Abundance Of Joy Home Shelter
16335 BUNKER RIDGE RD, Houston, TX 77053 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 11
- Ages
- 5-15
- Hours
- -
- Director / administrator
- Donyel Jack
- Phone
- (281) 809-5954
- Regulated since
- May 6, 2021
- HHSC IDs
- Operation 1361586 · number 1711621
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Supervision & ratios (2) |
| 2025 | 14 | 2 | Supervision & ratios (4), Safety & premises (2), Staff background & training (4), Other (4) |
| 2024 | 38 | 4 | Illness & medication (6), Supervision & ratios (6), Staff background & training (8), Records & paperwork (6), Other (12) |
| 2023 | 12 | 0 | Supervision & ratios (4), Safety & premises (2), Staff background & training (4), Records & paperwork (2) |
| 2022 | 60 | 8 | Cleanliness & sanitation (12), Illness & medication (4), Supervision & ratios (10), Discipline & child guidance (2), Safety & premises (4), Staff background & training (6), Records & paperwork (16), Other (6) |
| 2021 | 6 | 2 | Illness & medication (4), Other (2) |
Inspections, investigations & assessments
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Sep 17, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 17, 2026 Inspection
No violations cited on this visit.
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Sep 9, 2026 Inspection
No violations cited on this visit.
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Sep 9, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2026 Inspection
No violations cited on this visit.
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Aug 31, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 16, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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Aug 16, 2026 Report · Recorded (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2026 Assessment
No violations cited on this visit.
-
Aug 10, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 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 · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During HM inspection on 7-21-26, it was noted that one of the children placed at the facility is now 15 years old while the operation is licensed for children ages 5 to 13 years.
HHSC 748.63(1) — Types of services-Operation must only provide services listed on permit
HHSC risk weight: Medium. Corrected 2026-07-28. Correction verified 2026-08-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Jul 22, 2026 Assessment · Deficiencies cited
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Supervision & ratios
During HM inspection on 7-21-26, it was noted that one of the children placed at the facility is now 15 years old while the operation is licensed for children ages 5 to 13 years.
HHSC 748.63(1) — Types of services-Operation must only provide services listed on permit
HHSC risk weight: Medium. Corrected 2026-07-28. Correction verified 2026-08-11.
-
Supervision & ratios
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2026 Assessment
No violations cited on this visit.
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Jul 8, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection
No violations cited on this visit.
-
Jul 8, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2026 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 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection
No violations cited on this visit.
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May 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 22, 2026 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 29, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Inspection · 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 (self-report)
No violations cited on this visit.
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Oct 27, 2025 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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Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 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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Sep 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 19, 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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Aug 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 2, 2025 Report · Deficiencies cited (self-report)
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Other Serious
Staff are allowing children in care to fight without intervening.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-10-08. Correction verified 2025-11-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Aug 2, 2025 Report · Deficiencies cited (self-report)
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Other Serious
Staff are allowing children in care to fight without intervening.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-10-08. Correction verified 2025-11-05.
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Other Serious
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Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 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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Jul 13, 2025 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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Jul 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 29, 2025 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 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 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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May 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 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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Mar 5, 2025 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 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
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Staff background & training
Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
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Safety & premises
Staff Anthony Baldwin No verification in file that employment history or reference checks were completed
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Mar 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
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Staff background & training
Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
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Safety & premises
Staff Anthony Baldwin No verification in file that employment history or reference checks were completed
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-05-23.
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Supervision & ratios
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Feb 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A single caregiver was observed to be present with seven children in care.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-03-05. Correction verified 2025-03-05.
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Supervision & ratios
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Feb 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A single caregiver was observed to be present with seven children in care.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-03-05. Correction verified 2025-03-05.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Feb 4, 2025 Inspection · Deficiencies cited
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Staff background & training
The operation has an active background check for staff that no longer works for the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Feb 4, 2025 Inspection · Deficiencies cited
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Staff background & training
The operation has an active background check for staff that no longer works for the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
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Staff background & training
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Jan 18, 2025 Report · Deficiencies cited
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Other
Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-03-05. Correction verified 2025-03-05.
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Other
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Jan 18, 2025 Report · Deficiencies cited
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Other
Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-03-05. Correction verified 2025-03-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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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.
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Nov 21, 2024 Report · Deficiencies cited
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Other
2 children's service plans did not have the parent's signature.
HHSC 748.1349(a)(2) — Initial Service Plan-Give copy or summary of plan to child's parents
HHSC risk weight: Low. Corrected 2024-12-31. Correction verified 2025-01-06.
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Staff background & training
1 of 2 direct staff did not have psychotropic medication training.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-12-31. Correction verified 2025-01-06.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Nov 21, 2024 Report · Deficiencies cited
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Other
2 children's service plans did not have the parent's signature.
HHSC 748.1349(a)(2) — Initial Service Plan-Give copy or summary of plan to child's parents
HHSC risk weight: Low. Corrected 2024-12-31. Correction verified 2025-01-06.
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Staff background & training
1 of 2 direct staff did not have psychotropic medication training.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-12-31. Correction verified 2025-01-06.
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Other
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Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 19, 2024 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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Nov 5, 2024 Inspection · Deficiencies cited
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Illness & medication
Medication logs reviewed, show no record of medication that was administered.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-11-12. Correction verified 2024-11-22.
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Records & paperwork
There is no record of practice severe weather drills.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2024-11-12. Correction verified 2024-11-22.
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Other
Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2024-11-12. Correction verified 2024-11-22.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Nov 5, 2024 Inspection · Deficiencies cited
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Illness & medication
Medication logs reviewed, show no record of medication that was administered.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-11-12. Correction verified 2024-11-22.
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Records & paperwork
There is no record of practice severe weather drills.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2024-11-12. Correction verified 2024-11-22.
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Other
Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2024-11-12. Correction verified 2024-11-22.
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Illness & medication
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Oct 25, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation's last fire inspection was 8/17/2023.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-11-25. Correction verified 2024-11-05.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Oct 25, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation's last fire inspection was 8/17/2023.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-11-25. Correction verified 2024-11-05.
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Supervision & ratios
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2024 Report · Deficiencies cited
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Records & paperwork Serious
During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.
HHSC 748.2461(b)(1) — Short Personal Restraint-Caregiver may not use a prone or supine restraint
HHSC risk weight: High. Corrected 2024-07-15. Correction verified 2024-08-26.
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Records & paperwork Serious
During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2024-07-15. Correction verified 2024-08-26.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork Serious
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Jun 10, 2024 Report · Deficiencies cited
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Records & paperwork Serious
During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.
HHSC 748.2461(b)(1) — Short Personal Restraint-Caregiver may not use a prone or supine restraint
HHSC risk weight: High. Corrected 2024-07-15. Correction verified 2024-08-26.
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Records & paperwork Serious
During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2024-07-15. Correction verified 2024-08-26.
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Records & paperwork Serious
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2024 Report · Deficiencies cited
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Illness & medication
The operation provided medication logs for the month of November that do not contain consistent information.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-10. Correction verified 2024-07-10.
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Illness & medication
The operation did not provide a requested medication log after multiple requests.
HHSC 748.2151(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 2024-07-10. Correction verified 2024-07-10.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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May 10, 2024 Report · Deficiencies cited
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Illness & medication
The operation provided medication logs for the month of November that do not contain consistent information.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-10. Correction verified 2024-07-10.
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Illness & medication
The operation did not provide a requested medication log after multiple requests.
HHSC 748.2151(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 2024-07-10. Correction verified 2024-07-10.
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Illness & medication
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May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2024 Report · Deficiencies cited
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Staff background & training
Several staff members failed to complete required training prior to being counted in ratio.
HHSC 748.930(a)(1) — Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
HHSC risk weight: Medium High. Corrected 2024-07-05. Correction verified 2024-07-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Apr 27, 2024 Report · Deficiencies cited
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Staff background & training
Several staff members failed to complete required training prior to being counted in ratio.
HHSC 748.930(a)(1) — Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
HHSC risk weight: Medium High. Corrected 2024-07-05. Correction verified 2024-07-04.
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Staff background & training
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Mar 26, 2024 Inspection · Deficiencies cited
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Other
Two out of four youth files reviewed did not include known contrindications to restraints for the youth.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
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Other
One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.
HHSC 748.1347(b) — Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
HHSC risk weight: Low. Corrected 2024-04-09. Correction verified 2024-04-09.
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Other
One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2024-04-09. Correction verified 2024-04-09.
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Staff background & training
One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.
HHSC 748.930(a)(2) — Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Staff background & training
The administrator did not have all required annual trainings.
HHSC 748.931(b)(1) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 26, 2024 Inspection · Deficiencies cited
-
Other
Two out of four youth files reviewed did not include known contrindications to restraints for the youth.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Other
One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.
HHSC 748.1347(b) — Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
HHSC risk weight: Low. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Other
One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Staff background & training
One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.
HHSC 748.930(a)(2) — Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Staff background & training
The administrator did not have all required annual trainings.
HHSC 748.931(b)(1) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-09.
-
Other
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2024 Report · Deficiencies cited
-
Other
A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.
HHSC 748.705(b)(1) — Reasonable & prudent parent standard-Must consider the child's age and level of maturity
HHSC risk weight: Medium. Corrected 2024-04-25. Correction verified 2024-04-29.
-
Other
-
Mar 14, 2024 Report · Deficiencies cited
-
Other
A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.
HHSC 748.705(b)(1) — Reasonable & prudent parent standard-Must consider the child's age and level of maturity
HHSC risk weight: Medium. Corrected 2024-04-25. Correction verified 2024-04-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2024 Report · Deficiencies cited
-
Supervision & ratios
During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.
HHSC 748.3021 — Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-03-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 7, 2024 Report · Deficiencies cited
-
Supervision & ratios
During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.
HHSC 748.3021 — Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
HHSC risk weight: Medium High. Corrected 2024-03-26. Correction verified 2024-03-26.
-
Supervision & ratios
-
Feb 12, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2024-02-12. Correction verified 2024-02-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 12, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2024-02-12. Correction verified 2024-02-12.
-
Supervision & ratios
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
A suicide risk screening was not conducted with a child post returning from the psych hospital.
HHSC 748.125(f)(1) — A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
HHSC risk weight: Medium High. Corrected 2023-08-11. Correction verified 2023-08-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 12, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
A suicide risk screening was not conducted with a child post returning from the psych hospital.
HHSC 748.125(f)(1) — A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
HHSC risk weight: Medium High. Corrected 2023-08-11. Correction verified 2023-08-18.
-
Supervision & ratios
-
Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Staff background & training
It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.
HHSC 748.1209(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium Low. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Supervision & ratios
A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Safety & premises
Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.
HHSC 748.3239(a)(3) — Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Staff background & training
It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Records & paperwork
-
Apr 13, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Staff background & training
It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.
HHSC 748.1209(a) — Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level
HHSC risk weight: Medium Low. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Supervision & ratios
A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Safety & premises
Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.
HHSC 748.3239(a)(3) — Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
-
Staff background & training
It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-04-20. Correction verified 2023-04-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Report · 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 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
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 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2022 Inspection · Deficiencies cited
-
Staff background & training
The last validation of the employee list in the provider portal was four months ago.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2022-08-31. Correction verified 2022-09-09.
-
Records & paperwork
One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2022-08-31. Correction verified 2022-09-13.
-
Staff background & training
One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-08-31. Correction verified 2022-09-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 24, 2022 Inspection · Deficiencies cited
-
Staff background & training
The last validation of the employee list in the provider portal was four months ago.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2022-08-31. Correction verified 2022-09-09.
-
Records & paperwork
One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2022-08-31. Correction verified 2022-09-13.
-
Staff background & training
One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-08-31. Correction verified 2022-09-12.
-
Staff background & training
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation has not had an administrator in 90 days.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2022-08-13. Correction verified 2022-09-13.
-
Supervision & ratios Serious
-
Jul 13, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation has not had an administrator in 90 days.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2022-08-13. Correction verified 2022-09-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2022 Report · Deficiencies cited
-
Other
There is information to confirm staff use profane language while caring for children.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-09-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Report · Deficiencies cited
-
Other
There is information to confirm staff use profane language while caring for children.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-09-01.
-
Other
-
Jul 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation has not had an administrator in 60 days.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2022-07-13. Correction verified 2022-07-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jun 13, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation has not had an administrator in 60 days.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2022-07-13. Correction verified 2022-07-13.
-
Supervision & ratios Serious
-
Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-06-10. Correction verified 2022-06-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jun 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-06-10. Correction verified 2022-06-14.
-
Cleanliness & sanitation
-
May 23, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-02.
-
Cleanliness & sanitation
One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-02.
-
Cleanliness & sanitation
-
May 23, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-02.
-
Cleanliness & sanitation
One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 13, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-05-20. Correction verified 2022-05-23.
-
Records & paperwork
The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-20.
-
Cleanliness & sanitation
-
May 13, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-05-20. Correction verified 2022-05-23.
-
Records & paperwork
The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 12, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-19. Correction verified 2022-05-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 12, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-19. Correction verified 2022-05-23.
-
Cleanliness & sanitation
-
May 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2022 Inspection · Deficiencies cited
-
Illness & medication
One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
-
Illness & medication
One out of three medication records reviewed indicate that the medication count was inaccurately logged.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
-
Records & paperwork
During the inspection, two out of three restraint reports had missing post discussion documentation.
HHSC 748.2853(3) — EBI Documentation-Date and time the post discussion took place, if applicable
HHSC risk weight: Medium Low. Corrected 2022-05-11. Correction verified 2022-05-12.
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Records & paperwork
Two out of two restraints reviewed did not include a notification to the parent.
HHSC 748.2857(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
HHSC risk weight: Medium. Corrected 2022-05-11. Correction verified 2022-05-12.
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Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
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Illness & medication
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May 3, 2022 Inspection · Deficiencies cited
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Illness & medication
One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
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Illness & medication
One out of three medication records reviewed indicate that the medication count was inaccurately logged.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
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Records & paperwork
During the inspection, two out of three restraint reports had missing post discussion documentation.
HHSC 748.2853(3) — EBI Documentation-Date and time the post discussion took place, if applicable
HHSC risk weight: Medium Low. Corrected 2022-05-11. Correction verified 2022-05-12.
-
Records & paperwork
Two out of two restraints reviewed did not include a notification to the parent.
HHSC 748.2857(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
HHSC risk weight: Medium. Corrected 2022-05-11. Correction verified 2022-05-12.
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Cleanliness & sanitation
A window blind in one of the bedrooms was damaged.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-05-11. Correction verified 2022-05-12.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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May 1, 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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May 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2022 Report · Deficiencies cited
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Safety & premises Serious
Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2022-07-29. Correction verified 2022-08-03.
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Supervision & ratios
Operation did not send any post EBI documentation regarding the victim or any child in care from the operation
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Records & paperwork
There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Records & paperwork
No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Other
annual summary log was not given to inspector regarding AWOL as requested
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Other
No debriefing documentation was given to inspector regarding AWOL of victim
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-08-10.
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Staff background & training
Reviewing staff training 5 out of 8 staff do not have up to date training for EBI
HHSC 748.4657(1)(A) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-08-03.
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Safety & premises Serious
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Apr 25, 2022 Report · Deficiencies cited
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Safety & premises Serious
Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2022-07-29. Correction verified 2022-08-03.
-
Supervision & ratios
Operation did not send any post EBI documentation regarding the victim or any child in care from the operation
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
-
Records & paperwork
There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
-
Records & paperwork
No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Other
annual summary log was not given to inspector regarding AWOL as requested
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-07-29. Correction verified 2022-08-10.
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Other
No debriefing documentation was given to inspector regarding AWOL of victim
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-08-10.
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Staff background & training
Reviewing staff training 5 out of 8 staff do not have up to date training for EBI
HHSC 748.4657(1)(A) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-08-03.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
-
Apr 13, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2022 Report · Deficiencies cited
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Supervision & ratios
One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-05-10. Correction verified 2022-05-12.
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Supervision & ratios
The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .
HHSC 748.1531(b)(5) — Medical Care-Written record of each medical examination includes any documentation provided by health-care professional who performed exam
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-10.
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Records & paperwork
Staff failed to complete EBI documentation for serious incidents involving children in their care.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-12.
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Records & paperwork
Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.
HHSC 748.303(a)(4)(B) — Serious Incident-Report to parents immediately after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2022-05-10. Correction verified 2022-05-10.
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Discipline & child guidance
Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-10.
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Safety & premises Serious
Two children used one seat belt while being transported for an outing.
HHSC 748.4045 — Safety restraints-only one person may use each child passenger safety seat system or safety belt
HHSC risk weight: High. Corrected 2022-05-10. Correction verified 2022-05-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 21, 2022 Report · Deficiencies cited
-
Supervision & ratios
One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-05-10. Correction verified 2022-05-12.
-
Supervision & ratios
The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .
HHSC 748.1531(b)(5) — Medical Care-Written record of each medical examination includes any documentation provided by health-care professional who performed exam
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-10.
-
Records & paperwork
Staff failed to complete EBI documentation for serious incidents involving children in their care.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-12.
-
Records & paperwork
Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.
HHSC 748.303(a)(4)(B) — Serious Incident-Report to parents immediately after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2022-05-10. Correction verified 2022-05-10.
-
Discipline & child guidance
Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2022-05-10. Correction verified 2022-05-10.
-
Safety & premises Serious
Two children used one seat belt while being transported for an outing.
HHSC 748.4045 — Safety restraints-only one person may use each child passenger safety seat system or safety belt
HHSC risk weight: High. Corrected 2022-05-10. Correction verified 2022-05-12.
-
Supervision & ratios
-
Mar 16, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
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.
-
Dec 22, 2021 Report · Deficiencies cited
-
Illness & medication
Medication logs reviewed did not include the reason medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-02-18.
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Illness & medication
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Dec 22, 2021 Report · Deficiencies cited
-
Illness & medication
Medication logs reviewed did not include the reason medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-02-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2021 Inspection · Deficiencies cited
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Illness & medication Serious
During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2021-11-18.
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Illness & medication Serious
-
Nov 18, 2021 Inspection · Deficiencies cited
-
Illness & medication Serious
During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2021-11-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Nov 16, 2021 Report · Deficiencies cited
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Other
During the inspection; a post discussion was not completed after restraint conducted on a child in care.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2021-12-28. Correction verified 2022-01-07.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Nov 16, 2021 Report · Deficiencies cited
-
Other
During the inspection; a post discussion was not completed after restraint conducted on a child in care.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2021-12-28. Correction verified 2022-01-07.
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Other
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Nov 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 8, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2021 Report · 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.
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.