RecordWell Data

City Of Hope Missions, Dba, Hearts-way Youth Shelter

None, None, TX

114cited violations
20serious
312inspections & investigations
0enforcement actions

Program

Type
General residential operation
Licensed capacity
12
Ages
6-17
Hours
12:00 AM-
Director / administrator
Vandar Kuzhali Kuppuswamy Cogan
Phone
(903) 978-2320
Regulated since
Dec 7, 2018
HHSC IDs
Operation 1286408 · number 1659892
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026120 Cleanliness & sanitation (2), Supervision & ratios (2), Safety & premises (2), Staff background & training (2), Records & paperwork (2), Other (2)
2025142 Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (4), Safety & premises (2), Staff background & training (2), Other (2)
2024326 Cleanliness & sanitation (6), Illness & medication (4), Supervision & ratios (6), Discipline & child guidance (2), Safety & premises (2), Records & paperwork (6), Other (6)
2023326 Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (20), Staff background & training (2), Records & paperwork (2), Other (4)
2022246 Illness & medication (4), Supervision & ratios (10), Safety & premises (2), Records & paperwork (2), Other (6)

Inspections, investigations & assessments

  1. Sep 18, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 18, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  3. Sep 18, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  4. Sep 18, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  5. Jul 24, 2026 Inspection · Deficiencies cited
    • Other

      During the inspection, I observed two mattresses without mattress covers.

      HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-07-23.

    HHSC inspection history

  6. Jul 24, 2026 Inspection · Deficiencies cited
    • Other

      During the inspection, I observed two mattresses without mattress covers.

      HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-07-23.

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

  7. Jun 9, 2026 Inspection · Deficiencies cited
    • Supervision & ratios

      During the inspection, I observed the evacuation diagram in the cottage lacked a designated meeting place in case of fire evacuation, and they also lacked the designation of the shelter in place locaiton for inclement weather.

      HHSC 748.3233(b)(2) — Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet

      HHSC risk weight: Medium High. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Cleanliness & sanitation

      During the inspection, I observed a broken door to a bathroom closet on the first floor, a broken door to a stand alone storage cabinet in the laundry room, and the upstairs bedroom was cluttered and in need of cleaning.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Safety & premises

      During the inspection, we observed one of four personnel records reviewed reflected employers within the past five years which were not included in the pre-employment screening steps.

      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 2026-06-18. Correction verified 2026-06-16.

    • Records & paperwork

      During the inspection, we observed two of four personnel records to include incomplete employment history verification checks or documentation as to why the employer was not reachable.

      HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.

      HHSC risk weight: Medium Low. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Staff background & training

      During the inspection, we observed four of four employee records reviewed lacked the instructor-led training for administering psychotropic medications..

      HHSC 748.941(b) — Training Criteria- Training on emergency behavior intervention and administering psychotropic medication must be instructor-led.

      HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-06-17.

    HHSC inspection history

  8. Jun 9, 2026 Inspection · Deficiencies cited
    • Supervision & ratios

      During the inspection, I observed the evacuation diagram in the cottage lacked a designated meeting place in case of fire evacuation, and they also lacked the designation of the shelter in place locaiton for inclement weather.

      HHSC 748.3233(b)(2) — Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet

      HHSC risk weight: Medium High. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Cleanliness & sanitation

      During the inspection, I observed a broken door to a bathroom closet on the first floor, a broken door to a stand alone storage cabinet in the laundry room, and the upstairs bedroom was cluttered and in need of cleaning.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Safety & premises

      During the inspection, we observed one of four personnel records reviewed reflected employers within the past five years which were not included in the pre-employment screening steps.

      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 2026-06-18. Correction verified 2026-06-16.

    • Records & paperwork

      During the inspection, we observed two of four personnel records to include incomplete employment history verification checks or documentation as to why the employer was not reachable.

      HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.

      HHSC risk weight: Medium Low. Corrected 2026-06-18. Correction verified 2026-06-16.

    • Staff background & training

      During the inspection, we observed four of four employee records reviewed lacked the instructor-led training for administering psychotropic medications..

      HHSC 748.941(b) — Training Criteria- Training on emergency behavior intervention and administering psychotropic medication must be instructor-led.

      HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-06-17.

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

  9. Apr 12, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  10. Apr 12, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  11. Apr 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  12. Apr 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Apr 10, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  14. Apr 10, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Apr 8, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  16. Apr 8, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  17. Dec 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Dec 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  19. Nov 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Nov 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  21. Nov 24, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  22. Nov 24, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  23. Oct 17, 2025 Report · Deficiencies cited
    • Other

      During the investigation, it was discerned a staff member used inappropriate language around and toward these children in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2025-11-25. Correction verified 2025-11-21.

    • Safety & premises

      During the inspection, it became evident a staff member was seen by other staff members transporting children despite having told other staff she was over tired. The staff in question also was discovered to have been making inappropriate comments and engaging in undesired physical contact with the boys.

      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 2025-11-25. Correction verified 2025-11-21.

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

  24. Oct 17, 2025 Report · Deficiencies cited
    • Other

      During the investigation, it was discerned a staff member used inappropriate language around and toward these children in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2025-11-25. Correction verified 2025-11-21.

    • Safety & premises

      During the inspection, it became evident a staff member was seen by other staff members transporting children despite having told other staff she was over tired. The staff in question also was discovered to have been making inappropriate comments and engaging in undesired physical contact with the boys.

      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 2025-11-25. Correction verified 2025-11-21.

    HHSC inspection history

  25. Oct 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Oct 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  27. Oct 13, 2025 Report · Deficiencies cited
    • Supervision & ratios Serious

      During the investigation, it was discovered the operation failed to provide a safe environment by placing a child with child sexual aggression history as a roommate to two children with sexual victimization history.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2025-11-07. Correction verified 2025-11-04.

    HHSC inspection history

  28. Oct 13, 2025 Report · Deficiencies cited
    • Supervision & ratios Serious

      During the investigation, it was discovered the operation failed to provide a safe environment by placing a child with child sexual aggression history as a roommate to two children with sexual victimization history.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2025-11-07. Correction verified 2025-11-04.

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

  29. Jun 9, 2025 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During a walk through of the operation, several food items were noted to be expired by several years that were in can goods.

      HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-09.

    HHSC inspection history

  30. Jun 9, 2025 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During a walk through of the operation, several food items were noted to be expired by several years that were in can goods.

      HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-09.

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

  31. May 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  32. May 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. May 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  34. May 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  35. Apr 23, 2025 Inspection · Deficiencies cited
    • Illness & medication

      During the investigation inspection, one child's medication record was not updated within 2 hours of staff administering the medication

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-23.

    • Staff background & training

      During the investigation inspection, EBI training certificates were reviewed and four staff members were delinquent on completing their EBI refresher trainings.

      HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.

      HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-04-29.

    HHSC inspection history

  36. Apr 23, 2025 Inspection · Deficiencies cited
    • Illness & medication

      During the investigation inspection, one child's medication record was not updated within 2 hours of staff administering the medication

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-23.

    • Staff background & training

      During the investigation inspection, EBI training certificates were reviewed and four staff members were delinquent on completing their EBI refresher trainings.

      HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.

      HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-04-29.

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

  37. Apr 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  38. Apr 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Apr 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Apr 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  41. Feb 13, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The operation did not have a copy of the child's tuberculosis screening. The child has been living at the operation for over 40 days.

      HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility

      HHSC risk weight: Medium Low. Corrected 2025-02-19. Correction verified 2025-02-19.

    HHSC inspection history

  42. Feb 13, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The operation did not have a copy of the child's tuberculosis screening. The child has been living at the operation for over 40 days.

      HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility

      HHSC risk weight: Medium Low. Corrected 2025-02-19. Correction verified 2025-02-19.

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

  43. Dec 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  44. Dec 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  46. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  47. Dec 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. Dec 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  49. Dec 2, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  50. Dec 2, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  51. Nov 27, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  52. Nov 27, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  53. Nov 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  54. Nov 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Nov 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Nov 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  57. Nov 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Nov 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  59. Nov 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  60. Nov 5, 2024 Inspection · Deficiencies cited
    • Other

      The employee file reviewed did not have a copy of the required reference checks required for employees hired after August 2023

      HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.

      HHSC risk weight: Medium. Corrected 2024-11-12. Correction verified 2024-11-07.

    HHSC inspection history

  61. Nov 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  62. Nov 5, 2024 Inspection · Deficiencies cited
    • Other

      The employee file reviewed did not have a copy of the required reference checks required for employees hired after August 2023

      HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.

      HHSC risk weight: Medium. Corrected 2024-11-12. Correction verified 2024-11-07.

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

  63. Nov 4, 2024 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      During the investigation, it was reported by three of the four children interviewed that the food at the operation is molded and expired. One child reported being given snacks in November 2024, that had an expiration date of March and July of 2024. The other two children reported there is molded and expired foods in the refrigerator. The protocol the staff and administrator report are being utilized to ensure there is no molded or expired foods is conflicting.

      HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development

      HHSC risk weight: High. Corrected 2024-12-09. Correction verified 2024-12-11.

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

  64. Nov 4, 2024 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      During the investigation, it was reported by three of the four children interviewed that the food at the operation is molded and expired. One child reported being given snacks in November 2024, that had an expiration date of March and July of 2024. The other two children reported there is molded and expired foods in the refrigerator. The protocol the staff and administrator report are being utilized to ensure there is no molded or expired foods is conflicting.

      HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development

      HHSC risk weight: High. Corrected 2024-12-09. Correction verified 2024-12-11.

    HHSC inspection history

  65. Oct 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Oct 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  67. Sep 12, 2024 Inspection · Deficiencies cited
    • Illness & medication

      One child's record was missing documentation for the morning dose.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected 2024-09-20. Correction verified 2024-09-18.

    HHSC inspection history

  68. Sep 12, 2024 Inspection · Deficiencies cited
    • Illness & medication

      One child's record was missing documentation for the morning dose.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

      HHSC risk weight: Medium High. Corrected 2024-09-20. Correction verified 2024-09-18.

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

  69. Sep 6, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  70. Sep 6, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  72. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Aug 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  74. Aug 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  75. Aug 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. Aug 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  77. Aug 8, 2024 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, there was an open package of sliced cheese and smoked sausages in the refrigerator, uncovered.

      HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-08-08.

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

  78. Aug 8, 2024 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, there was an open package of sliced cheese and smoked sausages in the refrigerator, uncovered.

      HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-08-08.

    HHSC inspection history

  79. Aug 7, 2024 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      It was alleged a caregiver threatened to have their children fight a child and another caregiver would jokingly threaten to use a 2x4 on children in care.

      HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting

      HHSC risk weight: High. Corrected 2024-10-07. Correction verified 2024-10-21.

    • Records & paperwork

      There are allegations caregivers were conducting bedroom searches but those searches were not documented.

      HHSC 748.1117 — Documentation of searches-Caregiver documents searches in the child's record

      HHSC risk weight: Medium Low. Corrected 2024-10-07. Correction verified 2024-10-04.

    • Cleanliness & sanitation

      During the investigation inspection on 8/8/2024 and follow up inspection on 9/5/2024, a child?s bed was observed to have a broken slat.

      HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

      HHSC risk weight: Medium High. Corrected 2024-10-07. Correction verified 2024-10-21.

    • Other Serious

      It was alleged a caregiver tried to physically fight a child in care.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2024-10-07. Correction verified 2024-10-21.

    HHSC inspection history

  80. Aug 7, 2024 Report · Deficiencies cited (self-report)
    • Discipline & child guidance Serious

      It was alleged a caregiver threatened to have their children fight a child and another caregiver would jokingly threaten to use a 2x4 on children in care.

      HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting

      HHSC risk weight: High. Corrected 2024-10-07. Correction verified 2024-10-21.

    • Records & paperwork

      There are allegations caregivers were conducting bedroom searches but those searches were not documented.

      HHSC 748.1117 — Documentation of searches-Caregiver documents searches in the child's record

      HHSC risk weight: Medium Low. Corrected 2024-10-07. Correction verified 2024-10-04.

    • Cleanliness & sanitation

      During the investigation inspection on 8/8/2024 and follow up inspection on 9/5/2024, a child?s bed was observed to have a broken slat.

      HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

      HHSC risk weight: Medium High. Corrected 2024-10-07. Correction verified 2024-10-21.

    • Other Serious

      It was alleged a caregiver tried to physically fight a child in care.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2024-10-07. Correction verified 2024-10-21.

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

  81. Aug 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Aug 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  83. Jun 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  84. Jun 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Jun 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  86. Jun 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Jun 12, 2024 Report

    No violations cited on this visit.

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

  88. Jun 12, 2024 Report

    No violations cited on this visit.

    HHSC inspection history

  89. Jun 12, 2024 Inspection · Deficiencies cited
    • Safety & premises

      In the 15-passenger van two of the safety belts are in need of repair. One does latch but the front cover was missing. The other does not latch. These are both seats that would normally be occupied by residents.

      HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times

      HHSC risk weight: Medium High. Corrected 2024-06-24. Correction verified 2024-07-12.

    HHSC inspection history

  90. Jun 12, 2024 Inspection · Deficiencies cited
    • Safety & premises

      In the 15-passenger van two of the safety belts are in need of repair. One does latch but the front cover was missing. The other does not latch. These are both seats that would normally be occupied by residents.

      HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times

      HHSC risk weight: Medium High. Corrected 2024-06-24. Correction verified 2024-07-12.

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

  91. Jun 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Jun 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  93. Jun 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  94. Jun 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  95. May 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  96. May 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  97. May 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  98. May 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  99. Apr 17, 2024 Inspection · Deficiencies cited
    • Other

      In two of the plans reviewed there was no signature provided to show that at least on caregiver was present and participated in the service plan meeting..

      HHSC 748.1339(a)(1) — Initial Service Plan-Service planning team must include at least one of the child's current caregivers

      HHSC risk weight: Low. Corrected 2024-04-29. Correction verified 2024-04-27.

    • Records & paperwork

      In two of the records reviewed, there was no signature to indicated two professionals were included in the service plan meeting or team.

      HHSC 748.1339(b) — Initial Service Plan-For treatment services, service planning team must include two professionals

      HHSC risk weight: Low. Corrected 2024-04-29. Correction verified 2024-04-27.

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

  100. Apr 17, 2024 Inspection · Deficiencies cited
    • Other

      In two of the plans reviewed there was no signature provided to show that at least on caregiver was present and participated in the service plan meeting..

      HHSC 748.1339(a)(1) — Initial Service Plan-Service planning team must include at least one of the child's current caregivers

      HHSC risk weight: Low. Corrected 2024-04-29. Correction verified 2024-04-27.

    • Records & paperwork

      In two of the records reviewed, there was no signature to indicated two professionals were included in the service plan meeting or team.

      HHSC 748.1339(b) — Initial Service Plan-For treatment services, service planning team must include two professionals

      HHSC risk weight: Low. Corrected 2024-04-29. Correction verified 2024-04-27.

    HHSC inspection history

  101. Mar 12, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      The Downstairs boys' bathroom did not have individual hand towels or disposable paper towels at the inspection.

      HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-03-12.

    • Cleanliness & sanitation

      There were hamburger buns with mold in the kitchen cabinet.

      HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-03-12.

    HHSC inspection history

  102. Mar 12, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      The Downstairs boys' bathroom did not have individual hand towels or disposable paper towels at the inspection.

      HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-03-12.

    • Cleanliness & sanitation

      There were hamburger buns with mold in the kitchen cabinet.

      HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-03-12.

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

  103. Mar 11, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  104. Mar 11, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  105. Feb 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  106. Feb 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  107. Feb 18, 2024 Report · Deficiencies cited
    • Illness & medication

      During the investigation, it was discovered the operation failed to fill a child's prescription medication timely, resulting in the operation failing to administer medication to the child according to the instructions on the label. The cream was prescribed on 2/12/2024 and wasn't filled until 2/28/2024. The written orders were to apply topically daily.

      HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders

      HHSC risk weight: Medium High. Corrected 2024-04-23. Correction verified 2024-04-22.

    • Supervision & ratios

      During the investigation it was discovered that a child was permitted to go outside the cabin in an attempt to de-escalate what could have been a physical altercation with another child in care. During that time, the child was able to walk off the premises and allegedly found a pack of marijuana infused gummies, in which he later ingested, became ill, and needed to seek emergency medical care. Due to the circumstances surrounding the child's history with drug use and sexual behaviors and in addition to the CPS Child's Plan of Service, the operation failed to supervise the child adequately.

      HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks

      HHSC risk weight: Medium High. Corrected 2024-04-23. Correction verified 2024-04-22.

    HHSC inspection history

  108. Feb 18, 2024 Report · Deficiencies cited
    • Illness & medication

      During the investigation, it was discovered the operation failed to fill a child's prescription medication timely, resulting in the operation failing to administer medication to the child according to the instructions on the label. The cream was prescribed on 2/12/2024 and wasn't filled until 2/28/2024. The written orders were to apply topically daily.

      HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders

      HHSC risk weight: Medium High. Corrected 2024-04-23. Correction verified 2024-04-22.

    • Supervision & ratios

      During the investigation it was discovered that a child was permitted to go outside the cabin in an attempt to de-escalate what could have been a physical altercation with another child in care. During that time, the child was able to walk off the premises and allegedly found a pack of marijuana infused gummies, in which he later ingested, became ill, and needed to seek emergency medical care. Due to the circumstances surrounding the child's history with drug use and sexual behaviors and in addition to the CPS Child's Plan of Service, the operation failed to supervise the child adequately.

      HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks

      HHSC risk weight: Medium High. Corrected 2024-04-23. Correction verified 2024-04-22.

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

  109. Feb 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  110. Feb 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  111. Feb 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  112. Feb 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  113. Jan 30, 2024 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Two of the four residents and all staff interviewed reported outings have been limited since the move to the new location. Two residents reported approximately one outing a week, while one staff stated there has not been any outings in a few weeks.

      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 2024-04-04. Correction verified 2024-04-03.

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

  114. Jan 30, 2024 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Two of the four residents and all staff interviewed reported outings have been limited since the move to the new location. Two residents reported approximately one outing a week, while one staff stated there has not been any outings in a few weeks.

      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 2024-04-04. Correction verified 2024-04-03.

    HHSC inspection history

  115. Jan 9, 2024 Report

    No violations cited on this visit.

    HHSC inspection history

  116. Jan 9, 2024 Report

    No violations cited on this visit.

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

  117. Jan 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  118. Jan 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. Jan 3, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  120. Jan 3, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  121. Oct 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  122. Oct 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  123. Oct 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  124. Oct 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  125. Oct 10, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      A child at the operation was able to start a fire in nearby wooded area..

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-01.

    HHSC inspection history

  126. Oct 10, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      A child at the operation was able to start a fire in nearby wooded area..

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-01.

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

  127. Oct 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  128. Oct 8, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  129. Sep 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  130. Sep 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  131. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  132. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  133. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  134. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  135. Jul 28, 2023 Inspection · Deficiencies cited
    • Illness & medication

      During the inspection, I observed that one of the medication logs for the children showed administration of medications without a staff signature or the time of administration for 8 administrations. Through document review and interviews, I also observed that medications logs were not signed by the staff that administered the medications to the children.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-03.

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

  136. Jul 28, 2023 Inspection · Deficiencies cited
    • Illness & medication

      During the inspection, I observed that one of the medication logs for the children showed administration of medications without a staff signature or the time of administration for 8 administrations. Through document review and interviews, I also observed that medications logs were not signed by the staff that administered the medications to the children.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-03.

    HHSC inspection history

  137. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  138. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  139. Jul 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Jul 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  141. Jul 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  142. Jul 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  143. Jul 3, 2023 Report · Deficiencies cited
    • Other

      Interviews during the investigation indicated that staff members use profane language around the children and in conversation with them.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2023-09-01. Correction verified 2023-09-01.

    HHSC inspection history

  144. Jul 3, 2023 Report · Deficiencies cited
    • Other

      Interviews during the investigation indicated that staff members use profane language around the children and in conversation with them.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2023-09-01. Correction verified 2023-09-01.

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

  145. Jun 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  146. Jun 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  147. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  148. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  149. Jun 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  150. Jun 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  151. Jun 12, 2023 Inspection · Deficiencies cited
    • Staff background & training

      In one of the records reviewed a staff was hired 9/15/22 but did not received the First-aid/CPR Training until 4/13/23.

      HHSC 748.911(c)(1) — Each caregiver must be certified in first aid within 90 days of employment.

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-22.

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

  152. Jun 12, 2023 Inspection · Deficiencies cited
    • Staff background & training

      In one of the records reviewed a staff was hired 9/15/22 but did not received the First-aid/CPR Training until 4/13/23.

      HHSC 748.911(c)(1) — Each caregiver must be certified in first aid within 90 days of employment.

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-22.

    HHSC inspection history

  153. Jun 6, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, the black refrigerator in the kitchen had a thermometer that read 45 degrees fahrenheit, indicating the food in the refrigerator was not stored at the required 40 degrees fahrenheit.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-13.

    • Supervision & ratios

      During the investigation inspection, the standalone freezer in the kitchen had a thermometer that read 20 degrees fahrenheit, indicating the food in the freezer was not stored at the required 0 degrees fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-13.

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

  154. Jun 6, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, the black refrigerator in the kitchen had a thermometer that read 45 degrees fahrenheit, indicating the food in the refrigerator was not stored at the required 40 degrees fahrenheit.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-13.

    • Supervision & ratios

      During the investigation inspection, the standalone freezer in the kitchen had a thermometer that read 20 degrees fahrenheit, indicating the food in the freezer was not stored at the required 0 degrees fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-13. Correction verified 2023-06-13.

    HHSC inspection history

  155. May 30, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, the mini refrigerator in the kitchen had a thermometer that read 50 degrees Fahrenheit, indicating the food in the refrigerator was not stored at the required 40 degrees Fahrenheit.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-06. Correction verified 2023-05-31.

    • Supervision & ratios

      During the investigation inspection, the standalone freezer in the kitchen had a thermometer that read 20 degrees Fahrenheit, indicating the food in the freezer was not stored at the required 0 degrees Fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-06. Correction verified 2023-05-31.

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

  156. May 30, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      During the investigation inspection, the mini refrigerator in the kitchen had a thermometer that read 50 degrees Fahrenheit, indicating the food in the refrigerator was not stored at the required 40 degrees Fahrenheit.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-06. Correction verified 2023-05-31.

    • Supervision & ratios

      During the investigation inspection, the standalone freezer in the kitchen had a thermometer that read 20 degrees Fahrenheit, indicating the food in the freezer was not stored at the required 0 degrees Fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-06-06. Correction verified 2023-05-31.

    HHSC inspection history

  157. May 28, 2023 Report · Deficiencies cited
    • Other

      During the investigation, it was discovered that the facility supervisor provided the directive to direct care staff to return inside the residence after being advised there were two children sitting on the roof of the cabin. This directive was provided, despite knowing there was a caregiver already present with the remaining 8 children, inside.

      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 2023-06-30. Correction verified 2023-06-28.

    • Supervision & ratios Serious

      During the investigation, it was reported by two children and one caregiver that children were left outside, unsupervised, on the roof of the cabin.

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2023-06-30. Correction verified 2023-06-28.

    HHSC inspection history

  158. May 28, 2023 Report · Deficiencies cited
    • Other

      During the investigation, it was discovered that the facility supervisor provided the directive to direct care staff to return inside the residence after being advised there were two children sitting on the roof of the cabin. This directive was provided, despite knowing there was a caregiver already present with the remaining 8 children, inside.

      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 2023-06-30. Correction verified 2023-06-28.

    • Supervision & ratios Serious

      During the investigation, it was reported by two children and one caregiver that children were left outside, unsupervised, on the roof of the cabin.

      HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

      HHSC risk weight: High. Corrected 2023-06-30. Correction verified 2023-06-28.

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

  159. May 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  160. May 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  161. May 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  162. May 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  163. May 10, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, I observed that one resident bed had a damaged box spring with exposed spring and wood through torn fabric, This box spring was removed during the inspection and the child was relocated to another bed.

      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 at inspection. Corrected 2023-05-10.

    • Supervision & ratios

      During the inspection, I observed a refrigerator unit used to store children's food without a thermometer.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-05-15. Correction verified 2023-05-12.

    HHSC inspection history

  164. May 10, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, I observed that one resident bed had a damaged box spring with exposed spring and wood through torn fabric, This box spring was removed during the inspection and the child was relocated to another bed.

      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 at inspection. Corrected 2023-05-10.

    • Supervision & ratios

      During the inspection, I observed a refrigerator unit used to store children's food without a thermometer.

      HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2023-05-15. Correction verified 2023-05-12.

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

  165. May 9, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  166. May 9, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  167. May 2, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      In reviewing the Serious Incident Report, I observed that the documented time of the incident was incorrect and that several locations requiring the documentation of date and time included the date but no documented time.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

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

    • Records & paperwork

      In reviewing the documentation, I observed that the Serious Incident Report does not include the time that Law Enforcement or the caseworker were notified.

      HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return

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

    HHSC inspection history

  168. May 2, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      In reviewing the Serious Incident Report, I observed that the documented time of the incident was incorrect and that several locations requiring the documentation of date and time included the date but no documented time.

      HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records

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

    • Records & paperwork

      In reviewing the documentation, I observed that the Serious Incident Report does not include the time that Law Enforcement or the caseworker were notified.

      HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return

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

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

  169. Mar 20, 2023 Report · Deficiencies cited
    • Supervision & ratios

      After reviewing the documentation, I observed that seven out of the seven children's individual service plans reflected a supervision ratio of one caregiver per five children. These seven children were transported to school at a ratio of seven children to one caregiver.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2023-04-24. Correction verified 2023-04-24.

    HHSC inspection history

  170. Mar 20, 2023 Report · Deficiencies cited
    • Supervision & ratios

      After reviewing the documentation, I observed that seven out of the seven children's individual service plans reflected a supervision ratio of one caregiver per five children. These seven children were transported to school at a ratio of seven children to one caregiver.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2023-04-24. Correction verified 2023-04-24.

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

  171. Feb 22, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      Resident and staff indicated that they have observed a stff member sleep while on duty.

      HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision

      HHSC risk weight: High. Corrected 2023-04-20. Correction verified 2023-04-17.

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

  172. Feb 22, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      Resident and staff indicated that they have observed a stff member sleep while on duty.

      HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision

      HHSC risk weight: High. Corrected 2023-04-20. Correction verified 2023-04-17.

    HHSC inspection history

  173. Feb 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  174. Feb 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  175. Dec 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  176. Dec 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  177. Dec 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  178. Dec 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  179. Dec 6, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  180. Dec 6, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  181. Nov 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  182. Nov 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  183. Nov 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  184. Nov 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  185. Nov 8, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  186. Nov 8, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  187. Oct 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  188. Oct 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  189. Oct 21, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  190. Oct 21, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  191. Oct 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  192. Oct 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  193. Sep 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  194. Sep 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  195. Aug 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  196. Aug 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  197. Aug 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  198. Aug 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  199. Aug 10, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      One of the four serious incident reports reviewed failed to show that the caregiver attempted to de-escalate with the child before and during the restraint.

      HHSC 748.2855(a)(3) — EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies

      HHSC risk weight: Medium. Corrected 2022-08-17. Correction verified 2022-08-17.

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

  200. Aug 10, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      One of the four serious incident reports reviewed failed to show that the caregiver attempted to de-escalate with the child before and during the restraint.

      HHSC 748.2855(a)(3) — EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies

      HHSC risk weight: Medium. Corrected 2022-08-17. Correction verified 2022-08-17.

    HHSC inspection history

  201. Aug 4, 2022 Inspection · Deficiencies cited
    • Illness & medication

      During the investigation inspection it was learned that the medication was being administered in a separate container that was not the original container that the medication came in.

      HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions

      HHSC risk weight: Medium High. Corrected 2022-08-11. Correction verified 2022-08-10.

    • Illness & medication

      During the inspection it was learned that the person giving the medication to the children was not the person who was signing the medication log.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2022-08-09. Correction verified 2022-08-09.

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

  202. Aug 4, 2022 Inspection · Deficiencies cited
    • Illness & medication

      During the investigation inspection it was learned that the medication was being administered in a separate container that was not the original container that the medication came in.

      HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions

      HHSC risk weight: Medium High. Corrected 2022-08-11. Correction verified 2022-08-10.

    • Illness & medication

      During the inspection it was learned that the person giving the medication to the children was not the person who was signing the medication log.

      HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication

      HHSC risk weight: Medium. Corrected 2022-08-09. Correction verified 2022-08-09.

    HHSC inspection history

  203. Aug 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  204. Aug 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  205. Aug 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  206. Aug 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  207. Jul 29, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2022-07-30. Correction verified 2022-07-30.

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

  208. Jul 29, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2022-07-30. Correction verified 2022-07-30.

    HHSC inspection history

  209. Jul 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  210. Jul 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  211. Jul 17, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  212. Jul 17, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  213. Jul 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  214. Jul 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  215. Jul 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  216. Jul 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  217. Jul 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  218. Jul 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  219. Jul 1, 2022 Report · Deficiencies cited
    • Other Serious

      A child in care was denied the right to attend church as a form of discipline. Although he had been asked to leave the previous evening, he had not been banned by the church.

      HHSC 748.2307(13) — Other Prohibited Punishments-denying basic child rights as discipline or punishment

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

    • Supervision & ratios Serious

      Due to staff not being aware, one child was put in a choke hold by another child. As a result, a canceled outing led to another child doing several thousand dollars worth of damage to the operation's property.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-08-25.

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

  220. Jul 1, 2022 Report · Deficiencies cited
    • Other Serious

      A child in care was denied the right to attend church as a form of discipline. Although he had been asked to leave the previous evening, he had not been banned by the church.

      HHSC 748.2307(13) — Other Prohibited Punishments-denying basic child rights as discipline or punishment

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

    • Supervision & ratios Serious

      Due to staff not being aware, one child was put in a choke hold by another child. As a result, a canceled outing led to another child doing several thousand dollars worth of damage to the operation's property.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-08-25.

    HHSC inspection history

  221. Jun 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  222. Jun 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  223. Jun 27, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  224. Jun 27, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  225. Jun 24, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  226. Jun 24, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  227. Jun 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  228. Jun 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  229. Jun 17, 2022 Report · Deficiencies cited
    • Other

      A caregiver used profanity when talking to or about two teenagers in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2022-07-15. Correction verified 2022-07-06.

    HHSC inspection history

  230. Jun 17, 2022 Report · Deficiencies cited
    • Other

      A caregiver used profanity when talking to or about two teenagers in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2022-07-15. Correction verified 2022-07-06.

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

  231. Jun 17, 2022 Report · Deficiencies cited
    • Supervision & ratios

      Staff yelling, threatening, cursing and egging on the children. Bouts of frustration and anger towards the kids.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-15.

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

  232. Jun 17, 2022 Report · Deficiencies cited
    • Supervision & ratios

      Staff yelling, threatening, cursing and egging on the children. Bouts of frustration and anger towards the kids.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-15.

    HHSC inspection history

  233. Jun 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  234. Jun 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  235. Jun 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  236. Jun 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  237. May 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  238. May 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  239. May 23, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      The operation failed to submit quarterly EBI data timely.

      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 2022-05-26. Correction verified 2022-05-26.

    HHSC inspection history

  240. May 23, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      The operation failed to submit quarterly EBI data timely.

      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 2022-05-26. Correction verified 2022-05-26.

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

  241. May 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  242. May 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  243. May 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  244. May 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  245. May 10, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver violated the Operation's policy by taking children in care to unauthorized places (personal residence) without prior permission from the administration.

      HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-27.

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

  246. May 10, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver violated the Operation's policy by taking children in care to unauthorized places (personal residence) without prior permission from the administration.

      HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-27.

    HHSC inspection history

  247. Apr 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  248. Apr 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  249. Apr 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  250. Apr 11, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  251. Apr 6, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  252. Apr 6, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  253. Mar 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  254. Mar 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  255. Mar 26, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  256. Mar 26, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  257. Mar 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  258. Mar 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  259. Mar 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  260. Mar 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  261. Mar 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  262. Mar 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  263. Mar 4, 2022 Report · Deficiencies cited
    • Other Serious

      A staff member fell asleep for a few minutes while caring for children in care

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2022-04-12. Correction verified 2022-04-07.

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

  264. Mar 4, 2022 Report · Deficiencies cited
    • Other Serious

      A staff member fell asleep for a few minutes while caring for children in care

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2022-04-12. Correction verified 2022-04-07.

    HHSC inspection history

  265. Mar 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  266. Mar 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  267. Feb 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  268. Feb 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  269. Feb 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  270. Feb 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  271. Feb 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  272. Feb 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  273. Feb 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  274. Feb 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  275. Feb 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  276. Feb 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  277. Jan 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  278. Jan 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  279. Jan 25, 2022 Report · Deficiencies cited
    • Safety & premises

      (4) out of (6) children in care were interviewed and reported that they saw one caregiver vaping while inside the facility, on the premises while providing care to children, and in the facility van while transporting children in care.

      HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids

      HHSC risk weight: Medium High. Corrected 2022-04-01. Correction verified 2022-03-31.

    HHSC inspection history

  280. Jan 25, 2022 Report · Deficiencies cited
    • Safety & premises

      (4) out of (6) children in care were interviewed and reported that they saw one caregiver vaping while inside the facility, on the premises while providing care to children, and in the facility van while transporting children in care.

      HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids

      HHSC risk weight: Medium High. Corrected 2022-04-01. Correction verified 2022-03-31.

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

  281. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  282. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  283. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  284. Jan 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  285. Jan 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  286. Jan 15, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  287. Jan 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  288. Jan 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  289. Jan 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  290. Jan 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  291. Dec 21, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  292. Dec 21, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  293. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  294. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  295. Dec 8, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  296. Dec 8, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  297. Nov 30, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  298. Nov 30, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  299. Nov 23, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  300. Nov 23, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  301. Nov 12, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  302. Nov 12, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  303. Nov 4, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  304. Nov 4, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  305. Oct 25, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  306. Oct 25, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  307. Oct 14, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  308. Oct 14, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  309. Oct 14, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  310. Oct 14, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  311. Sep 29, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  312. Sep 29, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

Get the full file

HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.

Email the request Printable letter (fax or mail)

Send to
HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text

If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.

Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.