The Sanctuary Foster Care Services
1350 NASA PKWY STE 210, Houston, TX 77058 · Harris County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 08:00 AM-05:00 PM
- Director / administrator
- Amanda Noel Boyd
- Phone
- (281) 508-2205
- Regulated since
- Sep 15, 2020
- HHSC IDs
- Operation 1340406 · number 1697949- 13751
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 1 | Safety & premises (1) |
| 2025 | 3 | 0 | Safety & premises (2), Records & paperwork (1) |
| 2024 | 6 | 4 | Illness & medication (1), Safety & premises (1), Staff background & training (3), Other (1) |
| 2023 | 3 | 3 | Supervision & ratios (1), Safety & premises (1), Records & paperwork (1) |
| 2022 | 9 | 5 | Illness & medication (3), Supervision & ratios (2), Discipline & child guidance (1), Other (3) |
| 2021 | 2 | 1 | Cleanliness & sanitation (1), Other (1) |
Inspections, investigations & assessments
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Sep 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Report · 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 23, 2026 Report · 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 10, 2026 Report
No violations cited on this visit.
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report · Deficiencies cited
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Safety & premises Serious
A foster child was transported in a vehicle without a car seat.
HHSC 749.4577(c) — Kinship caregivers must secure foster children in proper car seats, booster seats, or safety belts based on age, size, and manufacturer instructions.
HHSC risk weight: High. Corrected 2026-04-24. Correction verified 2026-04-27.
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Safety & premises Serious
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Mar 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Report
No violations cited on this visit.
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Mar 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · Deficiencies cited
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Records & paperwork
During the inspection 6 out of 6 employees? files that did not have required documentation in the file within 30 days.
HHSC 749.535(a)(1) — Active records-All documentation in the record no later than 30 days after the occurrence or event
HHSC risk weight: Low. Corrected 2025-08-27. Correction verified 2026-05-28.
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Records & paperwork
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Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 12, 2025 Inspection · Deficiencies cited
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Safety & premises
Based on a review of documentation, it was determined a child's Emergency Admission Assessment was not completed.
HHSC 749.1187(a) — Emergency admission-Complete all of the requirements for an admission assessment within 40 days from the date of admission
HHSC risk weight: Medium. Corrected 2025-03-19. Correction verified 2025-03-18.
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Safety & premises
During a review of the agency's documentation, it was determined the agency did not have an overall Annual Evaluation as related to Emergency Behavior Intervention available for licensing review. The agency provided a copy of the Emergency Behavior Intervention policies and procedures; however, the agency did not have an Annual Emergency Behavior Intervention Review completed.
HHSC 749.2381(d) — Evaluation-Results of each overall annual evaluation made available to Licensing for review.
HHSC risk weight: Medium. Corrected 2025-03-19. Correction verified 2025-03-18.
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Safety & premises
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Mar 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2024 Report · Deficiencies cited
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Illness & medication Serious
Licensing was not contacted after a serious incident that required medical attention occurred.
HHSC 749.503(a)(2)(A) — AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
HHSC risk weight: Medium High. Corrected 2024-12-17. Correction verified 2024-12-17.
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Illness & medication Serious
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Nov 8, 2024 Report · Deficiencies cited
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Other Serious
A child with a diagnosis of hip dysplasia did not get their appointment scheduled, nor were they seen by the recommended doctor in a timely manner.
HHSC 749.1401(a)(3) — General medical requirements-A child in care must receive medical care as needed for ongoing maintenance of medical health
HHSC risk weight: Medium High. Corrected 2025-01-06. Correction verified 2025-01-06.
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Other Serious
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Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
One staff's file responsible for transporting children was observed with only an adult first aid certificate on file.
HHSC 749.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-05-30.
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Staff background & training
In 10 out of 10 files reviewed there was no evaluation or assessments for any of the trainings that were completed.
HHSC 749.939(a)(3) — Training Criteria-Instructor-led training and self-instructional training must include an evaluation or assessment.
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-05-30.
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Staff background & training Serious
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Apr 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Report · Deficiencies cited
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Safety & premises Serious
A caregiver allowed an unqualified household member to assist in administering a restraint.
HHSC 749.2053 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: Medium High. Corrected 2024-05-17. Correction verified 2024-05-17.
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Safety & premises Serious
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Mar 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2024 Assessment · Deficiencies cited
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Staff background & training
During assessment on background checks it was observed that the background check list had not been validated since May 2023.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2024-03-01. Correction verified 2024-05-31.
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Staff background & training
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Jan 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2023 Report · Deficiencies cited
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Safety & premises Serious
A caregiver used prohibited sleeping bedding/equipment in the crib with an infant.
HHSC 749.1813(b) — AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
HHSC risk weight: High. Corrected 2023-10-26. Correction verified 2023-11-09.
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Safety & premises Serious
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Oct 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 9, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
Documentation was not provided to verified that child placement management meet with the child in care within 24 hours from discharge.
HHSC 749.137(f)(1) — A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-12.
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Records & paperwork Serious
There was no documentation that verifies agency completed weekly screening post hospitalization.
HHSC 749.137(f)(2)(A) — Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer.
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-12.
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Supervision & ratios Serious
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May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 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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Mar 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
Foster parent put the medication in child's backpack and instructed her to give the medication to the respite caregiver, which resulted in the child having unsupervised access to her medications and overdosing. This act placed the child at substantial risk of harm as she temporarily lost consciousness several times and had to seek emergency medical care.
HHSC 749.1003(b)(1)(B) — Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
HHSC risk weight: High. Corrected 2022-05-20. Correction verified 2022-05-20.
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Illness & medication
Foster parent allowed the child in care to have unsupervised access to their medications knowing this child's history of self-harming behaviors.
HHSC 749.1501(2) — Medication Self-Administration-Self-medication program must be in child's service plan, including any requirements for caregiver supervision
HHSC risk weight: Medium. Corrected 2023-07-24. Correction verified 2023-07-20.
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Discipline & child guidance Serious
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Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2022 Report · Deficiencies cited
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Illness & medication Serious
Foster parent failed to advised respite placement that the child was taking medication and the regimen for the medication.
HHSC 749.2625(1)(B) — Respite- must share medication regimen and medication instructions with the babysitter, respite or overnight provider
HHSC risk weight: Medium High. Corrected 2022-04-15. Correction verified 2022-04-13.
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Illness & medication Serious
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Jan 23, 2022 Report · Deficiencies cited
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Other
Agency did not approve and document placement of child in care.
HHSC 749.127(9) — Babysitter/Overnight care/Respite care providers policy - Procedures for agency review and approval of arrangements
HHSC risk weight: Medium Low. Corrected 2022-05-25. Correction verified 2022-05-25.
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Other
Foster parent did not follow service plan when they left youth at home alone. Safety plan states that youth in care should never be left at home alone.
HHSC 749.1323 — Implementation of Service Plan-Implement a plan as soon as all team members have reviewed and signed it, but no later than 10 days after meeting
HHSC risk weight: Medium Low. Corrected 2022-05-25. Correction verified 2022-05-25.
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Illness & medication Serious
Foster child was in possession of their psychotropic medication while in transition to overnight care.
HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication
HHSC risk weight: High. Corrected 2022-07-25. Correction verified 2022-05-25.
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Supervision & ratios
There are no updates on home study indicating an adoption or changes in foster care capacity.
HHSC 749.2453(c) — A CPA must complete a foster home screening update that is needed under 749.307(a) before issuing a new verification certificate
HHSC risk weight: Medium. Corrected 2022-05-25. Correction verified 2022-05-25.
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Supervision & ratios Serious
Foster parent did not provide adequate supervision to children in care that required check ins every hour as per service plan.
HHSC 749.2593(a)(2) — Supervision-The caregiver is responsible for being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2022-05-25. Correction verified 2022-05-25.
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Other Serious
Caregiver was not made aware of pertinent information to properly care for the child in care.
HHSC 749.2625 — Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-07-25.
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Other
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Nov 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2021 Inspection · Deficiencies cited
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Other
During the walk through the inspector observed two mattresses on the floor. The FP stated that the bunk beds were taken down on this past Sunday 10/10/21. (photos taken)
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-14.
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Cleanliness & sanitation Serious
During the walk through the inspector observed the bathroom (upstairs) was not clean, the foster boys bedroom was observed to be not clean. The backyard area was observed to have debris (boxes, tree shrubs and loose bricks on the side of the house). Photos taken.
HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2021-10-15. Correction verified 2021-10-14.
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Other
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Oct 13, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 14, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 8, 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.