Lifeworks Emergency Shelter
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 20
- Ages
- 0-17
- Hours
- -
- Director / administrator
- Andrew Dennis Fike
- Phone
- (512) 735-2200
- Regulated since
- Feb 3, 2009
- HHSC IDs
- Operation 344357 · number 888971
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 8 | 1 | Supervision & ratios (4), Staff background & training (1), Other (3) |
| 2025 | 8 | 0 | Cleanliness & sanitation (2), Supervision & ratios (1), Records & paperwork (2), Other (3) |
| 2024 | 21 | 6 | Supervision & ratios (9), Staff background & training (3), Records & paperwork (7), Other (2) |
| 2023 | 6 | 0 | Cleanliness & sanitation (1), Supervision & ratios (2), Discipline & child guidance (1), Records & paperwork (1), Other (1) |
| 2022 | 6 | 1 | Illness & medication (1), Supervision & ratios (1), Safety & premises (2), Records & paperwork (2) |
| 2021 | 3 | 0 | Illness & medication (1), Staff background & training (2) |
Inspections, investigations & assessments
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Sep 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2026 Inspection · Deficiencies cited
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Staff background & training
4 of 4 staff files reviewed failed to have completed this required form.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2026-09-17. Correction verified 2026-09-17.
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Staff background & training
-
Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
During the investigation, information obtained through interviews determined that a staff member communicated with a child in care via text message using the staff member's personal cell phone instead of the operation-issued cell phone , as required by operation policy.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2026-09-25. Correction verified 2026-09-25.
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Supervision & ratios
-
Aug 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was determined that an incident in where Law Enforcement responded to the operation was not reported to the hotline within the required timeframe.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2026-09-29. Correction verified 2026-09-25.
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Supervision & ratios
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
When reviewing documentation, it was determined that two children in care left the facility and the operation reported it 7 hours after the children in care left.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2026-06-29. Correction verified 2026-06-29.
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Supervision & ratios
-
May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 18, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2026 Report · Deficiencies cited (self-report)
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Other
During the course of this investigation, it was disclosed that staff allowed multiple children in care restrain other children.
HHSC 748.2311 — Discipline-person in care must not discipline or punish another person in care
HHSC risk weight: Medium High. Corrected 2026-04-17. Correction verified 2026-04-17.
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Other Serious
It was disclosed that staff did not intervene during a physical altercation, citing lack of experience in managing such incidents and the absence of supervisory guidance to direct them appropriately.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2026-04-17. Correction verified 2026-04-17.
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Other
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
The operation provided two EBI debriefings dated the same day as the alleged incident after being informed by staff that they had not been completed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-03-10.
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Other
During the course of this investigation, it was determined that staff allowed a child in care to restrain another child.
HHSC 748.2311 — Discipline-person in care must not discipline or punish another person in care
HHSC risk weight: Medium High. Corrected 2026-03-20. Correction verified 2026-03-10.
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Supervision & ratios
-
Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 16, 2025 Inspection · Deficiencies cited
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Other
Four of four Preliminary Service Plan documentation reviewed failed to the required information.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2025-09-30. Correction verified 2025-10-02.
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Records & paperwork
Three of five child service plans did not have the required information as to date provided and/or justification whether or not a copy was provided.
HHSC 748.1349(c) — Initial Service Plan-If plan or summary not shared with child, document justification in the child's record
HHSC risk weight: Low. Corrected 2025-09-30. Correction verified 2025-10-02.
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Other
Six Unauthorized Absences debriefings were not completed and/or documented.
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2025-09-30. Correction verified 2025-10-02.
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Other
One triggered review document did not have the required information.
HHSC 748.461(2) — Unauthorized Absence-Triggered Review must include a review of service plan elements in 749.1309(b)(1)(D)&(H) & as applicable 749.1309(b)(2)&(3)
HHSC risk weight: Medium. Corrected 2025-09-30. Correction verified 2025-10-02.
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Other
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Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 21, 2025 Report · Deficiencies cited
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Supervision & ratios
Staff failed to arrange and confirm transportation back to the operation for a child in care who called for assistance after traveling 50 miles away on their bicycle.
HHSC 748.685(d)(3) — Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity
HHSC risk weight: Medium High. Corrected 2025-09-26. Correction verified 2025-09-26.
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Supervision & ratios
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 14, 2025 Report · No deficiencies cited (self-report)
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 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Report · No deficiencies cited (self-report)
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 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2025 Inspection · No deficiencies cited
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 · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 11, 2025 Report · No deficiencies cited (self-report)
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 6, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
During the Walkthrough of bedroom #9, a whole in the wall was present. In another room, the vent is partially coming from ceiling.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-07-15. Correction verified 2025-07-21.
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Cleanliness & sanitation
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Jul 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 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 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 31, 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 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
A child's unauthorized absence was not recorded on the Annual Summary Log.
HHSC 748.453(a)(2) — Unauthorized Absence - Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2025-03-21. Correction verified 2025-03-19.
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Records & paperwork
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Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Report · Deficiencies cited
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Cleanliness & sanitation
During the inspection of girls bathroom, the hot water handle on the 1st sink to the left did not turn on water. There is a potential leak under the sink area as there was water on the floor under sink extending to the first two toilets in girl's bathroom.
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 2025-01-27. Correction verified 2025-01-27.
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Cleanliness & sanitation
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Jan 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 26, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
In reviewing the Service Plans for both children a general statement was given and not specific details for each child.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2025-03-06. Correction verified 2025-03-06.
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Other
Children are being allowed to leave the facility and are unaware of where the children are at or are going. Children are remaining gone for hours at a time without a check in with staff or staff checking on them.
HHSC 748.685(d)(1) — Caregiver responsibility- Child participating in unsupervised activity - caregiver must know where child will be
HHSC risk weight: Medium High. Corrected 2025-03-06. Correction verified 2025-03-06.
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Supervision & ratios
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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 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2024 Report · Deficiencies cited
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Records & paperwork
Citation: The child did not return to the van at 9:45PM when planned with staff. This report was not made to the hotline until 1:34AM, roughly 3.5 hours after the incident occurred. With the child's sex trafficking history the incident should have been reported immediately.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2025-01-21. Correction verified 2025-01-17.
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Records & paperwork
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Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios
It was reported that the operation was not doing adequate searches upon children returning to the operation from off campus and/or in the children's rooms when the operation already had suspicion and concerns regarding residents shoplifting/stealing, bringing, and using contraband such as alcohol/illegal substances and/or other items onto campus. It was reported searches were not documented by staff unless they actually found contraband.
HHSC 748.1113(b) — Child Rights searches-Search a child, his possessions, or his room only when reasonable suspicion exists
HHSC risk weight: Medium Low. Corrected 2025-01-24. Correction verified 2025-01-24.
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Supervision & ratios Serious
It was found that operation staff had suspicion of several residents shoplifting/stealing from different stores in the community and bringing a variety of contraband back onto to campus, to include alcohol/illegal substances and other items, for some time, however the operation failed to create safety plans for the children to address these concerns.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2025-01-24. Correction verified 2025-01-24.
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Records & paperwork
During the course of the investigation, it was found that several serious incidents were not reported to the A/N Hotline or were reported late according to minimum standards required timeframes.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2025-01-24. Correction verified 2025-01-24.
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Records & paperwork Serious
During the course of the investigation, it was reported that multiple residents have brought contraband and used contraband on campus.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-01-24. Correction verified 2025-01-24.
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Supervision & ratios
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Dec 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was found that during a search conducted by staff in a child's room at the operation on 11/5/24, two THC pens, a vape pen, one lighter, and four empty boxes of THC related products were discovered. Staff also found a razor, one pair of scissors, and Tylenol as well.
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 2024-12-20. Correction verified 2024-12-02.
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Supervision & ratios Serious
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Nov 5, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During the walkthrough of the operation an uncovered bowl of cheese was observed in a refrigerator. [
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-11-05.
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Supervision & ratios
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Oct 26, 2024 Report · Deficiencies cited
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Supervision & ratios
A child was dropped off at an unknown person's home by staff.
HHSC 748.705(b)(8) — Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate
HHSC risk weight: Medium. Corrected 2024-12-30. Correction verified 2024-12-30.
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Supervision & ratios
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Oct 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2024 Report · No deficiencies cited (self-report)
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 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 5, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
During the inspection it was found that the background check for the operation's current CEO as of July 1, 2024, has been inactive and their former CEO's background check was also inactive prior to 7/1/24.
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 2024-09-13. Correction verified 2024-11-06.
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Staff background & training
During the inspection, it was found there was documentation missing for the staff's qualifications.
HHSC 748.363(5) — Personnel records-Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position.
HHSC risk weight: Medium. Corrected 2024-09-20. Correction verified 2024-09-20.
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Records & paperwork
During the inspection, it was found that two child files were missing another method of identifying the child.
HHSC 748.393(b)(1) — Active child record-Includes child's full name and another method of identifying the child, such as a client number
HHSC risk weight: Medium. Corrected 2024-09-20. Correction verified 2024-09-20.
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Staff background & training
During the inspection, it was found that the psychotropic medication training for one staff file was not led by a qualified health care professional.
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 2024-09-20. Correction verified 2024-11-06.
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Staff background & training Serious
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Sep 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 29, 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 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
The triggered reviews for 3 children did not have details about the unauthorized absences which triggered the review and did not explain prior debriefings with the child.
HHSC 748.461(1) — Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
HHSC risk weight: Medium High. Corrected 2024-08-27. Correction verified 2024-08-27.
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Records & paperwork
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Jul 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 18, 2024 Report · No deficiencies cited (self-report)
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 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
On 6/14/24, during the walkthrough, a nail clipper (considered as contraband), was in a child's room. This has been cited two other times in less than 3 months.
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 2024-07-05. Correction verified 2024-07-18.
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Supervision & ratios Serious
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May 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 5, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
The unauthorized absence log documented the staff who reported the incident to the hotline instead of the staff responsible for the child at the time of the incident.
HHSC 748.453(a)(4) — Unauthorized Absence?Annual summary log must include name of caregiver responsible for child at time absence discovered
HHSC risk weight: Medium. Corrected 2024-06-13. Correction verified 2024-06-13.
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Records & paperwork
The triggered review did not have details about the previous 4 unauthorized absences and did not explain prior debriefings with the child.
HHSC 748.461(1) — Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
HHSC risk weight: Medium High. Corrected 2024-06-13. Correction verified 2024-06-13.
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Records & paperwork
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Apr 23, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During the follow up inspection, a broken cylindrical glass tube was observed by licensing on the floor of a child's room that had not been discarded. Staff had not been aware of this. This was corrected at inspection.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2024-05-17. Correction verified 2024-06-14.
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Supervision & ratios
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Apr 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2024 Report · Deficiencies cited
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Other Serious
Through interviews and documentation, it was determined that a primary caregiver could not physically intervene and stop in altercation.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-04-19. Correction verified 2024-04-23.
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Supervision & ratios
Through documentation and interviews it was determined that staff was aware that residents liked to collect items from the community and bring them back into the operation. Items considered contraband were found in a resident's room.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2024-04-19. Correction verified 2024-05-23.
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Other Serious
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Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
A child in care left the operation and a report was made almost 3 hours after required timeframes.
HHSC 748.303(a)(10)(B) — Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
HHSC risk weight: Medium. Corrected 2023-11-08. Correction verified 2023-11-03.
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Supervision & ratios
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Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 20, 2023 Inspection · Deficiencies cited
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Other
After reviewing 1 child file, it was found that the recreation section in the service plan was missing.
HHSC 748.1337(b)(1)(A)(vi)(I) — Initial Service Plan - Normalcy - Include plans for social, extracurricular, recreation, and leisure activities
HHSC risk weight: Medium. Corrected 2023-10-06. Correction verified 2023-10-06.
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Other
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Jul 2, 2023 Report · Deficiencies cited (self-report)
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Discipline & child guidance
It was found that on 6/24/23, the operation received a screenshot of an inappropriate text message sexual in nature sent to them by a minor resident at the facility that had received the message from a young adult resident there, however the operation didn't see the screenshot until 6/30/23 and then called this into the A/N hotline upon discovery. It is unknown if the text message was sent to the minor resident on or off campus.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2023-09-08. Correction verified 2023-09-08.
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Records & paperwork
It was found that there was no communication log for the child/victim for after this child left the facility on 7/2/23 at 10:00 pm. There was no update on whether the child returned to the facility.
HHSC 748.313(3)(E) — Serious Incident -Unauthorized absence of a child ?if child returns to op after 24 hrs document as addendum to report documenting child?s return
HHSC risk weight: Medium. Corrected 2023-09-08. Correction verified 2023-09-08.
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Discipline & child guidance
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Jul 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios
After reviewing documentation, it was determined that the operation reported to the hotline 2 days after the UA occurred.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2023-07-11. Correction verified 2023-07-11.
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Supervision & ratios
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Jun 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 17, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
During this inspection, it was found that one bedroom (#7) had clutter and lot of other belongings thrown around the room to which could pose a safety hazard. There was also a ceiling fixture in bedroom #2 that needed repair and a towel rack in the bathroom of bedroom #5 that also needed repair.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2023-03-31. Correction verified 2023-03-31.
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Cleanliness & sanitation
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Nov 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 28, 2022 Inspection · Deficiencies cited
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Illness & medication
During the inspection, it was found that two children were not administered their prescription medication(s) on 9/24/22 and 9/25/22 and one of the two children also wasn't given their prescription medication on 9/27.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-10-05.
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Safety & premises
During the inspection, the TB test results, driver's license record, Affidavit for application of employment, and drug tests results were not available for review for two of two staff files.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-10-05. Correction verified 2022-10-05.
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Illness & medication
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Sep 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2022 Report · Deficiencies cited
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Records & paperwork
A unauthorized absence of a child in care was reported 4 hours after the required timeframe to Licensing.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2022-11-07. Correction verified 2022-11-07.
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Records & paperwork
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 1, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2022 Report · Deficiencies cited
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Records & paperwork
After reviewing 5 out of 5 incident reports, it was observed that there was no documented resolution or follow up of the incident.
HHSC 748.311(10) — Serious Incident Documentation-Includes resolution of the incident
HHSC risk weight: Medium. Corrected 2022-07-06. Correction verified 2022-07-05.
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Records & paperwork
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May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2022 Report · Deficiencies cited (self-report)
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Safety & premises Serious
Through the course of the investigation, it was discovered that a child in care performed a restraint on a peer. Staff verbally tried to stop the restraint that started in a physical fight but did not physically try to stop the restraint that lasted approximately a minute.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2022-06-03. Correction verified 2022-06-06.
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Safety & premises Serious
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Apr 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios
The unauthorized absence of a youth in care at the operation was reported outside of the required timeframe to licensing.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older
HHSC risk weight: Medium. Corrected 2022-04-04. Correction verified 2022-03-21.
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Supervision & ratios
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Jan 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 1, 2021 Inspection · Deficiencies cited
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Staff background & training
During the inspection, there were staff who were inactivated past the 7 day required timeframe of being terminated/resigned. There were 9 out of 13 staff that were inactivated past this timeframe and there were 2 staff that were reported to be terminated who had not been inactivated.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2021-11-08. Correction verified 2021-11-08.
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Illness & medication
During the inspection, children's medication records count were observed to not match the number of actual tablets/pills left.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2021-11-15. Correction verified 2021-11-12.
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Staff background & training
During the inspection, two staff records were requested, however licensing was unable to thoroughly evaluate these records as the personnel files were not immediately available.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2021-11-15. Correction verified 2021-11-12.
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Staff background & training
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Oct 25, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 23, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.