation.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Staff background & training Serious
During the monitoring inspection, four personnel records were reviewed, and three personnel files did not have the required administering medication training - instructor led, as required by Minimum Standards.
HHSC 748.869(c) — Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist.
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Staff background & training Serious
During the inspection, I observed the training records for the case manager does not include transportation training.
HHSC 748.931(b)(3) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 2 hrs transportation safety.
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-19.
-
Staff background & training Serious
-
Jun 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2026 Report · Deficiencies cited
-
Supervision & ratios
The operation did not have an annual summary log of unauthorized absences for review.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected 2026-04-30. Correction verified 2026-04-29.
-
Supervision & ratios
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2026 Report · Deficiencies cited
-
Safety & premises
A staff member disclosed to the Administrator that they were leaving, which would leave the children unsupervised. The Administrator proceeded to leave the property and the staff member left shortly after.
HHSC 748.535(3)(C) — Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
HHSC risk weight: Medium. Corrected 2026-06-03. Correction verified 2026-06-03.
-
Supervision & ratios Serious
A staff member walked out and quit leaving four children unsupervised for approximately 20 to 60 minutes. At the time of the incident, three of the four children required direct/constant supervision per their child's plan of service.
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 2026-06-03. Correction verified 2026-06-03.
-
Safety & premises
-
Apr 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2026 Report · Deficiencies cited
-
Other Serious
Staff completed bed checks without physically seeing the child face or body parts.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-05-08. Correction verified 2026-05-12.
-
Other Serious
-
Mar 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2026 Report
No violations cited on this visit.
-
Feb 19, 2026 Report · Deficiencies cited
-
Supervision & ratios Serious
Caregiver did not provide adequate supervision to child who was suspected to be under the influence in a potentially dangerous environment.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2026-03-19. Correction verified 2026-03-16.
-
Supervision & ratios Serious
-
Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
The serious incident reports did not contain the operations physical address or phone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Supervision & ratios
There were no severe weather drills to review at the operation. This was cited in November of 2025, and it was reported a drill was completed on 11/6/25, but staff could not locate the drill.
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 2026-02-13. Correction verified 2026-02-12.
-
Cleanliness & sanitation Serious
None of the windows used for ventilation at the operation had screens. There were two broken windows in the facility that have not been fixed--even though a work order was requested three months prior.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Supervision & ratios
Both the refrigerator and freezer had thermometers, but neither were showing appropriate temperatures of 40 degrees (showed 48 degrees) or 0 degrees (30 degrees) or below.
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 2026-02-13. Correction verified 2026-02-12.
-
Records & paperwork
Two of three employee records did not state the date of hire.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Other
Two of the three personnel files were missing documentation regarding contact with previous employers prior to hire.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Other Serious
Two of the three employee files did not have documentation showing the references were contacted.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Supervision & ratios
-
Jan 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
A youth in care was arrested on 09/09/2025 and the operation did not report this incident to licensing.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2025-11-12. Correction verified 2025-11-12.
-
Supervision & ratios Serious
The posted evacuation plan did not specify an indoor meeting place.
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 2025-11-12. Correction verified 2025-11-12.
-
Other
There is no documentation of a severe weather drill since year 2023.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2025-11-12. Correction verified 2025-11-12.
-
Food & allergies
The 2 first aid kits were evaluated and were missing thermometers, and gloves. 1 first aid kit was missing, scissors, and tweezers as well.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2025-11-12. Correction verified 2025-11-12.
-
Supervision & ratios
-
Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Report · Deficiencies cited
-
Records & paperwork
The name of several witnesses has not been recorded on the Serious Incident Report. According to interviews conducted during the investigation there were several witnesses to the incident.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2025-08-08. Correction verified 2025-08-11.
-
Other Serious
Caregivers failed to redirect children in their care from interfering during a behavioral incident involving another child. This resulted in a physical altercation between the children. Two children required medical attention.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-08-08. Correction verified 2025-08-11.
-
Supervision & ratios
A caregiver responsible for one to one supervision of a child failed to notice when the child walked away undetected during a group outing.
HHSC 748.685(a)(1) — Caregiver responsibility - knowing which children they are responsible for
HHSC risk weight: Medium. Corrected 2025-08-08. Correction verified 2025-08-11.
-
Records & paperwork
-
Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2025 Inspection · Deficiencies cited
-
Discipline & child guidance
Active employee files reviewed have no record of acknowledgement of reporting suspected child abuse, neglect, or exploitation policies.
HHSC 748.363(10) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-07-02.
-
Records & paperwork
An active employee record has an unnotarized Licensing Affidavit for Applicants for Employment form.
HHSC 748.363(7) — Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-07-02.
-
Supervision & ratios
Active employee files reviewed have no record of acknowledgement of operational policies.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-07-02.
-
Staff background & training
Active employee files reviewed have no record of a notarized Pre-Employment Affidavit for Applicants for Employment form.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-07-02.
-
Records & paperwork
Multiple active employee files reviewed have no record of Pre-Employment Screenings.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-07-02.
-
Discipline & child guidance
-
May 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 30, 2025 Report · Deficiencies cited
-
Other Serious
A staff member attempting to retrieve a cell phone from a child in care that led to a physical altercation that could have been avoided.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-06-26. Correction verified 2025-06-27.
-
Other Serious
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2024 Report · Deficiencies cited
-
Supervision & ratios
The operation failed to follow the supervision plan noted in the child?s service plan.
HHSC 748.1351 — Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
HHSC risk weight: Medium Low. Corrected 2024-11-25. Correction verified 2025-06-04.
-
Other Serious
A child in care was self-harming. An overnight caregiver was noted to be sleeping during their shift.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-11-25. Correction verified 2025-06-04.
-
Supervision & ratios
-
Jul 15, 2024 Report · Deficiencies cited
-
Illness & medication Serious
A child in care involved had a fractured hand. A follow-up was needed but the child did not attend his follow up appointment.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2024-09-27. Correction verified 2024-09-27.
-
Supervision & ratios Serious
A caregiver did not intervene until an injury occurred.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-09-27. Correction verified 2024-09-27.
-
Illness & medication Serious
-
Jul 10, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
The operation did not timely inform Licensing, caseworkers of the temporary change of address due to inclement weather.
HHSC 748.3231(b) — Evacuation-In an emergency, move all children to designated safe area known to employees, caregivers, & volunteers
HHSC risk weight: High. Corrected 2024-09-20. Correction verified 2024-09-12.
-
Supervision & ratios Serious
A child in care admitted that himself and two other residents were able to AWOL from the facility without staff noticing it.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-09-20. Correction verified 2024-09-05.
-
Supervision & ratios Serious
-
Jul 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2024 Inspection · Deficiencies cited
-
Safety & premises Serious
During the inspection, it was observed that all three fire extinguishers were not in compliance; only one had a tag with the last inspection identified as April 2023.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-07-04. Correction verified 2024-07-04.
-
Supervision & ratios
The operation was unable to provide licensing with the requested documents upon request.
HHSC 748.399(b) — Records Available for Licensing - reasonable access to storage and file areas
HHSC risk weight: Medium. Corrected 2024-07-04. Correction verified 2024-07-04.
-
Supervision & ratios
The operation failed to inform Licensing about the absence of an Administrator for a certain period and did not designate operational staff for emergencies.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-07-04. Correction verified 2024-07-04.
-
Safety & premises Serious
-
Jun 26, 2024 Inspection · Deficiencies cited
-
Safety & premises Serious
Fire Extinguishers observed were not current. The last inspection was conduct in May of 2023.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-07-03. Correction verified 2024-07-03.
-
Other
Recreational calendar observed did not have the required indoor and outdoor options.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2024-07-03. Correction verified 2024-07-03.
-
Supervision & ratios
Operation failed to provide staff with key access to records/ documents upon Licensing's request.
HHSC 748.399(b) — Records Available for Licensing - reasonable access to storage and file areas
HHSC risk weight: Medium. Corrected 2024-07-03. Correction verified 2024-07-03.
-
Supervision & ratios
An operation vehicle did not have a current state required registration. Documentation of registration could not be provided upon request.
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 2024-07-03. Correction verified 2024-07-03.
-
Supervision & ratios
Operation vehicles did not have the required insurance verification.
HHSC 748.4111(b)(1) — Transportation records-Must maintain the insurance verification in the vehicle
HHSC risk weight: Low. Corrected 2024-07-03. Correction verified 2024-07-03.
-
Supervision & ratios
The operation did not inform Licensing of their administrator's absence, the length of absence or identify a designated staff in the event of an emergency.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2024-07-03. Correction verified 2024-07-03.
-
Safety & premises Serious
-
Jun 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Report · Deficiencies cited
-
Other Serious
A caregiver yelled at a child in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-06-21. Correction verified 2024-07-01.
-
Safety & premises Serious
An employee grabbed a child by the wrist.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-06-21. Correction verified 2024-07-01.
-
Other Serious
A caregiver was using inappropriate language around children in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-06-21. Correction verified 2024-07-01.
-
Other Serious
-
May 8, 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 23, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
There were several holes in the wall in the second floor bed room. All children's bedroom were missing window screens. The door on a dresser located in a first floor bedroom was broken and a nail exposed.
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 2024-05-10. Correction verified 2024-05-30.
-
Cleanliness & sanitation Serious
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2024 Assessment · Deficiencies cited
-
Records & paperwork
A child in care runaway on January 4, 2024. The incident was not reported to Licensing until January 7, 2024.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2024-01-24. Correction verified 2024-01-24.
-
Records & paperwork
-
Dec 11, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
A broke door frame was observed, exposing nails.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2023-12-18. Correction verified 2024-01-17.
-
Other
A bedroom window was observed with blinds, shades, or other provisions.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2023-12-18. Correction verified 2024-01-17.
-
Cleanliness & sanitation Serious
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Three children in care made statements regarding staff being on their phones while supervising children. The investigator witnessed a staff member playing a game on her phone for 4-5 minutes while she was supposed to be providing one-on-one supervision.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-11-29. Correction verified 2023-11-29.
-
Supervision & ratios Serious
-
Oct 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 26, 2023 Report · Deficiencies cited
-
Staff background & training
An employee who was terminated on 6/12/2023 has an active background check.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2023-06-30. Correction verified 2023-06-28.
-
Staff background & training
-
May 11, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
The CPR/First Aid certificate for a staff's file reviewed expired 1/4/2023.
HHSC 748.983(a) — First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
HHSC risk weight: Medium High. Corrected 2023-05-18. Correction verified 2023-05-19.
-
Staff background & training Serious
-
May 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2023 Inspection · Deficiencies cited
-
Staff background & training
A staff member with an active background check since December 2022 does not have a completed personnel binder on-site or a definitive start date. A staff member who resigned two weeks ago is still listed as active in BGC.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2023-03-24. Correction verified 2023-04-21.
-
Staff background & training
-
Mar 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Inspection · Deficiencies cited
-
Other Serious
Bleach and Laundry detergent was observed in an unlocked pantry in the kitchen.
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 2023-02-09.
-
Other Serious
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 2, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2022 Inspection · Deficiencies cited
-
Other
The reason required information and due diligence to obtain it was not documented in the Admission Assessment.
HHSC 748.1221(c)(2) — Admission Assessment-Document why a delay in obtaining a piece of information is necessary, including efforts made to obtain the information
HHSC risk weight: Medium. Corrected 2022-11-23. Correction verified 2022-12-02.
-
Illness & medication Serious
Two medications for a child are not being administered according to the instructions on the bottle.
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 2022-11-23. Correction verified 2022-12-16.
-
Illness & medication Serious
Three medication records for a child was observed without documentation of who administered the medication, the date or the time.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-11-23. Correction verified 2022-12-16.
-
Illness & medication
Five of eight reviewed medication records to not document the reason the child's medication is prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-11-23. Correction verified 2022-12-16.
-
Illness & medication
A child's medication bottle contained an error, it states there were 60 pills prescribed when it was only 15. This was not addressed with the pharmacy.
HHSC 748.2205(1) — Medication label error-Report medication label errors to the pharmacist
HHSC risk weight: Medium. Corrected 2022-11-23. Correction verified 2022-12-16.
-
Supervision & ratios
Deep freezer thermometer was observed at 60 degrees.
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 at inspection. Corrected 2022-11-16.
-
Food & allergies Serious
Three children's binders did not document whether or not the child has allergies.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2022-11-23. Correction verified 2022-12-02.
-
Other
Unauthorized Absence Log is missing required information.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-11-23. Correction verified 2022-12-02.
-
Other
-
Nov 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · Deficiencies cited
-
Other Serious
Administrators drug test did not include testing for cocaine and phencyclidine (PCP).
HHSC 745.4151(c)(5)(A) — Drug testing procedures-All drug testing will at a minimum screen for marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP)
HHSC risk weight: High. Corrected 2022-08-25. Correction verified 2022-09-13.
-
Other Serious
-
Jun 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 10, 2022 Inspection · Deficiencies cited
-
Other
Budget does not accurately depict necessary items.
HHSC 748.101(2)(C) — Plans to submit - Fiscal plan - estimated 12 month budget
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
Organization Chart does not depict all job titles for maintaining lines of authority.
HHSC 748.105(1) — Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Supervision & ratios
Admission Policy does not accurately depict the population the operation will admit.
HHSC 748.109(2) — Admission Policies - include characteristics of the population the program serves
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
Storage for children's clothing was not observed in all bedrooms at the time of inspection.
HHSC 748.1101(b)(3)(J) — Children's rights-The right to personal space in the child's bedroom to store child's clothes and belongings
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
Discharge document was not available for review at the time of inspection.
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Supervision & ratios
There are inconsistencies in the operations policies regarding the services to be provided.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Records & paperwork
Record to document EBI debriefing with a child was not available for review at the time of inspection.
HHSC 748.2853(1) — EBI Documentation-Date and time the caregiver offered the post discussion to the child
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Records & paperwork
Report to document EBI was not available for review at the time of inspection.
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 2022-05-27. Correction verified 2022-06-01.
-
Cleanliness & sanitation
Pest control has not yet treated the operation.
HHSC 748.3019(b) — Pest Control--Operation must use pest control operator licensed by TSPC Board or Dept. of Agriculture to prevent, control, eliminate pest infestations
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Supervision & ratios
SIR does not include the operation's contact information or (8)Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Supervision & ratios Serious
Shelter in place area was not observed on the Evacuation Diagram.
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 2022-05-27. Correction verified 2022-06-01.
-
Safety & premises
Drills document does not include length of time for the evacuation or relocation to take place.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Food & allergies
Thermometer was not observed in the First Aid Kit.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
Daily recreational calendar was not available for review.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
The Unauthorized Absence Log does not include the child's DOA.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-05-27. Correction verified 2022-06-01.
-
Other
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.