Horizon Heights Children's Home LLC
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 8
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Joia F. Hairston
- Phone
- (806) 500-3089
- Regulated since
- Jul 15, 2026
- HHSC IDs
- Operation 1492196 · number 1806675
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 12 | 0 | Illness & medication (2), Staff background & training (6), Records & paperwork (4) |
| 2025 | 20 | 0 | Illness & medication (8), Supervision & ratios (6), Staff background & training (2), Records & paperwork (2), Other (2) |
Inspections, investigations & assessments
-
Sep 17, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2026 Inspection
No violations cited on this visit.
-
Aug 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Report
No violations cited on this visit.
-
May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2026 Inspection · Deficiencies cited
-
Records & paperwork
One out of three child records reviewed had a suicide screening completed five days after admission.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Records & paperwork
One out of three child records reviewed did not have a completed suicide screening completed within 90 days of the last completed suicide screening.
HHSC 748.125(d)(4)(D) — Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Illness & medication
Caregivers failed to ensure that a child was given medication as prescribed.
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 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
One out of three staff records reviewed did not have a completed affidavit for review in the employee file.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
Two out of the three staff records reviewed did not have education qualifications in the employee file.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
One out of three staff records reviewed did not contain reference checks documented in the employee file.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2026-03-24. Correction verified 2026-04-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 10, 2026 Inspection · Deficiencies cited
-
Records & paperwork
One out of three child records reviewed had a suicide screening completed five days after admission.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Records & paperwork
One out of three child records reviewed did not have a completed suicide screening completed within 90 days of the last completed suicide screening.
HHSC 748.125(d)(4)(D) — Suicide Screening- Must be administered every 90 days after admission for children 10 years of age or older in a GRO that is not a RTC.
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Illness & medication
Caregivers failed to ensure that a child was given medication as prescribed.
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 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
One out of three staff records reviewed did not have a completed affidavit for review in the employee file.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
Two out of the three staff records reviewed did not have education qualifications in the employee file.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Staff background & training
One out of three staff records reviewed did not contain reference checks documented in the employee file.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2026-03-24. Correction verified 2026-04-09.
-
Records & paperwork
-
Feb 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2025 Inspection · Deficiencies cited
-
Records & paperwork
Two child records reviewed did not contain initial service plans.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Supervision & ratios
Child and personnel records did not containt documents for review readily available.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
Caregivers failed to ensure that a child was given medication as prescribed.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
One medication was administered twice but not documented on the medcation log.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
Two medications did not have an accurate medication count.
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 2025-11-05. Correction verified 2025-11-17.
-
Supervision & ratios
The operation did not have a current unauthorized absence log available for review.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Records & paperwork
-
Oct 22, 2025 Inspection · Deficiencies cited
-
Records & paperwork
Two child records reviewed did not contain initial service plans.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Supervision & ratios
Child and personnel records did not containt documents for review readily available.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
Caregivers failed to ensure that a child was given medication as prescribed.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
One medication was administered twice but not documented on the medcation log.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2025-11-05. Correction verified 2025-11-17.
-
Illness & medication
Two medications did not have an accurate medication count.
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 2025-11-05. Correction verified 2025-11-17.
-
Supervision & ratios
The operation did not have a current unauthorized absence log available for review.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Sep 16, 2025 Inspection · Deficiencies cited
-
Other
One child's admission assessment did not include information related dental examinations.
HHSC 748.1217(b)(6) — Admission Assessment-At admission, must include current medical & dental status, including available results of medical/dental exams
HHSC risk weight: Medium. Corrected 2025-09-30. Correction verified 2025-09-24.
-
Illness & medication
Two out of two child records did not have information related to medication side effects listed.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2025-09-30. Correction verified 2025-09-24.
-
Other
-
Sep 16, 2025 Inspection · Deficiencies cited
-
Other
One child's admission assessment did not include information related dental examinations.
HHSC 748.1217(b)(6) — Admission Assessment-At admission, must include current medical & dental status, including available results of medical/dental exams
HHSC risk weight: Medium. Corrected 2025-09-30. Correction verified 2025-09-24.
-
Illness & medication
Two out of two child records did not have information related to medication side effects listed.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2025-09-30. Correction verified 2025-09-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Sep 12, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
Two personnel records reviewed did not contain a document indicating the operational policies were reviewed by the employee.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2025-09-01. Correction verified 2025-08-20.
-
Staff background & training
Two staff records reviewed did not contain reference checks documented in the employee file.
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 2025-09-01. Correction verified 2025-08-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 18, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
Two personnel records reviewed did not contain a document indicating the operational policies were reviewed by the employee.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2025-09-01. Correction verified 2025-08-20.
-
Staff background & training
Two staff records reviewed did not contain reference checks documented in the employee file.
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 2025-09-01. Correction verified 2025-08-20.
-
Supervision & ratios
-
May 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.