A New Day Foundation
17202 GARDEN CREEK DR, Spring, TX 77379 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 13
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Isaac Karnley
- Phone
- (281) 257-1218
- Regulated since
- May 1, 2009
- HHSC IDs
- Operation 349689 · number 892238
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 10 | 0 | Illness & medication (2), Supervision & ratios (4), Records & paperwork (3), Other (1) |
| 2025 | 4 | 0 | Illness & medication (1), Safety & premises (3) |
| 2024 | 6 | 2 | Discipline & child guidance (2), Other (4) |
| 2023 | 2 | 0 | Supervision & ratios (1), Records & paperwork (1) |
| 2022 | 17 | 1 | Illness & medication (3), Supervision & ratios (6), Safety & premises (1), Staff background & training (3), Other (4) |
| 2021 | 6 | 0 | Illness & medication (1), Supervision & ratios (1), Staff background & training (2), Other (2) |
Inspections, investigations & assessments
-
Aug 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
The operation's Serious Incident Report forms did not include the child's age, gender, or date of admission as required by Minimum Standards.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-03-26.
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Supervision & ratios
The operation's evacuation diagrams does not have a designated "shelter in place" location.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected 2026-04-06. Correction verified 2026-04-06.
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Other
The most recent severe weather drill was completed in April 2025 and not within the last 6 months.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2026-04-06. Correction verified 2026-04-06.
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Records & paperwork
Of the four records reviewed, one was missing the required notarized affidavit for employment.
HHSC 748.363(7) — Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2026-04-06. Correction verified 2026-04-06.
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Records & paperwork
During the monitoring inspection, four records were reviewed and all four records were missing the pre-employment affidavit for applicants for employment.
HHSC 748.363(8) — Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
HHSC risk weight: Medium. Corrected 2026-04-06. Correction verified 2026-04-06.
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Supervision & ratios
Of the four records reviewed, one was missing a statement signed and dated by the employee documenting that the employee has read a copy of the operational policies.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2026-04-06. Correction verified 2026-04-06.
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Records & paperwork
Four records were reviewed and all were missing personal reference checks.
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 2026-04-06. Correction verified 2026-04-06.
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Supervision & ratios
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Mar 24, 2026 Inspection · Deficiencies cited
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Illness & medication
During the inspection, I observed one of four child medication records reflected an inaccurate count of 17 pills on the med sheet and 16.5 pills in the blister pack.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2026-04-02. Correction verified 2026-04-02.
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Illness & medication
During the inspection, I observed one of four children's records reviewed contained a medication log lacking the reason for the prescription.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-04-02.
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Supervision & ratios
During the inspection, I observed the thermometer in the refrigerator read 60 degrees and was loose in its housing. The thermometer housing for the freezer contained the gradient grid but not the thermometer itself.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-04-02.
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Illness & medication
-
Mar 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 14, 2025 Report · Deficiencies cited
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Safety & premises
In reviewing the case documentation, it was discerned a staff member restrained a child without first exhausting less restrictive behavior interventions.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-13.
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Illness & medication
In reviewing the investigation, it is evident the child?s refusal to exit the building did not constitute an emergent situation requiring 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 2026-01-16. Correction verified 2026-01-13.
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Safety & premises
In reviewing the investigation documentation, it is evident the staff utilized restraint as a method of getting the child to comply with exiting to the van.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-13.
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Safety & premises
In reviewing the case documentation, it is evident staff utilized an unapproved restraint procedure in picking a child up by the waist to carry the child to the van.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-13.
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Safety & premises
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Oct 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 14, 2025 Inspection · 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 13, 2025 Report · 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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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2025 Inspection · No deficiencies cited
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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Dec 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2024 Inspection · 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 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Report · Deficiencies cited
-
Other
There is sufficient evidence to show that staff have been yelling at the children.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-30.
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Other
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Aug 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2024 Report · Deficiencies cited
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Discipline & child guidance
During the course of the investigation it was determined that children in care has time out for up to 2 hours.
HHSC 748.2307(11) — Other Prohibited Punishments-requiring child to be silent or inactive for inappropriate periods of time for child's age
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-05-13.
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Discipline & child guidance
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Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2024 Report · Deficiencies cited
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Discipline & child guidance
A staff member referenced to a child in care by an unnecessary name when the child was escalated.
HHSC 748.2307(4) — Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
HHSC risk weight: Medium High. Corrected 2024-04-15. Correction verified 2024-04-30.
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Other
A staff member conducted a personal restraint on a child in care for a minute and a half.
HHSC 748.2553(1)(B) — EBI Release-Child released from short personal restraint within 1 minute, or sooner if danger is over or disruptive behavior is de-escalated
HHSC risk weight: Medium High. Corrected 2024-04-15. Correction verified 2024-04-30.
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Discipline & child guidance
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Jan 12, 2024 Report · Deficiencies cited
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Other Serious
It was found during the investigation that a child was restrained near the stairs, which creates an increased risk of harm. Additionally, the child was rubbing their head on the carpet as a means of self-harm, which posed less risk than the actual restraint.
HHSC 748.2551(b)(3) — EBI Implementation-The caregiver must consider the potential risk of harm in using EBI versus the risk of not using EBI
HHSC risk weight: High. Corrected 2024-04-16. Correction verified 2024-04-30.
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Other Serious
It was found during the investigation that a child in care received significant bruising to their shoulder after a short personal restraint.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-04-16. Correction verified 2024-04-30.
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Other Serious
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Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2023 Assessment · Deficiencies cited
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Records & paperwork
The administrator reported becoming aware of the child's absence around 4pm of 05/19/23; the report was made to SWI at 1:24am on 05/20/23.
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 2023-05-29. Correction verified 2023-06-06.
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Records & paperwork
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May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2023 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 22, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation met compliance on October 7, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-04-01. Correction verified 2023-04-01.
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Supervision & ratios
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Mar 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 30, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a High-weighted citation in a pattern/trend category on September 22, 2022. Specifically, the operation was cited for 748.685(a)(5) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation has not met compliance. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2022-10-01. Correction verified 2022-10-01.
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Supervision & ratios
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Sep 22, 2022 Inspection · Deficiencies cited
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Illness & medication
Several medication records did not align with the 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 2022-09-28. Correction verified 2022-10-03.
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Illness & medication
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Sep 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2022 Report · Deficiencies cited
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Other Serious
Staff was not able to intervene fast enough due to the fact she was driving when the altercation started and the children in care where able to punch one another in the face.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-10-06. Correction verified 2022-10-07.
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Other Serious
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Aug 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 11, 2022 Inspection · Deficiencies cited
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Supervision & ratios
It was observed in the child's file reviewed, that the admission assessment was completed a day after the child was placed at operation.
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 2022-07-15. Correction verified 2022-07-18.
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Other
One child file reviewed was found that the medical annual check up was due in May 2022 however it was completed today July 11, 2022.
HHSC 748.1223(a) — Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-07-11.
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Other
Upon viewing child's file, there was no documentation of TB test for child.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2022-07-15. Correction verified 2022-07-15.
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Supervision & ratios
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Jun 27, 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 13, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2022 Inspection · 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 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2022 Report · Deficiencies cited
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Supervision & ratios
The operation did not report to licensing when a child ran away for three hours.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
HHSC risk weight: Medium High. Corrected 2022-07-13. Correction verified 2022-07-15.
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Supervision & ratios
The operation did not have an annual summary log to review.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-07-15.
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Supervision & ratios
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May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · Deficiencies cited
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Staff background & training
Upon viewing staff file, 4 hours of EBI was missing.
HHSC 748.4653(a)(2) — Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
HHSC risk weight: Medium High. Corrected 2022-05-10. Correction verified 2022-05-10.
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Staff background & training
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Apr 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2022 Inspection · Deficiencies cited
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Other
Two of four child files reviewed does not contain the managing conservator's contact information.
HHSC 748.1205(a)(2) — Admission Documentation-Includes court orders establishing who is the managing conservator for the child, if applicable
HHSC risk weight: Medium Low. Corrected 2022-05-11. Correction verified 2022-05-11.
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Staff background & training
Two of four child files reviewed did not include the required orientation documentation such as policies on mail or gifts.
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 2022-05-11. Correction verified 2022-05-11.
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Illness & medication
Two of two discharged children's file reviewed does not contain the required discharge documentation such as the discussion with the child about being discharged or the medication the child was prescribed.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2022-05-11. Correction verified 2022-05-11.
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Safety & premises
The fire inspection has not been completed within the required timeframe.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-11.
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Supervision & ratios
Several serious incident reports reviewed in two children's files did not include the date or start time the incidents occurred. The serious incident report documentation doesn't include the operation's contact information. The incident reports do not include surrounding circumstances of the incident that occurred.
HHSC 748.311(2) — Serious Incident Documentation-Includes time and date of incident
HHSC risk weight: Medium. Corrected 2022-05-11. Correction verified 2022-05-11.
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Illness & medication
The medication log was observed on a shelf in the common area.
HHSC 748.393(b)(4) — Active child record - Ensure record is locked and kept in a safe location or locations
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-04-27.
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Staff background & training
Three of three staff files reviewed did not contain an evaluation or assessment tool.
HHSC 748.941(a)(3) — Training Criteria- Must include an evaluation tool to determine whether the person obtained the information necessary to meet the stated objectives
HHSC risk weight: Medium. Corrected 2022-05-11. Correction verified 2022-05-11.
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Other
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Apr 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2022 Report · Deficiencies cited
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Supervision & ratios
A caregiver at the operation has engaged in inappropriate behavior by pinching, punching, and pushing children in care. The same caregiver has intervened in behavioral intervention when it was not necessary as the situation was already being handled by another caregiver.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2022-05-24. Correction verified 2022-06-13.
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Supervision & ratios
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Mar 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2021 Report · Deficiencies cited
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Supervision & ratios
It's confirmed that a physical restraint took place; the operation was unable to produce the necessary documentation following the intervention.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-02-04. Correction verified 2022-02-04.
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Supervision & ratios
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Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2021 Inspection · Deficiencies cited
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Other
One of four child files did not contain a child rights document.
HHSC 748.1103(b)(1) — Informing child of rights-Child rights must be written in simple, non-technical terms
HHSC risk weight: Medium. Corrected 2021-11-19. Correction verified 2021-12-28.
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Staff background & training
One child medication log recorded the incorrect dosage compared to the actual prescription. The employee list has the incorrect name of an employee compared to the background check system and employee file.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2021-11-19. Correction verified 2021-12-28.
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Illness & medication
Three of thirteen children medication inventory proved to be inaccurate. The pill count did not match the documented pills remaining.
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 2021-11-19. Correction verified 2021-12-28.
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Other
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Nov 1, 2021 Inspection · Deficiencies cited
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Other
The child's Intial Service Plan did not have all signatures required.
HHSC 748.1339(b) — Initial Service Plan-For treatment services, service planning team must include two professionals
HHSC risk weight: Low. Corrected 2021-11-08. Correction verified 2021-11-05.
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Other
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Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2021 Report · Deficiencies cited
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Staff background & training
An employee of the operation has demonstrated an unstable mental capacity by making concerning comments to others.
HHSC 748.505(b)(3) — Minimum qualifications for employees-Physically, mentally, emotionally capable of performing assigned tasks; has the necessary skills
HHSC risk weight: Medium. Corrected 2021-12-03. Correction verified 2021-12-28.
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Staff background & training
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Sep 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2021 Report · 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.