Nexus Neurorecovery Center - San Antonio
227 LEWIS ST, San Antonio, TX 78212 · Bexar County
Program
- Type
- General residential operation
- Licensed capacity
- 24
- Ages
- 13-17
- Hours
- -
- Director / administrator
- Christa Kay Brantley
- Phone
- (210) 447-1700
- Regulated since
- Aug 21, 2024
- HHSC IDs
- Operation 1458319 · number 1784246
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 2 | Illness & medication (2) |
| 2025 | 5 | 3 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (2), Safety & premises (1) |
| 2024 | 36 | 15 | Illness & medication (8), Supervision & ratios (7), Staff background & training (6), Records & paperwork (5), Other (10) |
| 2023 | 1 | 0 | Supervision & ratios (1) |
Inspections, investigations & assessments
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Sep 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2026 Report · Deficiencies cited (self-report)
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Illness & medication Serious
Intake came in on 2/15/26 stating the incident occurred on 2/13/26 and received medical treatment for their injury on the same day. This was not reported to CCR within the allocated time frame.
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 2026-03-20. Correction verified 2026-03-23.
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Illness & medication Serious
-
Feb 5, 2026 Report · Deficiencies cited
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Illness & medication Serious
Operation did not report an incident that occurred on 2/10/26 in which a child in care was taken to the emergency room.
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 2026-03-20. Correction verified 2026-03-23.
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Illness & medication Serious
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Jan 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 18, 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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Sep 3, 2025 Report · Deficiencies cited (self-report)
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Illness & medication Serious
A caregiver initiated a personal restraint on a child when it was not required, as de-escalation techniques appeared to be managing the situation effectively and the child was not displaying aggressive behavior at the time of the restraint.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-11-12.
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Illness & medication Serious
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Sep 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Report
No violations cited on this visit.
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Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation Serious
During the walkthrough of the kitchen multiple dry and wet food items were expired and multiple food items were not stored properly.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2025-08-04. Correction verified 2025-08-08.
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Cleanliness & sanitation Serious
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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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 7, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Children in care were able to access razors from secured operation locations.
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 2025-08-15. Correction verified 2025-08-28.
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Supervision & ratios Serious
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Jul 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Inspection · Deficiencies cited
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Safety & premises
11 of the 16 fire drills reviewed did not have required information.
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 2025-07-03. Correction verified 2025-07-03.
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Safety & premises
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Jun 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
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 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Assessment · Deficiencies cited
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Supervision & ratios
Operation has not provided corrected operational policy.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-04-01. Correction verified 2025-03-28.
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Supervision & ratios
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Mar 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2025 Inspection
No violations cited on this visit.
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Jan 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 12, 2024 Report · Deficiencies cited (self-report)
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Other Serious
It was confirmed that a staff member told a child in care to shut up.
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 2024-12-17. Correction verified 2024-12-13.
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Other Serious
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Nov 10, 2024 Report · Deficiencies cited
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Other Serious
Staff member engaged in a verbal confrontation with 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 2025-01-31. Correction verified 2025-01-29.
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Other Serious
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Nov 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 3, 2024 Report · Deficiencies cited (self-report)
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Other
The initial service plan time frame was outside the window of date of placement.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2024-12-09. Correction verified 2024-12-13.
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Supervision & ratios Serious
The initial service plan provided by the operation does not discuss the child's high-risk behaviors or a specific contract developed. The operation is aware of the child's high-risk behaviors as this is the second time at this operation.
HHSC 748.1337(b)(1)(H)(ii) — Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety
HHSC risk weight: High. Corrected 2024-12-09. Correction verified 2024-12-13.
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Other
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Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 1, 2024 Report · Deficiencies cited (self-report)
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Other Serious
Registered Nurse or physician did not insert nasogastric tube for child in care.
HHSC 748.1709(a) — Nasogastric tube-must be inserted by a physician or registered nurse according to a physician's written orders
HHSC risk weight: High. Corrected 2024-12-13. Correction verified 2025-01-31.
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Supervision & ratios
Operation did not provide requested documents to licensing that were requested for investigation.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-13.
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Other Serious
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Sep 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2024 Inspection
No violations cited on this visit.
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Sep 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 2, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Operation staff showed inappropriate boundaries towards a resident on multiple occasions. Additional staff were aware and made comments stating it would make the child's life easier if they changed their story. In addition, staff were demeaning a child by using inappropriate labels related to child's mental health.
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 2024-08-30. Correction verified 2024-09-13.
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Supervision & ratios
Staff member was allowed continued contact with child in care after operation was alerted of inappropriate behaviors.
HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being
HHSC risk weight: Medium. Corrected 2024-08-30. Correction verified 2024-08-29.
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Supervision & ratios Serious
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Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
Incident reports were missing some information regarding time and date and names of adults involved.
HHSC 748.311(2) — Serious Incident Documentation-Includes time and date of incident
HHSC risk weight: Medium. Corrected 2024-08-30. Correction verified 2024-08-26.
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Records & paperwork
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Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2024 Report · Deficiencies cited
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Illness & medication
A child in care was administered an emergency medication during a containment; however, the staff members did not follow and/or didn't provide documentation that the child received continuous 1:1 observation as required after the resident is given emergency medication for 60 minutes nor is there documentation of vital signs, skin assessment, Range of Motion, psychological assessment, and a neurological assessment completed every 15 minutes after the administration of emergency medication, nor documentation reflecting Q15 Minute assessment per the operation's EBI policies and procedures.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-11-29. Correction verified 2025-03-14.
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Illness & medication Serious
A child in care was administered emergency medication while in a two-person containment; however, the operation's EBI policy doesn't mention the use of simultaneous interventions.
HHSC 748.2753(a)(1) — Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if allowed by operation's policies
HHSC risk weight: Medium High. Corrected 2024-11-29. Correction verified 2024-12-16.
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Illness & medication Serious
There are no clinical orders nor documentation in the EBI report justifying the use of containment simultaneously with emergency medication or who ordered this intervention.
HHSC 748.2753(b) — Simultaneous Interventions-May use emergency medication with personal restraint or seclusion only if written orders justify the combination
HHSC risk weight: Medium High. Corrected 2024-11-29. Correction verified 2024-12-16.
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Illness & medication
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Jul 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2024 Inspection · Deficiencies cited
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Illness & medication
Two child files were reviewed. The children's files did not include all necessary information within the file at the time of admission.
HHSC 748.1205(a)(8) — Admission Documentation-Includes allergies (food, medication, sting, and skin allergies)
HHSC risk weight: Medium Low. Corrected 2024-07-26. Correction verified 2024-08-09.
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Other
Two of two child placement agreements were reviewed, and neither were signed by the child's parent/managing conservator.
HHSC 748.1207(b) — Placement agreement - Must be signed by parent
HHSC risk weight: Medium. Corrected 2024-07-26. Correction verified 2024-09-19.
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Staff background & training
Two child files were reviewed. The orientation information provided to the children within seven days of admission did not include all information regarding operation policies.
HHSC 748.1209(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium Low. Corrected 2024-07-26. Correction verified 2024-09-03.
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Records & paperwork
Two of two child admission assessments did not have a professional level service provider signature or date.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2024-07-26. Correction verified 2024-09-19.
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Other
Two child files were reviewed, there were multiple items that were missing within each child's admission assessment.
HHSC 748.1217(a) — Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
HHSC risk weight: Medium. Corrected 2024-07-26. Correction verified 2024-08-09.
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Other
2 of the 3 plans reviewed did not specify who was included or present in developing the service plans
HHSC 748.1339(a) — Initial Service Plan-Service planning team must develop the service plan
HHSC risk weight: Low. Corrected 2024-07-26. Correction verified 2024-09-19.
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Records & paperwork
2 of the 3 plans reviewed did not have confirmation that required parties were notified of the date the service plans would be completed and did not give those parties an opportunity to respond
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2024-07-26. Correction verified 2024-09-19.
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Other
2 of the 3 service plans reviewed were unclear as to who received a copy of the plan
HHSC 748.1349(a)(2) — Initial Service Plan-Give copy or summary of plan to child's parents
HHSC risk weight: Low. Corrected 2024-07-26. Correction verified 2024-09-19.
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Supervision & ratios Serious
Residential Child Care Regulation observed the operation's emergency evacuation posters to be without documentation of a designated outside meeting point.
HHSC 748.3233(b)(2) — Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-09-19.
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Staff background & training Serious
Residential Child Care Regulation observed a care giver's training record to be without 40 hours of on-the-job training. The explanation note read that the care giver had this at a previous operation.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-09-19.
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Illness & medication
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Jul 2, 2024 Report · Deficiencies cited
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Illness & medication Serious
Child in care on 1:1 supervision swallowed a foreign object which required medical treatment such as x-rays as this could result in an unhealthy condition of the body and mind.
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 2024-07-17. Correction verified 2024-09-19.
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Illness & medication Serious
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Jun 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2024 Report
No violations cited on this visit.
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Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2024 Inspection · Deficiencies cited
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Illness & medication
While reviewing emergency behavior intervention assessments, multiple assessments were missing what type of emergency medication was used and the dosage.
HHSC 748.2855(d) — EBI Documentation-If emergency medication, must include specific medication used and dosage administered to the child
HHSC risk weight: Medium. Corrected 2024-05-21. Correction verified 2024-05-21.
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Illness & medication Serious
While reviewing serious incident reports it was found multiple serious incidents were not reported to the 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 2024-05-21. Correction verified 2024-06-14.
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Staff background & training Serious
Personnel files did not have proof of eligibility and request for background checks located in the staff files.
HHSC 748.363(10) — Personnel records-Include proof of request for background checks.
HHSC risk weight: High. Corrected 2024-05-21. Correction verified 2024-06-14.
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Staff background & training
Personnel files reviewed did not have record of training located in personnel file to include training name, hours, and curriculum.
HHSC 748.363(12) — Personnel records-Include record of training and training hours.
HHSC risk weight: Medium. Corrected 2024-05-21. Correction verified 2024-05-21.
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Illness & medication
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May 8, 2024 Report · Deficiencies cited
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Illness & medication Serious
A child in care cheeked medication and took more than the prescribed amount.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-07-03. Correction verified 2024-07-08.
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Illness & medication Serious
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Two serious incident reports did not have the operation's phone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2024-05-01. Correction verified 2024-04-24.
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Supervision & ratios
Operation utilized a drive sharing service to transport a child who was accompanied by staff from the hospital back to the operation.
HHSC 748.4009(c) — General requirements-There must be emergency transportation available at all times
HHSC risk weight: Medium. Corrected 2024-05-01. Correction verified 2024-04-24.
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Other
An employee file had reference checks; however, it was not documented if the references were professional or personal.
HHSC 748.753(b) — Pre-Employment Screening- At least one reference must be an employer who has supervised or familiar with the history of the applicant.
HHSC risk weight: Medium. Corrected 2024-05-01. Correction verified 2024-04-24.
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Other
An employee file did not have documented the number of attempts made to contact the employees' former employers or the employers refusal to provide information. In the result area of contact it stated "NA"
HHSC 748.753(c)(2) — Pre-Employment Screening-You must document your diligent efforts to contact the reference, which must include more than one attempt to contact.
HHSC risk weight: Medium Low. Corrected 2024-05-01. Correction verified 2024-04-24.
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Supervision & ratios
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Jan 11, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
During an inspection at the operation, it was found an employee did not have a completed initial background check.
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 2024-01-11. Correction verified 2024-01-25.
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Records & paperwork
During the inspection, record review of serious incident report reflected it did not contain all the required sections of a serious incident report to include: physical address, telephone number, names of adults involved and/or their role to child, witness information, interventions made during and after incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-01-18. Correction verified 2024-01-16.
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Staff background & training
During an inspection, 1 of 5 staff files reflected the notarized affidavit was provided and signed but was not completed in the exception area.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2024-01-18. Correction verified 2024-01-16.
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Records & paperwork Serious
During an inspection, record review for 1 of 5 staff files reflected only one reference was contacted instead of two.
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 2024-01-18. Correction verified 2024-01-16.
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Staff background & training Serious
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Nov 15, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During walk through of operation it was observed that fire extinguishers had not been inspected for the month of October 2023. Operation staff admitted no monthly check was completed on during the month of October 2023.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2023-11-22. Correction verified 2023-11-17.
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Supervision & ratios
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Nov 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
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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.