The Burke Foundation-pathfinders Rtc
20800 FM 150 W, Driftwood, TX 78619 · Hays County
Program
- Type
- General residential operation
- Licensed capacity
- 34
- Ages
- 10-17
- Hours
- 12:00 AM-
- Director / administrator
- Joshua Zamora
- Phone
- (512) 858-4258
- Regulated since
- Apr 4, 2008
- HHSC IDs
- Operation 322127 · number 877478
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 3 | 0 | Supervision & ratios (1), Other (2) |
| 2025 | 16 | 5 | Illness & medication (1), Supervision & ratios (6), Safety & premises (2), Food & allergies (1), Staff background & training (1), Records & paperwork (2), Other (3) |
| 2024 | 18 | 6 | Illness & medication (1), Supervision & ratios (6), Discipline & child guidance (1), Safety & premises (1), Staff background & training (1), Records & paperwork (1), Other (7) |
| 2023 | 28 | 10 | Illness & medication (3), Supervision & ratios (7), Discipline & child guidance (2), Safety & premises (4), Staff background & training (1), Records & paperwork (3), Other (8) |
| 2022 | 10 | 0 | Illness & medication (3), Supervision & ratios (1), Safety & premises (1), Records & paperwork (1), Other (4) |
| 2021 | 6 | 1 | Illness & medication (1), Supervision & ratios (1), Records & paperwork (1), Other (3) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Report · Deficiencies cited (self-report)
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Other
It was disclosed and confirmed that a staff member subjected a child in care to mockery remarks.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2026-05-07. Correction verified 2026-05-12.
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Other
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2026 Inspection · Deficiencies cited
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Other
During the inspection it was determined the Sanitation Inspection was 10 days past annual due date.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2026-04-01. Correction verified 2026-03-31.
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Other
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Mar 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report
No violations cited on this visit.
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Mar 24, 2026 Assessment · Deficiencies cited
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Supervision & ratios
748.535(2)-The licensed administrator must ensure the operation complies with the current heightened monitoring plan. Narrative: During a review conducted on 03/24/2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-03-25. Correction verified 2026-03-25.
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Supervision & ratios
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2025 Report · Deficiencies cited (self-report)
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Safety & premises
It was observed a staff member restrained a child in care when they did not listen to staff directives to walk away from a sitting child.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-20.
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Other Serious
It was observed a staff member used excessive force to initiate a restraint by grabbing a child in care's arm from behind and swinging them into a door.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2026-01-16. Correction verified 2026-01-20.
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Other
It was observed multiple children watched a child in care be restrained. One child walked by the restraint and taunted the child in the restraint.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2026-01-16. Correction verified 2026-01-20.
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Staff background & training
It was observed staff did not meet EBI training requirements within 6 months from the date they last received training.
HHSC 748.936(1) — Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-20.
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Safety & premises
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 09/22/25 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2025-09-23. Correction verified 2025-09-23.
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Supervision & ratios
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Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the SIR showed that the runaway incident occurred at 12:59 AM on 8/29/2025 and the caseworkers were not informed until 8:00 AM on 8/30/2025 which is outside of the 6 hour requirment.
HHSC 748.303(a)(10)(B) — Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
HHSC risk weight: Medium. Corrected 2025-10-29. Correction verified 2025-10-28.
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Records & paperwork
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Report · Deficiencies cited
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Illness & medication
A child concealed and saved four pills over the course of two weeks during medication administration. The child intentionally ingested all four at a later time and required medical attention.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2025-10-10. Correction verified 2025-10-14.
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Illness & medication
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care reported seeing a caregiver sleeping while on duty. The child called out to the caregiver twice for permission to use the restroom with no response. Caregiver reported to doze off on multiple occasions.
HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HHSC risk weight: High. Corrected 2025-05-16. Correction verified 2025-05-12.
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Supervision & ratios Serious
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Apr 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Three children in care reported seeing a caregiver sleeping during the night shift with no other caregivers present. One caregiver reported waking this caregiver up upon starting a morning shift.
HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-12.
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Supervision & ratios Serious
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 03/20/2025 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 03/14/2025. Specifically, the operation was cited for 748.507(1). It was found that a former direct care staff allowed children in care to participate in tug-o-war/wrestling with each other and this staff person was involved in the wrestling as well. It was reported that this staff also allowed the children to take off their shirts while working out in the weight room due to a lack in adequate A/C being available. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-03-21.
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Supervision & ratios
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2025 Report · Deficiencies cited
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Food & allergies
After a resident asked for additional food in the cafeteria, an employee tossed a food tray in the direction a resident striking their rib and landing on the floor.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-04-15. Correction verified 2025-04-14.
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Food & allergies
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Feb 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2025 Report · Deficiencies cited
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Safety & premises
An employee was seen using a vaporizer inside the residents living area at the front desk.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2025-03-18. Correction verified 2025-03-12.
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Supervision & ratios
Two employees were observed inappropriately touching each other at the front desk of the operation and entering a supply closet together for approx. 5 mins.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-03-18. Correction verified 2025-03-18.
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Supervision & ratios Serious
A caregiver was observed via camera, outside the dorm in a car, leaving residents unsupervised for approximately 10 min.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-03-18. Correction verified 2025-03-18.
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Safety & premises
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2025 Report · Deficiencies cited
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Other Serious
It was found that high risk behaviors were noted as "no" instead of "yes" on the service plan (pg. 15 of 19) when the plan clearly states that the child has a history of a high-risk behaviors such as the child not wanting to live anymore and hitting themselves, sexually acting out, and/or being involved in multiple fights.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2025-03-26. Correction verified 2025-03-31.
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Records & paperwork
It was found that a former direct care staff allowed children in care to participate in tug-o-war/wrestling with each other and this staff person was involved in the wrestling as well. It was reported that this staff also allowed the children to take off their shirts while working out in the weight room due to a lack in adequate A/C being available.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-03-25.
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Other Serious
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Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2024 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 09/19/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 08/30/24. Specifically, the operation was cited for 748.2605(a)(5). While reviewing video footage a staff was observed twisting a child's arm behind their back during an improper restraint. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2024-09-20. Correction verified 2024-09-20.
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Supervision & ratios
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Sep 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
During the investigation, a caregiver admitted to falling asleep on multiple occasions on an overnight shift.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-10-11. Correction verified 2024-10-15.
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Supervision & ratios Serious
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Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 9, 2024 Report
No violations cited on this visit.
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Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-09-10. Correction verified 2024-09-17.
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Other Serious
While reviewing video footage a staff was observed twisting a child's arm behind their back during an improper restraint.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2024-09-10. Correction verified 2024-09-17.
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Discipline & child guidance Serious
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Aug 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 31, 2024 Report · Deficiencies cited (self-report)
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Safety & premises
Through interviews and video footage, it was determined that staff did not attempt to de-escalate a child before using emergency behavior intervention.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2024-08-20. Correction verified 2024-08-19.
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Illness & medication
Through interviews and video footage, it was determined that a staff performed an inappropriate and unwarranted intervention on a child in care.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2024-08-20. Correction verified 2024-08-19.
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Other Serious
Through interviews and video footage, it was determined that a staff twisted a child's arm behind their back during a hold.
HHSC 748.2461(b)(6) — Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2024-08-20. Correction verified 2024-08-20.
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Other Serious
It was observed through video footage, that a staff was pushing and pulling on a child in care when escorting the child.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-08-20. Correction verified 2024-08-20.
-
Safety & premises
-
Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2024 Report · Deficiencies cited
-
Staff background & training
In the ISP under the 'services to address high risk behavior' it states staff are to use the least restrictive method unless the resident is walking past the soccer field. Staff did not adhere to these instructions when restraining the child inside the operation.
HHSC 748.1351 — Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
HHSC risk weight: Medium Low. Corrected 2024-08-23. Correction verified 2024-08-19.
-
Supervision & ratios
A child in care was restrained at the door of the operation and escorted to a couch where the restrain resumed to prevent the resident from going outside.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-08-23. Correction verified 2024-08-19.
-
Staff background & training
-
Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Report · Deficiencies cited (self-report)
-
Other
The preliminary service plan did not indicate the child has autism spectrum disorder.
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2024-07-12. Correction verified 2024-07-12.
-
Other Serious
A child in care was held in a restraint for an excessive amount of time.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-07-12. Correction verified 2024-08-08.
-
Other
A child in care was restrained for over 10 minutes.
HHSC 748.2801(1) — EBI Time Limits-Maximum length of time for short personal restraint is one minute
HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-07-17.
-
Supervision & ratios
The operation did not document a restraint report for the incident.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2024-07-12. Correction verified 2024-07-17.
-
Other
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2024 Report · Deficiencies cited
-
Records & paperwork
It was reported and confirmed by staff that there is cursing while children are present.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-05-01.
-
Other
It was determined that a staff member did not allow a child in care go into the cafeteria to eat with the rest of the children because they did not directly inform them that they had washed their hands.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-05-01.
-
Records & paperwork
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/18/2024 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 01/08/24. Specifically, the operation was cited for 748.685(a)(4). It was reported that a staff is on their phone or computer a lot of the time looking at social media (such as Instagram, Tik Tok, and/or Facebook) or YouTube while working and while supervising children in care. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2024-03-19. Correction verified 2024-03-19.
-
Supervision & ratios
-
Mar 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Two caregivers failed to provide a child a high level of supervision which was required by the instructions on their service plans.
HHSC 748.705(b)(9) — Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-03-26.
-
Supervision & ratios
-
Jan 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 12, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
An employee at the operation tested positive for THC and did not provide the required documention to substantiate the positive result.
HHSC 745.4151(c)(7)(A) — Appeal drug test results-Applicant or employee may, at own expense explain or offer documentation for the positive drug test
HHSC risk weight: High. Corrected 2023-12-12. Correction verified 2023-12-13.
-
Supervision & ratios Serious
-
Nov 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
The operation had a failed fire inspection in July 2023 and a follow up inspection in November 2023 and were recited for two of the same violations.
HHSC 748.3105(b) — Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
HHSC risk weight: Medium High. Corrected 2023-12-06. Correction verified 2023-12-11.
-
Supervision & ratios
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2023 Report · Deficiencies cited (self-report)
-
Records & paperwork
It was reported that for the incident a staff argued back and forth with a child in care, yelled and said shut up to the same child and other children in care and did not de-escalate the situation properly. Additionally, this same staff was reported to have made threats of consequences to children in care for asking a question and making inappropriate comments about children in care sitting next to each other.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-01-22. Correction verified 2024-01-23.
-
Supervision & ratios Serious
It was reported that a staff is on their phone or computer a lot of the time looking at social media (such as Instagram, Tik Tok, and/or Facebook) or YouTube while working and while supervising children in care.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-01-22. Correction verified 2024-01-23.
-
Records & paperwork
-
Oct 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2023 Report · Deficiencies cited
-
Supervision & ratios
The operation staff conducts a monthly interview with the children in care and did not report when a child alleged that a staff inappropriately restrained him.
HHSC 748.303(e)(9)(A) — Serious Incident- Report to CCL w/in 24hrs of becoming aware of an allegation of an employee using a prohibited or inappropriate EBI technique.
HHSC risk weight: Medium. Corrected 2023-12-19. Correction verified 2023-12-06.
-
Supervision & ratios
-
Oct 4, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 09/15/2023 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high-weighted citation in a pattern/trend category on 09/01/2023. Specifically, the operation was cited for 748.1101(b)(4)(A) It was found that a staff person treated a child in care unfairly by giving unnecessary discipline and/or excessive consequences to this child. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-09-16. Correction verified 2023-09-16.
-
Supervision & ratios
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2023 Report
No violations cited on this visit.
-
Jul 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Report · Deficiencies cited
-
Other
A staff member did not use prudent judgment when he told a child, "You cannot join the military if you pee the bed."
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-07-28. Correction verified 2023-07-25.
-
Other
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2023 Report · Deficiencies cited
-
Safety & premises
A staff member admitted to vaping in the buildings on campus. The staff member explained they step into a room where the children are not currently present then will vape. Staff stated this is allowed as long as it is not in sight of the children. The tobacco policy does not dictate that staff may not vape in children's living areas/inside any building on premises with children, only that is it is not to be done in front of children.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2023-07-19. Correction verified 2023-07-13.
-
Safety & premises
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
After reviewing video footage and from interviews, it is determined that a child was placed in a restraint for a non-emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-07-13. Correction verified 2023-07-13.
-
Other Serious
When reviewing video footage, one staff is seen pushing down on the back of Noah and pushing him towards the ground.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2023-07-13. Correction verified 2023-07-13.
-
Illness & medication
-
May 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 30, 2023 Report
No violations cited on this visit.
-
May 30, 2023 Inspection · Deficiencies cited
-
Records & paperwork
A restraint implemented on 5/16 had not been documented within the required 24 hour period.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Other
A restraint given on 5/16 did not have a review by a supervisor documented within the required 72 hours of the incident occurring.
HHSC 748.2855(b) — EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Records & paperwork
-
May 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 24, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was found that one staff used a vape pen and vaped on multiple occasions in front of and/or near children in care. The operation was cited for this standard in July 2022 as well.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2023-07-07. Correction verified 2023-06-28.
-
Supervision & ratios
-
Apr 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
In an investigation conducted by DFPS, it was determined that physical abuse occurred when a child injured his foot during a restraint.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Illness & medication
Based on the EBI video and documentation, the child was led away from the wall by the arm then subsequently, restrained causing injury to the child's foot, when there was no indication the child was going to run away, self-harm or harm others at that time.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Safety & premises
During a restraint, staff was seen lifting a child off of the ground, which is not a permitted type of EBI and resulted in the child being injured.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Other Serious
Staff was observed via the EBI video, using excessive force when he lifted the child off of the ground during a restraint, causing the child's feet to drag; consequently, causing both child and staff to fall to the ground and injuring the child's foot.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Other
Three staff were observed on video holding a child on the ground in a restraint for at least four minutes after he was no longer a danger to himself or others and had expressed that his foot was injured.
HHSC 748.2553(2)(C) — EBI Release-Child released from personal restraint as soon as child is not a danger to self or others
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-15.
-
Discipline & child guidance Serious
-
Apr 13, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
In an investigation conducted by DFPS, two staff were found reason to believe for physical abuse of a child.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-26. Correction verified 2023-07-25.
-
Illness & medication
A child was observed outside doing jumping jacks when he was restrained by staff in a non-emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-07-26. Correction verified 2023-07-25.
-
Other Serious
Two caregivers were observed pushing down on the child's back, while both caregivers each held one arm and were pulling back and up on the child's arms until both arms were extended and behind his back.
HHSC 748.2461(b)(6) — Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2023-07-26. Correction verified 2023-07-25.
-
Safety & premises
The caregiver was observed grabbing the child's shirt and belt loop, wrestling with him on the ground, and forcing him to sit in a chair, which are not approved methods of EBI.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-07-26. Correction verified 2023-07-25.
-
Discipline & child guidance Serious
-
Apr 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2023 Report · Deficiencies cited
-
Staff background & training
A staff was observed on video restraining a child in a non-emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-05-15. Correction verified 2023-05-16.
-
Other Serious
Staff was observed holding a child's arms behind his back during a restraint.
HHSC 748.2461(b)(6) — Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2023-05-15. Correction verified 2023-05-16.
-
Staff background & training
-
Apr 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 22, 2023 Inspection · Deficiencies cited
-
Safety & premises
I observed a total of 6 fire extinguishers in the boys' dorms. All 6 fire extinguishers were inspected in February 2022.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2023-04-05. Correction verified 2023-04-03.
-
Safety & premises
-
Mar 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 15, 2023 Report · Deficiencies cited
-
Other Serious
Based on information obtained, it was determined that a child was denied basic rights as a discipline when the child did not comply to staff directives. (The child was not allowed to go into the cafeteria and eat until he quit making noises)
HHSC 748.2307(13) — Other Prohibited Punishments-denying basic child rights as discipline or punishment
HHSC risk weight: High. Corrected 2023-05-06. Correction verified 2023-05-03.
-
Other Serious
-
Mar 13, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/13/2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan, - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-03-14. Correction verified 2023-03-13.
-
Supervision & ratios
-
Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Inspection · Deficiencies cited
-
Records & paperwork Serious
A listening device was secretly placed in a room where RC staff were conducting interviews. This was noticed by RC staff and the device was turned off. The person who planted this device admitted to doing this at the request of the administrator.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2023-01-20. Correction verified 2023-01-24.
-
Records & paperwork Serious
-
Jan 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2022 Report · Deficiencies cited
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Illness & medication
A staff was observed administering a restraint to a child in a non-emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-01-06. Correction verified 2023-01-09.
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Illness & medication
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Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2022-09-10. Correction verified 2022-09-09.
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Supervision & ratios
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Sep 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2022 Inspection · Deficiencies cited
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Records & paperwork
Two out of two children's files reviewed did not contain results of a TB exam and both have been placed at the facility for over 40 days.
HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility
HHSC risk weight: Medium Low. Corrected 2022-08-16. Correction verified 2022-08-16.
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Records & paperwork
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Aug 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2022 Report · Deficiencies cited
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Other
Based on information gathered through the course of the investigation it has been determined that children are not always being granted privacy when trying to make phone calls with their CPS worker or CASAs.
HHSC 748.1101(b)(3)(E) — Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
HHSC risk weight: Medium. Corrected 2022-09-22. Correction verified 2022-09-16.
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Other
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Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2022 Report · Deficiencies cited
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Illness & medication
Based on interviews and documentation, it was determined that a child was restrained after throwing a canteen into open space.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2022-09-13. Correction verified 2022-09-07.
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Illness & medication
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Jun 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2022 Report · Deficiencies cited
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Safety & premises
It was determined during the course of this investigation that a staff member has used a vape in the children?s living quarters.
HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Other
During interviews with both children and staff, it was determined children occasionally have to ?hold the line? for over 15 minutes. The manner in which ?holding the line? was characterized suggests this is a disciplinary measure, to include the following characteristics: a child having to stand straight up, facing forward, with their hands behind their backs and toes on the line, all while remaining silent.
HHSC 748.2307(5) — Other Prohibited Punishments-maintaining an uncomfortable physical position
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Other
Six children interviewed during the course of this investigation, along with two staff, confirmed that staff have yelled at children in care.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Other
Seven children interviewed, along with three staff, explained staff have used profane language around children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Illness & medication
During interviews with children and staff, as well as a review of emergency behavior intervention (EBI) documentation, it was determined staff have implemented EBI in situations which do not meet the definition of an emergency situation. The information gathered indicates restraints have been used when a child walks out of supervision, or as a preventive measure when a child has been perceived to potentially escalate their peers? behavior.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Safety & premises
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Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 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.
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Jun 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 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.
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Feb 25, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
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Feb 7, 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.
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Jan 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2021 Report · Deficiencies cited
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Other
6 children interviewed explained staff had used profane language around them, whether the staff was being negative or using the language in a "joking" manner.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-02-07. Correction verified 2022-01-25.
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Other
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Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2021 Report · Deficiencies cited
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Other
When observing video footage, it was observed that a child in care remained in a restraint after no longer being a threat to himself or those around him.
HHSC 748.2553(2)(C) — EBI Release-Child released from personal restraint as soon as child is not a danger to self or others
HHSC risk weight: Medium High. Corrected 2021-12-28. Correction verified 2021-12-14.
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Other
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Nov 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2021 Report · Deficiencies cited
-
Records & paperwork Serious
There is sufficient evidence to show that a staff member is retaliating against a child in care they feel contacted Licensing about them. Both staff and children in care interviewed stated the staff member is retaliating against the child by calling the child ?allegations boy?, ?licensing boy? and making other comments openly to other children that penalize them for speaking with Licensing.
HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HHSC risk weight: High. Corrected 2021-11-03. Correction verified 2021-11-04.
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Other
Out of multiple interviews conducted with children and staff, it was confirmed that a caregiver openly calls the children in care "stupid" and humiliates children who have wet the bed by calling them "pee pee boy" or "bedwetter" in font of their peers by using shame as a discipline technique.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2021-11-03. Correction verified 2021-11-17.
-
Records & paperwork Serious
-
Oct 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2021 Report · Deficiencies cited
-
Supervision & ratios
During the course of the investigation, according to video footage reviewed, on 11/17/21, a child in care initiated in what was characterized as "horseplay" and/or play fighting with one staff, in which the staff engaged in with the child resulting in a physical incident with the child, which included contact to the child?s person. This behavior was inappropriate as the child's plan of service, completed on 08/01/21, notes a history of trauma, as well as a history of physical aggression and emotional dysregulation. It was also reported that on the same day the aforementioned incident occurred, this staff engaged in "horseplay" with the resident by removing the child's bedsheet from their mattress as a joke and/or threw the child?s mattress, bedding, and belongings about the child?s room. It was reported that this staff "flipped" this child's room not as a consequence, but in a joking manner. The operation reported this staff's last day is 11/19/21.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2021-12-03. Correction verified 2021-11-19.
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Supervision & ratios
-
Sep 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2021 Report · Deficiencies cited
-
Illness & medication
Through interviews it was determined that staff implemented an emergency behavior intervention when it was not an emergency situation. Staff were putting children in restraints for throwing objects such as rocks or sticks when others were not in imminent danger of being harmed and staff would put children in short personal restraints for not taking their hands out of their pockets.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2021-11-22. Correction verified 2021-12-06.
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Illness & medication
-
Sep 3, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Jul 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.