Armanis House INC. Residential Care
4419 SMOOTH OAK LN, Houston, TX 77053 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 7
- Ages
- 8-17
- Hours
- -
- Director / administrator
- Sabrina Sinclair
- Phone
- (281) 846-6394
- Regulated since
- Jun 18, 2024
- HHSC IDs
- Operation 1441264 · number 1769798
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 14 | 4 | Cleanliness & sanitation (2), Supervision & ratios (4), Staff background & training (6), Other (2) |
| 2025 | 10 | 0 | Supervision & ratios (2), Staff background & training (4), Records & paperwork (4) |
| 2024 | 84 | 14 | Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (34), Discipline & child guidance (4), Staff background & training (14), Records & paperwork (8), Other (18) |
| 2023 | 14 | 6 | Cleanliness & sanitation (2), Supervision & ratios (4), Discipline & child guidance (4), Staff background & training (2), Records & paperwork (2) |
Inspections, investigations & assessments
-
Sep 15, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2026 Inspection
No violations cited on this visit.
-
Aug 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 7, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
There is no documentation to support that a staff member has completed the annual suicide prevention training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-06-12.
-
Supervision & ratios
An incident where law enforcement responded to the operation and arrested a child in care was not reported.
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 2026-05-15. Correction verified 2026-06-12.
-
Cleanliness & sanitation
Food items are not stored properly/safely in the refrigerator.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-15.
-
Supervision & ratios
There are food items in the pantry being stored on the floor.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-05-15.
-
Other
The recreational calendar provided does not contain daily indoor and outdoor activities for the children in care.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2026-05-15. Correction verified 2026-05-15.
-
Staff background & training Serious
Staff files reviewed do not contain current first aid certifications.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-06-12.
-
Staff background & training
The operation excepts children as young as seven years old, however there is no documentation to support that staff have completed an annual transportation training.
HHSC 748.930(b)(4) — Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-06-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
May 7, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
There is no documentation to support that a staff member has completed the annual suicide prevention training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-06-12.
-
Supervision & ratios
An incident where law enforcement responded to the operation and arrested a child in care was not reported.
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 2026-05-15. Correction verified 2026-06-12.
-
Cleanliness & sanitation
Food items are not stored properly/safely in the refrigerator.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-15.
-
Supervision & ratios
There are food items in the pantry being stored on the floor.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-05-15.
-
Other
The recreational calendar provided does not contain daily indoor and outdoor activities for the children in care.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2026-05-15. Correction verified 2026-05-15.
-
Staff background & training Serious
Staff files reviewed do not contain current first aid certifications.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-06-12.
-
Staff background & training
The operation excepts children as young as seven years old, however there is no documentation to support that staff have completed an annual transportation training.
HHSC 748.930(b)(4) — Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-06-12.
-
Staff background & training Serious
-
Apr 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2025 Inspection · Deficiencies cited
-
Staff background & training
The operations peoples list for background checks was validated last on 2/26/25.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Records & paperwork
Serious incident reports were reviewed which did not indicate the roles of the staff involved in the incidents.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Staff background & training
Staff records were reviewed and the tuberculosis screening results were not located in the file.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Records & paperwork
Staff files were missing the required reference checks and or the date that the reference check was completed and the outcome of the reference check.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2025-06-10. Correction verified 2025-06-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
May 27, 2025 Inspection · Deficiencies cited
-
Staff background & training
The operations peoples list for background checks was validated last on 2/26/25.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Records & paperwork
Serious incident reports were reviewed which did not indicate the roles of the staff involved in the incidents.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Staff background & training
Staff records were reviewed and the tuberculosis screening results were not located in the file.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Records & paperwork
Staff files were missing the required reference checks and or the date that the reference check was completed and the outcome of the reference check.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2025-06-10. Correction verified 2025-06-09.
-
Staff background & training
-
May 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The thermometers in the freezer and refrigerator are not functioning properly to give an accurate temperature reading.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 19, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The thermometers in the freezer and refrigerator are not functioning properly to give an accurate temperature reading.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-21.
-
Supervision & ratios
-
Feb 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 27, 2024 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
Both victim children corroborated that staff member did get into a physical altercation with one of the children multiple times in one night. Two staff members interviewed stated the staff did hit the child back as she was defending herself.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-12-27. Correction verified 2025-01-29.
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Records & paperwork
All children interviewed reported that staff do use inappropriate language at or around them.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-29.
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Discipline & child guidance Serious
-
Nov 27, 2024 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Both victim children corroborated that staff member did get into a physical altercation with one of the children multiple times in one night. Two staff members interviewed stated the staff did hit the child back as she was defending herself.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-12-27. Correction verified 2025-01-29.
-
Records & paperwork
All children interviewed reported that staff do use inappropriate language at or around them.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-01-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Nov 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 23, 2024 Assessment · Deficiencies cited
-
Staff background & training
Based on the documents/credentials provided for verification, the treatment director doesn't meet the requirements for emotional disorders.
HHSC 748.605(c) — Treatment director-must meet specific professional qualifications if most prevalent population is children with emotional disorders
HHSC risk weight: Medium. Corrected 2024-09-21. Correction verified 2024-09-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jul 23, 2024 Assessment · Deficiencies cited
-
Staff background & training
Based on the documents/credentials provided for verification, the treatment director doesn't meet the requirements for emotional disorders.
HHSC 748.605(c) — Treatment director-must meet specific professional qualifications if most prevalent population is children with emotional disorders
HHSC risk weight: Medium. Corrected 2024-09-21. Correction verified 2024-09-23.
-
Staff background & training
-
Jul 18, 2024 Report · Deficiencies cited
-
Other
According to the information in a child initial service plan, the child was admitted on 1-5-24 and the date initial service plan was completed on 8-2-24 which is about 210 days after placement.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have the names and roles of the service plan participants.
HHSC 748.1337(b)(1)(K) — Initial Service Plan-Include names and roles of persons who participated in service plan development
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have the date the service plan was developed.
HHSC 748.1337(b)(1)(L) — Initial Service Plan-Include date service plan was developed and completed
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have signatures of service planning team members.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
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Other
One child's date of admission is missing in the Unauthorized absence log
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-09-09. Correction verified 2024-09-10.
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Other Serious
Residents left the facility and went out with an unknown male without the knowledge of staff on duty. Residents left the facility through the Neighbours fence, and they stated during interview that staff did not see them leave the facility.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-09-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 18, 2024 Report · Deficiencies cited
-
Other
According to the information in a child initial service plan, the child was admitted on 1-5-24 and the date initial service plan was completed on 8-2-24 which is about 210 days after placement.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have the names and roles of the service plan participants.
HHSC 748.1337(b)(1)(K) — Initial Service Plan-Include names and roles of persons who participated in service plan development
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have the date the service plan was developed.
HHSC 748.1337(b)(1)(L) — Initial Service Plan-Include date service plan was developed and completed
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other
3 children service plan reviewed did not have signatures of service planning team members.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2024-09-09. Correction verified 2024-09-10.
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Other
One child's date of admission is missing in the Unauthorized absence log
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-09-09. Correction verified 2024-09-10.
-
Other Serious
Residents left the facility and went out with an unknown male without the knowledge of staff on duty. Residents left the facility through the Neighbours fence, and they stated during interview that staff did not see them leave the facility.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-09-10.
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Other
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Jul 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Operation staff present at the operation does not a drug screen in employee file.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2024-06-13. Correction verified 2024-07-15.
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Supervision & ratios Serious
Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.
HHSC 745.4151(c)(5)(B) — Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method
HHSC risk weight: High. Corrected 2024-06-13. Correction verified 2024-07-15.
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Supervision & ratios Serious
-
Jun 6, 2024 Inspection · Deficiencies cited
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Supervision & ratios Serious
Operation staff present at the operation does not a drug screen in employee file.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2024-06-13. Correction verified 2024-07-15.
-
Supervision & ratios Serious
Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.
HHSC 745.4151(c)(5)(B) — Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method
HHSC risk weight: High. Corrected 2024-06-13. Correction verified 2024-07-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection, in the bathroom down the hallway near the living room on the left side, the left knob on the first bathroom sink turns, but does not produce any water.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-05-20. Correction verified 2024-06-21.
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Cleanliness & sanitation
During the inspection, it was observed that multiple items in the freezer were not properly labeled with expiration dates after being removed from its original packaging.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2024-05-20. Correction verified 2024-06-21.
-
Cleanliness & sanitation
-
May 6, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the inspection, in the bathroom down the hallway near the living room on the left side, the left knob on the first bathroom sink turns, but does not produce any water.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-05-20. Correction verified 2024-06-21.
-
Cleanliness & sanitation
During the inspection, it was observed that multiple items in the freezer were not properly labeled with expiration dates after being removed from its original packaging.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2024-05-20. Correction verified 2024-06-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 6, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Operation staff present at the operation does not a drug screen in employee file.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios Serious
Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.
HHSC 745.4151(c)(5)(B) — Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios
Operation staff/volunteer present at the operation with access to children in care did not have a completed TB screening. Another staff file did not have a TB test completed within 30 days before or after hire date.
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 2024-05-08. Correction verified 2024-05-08.
-
Illness & medication
Child File had a medication log that was not completely filled out and did not list the reason why medication was given.
HHSC 748.2151(c)(8) — Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
HHSC risk weight: Medium High. Corrected 2024-05-08. Correction verified 2024-06-06.
-
Supervision & ratios
Operation used a form for serious incident reporting that did not include required information per minimum standards.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-08.
-
Supervision & ratios
Staff present at the operation did not have a current job description to indicate their role as well as official date of hire for type of position.
HHSC 748.363(4) — Personnel records-Personnel records-Include current job description.
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff present at the operation does not have notarized affidavit but was signed by employee in May, 2024.
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 2024-05-08. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff informed licensing they did not have debriefing documentation for children who eloped from care.
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 2024-05-13. Correction verified 2024-06-06.
-
Supervision & ratios
Operation staff files reviewed did not show employment history for the last five years and did not indicate if staff did not have employment history prior to working at the operation.
HHSC 748.751(a)(1) — Pre-Employment Screening- You must obtain in writing an applicant's employment history for the last five years before hiring.
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff files reviewed did not have completed references for staff and volunteers present at the operation.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-05-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 6, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Operation staff present at the operation does not a drug screen in employee file.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios Serious
Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.
HHSC 745.4151(c)(5)(B) — Drug testing procedures-Drug testing will use one of these drug-testing methods: certified lab, appropriate testing kit or other comparable method
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios
Operation staff/volunteer present at the operation with access to children in care did not have a completed TB screening. Another staff file did not have a TB test completed within 30 days before or after hire date.
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 2024-05-08. Correction verified 2024-05-08.
-
Illness & medication
Child File had a medication log that was not completely filled out and did not list the reason why medication was given.
HHSC 748.2151(c)(8) — Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years
HHSC risk weight: Medium High. Corrected 2024-05-08. Correction verified 2024-06-06.
-
Supervision & ratios
Operation used a form for serious incident reporting that did not include required information per minimum standards.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-08.
-
Supervision & ratios
Staff present at the operation did not have a current job description to indicate their role as well as official date of hire for type of position.
HHSC 748.363(4) — Personnel records-Personnel records-Include current job description.
HHSC risk weight: Medium. Corrected 2024-05-13. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff present at the operation does not have notarized affidavit but was signed by employee in May, 2024.
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 2024-05-08. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff informed licensing they did not have debriefing documentation for children who eloped from care.
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 2024-05-13. Correction verified 2024-06-06.
-
Supervision & ratios
Operation staff files reviewed did not show employment history for the last five years and did not indicate if staff did not have employment history prior to working at the operation.
HHSC 748.751(a)(1) — Pre-Employment Screening- You must obtain in writing an applicant's employment history for the last five years before hiring.
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-05-08.
-
Supervision & ratios
Operation staff files reviewed did not have completed references for staff and volunteers present at the operation.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-05-08.
-
Supervision & ratios Serious
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 14, 2024 Inspection · Deficiencies cited
-
Other
A child file had identified high risk behaviors, however there was no documented safety plan that would be implemented on how to address the behaviors.
HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Other
A child file did not have a preliminary service plan completed within the required time frame.
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 2024-03-28. Correction verified 2024-04-11.
-
Records & paperwork
A child file did not have a documentation of notice being provided to their guardian of service plan meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Supervision & ratios
Operation used a form for serious incident reporting that did not include required information per minimum standards.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file had expired normalcy training.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-03-28.
-
Staff background & training
One employee file had psychotropic medication training that expired in January 2024.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file did not have transportation training.
HHSC 748.931(c)(2) — Annual Training- Childcare administrators, PLSP's, treatment directors and case managers who hold a prof. license must have 2hrs transportation.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file did not have a CPR/First Aid certification.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-03-28.
-
Other
-
Mar 14, 2024 Inspection · Deficiencies cited
-
Other
A child file had identified high risk behaviors, however there was no documented safety plan that would be implemented on how to address the behaviors.
HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Other
A child file did not have a preliminary service plan completed within the required time frame.
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 2024-03-28. Correction verified 2024-04-11.
-
Records & paperwork
A child file did not have a documentation of notice being provided to their guardian of service plan meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Supervision & ratios
Operation used a form for serious incident reporting that did not include required information per minimum standards.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file had expired normalcy training.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-03-28.
-
Staff background & training
One employee file had psychotropic medication training that expired in January 2024.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file did not have transportation training.
HHSC 748.931(c)(2) — Annual Training- Childcare administrators, PLSP's, treatment directors and case managers who hold a prof. license must have 2hrs transportation.
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-04-11.
-
Staff background & training
One employee file did not have a CPR/First Aid certification.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-03-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2024 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
A person identified by the Administrator as a peer-to-peer support/volunteer was present at the operation on 2/11/24 and one other time prior, without a background check. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.
HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HHSC risk weight: High. Corrected 2024-04-11. Correction verified 2024-04-12.
-
Supervision & ratios
A service plan that identified a child as having high risk behaviors for AWOL, self-harm, and harm to others stated she did not require supervision outside the home and included no supervision requirements for the child while outside the home.
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 2024-04-17. Correction verified 2024-04-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Feb 11, 2024 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
A person identified by the Administrator as a peer-to-peer support/volunteer was present at the operation on 2/11/24 and one other time prior, without a background check. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.
HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HHSC risk weight: High. Corrected 2024-04-11. Correction verified 2024-04-12.
-
Supervision & ratios
A service plan that identified a child as having high risk behaviors for AWOL, self-harm, and harm to others stated she did not require supervision outside the home and included no supervision requirements for the child while outside the home.
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 2024-04-17. Correction verified 2024-04-25.
-
Staff background & training Serious
-
Feb 5, 2024 Inspection · Deficiencies cited
-
Records & paperwork
A serious incident in which a resident became physically aggressive towards other staff and sustained an injury was not documented on a serious incident report.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
-
Records & paperwork
Serious incident report did not contain necessary information required on form regarding child's gender and date of admission.
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 2024-02-16. Correction verified 2024-02-16.
-
Supervision & ratios
Operation has not had an unannounced fire drill in the last 6 months.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Supervision & ratios
Operation has not had an unannounced severe weather drill in 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 2024-02-16. Correction verified 2024-02-23.
-
Staff background & training
Two employee files did not have required 40 hrs of experience or supervised experience.
HHSC 748.4651(b) — Pre-Service Training- caregiver not meeting 40 hr experience must be supervised at all times by another qualified caregiver
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-26.
-
Supervision & ratios
Operation has 50 % of their population as treatment services and do not have a treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-03-21.
-
Supervision & ratios
A volunteer was observed to be at the operation did not have a personnel file.
HHSC 748.721(a) — Volunteer personnel record-The operation must maintain a personnel record for each volunteer
HHSC risk weight: Medium Low. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Discipline & child guidance
A volunteer did not have a signed and dated statement to report abuse and neglect.
HHSC 748.721(b) — Volunteer personnel record-Include signed/dated statement that volunteer will report child abuse/neglect to Tx Abuse & Neglect hotline & administrator
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Other
Two employee files did not have reference check screening.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
-
Records & paperwork
-
Feb 5, 2024 Inspection · Deficiencies cited
-
Records & paperwork
A serious incident in which a resident became physically aggressive towards other staff and sustained an injury was not documented on a serious incident report.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
-
Records & paperwork
Serious incident report did not contain necessary information required on form regarding child's gender and date of admission.
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 2024-02-16. Correction verified 2024-02-16.
-
Supervision & ratios
Operation has not had an unannounced fire drill in the last 6 months.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Supervision & ratios
Operation has not had an unannounced severe weather drill in 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 2024-02-16. Correction verified 2024-02-23.
-
Staff background & training
Two employee files did not have required 40 hrs of experience or supervised experience.
HHSC 748.4651(b) — Pre-Service Training- caregiver not meeting 40 hr experience must be supervised at all times by another qualified caregiver
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-26.
-
Supervision & ratios
Operation has 50 % of their population as treatment services and do not have a treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-03-21.
-
Supervision & ratios
A volunteer was observed to be at the operation did not have a personnel file.
HHSC 748.721(a) — Volunteer personnel record-The operation must maintain a personnel record for each volunteer
HHSC risk weight: Medium Low. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Discipline & child guidance
A volunteer did not have a signed and dated statement to report abuse and neglect.
HHSC 748.721(b) — Volunteer personnel record-Include signed/dated statement that volunteer will report child abuse/neglect to Tx Abuse & Neglect hotline & administrator
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-23.
-
Other
Two employee files did not have reference check screening.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2024-02-16. Correction verified 2024-02-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Two staff files did not have a current TB test.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2023-12-22. Correction verified 2023-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Dec 13, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Two staff files did not have a current TB test.
HHSC 748.363(6) — Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care.
HHSC risk weight: Medium. Corrected 2023-12-22. Correction verified 2023-12-22.
-
Records & paperwork
-
Oct 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2023-09-12. Correction verified 2023-09-11.
-
Staff background & training Serious
Updated background check policy was not completed and approved at time of inspection.
HHSC 748.105(7) — Personnel Policies - Ensure that personnel policies comply with background check requirements
HHSC risk weight: High. Corrected 2023-10-09. Correction verified 2023-10-09.
-
Cleanliness & sanitation
Fence was observed to have exposed nails.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-15. Correction verified 2023-09-11.
-
Supervision & ratios Serious
-
Sep 7, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2023-09-12. Correction verified 2023-09-11.
-
Staff background & training Serious
Updated background check policy was not completed and approved at time of inspection.
HHSC 748.105(7) — Personnel Policies - Ensure that personnel policies comply with background check requirements
HHSC risk weight: High. Corrected 2023-10-09. Correction verified 2023-10-09.
-
Cleanliness & sanitation
Fence was observed to have exposed nails.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-15. Correction verified 2023-09-11.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Jun 7, 2023 Inspection · Deficiencies cited
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Discipline & child guidance Serious
Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.
HHSC 745.4151(c)(4)(C) — Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS
HHSC risk weight: High. Corrected 2023-06-12. Correction verified 2023-06-13.
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Supervision & ratios
Operation did not have a current health inspection.
HHSC 748.3001(b) — Sanitation Inspection-Each inspection must meet regulations of the local health department ordinances
HHSC risk weight: Medium. Corrected 2023-06-21. Correction verified 2023-06-18.
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Discipline & child guidance
2 of 2 staff files reviewed did not include in the signed statement for abuse, neglect and exploitation to include specific instructions for hotline and notifying operation.
HHSC 748.363(8) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2023-06-12. Correction verified 2023-06-13.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Jun 7, 2023 Inspection · Deficiencies cited
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Discipline & child guidance Serious
Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.
HHSC 745.4151(c)(4)(C) — Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS
HHSC risk weight: High. Corrected 2023-06-12. Correction verified 2023-06-13.
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Supervision & ratios
Operation did not have a current health inspection.
HHSC 748.3001(b) — Sanitation Inspection-Each inspection must meet regulations of the local health department ordinances
HHSC risk weight: Medium. Corrected 2023-06-21. Correction verified 2023-06-18.
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Discipline & child guidance
2 of 2 staff files reviewed did not include in the signed statement for abuse, neglect and exploitation to include specific instructions for hotline and notifying operation.
HHSC 748.363(8) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2023-06-12. Correction verified 2023-06-13.
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Discipline & child guidance Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.