Gulf Coast Trades Center
143 FOREST SERVICE ROAD 233, New Waverly, TX 77358 · Walker County
Program
- Type
- General residential operation
- Licensed capacity
- 196
- Ages
- 14-17
- Hours
- 12:00 AM-
- Director / administrator
- Rhonda Michaele Shed
- Phone
- (936) 344-6677
- Regulated since
- Oct 2, 1985
- HHSC IDs
- Operation 95099 · number 54326
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Illness & medication (1), Supervision & ratios (1) |
| 2025 | 26 | 13 | Cleanliness & sanitation (4), Illness & medication (1), Supervision & ratios (5), Discipline & child guidance (4), Food & allergies (1), Staff background & training (2), Records & paperwork (3), Other (6) |
| 2024 | 27 | 13 | Illness & medication (1), Supervision & ratios (4), Discipline & child guidance (4), Safety & premises (2), Food & allergies (1), Staff background & training (3), Records & paperwork (2), Other (10) |
| 2023 | 13 | 3 | Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (1), Staff background & training (8) |
| 2022 | 11 | 3 | Cleanliness & sanitation (1), Illness & medication (3), Supervision & ratios (4), Discipline & child guidance (1), Staff background & training (1), Other (1) |
| 2021 | 7 | 2 | Supervision & ratios (1), Safety & premises (1), Staff background & training (4), Other (1) |
Enforcement actions
- Seen Oct 1, 2026 — Corrective action in effect (HHSC operation record)
- Seen Oct 1, 2026 — Adverse action in effect (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
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
The external documentation requested for the investigation in a timely manner on several attempts was not provided by the operation.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2026-07-23. Correction verified 2026-07-22.
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Supervision & ratios
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
Information obtained during the investigate evaluation indicates that serious incident reporting to Licensing was not completed within the 24-hour timeframe after a child received treatment by a medical professional, in accordance with Minimum Standards.
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 2026-02-06. Correction verified 2026-02-06.
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Illness & medication
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
The toilets and showers have not been properly cleaned and the children mattresses are worn and patched with duct tape.
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 2025-08-08. Correction verified 2025-09-17.
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Cleanliness & sanitation
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Jul 28, 2025 Report · Deficiencies cited
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Food & allergies
Meal periods on the weekend are 15 hours apart as dinner is at 5pm and Breakfast is at 8am.
HHSC 748.1691(b)(2) — Nutrition-Must not be more than 14 hours between last meal or snack of the day and the serving of the first meal of the following day
HHSC risk weight: Medium High. Corrected 2025-08-29.
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Food & allergies
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Bathrooms in Dorm 2 were observed to have shower knobs missing in both bathrooms and a broken door hinge. Bathroom in 4A was observed with mold on the ceiling. Bathroom in 4B was observed with a broken shower knob.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2025-07-22. Correction verified 2025-07-16.
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Cleanliness & sanitation
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2025 Report · Deficiencies cited
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Other
A staff member admitted to using profane language around children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-08-01. Correction verified 2025-07-31.
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Other
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · Deficiencies cited
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Discipline & child guidance
An incident that occurred on 05/04/25 involving a child in care pulling out a "shank" and threatening to stab another child with it was not reported to Licensing.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2025-06-13. Correction verified 2025-06-11.
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Discipline & child guidance
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
An employee who was hired on 03/17/25 completed 8-hour shifts for On-the-Job Training on 03/24/25, 03/25/25, 03/26/25, 03/27/25, and 03/28/25, although the background check results were not received until 05/01/25.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2025-05-22. Correction verified 2025-05-21.
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Other Serious
Condition #1-Not Met-Screening process was not complete for an employee prior to being hired. Condition #2-Met Condition #3-Met Condition #4 -Met Condition #5-Met Condition #6-Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-05-22. Correction verified 2025-05-21.
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Supervision & ratios
Employee lists provided to Licensing during probation inspections were observed to not have each of the active employees listed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-05-22. Correction verified 2025-05-21.
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Staff background & training Serious
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
The allegations are related to a DFPS abuse/neglect investigation.
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 2025-05-15. Correction verified 2025-04-15.
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Supervision & ratios Serious
A staff member brought a handgun on campus.
HHSC 748.3931(a)(1) — Weapons- Handguns are not permitted at an operation or during any type of activity.
HHSC risk weight: High. Corrected 2025-04-11. Correction verified 2025-04-15.
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Other
A staff member did not adhere to work policies and procedures when bringing a weapon on campus.
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 2025-04-11. Correction verified 2025-04-15.
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Supervision & ratios Serious
A child in care was able to access an unsecured weapon without staff's knowledge.
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 2025-04-11. Correction verified 2025-04-15.
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Discipline & child guidance Serious
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · Deficiencies cited
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Staff background & training
One employee was observed to be delinquent in completing two annual trainings.
HHSC 748.935(a)(2) — Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
HHSC risk weight: Medium. Corrected 2025-03-31. Correction verified 2025-04-02.
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Staff background & training
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Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2025 Report · Deficiencies cited
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Supervision & ratios
Caregiver was not awake during sleeping hours.
HHSC 748.4703(b) — Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
HHSC risk weight: Medium High. Corrected 2025-04-23. Correction verified 2025-04-23.
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Supervision & ratios
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Feb 26, 2025 Report · Deficiencies cited
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Records & paperwork
Investigators reported being recorded while interviewing children and staff at the facility.
HHSC 745.8485(a) — May not record, listen to, or eavesdrop on any Licensing interview or internal discussion
HHSC risk weight: Medium High. Corrected 2025-06-09. Correction verified 2025-06-09.
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Discipline & child guidance Serious
The allegations are related to a DFPS abuse/neglect investigation.
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 2025-06-09. Correction verified 2025-06-09.
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Cleanliness & sanitation
A staff member reported that a previous staff member forced children to drink water out of the bathroom faucet and shower.
HHSC 748.1693(c) — Nutrition-must ensure drinking water is always available to each child and served in a safe and sanitary manner
HHSC risk weight: Medium High. Corrected 2025-06-09. Correction verified 2025-06-09.
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Records & paperwork
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Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Inspection · Deficiencies cited
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Other Serious
One of the four employee files reviewed was observed to not have drug test results. This employee was on shift as recent at 02/22/24 supervising children in care.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2025-02-24. Correction verified 2025-02-28.
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Records & paperwork Serious
Children in care reported not being allowed to call complaints into the ombudsman office without first contacting administrative staff.
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 2025-02-28. Correction verified 2025-02-28.
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Other Serious
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Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2025 Report · Deficiencies cited
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Cleanliness & sanitation Serious
Family visits at the operation were suspended due to suspected illegal substances being brought in during the visits.
HHSC 748.1101(b)(4)(A)(iv) — Children's rights-Free from being denied food, sleep, a bathroom, mail, or family visits as punishment
HHSC risk weight: High. Corrected 2025-04-01. Correction verified 2025-03-26.
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Other Serious
Several residents were found in possession of vapes at the facility. Search was not conducted thoroughly allowing vapes to be passed and used among residents on campus.
HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
HHSC risk weight: High. Corrected 2025-04-01. Correction verified 2025-03-26.
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Discipline & child guidance Serious
A staff member forced a child to do sit-up and plank for breaking into his mother's vehicle.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-04-01. Correction verified 2025-03-26.
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Other
A staff member flipped the residents' bed and took their personal belongings out of anger.
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 2025-04-01. Correction verified 2025-03-26.
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Supervision & ratios Serious
A resident was seen on camera footage breaking into multiple vehicles without staff presence or knowledge.
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 2025-04-01. Correction verified 2025-03-26.
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Cleanliness & sanitation Serious
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Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
A serious incident report did not contain all required information.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-04-18. Correction verified 2025-04-15.
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Records & paperwork
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Jan 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2025 Report · Deficiencies cited (self-report)
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Illness & medication Serious
A child did not receive medical attention until days later following an incident which resulted in an injury.
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 2025-02-24. Correction verified 2025-02-24.
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Illness & medication Serious
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Dec 18, 2024 Report · Deficiencies cited
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Other Serious
Staff did not intervene immediately while the children in care were horseplaying inappropriately, causing one child to become uncomfortable.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-02-12. Correction verified 2025-02-24.
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Other Serious
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Dec 9, 2024 Inspection · Deficiencies cited
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Other Serious
Condition #1-Not Met-Most recent employers were not contacted for two newly hired employees. Condition #2 Condition #3 Condition #4 Condition #5 Condition #6
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2024-12-16. Correction verified 2024-12-16.
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Other Serious
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Nov 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
Condition #1 Condition #2 Condition #3 Condition #4-Not Met. Not Met-There is no documentation indicating whether staff are meeting Minimum Standards in subchapters discussed and fulfilling job duties on the observation form created by the LCCA. There are also no signatures to show who conducted the observations or the minimum standards trainings. Condition #5 Condition #6-Not Met. There is no documentation showing that staff acknowledged in writing that they received information following the monthly probation meeting between LCCA and Program Director.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2024-11-15. Correction verified 2024-11-15.
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Staff background & training Serious
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Nov 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
Condition #1 Condition #2 Condition #3 Condition #4-Not Met. As of 10/09/24 there are 20 out of 85 staff members who have not taken the training. Condition #5-Not Met. There is no documented plan to complete health and safety checks related to emergency drills, fire safety, and first aid kits showing how often inspections, evacuations/relocation plans must occur, or what each first aid kit must contain. There's also no documentation for specific dates of emergency drills, fire extinguisher inspections or first aid kits for the next twelve months Condition #6
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2024-10-18. Correction verified 2024-10-17.
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Records & paperwork
On 10/04/24, a child in care expressed suicidal ideations to staff and three minutes later was observed by staff with a belt tied around his neck. This incident was not reported to Licensing until 10/08/2024.
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 2024-10-18. Correction verified 2024-10-17.
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Safety & premises
There are only two fire drills documented for the year; July 5, 2024 and August 29, 2024. The log indicates that drills were also conducted in January, February, March, and July, but they are not documented.
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 2024-10-18. Correction verified 2024-10-17.
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Staff background & training Serious
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Oct 8, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
Records reviewed show a suicide screening was not completed timely for a youth in care.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2024-11-13. Correction verified 2024-11-13.
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Other Serious
A child who attempted suicide was not closely supervised before a suicide assessment was completed.
HHSC 748.125(g)(2)(B) — You must not leave the child alone until a mental health professional assesses the child, in the event of a suicide attempt.
HHSC risk weight: High. Corrected 2024-11-13. Correction verified 2024-11-13.
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Supervision & ratios Serious
A suicide screening completed on a youth in care after a suicide attempt required supervision check-ins every 10 minutes, however per documentation received, checked ins were not done as required.
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 2024-11-13. Correction verified 2024-11-07.
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Records & paperwork
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Sep 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2024 Report · Deficiencies cited
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Discipline & child guidance
An incident involving a child stabbing another child in care was not reported to Licensing.
HHSC 748.303(a)(4)(A) — Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2024-08-21. Correction verified 2024-08-28.
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Discipline & child guidance
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2024 Inspection · Deficiencies cited
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Other
A practice severe weather drill was due by 4/13/24.
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 2024-04-26. Correction verified 2024-04-26.
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Food & allergies
Each operating dorm (5) and two vans were missing items in their first aid kits, including: antiseptic solution or wipes; or (2) Adhesive tape; or (5) Scissors; or (7) Thermometer; or (8) Tweezers.
HHSC 748.3273(3) — First Aid Kits-Each one must contain antiseptic solution or wipes
HHSC risk weight: Medium. Corrected 2024-04-26. Correction verified 2024-04-26.
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Safety & premises
The airbag maintenance light was on for one van.
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 2024-04-26. Correction verified 2024-04-26.
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Staff background & training
5 staff files did not have complete pre-employment assessments.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must have cleared pre-employment screening assessment.
HHSC risk weight: Medium High. Corrected 2024-04-26. Correction verified 2024-04-26.
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Other
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Apr 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 5, 2024 Report · Deficiencies cited
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Other Serious
Caregivers stated they have not had any random drug tests.
HHSC 745.4151(c)(4)(B) — Mandatory Drug Testing-All Employees are Subject to Random, Unannounced Drug Testing
HHSC risk weight: High. Corrected 2024-05-21. Correction verified 2024-05-21.
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Other Serious
A drug test was not given to a staff who was suspended from duties for having a vape pen in the dorm area.
HHSC 745.4151(c)(4)(D) — Mandatory drug testing-employee who is alleged to be abusing drugs must be tested within 24 hours
HHSC risk weight: High. Corrected 2024-05-21. Correction verified 2024-05-21.
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Discipline & child guidance Serious
A child's right to be free of neglectful supervision was not upheld when children in care were able to access and obtain vape pens from staff's personal belongings, kept in the dorm's office. This standard was found deficient as part of a DFPS Investigation.
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 2024-05-21. Correction verified 2024-05-21.
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Supervision & ratios
Staff did not follow the operation's policy when they brought vape pens into the dorm area, where children were present.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-05-21.
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Other
One service plan did not have a signature from the PLSP.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-05-21.
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Supervision & ratios
One service plan did not include the child's signature.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2024-05-24. Correction verified 2024-05-21.
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Other Serious
Children were able to use vape pens taken from staff's personal belongings inside the dorm area.
HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
HHSC risk weight: High. Corrected 2024-05-21. Correction verified 2024-05-21.
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Illness & medication
An incident report was not written when the Medical Director notified staff of a child cheeking his medication.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-08-28.
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Supervision & ratios Serious
Children in care were left unsupervised, leading to them obtaining and using a vape pen found in staff's personal belongings.
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 2024-05-21. Correction verified 2024-05-21.
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Other Serious
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Feb 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2024 Report · Deficiencies cited
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Discipline & child guidance
Staff were informed of possible abuse and/or neglect 3 days prior to making a report to the Child Abuse Hotline.
HHSC 748.507(2) — Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
HHSC risk weight: Medium High. Corrected 2024-04-22. Correction verified 2024-08-28.
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Discipline & child guidance
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Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
A child's right to be free of physical abuse was not upheld when a caregiver provided vape pens to children in care. This standard was found deficient as part of a DFPS Investigation.
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 2024-04-03. Correction verified 2024-04-17.
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Other Serious
Several children confirmed staff provided them with a vape pin.
HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
HHSC risk weight: High. Corrected 2024-03-22. Correction verified 2024-04-17.
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Other
Several children confirmed a staff provided their personal phone for residents to use for communication.
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 2024-03-22. Correction verified 2024-04-17.
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Discipline & child guidance Serious
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Nov 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate sexual contact and relationship with a 17-year-old child in care.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-11-17. Correction verified 2023-11-27.
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Discipline & child guidance Serious
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Jul 11, 2023 Inspection · Deficiencies cited
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Staff background & training
It was found in 5 out of 5 personnel files reviewed no uniformity and mising training certificates.
HHSC 748.363(11) — Personnel records-Include record of training and training hours
HHSC risk weight: Medium. Corrected 2023-09-05. Correction verified 2023-08-29.
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Staff background & training
In 1 out of 5 files there was no documentation for a caregiver having a HS diploma or GED from a program recognized by TEA, TPSAC, other state or equivalency from home schooling.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
In 5 out of 5 files reviewed the orientation completion is not documented in the file and also does not include any information regarding components covered during orientation.
HHSC 748.831(b) — Orientation-Document the completion of the orientation in the appropriate personnel record
HHSC risk weight: Medium Low. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
In 5 out of 5 files reviewed the orientation is being combined with pre-service training.
HHSC 748.865 — Pre-Service Training-Orientation training must be separate from pre-service training
HHSC risk weight: Medium Low. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
In 5 out of 5 files reviewed there is no specific stated learning objectives available for review.
HHSC 748.869(a)(1) — Pre-Service Training- Self/Instructor-led training must include specifically stated learning objectives.
HHSC risk weight: Medium Low. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
5 out of 5 files reviewed did not contain an evaluation tool to determine if the person obtained the necessary information to meet the objectives of the training.
HHSC 748.869(a)(2) — Pre-Service Training- Must include an evaluation tool to determine if the person has obtained the information necessary to meet the objectives.
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
It was found in 5 out of 5 staff files reviewed that staff was not also trained with a health care professional or pharmacist .
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 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
In 5 out of 5 files reviewed there is no demonstration in writing or documentation of physical technique demonstration the participant is allowed to use 748.869(d)(3)(B) to ensure the individual has mastered the material.
HHSC 748.869(d)(3)(A) — Training on EBI must at the end, require each participant to demonstrate knowledge and competency of the training in writing.
HHSC risk weight: Medium High. Corrected 2023-08-18. Correction verified 2023-08-29.
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Staff background & training
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Jun 30, 2023 Report · Deficiencies cited (self-report)
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Safety & premises
During the inspection, it was observed in the cafeteria (kitchen area) that the fire extinguisher was out of compliance with the monthly inspection. The last inspection was April 2023.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-18.
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Safety & premises
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Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 2, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 18, 2023 Inspection · Deficiencies cited
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Supervision & ratios
It was found that the last time the operation had a compliant gas inspection was in 2020.
HHSC 748.3065(c) — Gas Inspection-Must comply with all corrections, conditions, restrictions specified in gas inspection report within timeframes specified
HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2024-04-19.
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Supervision & ratios
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May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care was not properly supervised by staff as a resulted cutting his wrist causing the child to need 9 staples.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-03-02. Correction verified 2023-02-27.
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Supervision & ratios Serious
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Jan 24, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate communication and sexual contact with a 17-year-old child in care.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-05-01. Correction verified 2023-05-01.
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Discipline & child guidance Serious
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Dec 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 20, 2022 Report · Deficiencies cited
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Supervision & ratios
A Serious Incident Report was observed with the resident's names blacked out, with no knowledge of which residents or staff were involved in the incident.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-03-07. Correction verified 2023-03-07.
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Supervision & ratios
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Aug 4, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
Two Couch Counselors have been on shift four times in the past 2 weeks, while background checks are still pending.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-08-08. Correction verified 2022-08-08.
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Supervision & ratios
The operation has not documented that a severe weather drill has been conducted since 11/28/21.
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 2022-08-11. Correction verified 2022-08-10.
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Staff background & training Serious
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Jul 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2022 Inspection · Deficiencies cited
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Illness & medication
On 2/17/22 it was discovered that a child in care was injured by another child on 2/10/22 and required medical attention. This incident was not reported to Licensing.
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 2022-03-11. Correction verified 2022-04-11.
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Cleanliness & sanitation
Bagged spinach and shredded carrots used to make salad was observed expired.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-17.
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Supervision & ratios
The Administrator is not documenting if, how or when follow ups are being addressed after assessing documented incidents. A child with four documented incident reports for January 2022, where he exhibited high-risk behaviors was not placed on close observation or a safety plan to ensure the safety of the other children in care. The assessed incident reports are also not being signed after review of the Administrator.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2022-03-03. Correction verified 2022-04-11.
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Illness & medication
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Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2022 Report · Deficiencies cited (self-report)
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Illness & medication Serious
A child sustained an injury and was not taken to see a medical professional for 6 days.
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 2022-02-17. Correction verified 2022-04-11.
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Illness & medication
A child was treated at the Emergency Room on 1/24/22 but not reported to Licensing until 1/26/22.
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 2022-02-10. Correction verified 2022-04-11.
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Illness & medication Serious
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Jan 6, 2022 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
A staff wrote and sent a letter to a child in care, encouraging future sexual contact with him.
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 2022-03-03. Correction verified 2022-04-11.
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Other
A staff member failed to utilize prudent judgement and maintain self-control when she wrote a sexually explicit letter to a child in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2022-03-03. Correction verified 2022-04-11.
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Supervision & ratios
A staff member failed to comply with operation's policies related to maintaining appropriate boundaries with children in care.
HHSC 748.507(3) — Employee general responsibilities-Know and comply with rules of Chapter 748 and any other rules and laws relevant to person's duties
HHSC risk weight: Medium High. Corrected 2022-03-03. Correction verified 2022-04-11.
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Discipline & child guidance Serious
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Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2021 Inspection · Deficiencies cited
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Safety & premises
The vehicle used to transport children has an active alert to check the tire pressure.
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 2021-12-06. Correction verified 2021-12-09.
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Safety & premises
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Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2021 Inspection · Deficiencies cited
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Other Serious
A new employee did not have a completed drug test within the past year.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2021-10-25. Correction verified 2021-11-17.
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Staff background & training Serious
The LCCA does not have a Background Check on file for the operation.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected at inspection. Corrected 2021-10-18.
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Staff background & training
A Group Worker has an affidavit on file but it was not signed/notarized.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2021-10-25. Correction verified 2021-11-17.
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Supervision & ratios
LCCA is listed under two operations; one operation is on Probation, the other operation is in Application status.
HHSC 748.533(a)(1) — Child-care administrator-Can be administrator for two operations if both operations are in good standing with Licensing
HHSC risk weight: Medium. Corrected 2021-10-25. Correction verified 2021-11-17.
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Staff background & training
The LCCA has not completed an Orientation at the operation.
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 2021-10-25. Correction verified 2021-11-17.
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Staff background & training
A Group Worker has not completed the annual TIC class.
HHSC 748.931(a)(1)(B)(i) — Annual Training-Must include 2 hours on trauma informed care
HHSC risk weight: Medium High. Corrected 2021-10-25. Correction verified 2021-11-17.
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Other Serious
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.