Heart To Heart Family Services
100 CHAMBERS CIR STE 1010, Waxahachie, TX 75165 · Ellis County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 09:00 AM-01:00 PM
- Director / administrator
- Nicole Warren
- Phone
- (469) 716-9020
- Regulated since
- Oct 18, 2017
- HHSC IDs
- Operation 1248991 · number 1629056- 11671
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 2 | Supervision & ratios (2), Discipline & child guidance (2) |
| 2025 | 4 | 2 | Supervision & ratios (2), Staff background & training (2) |
| 2024 | 12 | 10 | Supervision & ratios (6), Discipline & child guidance (4), Other (2) |
| 2023 | 6 | 2 | Illness & medication (2), Other (4) |
| 2022 | 10 | 6 | Supervision & ratios (2), Discipline & child guidance (2), Records & paperwork (2), Other (4) |
| 2021 | 12 | 2 | Discipline & child guidance (2), Staff background & training (2), Records & paperwork (4), Other (4) |
Inspections, investigations & assessments
-
Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Report · Deficiencies cited
-
Discipline & child guidance Serious
3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-05-28.
-
Discipline & child guidance Serious
-
Apr 16, 2026 Report · Deficiencies cited
-
Discipline & child guidance Serious
3 out of the four children interviewed indicated that the foster mom was using inappropriate methods of discipline.
HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment
HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-05-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2026 Report · Deficiencies cited
-
Supervision & ratios
The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-16. Correction verified 2026-04-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 2, 2026 Report · Deficiencies cited
-
Supervision & ratios
The service plans for multiple children in care were missing documentation for medical, dental, vision, hearing, supervision, and recreational sections as well as the signatures for caseworkers and children in care. One service plan had the incorrect name documented within the service plan.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-16. Correction verified 2026-04-16.
-
Supervision & ratios
-
Dec 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 25, 2025 Assessment · Deficiencies cited
-
Staff background & training
Heart to Heart Family Services has not validated their background checks since 10/05/2024
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 2025-09-29. Correction verified 2025-10-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Sep 25, 2025 Assessment · Deficiencies cited
-
Staff background & training
Heart to Heart Family Services has not validated their background checks since 10/05/2024
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 2025-09-29. Correction verified 2025-10-09.
-
Staff background & training
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
A child returned home from an unsupervised activity with marijuana.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-06-30. Correction verified 2025-07-01.
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Supervision & ratios Serious
-
Apr 28, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
A child returned home from an unsupervised activity with marijuana.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-06-30. Correction verified 2025-07-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Apr 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 28, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.
HHSC 749.1001(c) — Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
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Supervision & ratios Serious
A caregiver threatened a child with a firearm during an escalated incident.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
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Other Serious
A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
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Discipline & child guidance Serious
-
Sep 28, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Law enforcement informed the agency of their concerns for a child in care's safety due to a caregiver's actions. Law enforcement removed the child from the home. The agency left 2 other children in placement with the caregiver.
HHSC 749.1001(c) — Children's rights-The agency is responsible for removing a child from a situation where abuse, neglect, or exploitation exists
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
-
Supervision & ratios Serious
A caregiver threatened a child with a firearm during an escalated incident.
HHSC 749.2593(c)(2) — Supervision-Caregivers counted in child/caregiver ratio must provide a safe environment
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
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Other Serious
A caregiver did not demonstrate protective capacities, instead yelled, cursed, threatened, and refused a child access to the home.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-12-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Sep 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2024 Report · Deficiencies cited
-
Supervision & ratios
Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2024-11-11. Correction verified 2024-10-04.
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Supervision & ratios Serious
Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.
HHSC 749.2961(a)(1) — If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-10-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 27, 2024 Report · Deficiencies cited
-
Supervision & ratios
Two children in care required specific supervision requirements in and outside the home. The caregiver responsible for the children did not follow the instructions.
HHSC 749.2593(c)(6) — Supervision-Caregivers counted in child/caregiver ratio must implement and follow the children's service plans
HHSC risk weight: Medium High. Corrected 2024-11-11. Correction verified 2024-10-04.
-
Supervision & ratios Serious
Two children in care gained access to a BB gun without the caregiver's knowledge or supervision.
HHSC 749.2961(a)(1) — If weapons/explosives/projectiles allowed, must enforce policy w/precautions to ensure no unsupervised access for children/ kept in locked storage
HHSC risk weight: High. Corrected 2024-11-11. Correction verified 2024-10-04.
-
Supervision & ratios
-
Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Report · Deficiencies cited
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Other
The foster parents were yelling and were using profanity.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-09-19. Correction verified 2023-09-28.
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Other Serious
The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2023-09-19. Correction verified 2023-09-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 15, 2023 Report · Deficiencies cited
-
Other
The foster parents were yelling and were using profanity.
HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-09-19. Correction verified 2023-09-28.
-
Other Serious
The foster parents did not use good judgment when an incident occurred with a foster child, and they escalated the situation.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2023-09-19. Correction verified 2023-09-28.
-
Other
-
Aug 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2023 Inspection · Deficiencies cited
-
Illness & medication
Medication logs observed in 2 child files did not have the prescribing health-care professional's name.
HHSC 749.1541(c)(2) — Medication Record-Must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-05-04. Correction verified 2023-05-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 27, 2023 Inspection · Deficiencies cited
-
Illness & medication
Medication logs observed in 2 child files did not have the prescribing health-care professional's name.
HHSC 749.1541(c)(2) — Medication Record-Must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-05-04. Correction verified 2023-05-08.
-
Illness & medication
-
Apr 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 14, 2022 Report · 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.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 2, 2022 Inspection · 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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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2022-05-20. Correction verified 2022-06-02.
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Supervision & ratios Serious
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Mar 15, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
The condition of follow up will require that the agency implement a safety plan restricting foster parent from leaving children in the car.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2022-05-20. Correction verified 2022-06-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 3, 2022 Report · Deficiencies cited
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Discipline & child guidance
Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.
HHSC 749.503(e)(5)(A) — Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency
HHSC risk weight: Medium. Corrected 2022-03-10. Correction verified 2022-03-14.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance
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Feb 3, 2022 Report · Deficiencies cited
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Discipline & child guidance
Licensing was not notified within 24 hours of a foster parent having an open investigation from another entity.
HHSC 749.503(e)(5)(A) — Serious Incident-Report to Licensing within 24 hours of awareness of abuse/neglect investigation by other entity of person under auspices of agency
HHSC risk weight: Medium. Corrected 2022-03-10. Correction verified 2022-03-14.
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Discipline & child guidance
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Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 13, 2022 Inspection · Deficiencies cited
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Records & paperwork Serious
A foster home screening was completed and signed after a verification license was issued.
HHSC 749.2445(a) — Verification-Agency must complete a foster home screening prior to verifying the foster home
HHSC risk weight: High. Corrected 2022-01-18. Correction verified 2022-01-24.
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Other
While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.
HHSC 749.2447(6)(B)(i) — Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months
HHSC risk weight: Medium. Corrected 2022-01-18. Correction verified 2022-01-24.
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Records & paperwork Serious
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Jan 13, 2022 Inspection · Deficiencies cited
-
Records & paperwork Serious
A foster home screening was completed and signed after a verification license was issued.
HHSC 749.2445(a) — Verification-Agency must complete a foster home screening prior to verifying the foster home
HHSC risk weight: High. Corrected 2022-01-18. Correction verified 2022-01-24.
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Other
While reviewing verification documents for the home screening, it was observed that there was not an accurate verification of income for both foster parents.
HHSC 749.2447(6)(B)(i) — Foster Home Screening-Document and assess for each prospective parent proof of income for last 60 days or 2 complete months
HHSC risk weight: Medium. Corrected 2022-01-18. Correction verified 2022-01-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork Serious
-
Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2022 Assessment · Deficiencies cited
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Other Serious
The ammunition was not locked and was stored in the bedroom nightstand.
HHSC 749.2961(a)(1)(D) — Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock.
HHSC risk weight: High. Corrected 2022-01-05. Correction verified 2022-01-12.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Jan 5, 2022 Assessment · Deficiencies cited
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Other Serious
The ammunition was not locked and was stored in the bedroom nightstand.
HHSC 749.2961(a)(1)(D) — Weapons-Must ensure separate locked storage for weapons and ammunition unless they cannot be accessed with same key or weapon has trigger lock.
HHSC risk weight: High. Corrected 2022-01-05. Correction verified 2022-01-12.
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Other Serious
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Jan 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2021 Inspection · Deficiencies cited
-
Staff background & training Serious
A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2022-01-07. Correction verified 2022-01-10.
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Records & paperwork
Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.
HHSC 749.2445(c)(2) — Verification-The foster home screening must document an assessment of information obtained for verification
HHSC risk weight: Medium. Corrected 2022-01-07. Correction verified 2022-01-10.
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Staff background & training Serious
-
Dec 29, 2021 Inspection · Deficiencies cited
-
Staff background & training Serious
A person who frequently visits a foster home has an ineligible background check. This person had been previously notified of the of the ineligibility to be a frequent visitor.
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2022-01-07. Correction verified 2022-01-10.
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Records & paperwork
Home Study did not discuss the resolution / outcome from the previous CPA's concerning all prior investigations in the foster home. The home study did not document a description of the two reported marriages as well as there was not a discussion as to why the caregiver does not have a relationship with her biological father.
HHSC 749.2445(c)(2) — Verification-The foster home screening must document an assessment of information obtained for verification
HHSC risk weight: Medium. Corrected 2022-01-07. Correction verified 2022-01-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2021 Inspection · Deficiencies cited
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Other
Two of 2, monthly conatct visit notes were reviewed and they were not signed.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2021-12-06. Correction verified 2021-12-02.
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Discipline & child guidance
After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2021-12-06. Correction verified 2021-12-02.
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Other
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Nov 30, 2021 Inspection · Deficiencies cited
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Other
Two of 2, monthly conatct visit notes were reviewed and they were not signed.
HHSC 749.1291(h) — Contact between child placement staff and child-child placement management staff must review and approve documentation of contacts
HHSC risk weight: Medium High. Corrected 2021-12-06. Correction verified 2021-12-02.
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Discipline & child guidance
After reviewing a home study, it was discovered there were other household members who were living in the home and their general health was not included which includes, mental health and physical health.
HHSC 749.2447(9) — Foster Home Screening-Agency documents and discuss h ealth status of all persons living in the home (physical, mental, substance abuse)
HHSC risk weight: Medium. Corrected 2021-12-06. Correction verified 2021-12-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
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Nov 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 4, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2021 Inspection · Deficiencies cited
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Other
Supervisory visits in 2020 were not signed by the foster parent.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-14.
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Records & paperwork
There was one dog that did not have the documentation that the vaccinations were current.
HHSC 749.2917 — Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk
HHSC risk weight: Medium High. Corrected 2021-10-14. Correction verified 2021-10-14.
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Other
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Oct 7, 2021 Inspection · Deficiencies cited
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Other
Supervisory visits in 2020 were not signed by the foster parent.
HHSC 749.2815(e) — Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-14.
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Records & paperwork
There was one dog that did not have the documentation that the vaccinations were current.
HHSC 749.2917 — Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk
HHSC risk weight: Medium High. Corrected 2021-10-14. Correction verified 2021-10-14.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 1, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 1, 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.