Azleway Children's Services Tyler
15892 COUNTRY RD 26, Tyler, TX 75707 · Smith County
Program
- Type
- Child-placing agency
- Ages
- -
- Hours
- 08:30 AM-04:30 PM
- Director / administrator
- Virginia Galvan Gallardo
- Phone
- (903) 566-8444
- Regulated since
- Feb 5, 1995
- HHSC IDs
- Operation 137451 · number 510293- 132
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 34 | 10 | Illness & medication (6), Supervision & ratios (10), Safety & premises (4), Staff background & training (2), Other (12) |
| 2025 | 10 | 2 | Illness & medication (4), Supervision & ratios (4), Other (2) |
| 2024 | 10 | 2 | Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (4) |
| 2023 | 10 | 0 | Supervision & ratios (4), Discipline & child guidance (2), Records & paperwork (4) |
| 2022 | 14 | 8 | Cleanliness & sanitation (2), Supervision & ratios (2), Discipline & child guidance (4), Staff background & training (2), Records & paperwork (2), Other (2) |
| 2021 | 8 | 2 | Cleanliness & sanitation (2), Illness & medication (2), Safety & premises (2), Other (2) |
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 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 21, 2026 Assessment
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2026 Inspection · Deficiencies cited
-
Safety & premises
A child in care's admission assessment for a non-emergency placement was completed 7 days after his admission to the home.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-08-11. Correction verified 2026-08-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Aug 4, 2026 Inspection · Deficiencies cited
-
Safety & premises
A child in care's admission assessment for a non-emergency placement was completed 7 days after his admission to the home.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-08-11. Correction verified 2026-08-11.
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Safety & premises
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2026 Report · Deficiencies cited
-
Illness & medication Serious
An investigation review revealed a child in care did not receive medical care for an injury.
HHSC 749.1401(a)(2) — General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2026-07-15. Correction verified 2026-07-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Jun 11, 2026 Report · Deficiencies cited
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Illness & medication Serious
An investigation review revealed a child in care did not receive medical care for an injury.
HHSC 749.1401(a)(2) — General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2026-07-15. Correction verified 2026-07-22.
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Illness & medication Serious
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
Visit records reviewed for two monthly monitorings for one foster home contained contradictory information aobut the level of stress foster parents were experiencing, the form did not indicate if the April visit was announced or unannounced, and did not mark that all family members were present when they were.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-05-19. Correction verified 2026-05-14.
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Supervision & ratios
-
May 12, 2026 Inspection · Deficiencies cited
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Supervision & ratios
Visit records reviewed for two monthly monitorings for one foster home contained contradictory information aobut the level of stress foster parents were experiencing, the form did not indicate if the April visit was announced or unannounced, and did not mark that all family members were present when they were.
HHSC 749.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-05-19. Correction verified 2026-05-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 22, 2026 Inspection · Deficiencies cited
-
Other
One of two service plans reviewed for children was not completed timely.
HHSC 749.1331(1) — Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
HHSC risk weight: Medium Low. Corrected 2026-04-30. Correction verified 2026-04-29.
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Staff background & training
A review of four foster/adoptive parent training records for three homes showed there was online training completed but not instructor led.
HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
HHSC risk weight: Medium High. Corrected 2026-04-29. Correction verified 2026-05-31.
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Other
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Apr 22, 2026 Inspection · Deficiencies cited
-
Other
One of two service plans reviewed for children was not completed timely.
HHSC 749.1331(1) — Service Plan Review and Update-Review and update the plan for children receiving child-care services at least 180 days from the date of last plan
HHSC risk weight: Medium Low. Corrected 2026-04-30. Correction verified 2026-04-29.
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Staff background & training
A review of four foster/adoptive parent training records for three homes showed there was online training completed but not instructor led.
HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.
HHSC risk weight: Medium High. Corrected 2026-04-29. Correction verified 2026-05-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 9, 2026 Report · Deficiencies cited
-
Supervision & ratios
Foster caregivers took a child in care to a party where drugs were present, one foster parent ingested cocaine, and then transported the child in a vehicle under the influence.
HHSC 749.2593(b)(4) — Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2026-05-21. Correction verified 2026-05-18.
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Other Serious
Foster parent failed to exercise prudent judgment when they permitted a secondary foster caregiver to drive under the suspected influence of drugs, then left the same child for 30 minutes unattended with secondary foster caregiver after caregiver's admission of drug use. Further the foster parent allowed child's continued access to the secondary caregiver to pick up the child from school.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2026-04-22. Correction verified 2026-05-07.
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Supervision & ratios
The operations' Child Placement Management staff failed to implement a safety plan immediately to provide a safe environment for the child.
HHSC 749.663(a)(5) — Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
HHSC risk weight: Medium High. Corrected 2026-04-22. Correction verified 2026-05-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 9, 2026 Report · Deficiencies cited
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Supervision & ratios
Foster caregivers took a child in care to a party where drugs were present, one foster parent ingested cocaine, and then transported the child in a vehicle under the influence.
HHSC 749.2593(b)(4) — Supervision-When supervising a child, a caregiver must take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2026-05-21. Correction verified 2026-05-18.
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Other Serious
Foster parent failed to exercise prudent judgment when they permitted a secondary foster caregiver to drive under the suspected influence of drugs, then left the same child for 30 minutes unattended with secondary foster caregiver after caregiver's admission of drug use. Further the foster parent allowed child's continued access to the secondary caregiver to pick up the child from school.
HHSC 749.607(1) — Employee and caregiver responsibilities-Competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: High. Corrected 2026-04-22. Correction verified 2026-05-07.
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Supervision & ratios
The operations' Child Placement Management staff failed to implement a safety plan immediately to provide a safe environment for the child.
HHSC 749.663(a)(5) — Child placement staff responsibilities-Monitor and provide support services to foster parents, initiate development/corrective/adverse action plans
HHSC risk weight: Medium High. Corrected 2026-04-22. Correction verified 2026-05-07.
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Supervision & ratios
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/17/2026, 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-03-18.
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Supervision & ratios
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Mar 17, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/17/2026, 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-03-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 11, 2026 Report · Deficiencies cited
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Illness & medication Serious
During an investigation inspection, over the counter medication, diabetic supplies, and prescribed medication was observed stored accessible to children in the foster parent nightstand.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-03-31. Correction verified 2026-04-08.
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Illness & medication Serious
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Mar 11, 2026 Report · Deficiencies cited
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Illness & medication Serious
During an investigation inspection, over the counter medication, diabetic supplies, and prescribed medication was observed stored accessible to children in the foster parent nightstand.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-03-31. Correction verified 2026-04-08.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication Serious
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Mar 6, 2026 Assessment · Deficiencies cited
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Other
During a sampling inspection completed on 03/03/26, lighter fluid, lighters, and insect killer were found stored accessible to children. Before leaving the home, foster parents stored the items appropriately to reduce potential risks to children.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-10.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 6, 2026 Assessment · Deficiencies cited
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Other
During a sampling inspection completed on 03/03/26, lighter fluid, lighters, and insect killer were found stored accessible to children. Before leaving the home, foster parents stored the items appropriately to reduce potential risks to children.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-10.
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Other
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Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 25, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
During a sampling inspection, several over the counter medications were not stored locked.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-03-03. Correction verified 2026-03-04.
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Other
During a sampling inspection, the verification certificate included treatment services for PMN however the home screening does not verify the home to provide the services.
HHSC 749.2470(9)(F) — Verification Certificate- Specifies the types of services the foster home will provide
HHSC risk weight: Low. Corrected 2026-03-03. Correction verified 2026-02-25.
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Other
During a sampling inspection lighter fluid was observed stored within reach of children in the home.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2026-03-03. Correction verified 2026-03-04.
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Illness & medication Serious
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Feb 25, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
During a sampling inspection, several over the counter medications were not stored locked.
HHSC 749.1521(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-03-03. Correction verified 2026-03-04.
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Other
During a sampling inspection, the verification certificate included treatment services for PMN however the home screening does not verify the home to provide the services.
HHSC 749.2470(9)(F) — Verification Certificate- Specifies the types of services the foster home will provide
HHSC risk weight: Low. Corrected 2026-03-03. Correction verified 2026-02-25.
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Other
During a sampling inspection lighter fluid was observed stored within reach of children in the home.
HHSC 749.3041(7) — Physical Environment-Foster home must ensure that flammable or poisonous substances are stored out of reach of children, as needed
HHSC risk weight: Medium High. Corrected 2026-03-03. Correction verified 2026-03-04.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication Serious
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Feb 21, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
An investigation review showed that a caregiver failed to maintain children's supervision plan which resulted in sexualized behavior.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2026-04-07. Correction verified 2026-04-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Feb 21, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
An investigation review showed that a caregiver failed to maintain children's supervision plan which resulted in sexualized behavior.
HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
HHSC risk weight: High. Corrected 2026-04-07. Correction verified 2026-04-20.
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Supervision & ratios Serious
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Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 22, 2026 Inspection · Deficiencies cited
-
Safety & premises
Two of two children's admission assessments for non-emergency admission were not completed prior to admission.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-01-29. Correction verified 2026-01-23.
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Other
A home screening did not address the other household members attitude, involvement, acceptance of the plan of providing foster care.
HHSC 749.2447(17) — Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
HHSC risk weight: Medium. Corrected 2026-01-29. Correction verified 2026-01-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Jan 22, 2026 Inspection · Deficiencies cited
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Safety & premises
Two of two children's admission assessments for non-emergency admission were not completed prior to admission.
HHSC 749.1131 — You must complete a non-emergency admission assessment prior to admission
HHSC risk weight: Medium. Corrected 2026-01-29. Correction verified 2026-01-23.
-
Other
A home screening did not address the other household members attitude, involvement, acceptance of the plan of providing foster care.
HHSC 749.2447(17) — Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
HHSC risk weight: Medium. Corrected 2026-01-29. Correction verified 2026-01-28.
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Safety & premises
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Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 24, 2025 Report · Deficiencies cited (self-report)
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Illness & medication
Licensing was not made aware of a child's fractured finger within the allotted 24-hour timeframe.
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 2025-12-08. Correction verified 2025-12-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Nov 24, 2025 Report · Deficiencies cited (self-report)
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Illness & medication
Licensing was not made aware of a child's fractured finger within the allotted 24-hour timeframe.
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 2025-12-08. Correction verified 2025-12-10.
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Illness & medication
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2025 Assessment · Deficiencies cited
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Other Serious
During a heightened monitoring inspection completed on 10/24/25, it was noted that a hot tub did not have a locking cover. The hot tub had cover that was not locking and sagged in the middle due to standing water.
HHSC 749.3147 — Hot Tub-When not in use, a hot tub must be enclosed per the requirements of 749.3133 or must be covered with a locking cover
HHSC risk weight: High. Corrected 2025-11-01. Correction verified 2026-01-22.
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Other Serious
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Oct 31, 2025 Assessment · Deficiencies cited
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Other Serious
During a heightened monitoring inspection completed on 10/24/25, it was noted that a hot tub did not have a locking cover. The hot tub had cover that was not locking and sagged in the middle due to standing water.
HHSC 749.3147 — Hot Tub-When not in use, a hot tub must be enclosed per the requirements of 749.3133 or must be covered with a locking cover
HHSC risk weight: High. Corrected 2025-11-01. Correction verified 2026-01-22.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Oct 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 09/15/2025 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-09-16. Correction verified 2025-09-16.
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Supervision & ratios
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Sep 15, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 09/15/2025 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: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-09-16. Correction verified 2025-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 27, 2025 Report · Deficiencies cited (self-report)
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Illness & medication
During an investigation, a foster home did not report a serious incident within required time frames.
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 2025-09-05. Correction verified 2025-09-16.
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Illness & medication
-
Aug 27, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication
During an investigation, a foster home did not report a serious incident within required time frames.
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 2025-09-05. Correction verified 2025-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2025 Assessment · 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.
-
Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/14/2025 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 02/28/2025. Specifically, the operation was cited for 749.2453(a)(2) During the investigation, it was determined that an addendum to the home screening was not completed when a member of the family moved in. - 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-03-15. Correction verified 2025-03-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 14, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/14/2025 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 02/28/2025. Specifically, the operation was cited for 749.2453(a)(2) During the investigation, it was determined that an addendum to the home screening was not completed when a member of the family moved in. - 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2025-03-15. Correction verified 2025-03-15.
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Supervision & ratios
-
Feb 18, 2025 Inspection · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 09/09/2024 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 08/19/2024. Specifically, the operation was cited for 749.2593(a)(2). During the investigation, it was found that a caregiver failed to supervise children in care, resulting in inappropriate contact with a household member. - 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-09-10. Correction verified 2024-09-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 9, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 09/09/2024 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 08/19/2024. Specifically, the operation was cited for 749.2593(a)(2). During the investigation, it was found that a caregiver failed to supervise children in care, resulting in inappropriate contact with a household member. - 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-09-10. Correction verified 2024-09-10.
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Supervision & ratios
-
Aug 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 29, 2024 Inspection · Deficiencies cited
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Safety & premises
In one of the child's records reviewed there was no documentation completed for the admissions assessment. The child was admitted to the placement 3/12/24 as an emergency placement. The assessment was due to be completed by 4/21/24.
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 2024-05-10. Correction verified 2024-05-06.
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Safety & premises
-
Apr 29, 2024 Inspection · Deficiencies cited
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Safety & premises
In one of the child's records reviewed there was no documentation completed for the admissions assessment. The child was admitted to the placement 3/12/24 as an emergency placement. The assessment was due to be completed by 4/21/24.
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 2024-05-10. Correction verified 2024-05-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Apr 29, 2024 Inspection · Deficiencies cited
-
Safety & premises
In one of the home records reviewed the health inspection was conducted 4/5/24. The previous health inspection was conducted 3/21/23. The documentation shows it to have been conducted 14 days past due.
HHSC 749.2905(a) — Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-05-09.
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Safety & premises
-
Apr 29, 2024 Inspection · Deficiencies cited
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Safety & premises
In one of the home records reviewed the health inspection was conducted 4/5/24. The previous health inspection was conducted 3/21/23. The documentation shows it to have been conducted 14 days past due.
HHSC 749.2905(a) — Fire/health inspection reports from a local health authority or state or local fire authority is current for two years for a foster family home.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-05-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Apr 13, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care got into a physical altercation with an adopted adult who resides in the home.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-05-27. Correction verified 2024-05-24.
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Discipline & child guidance Serious
-
Apr 13, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care got into a physical altercation with an adopted adult who resides in the home.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-05-27. Correction verified 2024-05-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
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Mar 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/07/2024 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 03/05/2024. Specifically, the operation was cited for 749.2447(7)(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 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 7, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 03/07/2024 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 03/05/2024. Specifically, the operation was cited for 749.2447(7)(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 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-08.
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Supervision & ratios
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Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 5, 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 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-09-06. Correction verified 2023-09-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 5, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on September 5, 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 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 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-09-06. Correction verified 2023-09-06.
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Supervision & ratios
-
Aug 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 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 15, 2023 Inspection · Deficiencies cited
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Records & paperwork
In one of the records reviewed there was no documentation for the initial service plan. The plan was due 5/7/23..
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2023-06-26. Correction verified 2023-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2023 Inspection · Deficiencies cited
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Records & paperwork
In one of the records reviewed there was no documentation for the initial service plan. The plan was due 5/7/23..
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2023-06-26. Correction verified 2023-06-20.
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Records & paperwork
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May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2023 Inspection · Deficiencies cited
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Records & paperwork
The initial service plan for the child's record review did not have documentation of the initial service plan being completed within the 45 day time frame.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2023-04-13. Correction verified 2023-04-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Apr 3, 2023 Inspection · Deficiencies cited
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Records & paperwork
The initial service plan for the child's record review did not have documentation of the initial service plan being completed within the 45 day time frame.
HHSC 749.1307 — Service Planning-Complete the initial service plan within 45 days after child is admitted
HHSC risk weight: Medium. Corrected 2023-04-13. Correction verified 2023-04-05.
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Records & paperwork
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Feb 28, 2023 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 2/28/2023, 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 weighted licensing citations.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-03-01. Correction verified 2023-03-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 28, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 2/28/2023, 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 weighted licensing citations.
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2023-03-01. Correction verified 2023-03-01.
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Supervision & ratios
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2023 Report · Deficiencies cited
-
Discipline & child guidance
The foster parents failed to report a communicable disease to licensing within 24 hours.
HHSC 749.509(a) — Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
HHSC risk weight: Medium. Corrected 2023-01-27. Correction verified 2023-01-20.
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Discipline & child guidance
-
Jan 11, 2023 Report · Deficiencies cited
-
Discipline & child guidance
The foster parents failed to report a communicable disease to licensing within 24 hours.
HHSC 749.509(a) — Reporting serious incident-All serious incident reports to Licensing must be made to the Texas Abuse and Neglect Hotline
HHSC risk weight: Medium. Corrected 2023-01-27. Correction verified 2023-01-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Dec 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 8/26/2022 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 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;
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2022-08-27. Correction verified 2022-08-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 26, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 8/26/2022 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 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;
HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.
HHSC risk weight: Medium High. Corrected 2022-08-27. Correction verified 2022-08-27.
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Supervision & ratios
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Jul 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 27, 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.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 7, 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 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 18, 2022 Inspection · Deficiencies cited
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Records & paperwork Serious
Weapons were reportedly in a locked closet, but mom did not have a key. Ammunition was in a large drawer in the hall way - without a lock
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2022-03-28. Correction verified 2022-03-23.
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Other
Arrayah's queen size bed did not have a mattress protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2022-03-28. Correction verified 2022-03-23.
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Records & paperwork Serious
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Mar 18, 2022 Inspection · Deficiencies cited
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Records & paperwork Serious
Weapons were reportedly in a locked closet, but mom did not have a key. Ammunition was in a large drawer in the hall way - without a lock
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2022-03-28. Correction verified 2022-03-23.
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Other
Arrayah's queen size bed did not have a mattress protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2022-03-28. Correction verified 2022-03-23.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork Serious
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Mar 16, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
The caregiver has used corporal punishment on a child in care. The siblings have also been threatened with a belt, but they have not been spanked.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-14. Correction verified 2022-04-13.
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Discipline & child guidance Serious
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Mar 16, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
The caregiver has used corporal punishment on a child in care. The siblings have also been threatened with a belt, but they have not been spanked.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-14. Correction verified 2022-04-13.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Mar 12, 2022 Report · Deficiencies cited
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Cleanliness & sanitation
Pictures taken during the inspection part of the investigation, show the home to be dirty and in need of cleaning. Along with the testimonies from the children's CVS worker, the LPS worker and the Casa worker who support this statement.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2022-04-21. Correction verified 2022-04-21.
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Cleanliness & sanitation
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Mar 12, 2022 Report · Deficiencies cited
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Cleanliness & sanitation
Pictures taken during the inspection part of the investigation, show the home to be dirty and in need of cleaning. Along with the testimonies from the children's CVS worker, the LPS worker and the Casa worker who support this statement.
HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair
HHSC risk weight: Medium High. Corrected 2022-04-21. Correction verified 2022-04-21.
HHSC inspection history · no longer published by HHSC; kept here
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Cleanliness & sanitation
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Mar 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 1, 2022 Report · Deficiencies cited
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Staff background & training Serious
The foster parent allowed a relative to be present at their home without notifying the CPA.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-13.
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Discipline & child guidance Serious
Children in care reported that a child in care was spanked by a person that frequently visits the home. The person that frequently visits the home states that she threatens to spank the children in care.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-13.
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Staff background & training Serious
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Mar 1, 2022 Report · Deficiencies cited
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Staff background & training Serious
The foster parent allowed a relative to be present at their home without notifying the CPA.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-13.
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Discipline & child guidance Serious
Children in care reported that a child in care was spanked by a person that frequently visits the home. The person that frequently visits the home states that she threatens to spank the children in care.
HHSC 749.1953(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
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Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 15, 2021 Inspection · Deficiencies cited
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Other
One of the boys' twin beds did not have a mattress protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2021-11-25. Correction verified 2021-12-06.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Nov 15, 2021 Inspection · Deficiencies cited
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Other
One of the boys' twin beds did not have a mattress protector.
HHSC 749.3031(c) — Beds and bedding-mattresses must be elevated from floor and have covers or protectors
HHSC risk weight: Medium. Corrected 2021-11-25. Correction verified 2021-12-06.
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Other
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Nov 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 20, 2021 Inspection · Deficiencies cited
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Illness & medication
The foster care documentation for medication ended on August 9th, 2021. Ms. Russell would like to make her own logs for documentation.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2021-10-29. Correction verified 2021-10-24.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Oct 20, 2021 Inspection · Deficiencies cited
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Illness & medication
The foster care documentation for medication ended on August 9th, 2021. Ms. Russell would like to make her own logs for documentation.
HHSC 749.1541(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2021-10-29. Correction verified 2021-10-24.
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Illness & medication
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Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2021 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation Serious
A gun was found in the master closet/bathroom by the biological child. The gun has been secured in a locked box- separate from the ammunition by the time I arrived.
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2021-11-10. Correction verified 2021-11-01.
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Cleanliness & sanitation Serious
-
Oct 5, 2021 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation Serious
A gun was found in the master closet/bathroom by the biological child. The gun has been secured in a locked box- separate from the ammunition by the time I arrived.
HHSC 749.2961(a)(1)(A) — Weapons-If weapons/explosives/projectiles allowed, must ensure locked storage for weapons and ammunition
HHSC risk weight: High. Corrected 2021-11-10. Correction verified 2021-11-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2021 Report · Deficiencies cited
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Safety & premises
The foster children and a caseworker have `witnessed Ms. Thompson smoking inside the house.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2021-12-10. Correction verified 2021-12-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Sep 30, 2021 Report · Deficiencies cited
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Safety & premises
The foster children and a caseworker have `witnessed Ms. Thompson smoking inside the house.
HHSC 749.2931(b) — Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
HHSC risk weight: Medium High. Corrected 2021-12-10. Correction verified 2021-12-06.
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Safety & premises
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Sep 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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.