Heartlight Ministries
7345 HIGHWAY 80, Hallsville, TX 75650 · Harrison County
Program
- Type
- General residential operation
- Licensed capacity
- 68
- Ages
- 12-18
- Hours
- -
- Director / administrator
- Brooke Elizabeth Lane
- Phone
- (903) 668-2173
- Regulated since
- Nov 10, 1989
- HHSC IDs
- Operation 107290 · number 245627
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 1 | Illness & medication (1), Supervision & ratios (3) |
| 2025 | 9 | 5 | Cleanliness & sanitation (4), Illness & medication (2), Staff background & training (1), Other (2) |
| 2024 | 27 | 15 | Cleanliness & sanitation (8), Illness & medication (4), Supervision & ratios (8), Discipline & child guidance (1), Safety & premises (2), Records & paperwork (1), Other (3) |
| 2023 | 12 | 4 | Cleanliness & sanitation (2), Illness & medication (3), Supervision & ratios (4), Safety & premises (1), Staff background & training (1), Other (1) |
| 2022 | 8 | 5 | Cleanliness & sanitation (1), Supervision & ratios (1), Staff background & training (2), Records & paperwork (2), Other (2) |
| 2021 | 5 | 2 | Discipline & child guidance (1), Safety & premises (2), Records & paperwork (1), Other (1) |
Inspections, investigations & assessments
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Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
The operation did not provide the resident's parents with a two-week notice for the Initial Treatment Plan meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2026-09-30. Correction verified 2026-09-24.
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Supervision & ratios
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Aug 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Operation staff are using furniture to block fire exits in an effort to deter the residents from eloping.
HHSC 748.3233(b)(4)(B) — Evacuation-Emergency evacuation & relocation diagram includes at least 2 exit routes that are not blocked in any way
HHSC risk weight: Medium High. Corrected 2026-08-22. Correction verified 2026-08-31.
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Supervision & ratios
During the investigation, the operation was unable to provide documented de-briefing forms.
HHSC 748.455(c) — Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
HHSC risk weight: Medium. Corrected 2026-08-22. Correction verified 2026-08-31.
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Supervision & ratios Serious
-
May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 1, 2026 Inspection · Deficiencies cited
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Illness & medication
During the inspection, we observed three of four children's medication records to include medication logs with initials for ther person administering medications but not the full names of those individuals.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-04-10. Correction verified 2026-04-10.
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Illness & medication
-
Oct 2, 2025 Inspection · Deficiencies cited
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Other
During the inspection, I observed one of the beds in a boys cottage lacked a mattress cover.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2025-10-03. Correction verified 2025-10-03.
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Cleanliness & sanitation Serious
During the walkthrough, I observed broken tiles in the upstairs bathroom floor of a girl's house.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2025-10-10. Correction verified 2025-10-09.
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Other
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Sep 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2025 Report · Deficiencies cited (self-report)
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Illness & medication Serious
A child suffered an injury on 5/21/2025 while playing basketball, however, the child was not taken to seek medical attention until 5/29/2025. When the child was seen by medical, he was diagnosed with a closed fracture.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2025-07-25. Correction verified 2025-07-24.
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Illness & medication Serious
Licensing was not notified within 24 hours of a child's diagnosed fracture. The diagnosis was provided on 5/29/2025 at approximately 530pm, however, the report to SWI did not occur until 5/30/2025 at approximately 630pm.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2025-07-25. Correction verified 2025-07-24.
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Illness & medication Serious
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May 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 24, 2025 Inspection · Deficiencies cited
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Other
During the inspection I observed three resident beds that lacked mattress covers.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-04-24.
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Staff background & training Serious
During the inspection, we observed five of six employee files lacking the requisite administrating psychotropic medications training.
HHSC 748.863(a)(5) — Pre-Service Training- Caregivers who administer medication must have psych medication training before administering psych meds.
HHSC risk weight: Medium High. Corrected 2025-05-09. Correction verified 2025-05-08.
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Other
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 22, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walkthrough, I observed missing trim with exposed nails inside a cabin bathroom and damaged drywall around the entry to a bedroom in another cabin with exposed corner protectors and around the window.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-03-06.
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Cleanliness & sanitation Serious
During the inspection, I observed mildew in the wooden shower and bathroom walls and celings of four cottages. A shower in one of the houses exhibited low water pressure.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2025-02-28. Correction verified 2025-03-06.
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Cleanliness & sanitation
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Jan 21, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the investigation inspection, the dishwasher in New Lodge was observed to be dirty and a bathroom wall had mold/mildew.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-01-31. Correction verified 2025-01-29.
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Cleanliness & sanitation
-
Jan 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2024 Inspection · No deficiencies cited
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Safety & premises Serious
During the investigation inspection, it was discovered that New Lodge had a used fire extinguisher. According to staff and documentation the fire extinguisher was used eight days prior, and a request was submitted for a new one; however, the extinguisher for this Lodge has not been replaced yet.
HHSC 748.3113(c) — Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2025-01-06.
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Safety & premises Serious
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Dec 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Children in care were able to secure tools from restricted areas at the operation- which enabled them to dismantle the window in their cottage and engage in illegal activities.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-12-26. Correction verified 2024-12-19.
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Supervision & ratios Serious
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Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 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 16, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
During the walkthrough, I observed the following physical site issues to be in compliant: A shower head in one of the resident bathrooms was broken and needed replacing, a small closet/storage area door in one of the cottages was broken with exposed nails, the cabinet in the laundry room of one cottage has been broken with a maintenance report on file since 7/27/24, a toilet in one cottage lacked a tank lid with a maintenance report filed 9/2/24. I observed the following to still be deficient and an extension is being granted: shower surround in one bathroom evidenced a peeling backing board above the shower surround,and a broken bathroom door. I observed a new deficiency during my walk through. There wa drywall damage in Vickie's Main half bath.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2024-10-23. Correction verified 2024-10-24.
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Cleanliness & sanitation Serious
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Oct 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 25, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
During the walkthrough, we observed the following physical site issues: A shower head in one of the resident bathrooms was broken and needed replacing, shower surround in one bathroom evidenced a peeling backing board above the shower surround, a small closet/storage area door in one of the cottages was broken with exposed nails, the cabinet in the laundry room of one cottage has been broken with a maintenance report on file since 7/27/24, a toilet in one cottage lacked a tank lid with a maintenance report filed 9/2/24. Items with maintenance reports on file are not being completed in a timely manner.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2024-10-02. Correction verified 2024-10-16.
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Cleanliness & sanitation
During the inspection, we observed a bathroom in one of the lodges lacking any toilet paper.
HHSC 748.3393(d) — Toilets-Toilets must be equipped with toilet paper at all times
HHSC risk weight: Medium Low. Corrected 2024-10-02. Correction verified 2024-10-16.
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Cleanliness & sanitation
During the walkthrough, we observed two bathrooms lacking handtowels in the restrooms.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2024-10-02. Correction verified 2024-10-16.
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Supervision & ratios
During the walkthrough, we observed uncovered food in the refrigerator of one of the cottages.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2024-10-02. Correction verified 2024-10-16.
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Supervision & ratios
During the walkthrough, I observed two freezers in one of the houses has replaced the missing thermometers.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-10-02. Correction verified 2024-10-16.
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Cleanliness & sanitation Serious
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Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
This deficiency was noted 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 2024-08-05. Correction verified 2024-08-02.
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Cleanliness & sanitation Serious
During the DFPS investigation, it was discovered the operation failed to secure poisonous cleaning supplies, allowing children unsupervised access.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2024-08-05. Correction verified 2024-08-14.
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Illness & medication Serious
During the DFPS investigation, it was discovered the operation failed to properly supervise children in care, resulting in the children being able to "cheek" medications as well as crushing and snorting medications brought home from the hospital.
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 2024-08-05. Correction verified 2024-08-02.
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Discipline & child guidance Serious
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Jun 20, 2024 Inspection · Deficiencies cited
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Illness & medication Serious
During the investigation inspection, there was a first aid kit stored, unlocked and accessible to children, in the bathroom of the East House. The first aid kid contained topical creams and cold compress both of which were labeled to keep out of reach of children.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2024-06-20.
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Cleanliness & sanitation
During the investigation inspection, there was mold/mildew observed in the bathroom of the East House and Old Lodge. There was also sheet rock damage observed a bathroom located in the East House.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-06-30. Correction verified 2024-06-26.
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Other
During the investigation inspection, it was observed the four showers located in the East House only had lukewarm/room temperature water for the children to shower.
HHSC 748.3397(d)(2) — Bathing-Provide sufficient hot water to meet the demands of the children
HHSC risk weight: Medium Low. Corrected 2024-06-30. Correction verified 2024-07-02.
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Supervision & ratios
During the investigation inspection, there was potatoes stored on the pantry floor of New Lodge and Vickie's House.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2024-06-30. Correction verified 2024-06-26.
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Supervision & ratios
During the investigation inspection, the thermometer located in the East House freezer indicated the freezer was at 16 degrees Fahrenheit, and not at the required 0 degree Fahrenheit or below. Additionally, the thermometer located in Vickie's House refrigerator indicated the refrigerator was at 45 degrees Fahrenheit, and not at the required 40 degree Fahrenheit or below.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-06-30. Correction verified 2024-06-26.
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Illness & medication Serious
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Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · Deficiencies cited
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Supervision & ratios
This concern arose during the course of the DFPS investigation, based on a review of the evidence obtained, a safety plan established on 5/16/24 indicated a specific staff member would not administer restraints until the close of the ongoing investigation, but documentation indicates the staff member engaged in a restraint on 6/11/24.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-07-23. Correction verified 2024-07-23.
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Illness & medication Serious
This concern arose during the course of the DFPS investigation, based on a review of the evidence obtained, a staff member failed to secure a box of over-the-counter medication stored in the staff office, resulting in a resident accessing and ingesting the medication without supervision.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2024-07-23. Correction verified 2024-07-31.
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Records & paperwork Serious
During the ANE investigation, it was discovered that five of six residents interviewed reported staff cursing and yelling at them.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-07-23. Correction verified 2024-07-23.
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Illness & medication Serious
This concern arose during the course of the DFPS investigation, based on a review of the evidence obtained, staff initiated restraints for in non-emergency situations.
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 2024-07-23. Correction verified 2024-07-23.
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Safety & premises Serious
This concern arose during the course of the DFPS investigation, based on a review of the evidence obtained, a staff member utilized restraint as a means to gain compliance from a child that refused to leave a peer's room.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2024-07-23. Correction verified 2024-07-23.
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Other Serious
This concern arose during the course of the DFPS investigation, based on a review of the evidence obtained, a staff member restrained a child about the head or throat area during a restraint.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-07-23. Correction verified 2024-07-23.
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Supervision & ratios
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Apr 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2024 Inspection · Deficiencies cited
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Other
During the inspection, I observed one child's initial medical exam was completed 24 days past the 30 days from admission date.
HHSC 748.1223(a) — Admission-Medical exam by health-care professional within 30 days after admission, unless documentation of medical exam within past year available
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-03-27.
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Cleanliness & sanitation
During the walkthrough, I observed excessive dust and cobwebs and cracked paint near the ceiling in one of the bedrooms.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-03-28. Correction verified 2024-03-27.
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Supervision & ratios Serious
During the walkthrough, I observed an open water valve recess outside a cottage lacking a protective cover, creating a tripping hazard. The operation replaced this cover at the time of the inspection.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-03-18.
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Cleanliness & sanitation Serious
During the inspection, I observed a drainage issue in the sink of one cottage, a toilet holding human waste that did not cycle when tested in another cabin, and a cracked shower stall in a third cabin. None of these repairs had work orders filed on them at the time of the inspection.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2024-03-28. Correction verified 2024-03-27.
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Supervision & ratios
During the inspection, I observed three refrigerator thermometers reading in excess of the permitted 40 degrees, and one deep freeze unit lacked a thermometer.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-03-25. Correction verified 2024-03-25.
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Other
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Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
During the inspection, I observed that one of the maintenance staff hired on 5/1/23 does not have an initial background upon hire with the facility.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2023-09-22. Correction verified 2023-09-20.
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Illness & medication
During the monitoring inspection, one child's medication record was reviewed and observed to be missing the full name of the person who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-26.
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Illness & medication Serious
During the monitoring inspection, it was observed that two children's medication record and actual medication count did not match. The medication record reflected there were 4 doses remaining while the package only contained 2 doses and another child's medication record indicated 3 doses remaining but the package contained 4 doses.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-09-29. Correction verified 2023-09-29.
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Supervision & ratios
During the walkthrough, I observed that one of the fire extinguishers in a resident cabin lacked a tag or documentation denoting when it was last serviced. The operation replaced the fire extinguisher during the walkthrough with one that was properly tagged.
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 at inspection. Corrected 2023-09-20.
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Cleanliness & sanitation
During the inspection, I observed a cottage cabinet with a hole broken through it that staff reported being there over two weeks. The lights in the laundry room of one cabin were burned out and were replaced by the operation during the walkthrough.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-26.
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Supervision & ratios
During the inspection, I observed two beds without protective mattress covers. The operation replaced the mattress covers during the inspection.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-09-20.
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Supervision & ratios
During the inspection, I observed a mini fridge in one of the cabins that exhibited a thermometer reading of 50 degrees Fahrenheit. The operation turned down the temperature in the unit during the inspection to correct the temperature.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-09-20.
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Staff background & training Serious
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Aug 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2023 Report · Deficiencies cited (self-report)
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Illness & medication Serious
In reviewing the documentation and investigation interviews, I observed that the operation failed to report the serious accidental injury of a resident within 24 hours.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2023-08-15. Correction verified 2023-08-14.
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Illness & medication Serious
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Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2023 Inspection · Deficiencies cited
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Other Serious
During the investigation inspection, there was a jug of mop solution located under the kitchen sink, unlocked, in the New Lodge Home.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2023-07-13. Correction verified 2023-07-25.
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Other Serious
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Jun 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection, I observed a light switch in one cottage with a missing face plate, and a cabinet door in another cottage had a faulty hinge.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-03-10. Correction verified 2023-03-16.
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Safety & premises
During the inspection, I observed four mattresses on the floor of loft areas in the cabins.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2023-03-16. Correction verified 2023-03-16.
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Supervision & ratios
During the inspection, I observed two refrigerators without requisite thermometers.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-03-10. Correction verified 2023-03-16.
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Cleanliness & sanitation
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Feb 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walkthrough, I observed holes in the drywall in the bedroom of one lodge and the downstairs bathroom of the second lodge.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-10-05. Correction verified 2022-10-12.
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Staff background & training Serious
In one of six employee records reviewed, the caregiver employee did not receive 16 hours of EBI preservice training. Only two hours were documented for the employee in the file.
HHSC 748.863(a)(3) — Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-10-05.
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Staff background & training Serious
In one of the six employee files read, the record did not reflect the employee receiving annual Normalcy training in the past two years.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-10-05.
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Cleanliness & sanitation
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Jun 5, 2022 Report · Deficiencies cited
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Other Serious
The purpose of this rule is to protect the health, safety and well being of children in care by ensuring that caregivers are provided and are informed of all the child's needs, medical conditions and any other information of the children they are supervising.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2022-07-15. Correction verified 2022-07-14.
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Other Serious
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May 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 10, 2022 Report · Deficiencies cited
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Other Serious
A Staff Member was provoking / antagonizing the child in care by raising her voice and saying things such as ?oh your pissed off, there?s the door? and ?your mad at me so why don?t you hit me.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2022-06-22. Correction verified 2022-06-16.
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Other Serious
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Mar 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2022 Inspection · Deficiencies cited
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Records & paperwork
In 4 of 4 records reviewed there was not a documented notice given for the child service planning meeting.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2022-04-14. Correction verified 2022-04-14.
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Records & paperwork
(2) out of (6) records reviewed were missing a dental examination. One record indicated that an appointment was rescheduled, however, there was not an appointment scheduled.
HHSC 748.1501(a)(1) — Dental care-Children in care must receive dental care initially according to the requirements in 748.1225
HHSC risk weight: Medium. Corrected 2022-04-14. Correction verified 2022-04-14.
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Supervision & ratios Serious
(1) of the (2) homes inspected had emergency evacuation and relocation diagrams that did not include designated location outside of the building. Also, the designated meeting place for weather disaster was not included. This is a separate standard, but all designated meeting areas for emergency evacuation should be included on the diagram.
HHSC 748.3233(b)(2) — Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
HHSC risk weight: Medium High. Corrected 2022-04-14. Correction verified 2022-04-14.
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Records & paperwork
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Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 5, 2021 Report · Deficiencies cited
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Discipline & child guidance
A child drank hand sanitizer and had to be taken to the Emergency Room. Staff failed to report this incident to the hotline.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2022-01-19. Correction verified 2022-01-13.
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Discipline & child guidance
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Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 16, 2021 Inspection · Deficiencies cited
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Safety & premises Serious
Two of the eight emergency behavior intervention records reviewed showed that caregivers failed to re-explain every 15 minutes what the child needed to do in order to be released from the intervention.
HHSC 748.2551(f) — EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
HHSC risk weight: Medium High. Corrected 2021-11-23. Correction verified 2022-03-31.
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Safety & premises
Six out of the eight emergency behavior interventions records reviewed showed no time of the incident.
HHSC 748.2855(a)(5) — EBI Documentation-Must include the date and time the intervention was administered
HHSC risk weight: Medium. Corrected 2021-11-23. Correction verified 2021-11-22.
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Records & paperwork Serious
There were two unreported suicide attempts on 3/7 and 3/8/2021.
HHSC 748.303(a)(11)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2021-11-23. Correction verified 2021-11-22.
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Other
Two cabins were inspected and one bed was missing a mattress protector; and another bed was missing a pillowcase.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2021-11-23. Correction verified 2021-11-22.
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Safety & premises Serious
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Sep 23, 2021 Report · No deficiencies cited (self-report)
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, via 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.