RecordWell Data

Lutheran Social Services Of The South, INC.

8305 CROSS PARK DR, Austin, TX 78754 · Travis County

88cited violations
16serious
148inspections & investigations
1enforcement actions

Program

Type
Child-placing agency
Ages
-
Hours
08:30 AM-05:00 PM
Director / administrator
Guadalupe Chapa
Phone
(512) 459-1000
Regulated since
Oct 9, 1985
HHSC IDs
Operation 94086 · number 25- 25
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202620 Supervision & ratios (2)
2025322 Cleanliness & sanitation (6), Supervision & ratios (4), Safety & premises (4), Staff background & training (12), Records & paperwork (2), Other (4)
202440 Supervision & ratios (4)
2023266 Illness & medication (2), Supervision & ratios (6), Discipline & child guidance (2), Safety & premises (2), Staff background & training (2), Records & paperwork (6), Other (6)
2022186 Illness & medication (6), Supervision & ratios (2), Records & paperwork (8), Other (2)
202162 Cleanliness & sanitation (2), Illness & medication (2), Discipline & child guidance (2)

Enforcement actions

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

  1. Aug 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  2. Aug 21, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Aug 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  4. Aug 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  5. Apr 27, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  6. Apr 27, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  7. Apr 27, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Apr 27, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  9. Apr 6, 2026 Assessment · Deficiencies cited
    • Supervision & ratios

      Narrative: During a review conducted on April 6, 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 2026-04-07. Correction verified 2026-04-07.

    HHSC inspection history

  10. Apr 6, 2026 Assessment · Deficiencies cited
    • Supervision & ratios

      Narrative: During a review conducted on April 6, 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 2026-04-07. Correction verified 2026-04-07.

    HHSC inspection history · no longer published by HHSC; kept here

  11. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  12. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Nov 18, 2025 Inspection · Deficiencies cited
    • Staff background & training Serious

      While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

      HHSC 749.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking

      HHSC risk weight: High. Corrected 2025-11-21. Correction verified 2025-11-24.

    HHSC inspection history

  14. Nov 18, 2025 Inspection · Deficiencies cited
    • Staff background & training Serious

      While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

      HHSC 749.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking

      HHSC risk weight: High. Corrected 2025-11-21. Correction verified 2025-11-24.

    HHSC inspection history · no longer published by HHSC; kept here

  15. Oct 2, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 02, 2025, 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 2025-10-03. Correction verified 2025-10-03.

    HHSC inspection history

  16. Oct 2, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 02, 2025, 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 2025-10-03. Correction verified 2025-10-03.

    HHSC inspection history · no longer published by HHSC; kept here

  17. Jul 23, 2025 Inspection · Deficiencies cited
    • Staff background & training

      While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with 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 2025-07-25. Correction verified 2025-07-28.

    HHSC inspection history

  18. Jul 23, 2025 Inspection · Deficiencies cited
    • Staff background & training

      While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with 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 2025-07-25. Correction verified 2025-07-28.

    HHSC inspection history · no longer published by HHSC; kept here

  19. Jul 15, 2025 Assessment · Deficiencies cited
    • Cleanliness & sanitation

      During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

      HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-07-22. Correction verified 2025-08-13.

    HHSC inspection history · no longer published by HHSC; kept here

  20. Jul 15, 2025 Assessment · Deficiencies cited
    • Cleanliness & sanitation

      During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

      HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-07-22. Correction verified 2025-08-13.

    HHSC inspection history

  21. Jul 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. Jul 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  23. Jun 12, 2025 Inspection · Deficiencies cited
    • Staff background & training

      Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

      HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.

      HHSC risk weight: Medium High. Corrected 2025-06-19. Correction verified 2025-06-16.

    HHSC inspection history · no longer published by HHSC; kept here

  24. Jun 12, 2025 Inspection · Deficiencies cited
    • Staff background & training

      Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

      HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.

      HHSC risk weight: Medium High. Corrected 2025-06-19. Correction verified 2025-06-16.

    HHSC inspection history

  25. May 21, 2025 Assessment · Deficiencies cited
    • Safety & premises

      During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

      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 2025-05-23. Correction verified 2025-05-23.

    • Safety & premises

      During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

      HHSC 749.2905(b) — Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-08-13.

    • Records & paperwork

      During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

      HHSC 749.2917 — Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-05-23.

    HHSC inspection history · no longer published by HHSC; kept here

  26. May 21, 2025 Assessment · Deficiencies cited
    • Safety & premises

      During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

      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 2025-05-23. Correction verified 2025-05-23.

    • Safety & premises

      During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

      HHSC 749.2905(b) — Fire/health safety evaluations conducted by child placement staff using the State Fire Marshal?s checklist for foster homes is current for one year

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-08-13.

    • Records & paperwork

      During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

      HHSC 749.2917 — Animals-animals at the home must be kept free of disease; must be vaccinated and treated by a licensed veterinarian, must not be a health risk

      HHSC risk weight: Medium High. Corrected 2025-05-23. Correction verified 2025-05-23.

    HHSC inspection history

  27. May 13, 2025 Inspection · Deficiencies cited
    • Staff background & training

      While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

      HHSC 749.930(c)(3) — Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    • Staff background & training

      While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

      HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    • Staff background & training

      While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

      HHSC 749.931(b)(3) — Annual Training- Must include 1 hour of normalcy.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    HHSC inspection history · no longer published by HHSC; kept here

  28. May 13, 2025 Inspection · Deficiencies cited
    • Staff background & training

      While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

      HHSC 749.930(c)(3) — Annual Training-Each caregiver must complete 1 hour annual training on Normalcy.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    • Staff background & training

      While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

      HHSC 749.930(c)(4) — Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    • Staff background & training

      While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

      HHSC 749.931(b)(3) — Annual Training- Must include 1 hour of normalcy.

      HHSC risk weight: Medium High. Corrected 2025-05-20. Correction verified 2025-05-19.

    HHSC inspection history

  29. Apr 29, 2025 Assessment · Deficiencies cited
    • Cleanliness & sanitation

      During an RCC home visit the bathtub and tile had mold and mildew stains.

      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 2025-05-02. Correction verified 2025-05-22.

    • Cleanliness & sanitation

      During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

      HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-05-02. Correction verified 2025-05-22.

    • Other

      During an RCC HM home visit propane and oxygen tanks were observed outside.

      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 2025-05-02. Correction verified 2025-05-22.

    HHSC inspection history · no longer published by HHSC; kept here

  30. Apr 29, 2025 Assessment · Deficiencies cited
    • Cleanliness & sanitation

      During an RCC home visit the bathtub and tile had mold and mildew stains.

      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 2025-05-02. Correction verified 2025-05-22.

    • Cleanliness & sanitation

      During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

      HHSC 749.3041(4) — Physical Environment-Foster home must ensure that outdoor areas are safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-05-02. Correction verified 2025-05-22.

    • Other

      During an RCC HM home visit propane and oxygen tanks were observed outside.

      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 2025-05-02. Correction verified 2025-05-22.

    HHSC inspection history

  31. Mar 24, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2025-03-25. Correction verified 2025-03-25.

    HHSC inspection history

  32. Mar 24, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2025-03-25. Correction verified 2025-03-25.

    HHSC inspection history · no longer published by HHSC; kept here

  33. Feb 9, 2025 Report · Deficiencies cited
    • Other

      The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

      HHSC 749.2625 — Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child

      HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-11.

    HHSC inspection history · no longer published by HHSC; kept here

  34. Feb 9, 2025 Report · Deficiencies cited
    • Other

      The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

      HHSC 749.2625 — Respite- must share information with babysitter, overnight care, and/or respite care provider before providing care for child

      HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-11.

    HHSC inspection history

  35. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  36. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Dec 13, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  38. Dec 13, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Oct 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Oct 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  41. Oct 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. Oct 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  43. Sep 24, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2024-09-25. Correction verified 2024-09-25.

    HHSC inspection history

  44. Sep 24, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2024-09-25. Correction verified 2024-09-25.

    HHSC inspection history · no longer published by HHSC; kept here

  45. Aug 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  46. Aug 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  47. Jun 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. Jun 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  49. May 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  50. May 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  51. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  52. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  54. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  55. Apr 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  56. Apr 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Apr 16, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  58. Apr 16, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  59. Mar 22, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 22, 2024, 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 2024-03-23. Correction verified 2024-03-23.

    HHSC inspection history

  60. Mar 22, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 22, 2024, 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 2024-03-23. Correction verified 2024-03-23.

    HHSC inspection history · no longer published by HHSC; kept here

  61. Jan 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  62. Jan 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  63. Dec 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  64. Dec 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Dec 22, 2023 Report · Deficiencies cited
    • Records & paperwork Serious

      A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

      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 2024-02-12. Correction verified 2024-02-12.

    HHSC inspection history · no longer published by HHSC; kept here

  66. Dec 22, 2023 Report · Deficiencies cited
    • Records & paperwork Serious

      A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

      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 2024-02-12. Correction verified 2024-02-12.

    HHSC inspection history

  67. Dec 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  68. Dec 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  69. Oct 20, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  70. Oct 20, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. Sep 21, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 15, 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, 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 2023-09-22. Correction verified 2023-09-22.

    HHSC inspection history · no longer published by HHSC; kept here

  72. Sep 21, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 15, 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, 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 2023-09-22. Correction verified 2023-09-22.

    HHSC inspection history

  73. Jul 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  74. Jul 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. May 24, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

      HHSC 749.2803(b) — Foster Home Changes-new or temporary verification certificate must be issued for change in location, extend expiration date or change to non-expiring

      HHSC risk weight: Medium Low. Corrected 2023-06-07. Correction verified 2023-05-26.

    • Staff background & training

      While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

      HHSC 749.605(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-05-24.

    HHSC inspection history · no longer published by HHSC; kept here

  76. May 24, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

      HHSC 749.2803(b) — Foster Home Changes-new or temporary verification certificate must be issued for change in location, extend expiration date or change to non-expiring

      HHSC risk weight: Medium Low. Corrected 2023-06-07. Correction verified 2023-05-26.

    • Staff background & training

      While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

      HHSC 749.605(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-05-24.

    HHSC inspection history

  77. May 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  78. May 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. May 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  80. May 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  81. Apr 13, 2023 Report · Deficiencies cited (self-report)
    • Other

      After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

      HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Other Serious

      The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

      HHSC 749.1309(b)(1)(H)(i) — Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others

      HHSC risk weight: High. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Records & paperwork

      It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

      HHSC 749.1311(a)(1) — Initial Service Planning Team-Must include at least one of the child's current caregivers

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Records & paperwork

      It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

      HHSC 749.1321(a)(3) — Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    HHSC inspection history

  82. Apr 13, 2023 Report · Deficiencies cited (self-report)
    • Other

      After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

      HHSC 749.1133(a) — Admission Assessment-Must provide an initial evaluation of appropriate placement for a child, and obtain information to facilitate service planning

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Other Serious

      The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

      HHSC 749.1309(b)(1)(H)(i) — Initial Service Plan-For children who exhibit high risk behavior, must include minimizing risk of harm to self or others

      HHSC risk weight: High. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Records & paperwork

      It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

      HHSC 749.1311(a)(1) — Initial Service Planning Team-Must include at least one of the child's current caregivers

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    • Records & paperwork

      It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

      HHSC 749.1321(a)(3) — Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers

      HHSC risk weight: Medium. Corrected 2023-06-23. Correction verified 2023-06-22.

    HHSC inspection history · no longer published by HHSC; kept here

  83. Mar 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  84. Mar 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  85. Mar 20, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 17th, 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, 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 2023-03-21. Correction verified 2023-04-21.

    HHSC inspection history

  86. Mar 20, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 17th, 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, 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 2023-03-21. Correction verified 2023-04-21.

    HHSC inspection history · no longer published by HHSC; kept here

  87. Mar 15, 2023 Report · Deficiencies cited
    • Illness & medication

      Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

      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 2023-05-22. Correction verified 2023-05-19.

    • Safety & premises

      Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

      HHSC 749.1805(1) — Infant requirements-An infant care area must at a minimum include an individual crib for each infant

      HHSC risk weight: Medium. Corrected 2023-05-23. Correction verified 2023-05-19.

    HHSC inspection history

  88. Mar 15, 2023 Report · Deficiencies cited
    • Illness & medication

      Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

      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 2023-05-22. Correction verified 2023-05-19.

    • Safety & premises

      Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

      HHSC 749.1805(1) — Infant requirements-An infant care area must at a minimum include an individual crib for each infant

      HHSC risk weight: Medium. Corrected 2023-05-23. Correction verified 2023-05-19.

    HHSC inspection history · no longer published by HHSC; kept here

  89. Mar 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  90. Mar 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Jan 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Jan 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  93. Jan 7, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child 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 2023-03-20. Correction verified 2023-03-16.

    • Other

      During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

      HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2023-03-20. Correction verified 2023-03-16.

    HHSC inspection history

  94. Jan 7, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child 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 2023-03-20. Correction verified 2023-03-16.

    • Other

      During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

      HHSC 749.1957(8) — Other Prohibited Discipline-Humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2023-03-20. Correction verified 2023-03-16.

    HHSC inspection history · no longer published by HHSC; kept here

  95. Dec 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  96. Dec 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  97. Dec 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  98. Dec 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  99. Dec 7, 2022 Report · Deficiencies cited
    • Other Serious

      Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

      HHSC 749.1815(c) — Infant requirements-Infant may not sleep in prone position with sleeping adult at any time

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-12-22.

    HHSC inspection history

  100. Dec 7, 2022 Report · Deficiencies cited
    • Other Serious

      Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

      HHSC 749.1815(c) — Infant requirements-Infant may not sleep in prone position with sleeping adult at any time

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-12-22.

    HHSC inspection history · no longer published by HHSC; kept here

  101. Nov 17, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  102. Nov 17, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  103. Nov 15, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

      HHSC 749.2817(a) — Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements

      HHSC risk weight: Medium. Corrected 2022-11-29. Correction verified 2022-11-23.

    HHSC inspection history · no longer published by HHSC; kept here

  104. Nov 15, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

      HHSC 749.2817(a) — Supervisory Visits-must maintain all monitoring and supervisory requirements if the home is available for placements

      HHSC risk weight: Medium. Corrected 2022-11-29. Correction verified 2022-11-23.

    HHSC inspection history

  105. Sep 16, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2022-09-17. Correction verified 2022-09-17.

    HHSC inspection history · no longer published by HHSC; kept here

  106. Sep 16, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

      HHSC 749.635(2) — AP CPA administrator responsibilities- Ensure that the operation complies with current heightened monitoring plans.

      HHSC risk weight: Medium High. Corrected 2022-09-17. Correction verified 2022-09-17.

    HHSC inspection history

  107. Sep 14, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

      HHSC 749.1409(a)(1) — General dental requirements-Child must receive dental care initially, according to the requirements in 749.1153

      HHSC risk weight: Medium. Corrected 2022-09-28. Correction verified 2022-09-30.

    • Illness & medication

      Two of the child records did not have medication records for several months.

      HHSC 749.1541(f) — Medication Record-Medication records of prescription & nonprescription medication dispensed to the child must be incorporated into child's record

      HHSC risk weight: Medium Low. Corrected 2022-09-28. Correction verified 2022-09-30.

    • Records & paperwork

      Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

      HHSC 749.571 — Client records-Maintain master records for all clients that are individualized, current, and complete

      HHSC risk weight: Medium. Corrected 2022-09-28. Correction verified 2022-09-30.

    HHSC inspection history · no longer published by HHSC; kept here

  108. Sep 14, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

      HHSC 749.1409(a)(1) — General dental requirements-Child must receive dental care initially, according to the requirements in 749.1153

      HHSC risk weight: Medium. Corrected 2022-09-28. Correction verified 2022-09-30.

    • Illness & medication

      Two of the child records did not have medication records for several months.

      HHSC 749.1541(f) — Medication Record-Medication records of prescription & nonprescription medication dispensed to the child must be incorporated into child's record

      HHSC risk weight: Medium Low. Corrected 2022-09-28. Correction verified 2022-09-30.

    • Records & paperwork

      Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

      HHSC 749.571 — Client records-Maintain master records for all clients that are individualized, current, and complete

      HHSC risk weight: Medium. Corrected 2022-09-28. Correction verified 2022-09-30.

    HHSC inspection history

  109. Aug 23, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

      HHSC 749.1521(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected 2022-08-29. Correction verified 2022-08-29.

    HHSC inspection history · no longer published by HHSC; kept here

  110. Aug 23, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

      HHSC 749.1521(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected 2022-08-29. Correction verified 2022-08-29.

    HHSC inspection history

  111. Aug 16, 2022 Report · Deficiencies cited
    • Records & paperwork

      After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

      HHSC 749.2453(d)(2) — A CPA must do the following when updating a foster home screening-complete the update within 30 days of the notification of a major life change

      HHSC risk weight: Medium. Corrected 2022-09-20. Correction verified 2022-09-20.

    HHSC inspection history · no longer published by HHSC; kept here

  112. Aug 16, 2022 Report · Deficiencies cited
    • Records & paperwork

      After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

      HHSC 749.2453(d)(2) — A CPA must do the following when updating a foster home screening-complete the update within 30 days of the notification of a major life change

      HHSC risk weight: Medium. Corrected 2022-09-20. Correction verified 2022-09-20.

    HHSC inspection history

  113. Aug 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  114. Aug 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  115. Jun 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  116. Jun 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  117. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  118. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. May 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  120. May 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  121. Apr 19, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

      HHSC 749.1521(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-26.

    HHSC inspection history

  122. Apr 19, 2022 Inspection · Deficiencies cited
    • Illness & medication Serious

      During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

      HHSC 749.1521(1) — Medication Storage-Store medication in a locked container

      HHSC risk weight: High. Corrected 2022-04-22. Correction verified 2022-04-26.

    HHSC inspection history · no longer published by HHSC; kept here

  123. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  124. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  125. Mar 30, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  126. Mar 30, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  127. Mar 25, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  128. Mar 25, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  129. Feb 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  130. Feb 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  131. Feb 1, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  132. Feb 1, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  133. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  134. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  135. Dec 9, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  136. Dec 9, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  137. Dec 6, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  138. Dec 6, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  139. Nov 29, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  140. Nov 29, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  141. Oct 27, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  142. Oct 27, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  143. Oct 11, 2021 Inspection · Deficiencies cited
    • Illness & medication

      Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

      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 2021-10-13.

    • Cleanliness & sanitation

      During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

      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 2021-10-29. Correction verified 2021-10-13.

    HHSC inspection history · no longer published by HHSC; kept here

  144. Oct 11, 2021 Inspection · Deficiencies cited
    • Illness & medication

      Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

      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 2021-10-13.

    • Cleanliness & sanitation

      During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

      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 2021-10-29. Correction verified 2021-10-13.

    HHSC inspection history

  145. Oct 3, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  146. Oct 3, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  147. Sep 18, 2021 Report · Deficiencies cited
    • Discipline & child guidance Serious

      During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

      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 2021-10-29. Correction verified 2021-10-18.

    HHSC inspection history · no longer published by HHSC; kept here

  148. Sep 18, 2021 Report · Deficiencies cited
    • Discipline & child guidance Serious

      During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

      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 2021-10-29. Correction verified 2021-10-18.

    HHSC inspection history

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.