Hmih Cedar Crest, LLC
3500 S IH 35, Belton, TX 76513 · Bell County
Program
- Type
- General residential operation
- Licensed capacity
- 90
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Appolonia Obianuju Okereke
- Phone
- (254) 939-2100
- Regulated since
- Jun 12, 2006
- HHSC IDs
- Operation 266025 · number 846369
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 1 | Supervision & ratios (1), Records & paperwork (1), Other (2) |
| 2025 | 8 | 3 | Illness & medication (1), Supervision & ratios (2), Staff background & training (2), Records & paperwork (1), Other (2) |
| 2024 | 41 | 12 | Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (10), Discipline & child guidance (7), Safety & premises (2), Staff background & training (1), Records & paperwork (6), Other (9) |
| 2023 | 71 | 21 | Cleanliness & sanitation (2), Illness & medication (5), Supervision & ratios (25), Discipline & child guidance (11), Safety & premises (4), Food & allergies (3), Staff background & training (4), Records & paperwork (4), Other (13) |
| 2022 | 3 | 1 | Illness & medication (1), Supervision & ratios (1), Records & paperwork (1) |
| 2021 | 3 | 2 | Illness & medication (1), Discipline & child guidance (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Inspection
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Report
No violations cited on this visit.
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Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 3, 2026 Report
No violations cited on this visit.
-
Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Report
No violations cited on this visit.
-
Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 31, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
The operation had 8 children for 1 staff member at the time and day of the incident.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2026-07-03. Correction verified 2026-07-28.
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Supervision & ratios
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 23, 2026 Report
No violations cited on this visit.
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May 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 20, 2026 Report
No violations cited on this visit.
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May 20, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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May 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 7, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 1, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2026 Report · Deficiencies cited
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Other
A caregiver failed to de-escalate a situation which resulted in an unnecessary restraint of a child in care.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-06-10.
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Other Serious
A child in care was inappropriately restrained. The restraint resulted in the child being injured.
HHSC 748.2551(b) — EBI Implementation-The caregiver must act to protect the child's safety
HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-06-10.
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Other
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Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the Serious Incident Report found the second fall was not included. The child that witness the incident and the staff that were involved were not documented on the incident Report.
HHSC 748.311(6) — Serious Incident Documentation-Includes nature of the incident
HHSC risk weight: Medium. Corrected 2026-02-24. Correction verified 2026-02-24.
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Records & paperwork
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 19, 2025 Report · Deficiencies cited
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Other
A caregiver made belittling and antagonistic comments to a child in care, as well as used profane language. These actions further escalated the child's behavior.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2026-02-06. Correction verified 2026-03-25.
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Other
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Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 30, 2025 Report
No violations cited on this visit.
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Jul 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 25, 2025 Inspection
No violations cited on this visit.
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Jul 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Report · Deficiencies cited
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Supervision & ratios
During the walk through of the operation all 3 units were observed, there were more than five children being cared for by one staff member in several units. It was stated in interviews that staff members were aware of the 1 to 5 ratio but couldn't account for what youth they were responsible for while on duty.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2025-08-21. Correction verified 2025-08-20.
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Supervision & ratios Serious
During the walkthrough of the operation, a youth was seen in the common area on the phone with no supervision, auditory or visual. A staff member admitted to allowing the youth a phone call, but later forgetting the youth was still on the phone or providing any level of supervision. This youth was on observation every 15 minutes due to youth's high-risk behaviors, the youth reported being on the phone and alone for longer than 15 minutes.
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 2025-08-21. Correction verified 2025-08-20.
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Supervision & ratios
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Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2025 Inspection
No violations cited on this visit.
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Jun 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2025 Report · Deficiencies cited
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Other
Staff did not demonstrate prudent judgment when they grabbed a child, who was being non-compliant, by the ear in an attempt to make the child move to a different area.
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 2025-04-25. Correction verified 2025-05-17.
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Other
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Mar 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2025 Inspection
No violations cited on this visit.
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Mar 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
While reviewing the serious incident reports it was found that child witnesses were not documented.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2025-03-26. Correction verified 2025-03-13.
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Records & paperwork
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Feb 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2025 Inspection
No violations cited on this visit.
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Feb 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Inspection
No violations cited on this visit.
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Feb 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2025 Report · Deficiencies cited
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Illness & medication Serious
A child's parent refused consent for the operation to administer Lithium to their child. A nurse administered one dose of Lithium to the child after the refusal.
HHSC 748.2001(b) — Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
HHSC risk weight: High. Corrected 2025-03-10. Correction verified 2025-04-04.
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Illness & medication Serious
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Feb 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
A staff member was determined by the background check unit to be ineligible to be at the operation on 1/9/25. The staff worked on 1/11/25.
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2025-01-16. Correction verified 2025-01-16.
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Staff background & training
A caregiver did not have 16 hours of preservice EBI training within 90 days of being hired.
HHSC 748.863(a)(3) — Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
HHSC risk weight: Medium High. Corrected 2025-01-24. Correction verified 2025-01-24.
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Staff background & training Serious
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Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 3, 2024 Report · Deficiencies cited
-
Records & paperwork Serious
Caregivers were not aware or accountable of children's ongoing activity when a child was able to go into another child's room and have inappropriate contact. Staff was reported to be on their phone when this occurred.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2025-01-17. Correction verified 2025-01-14.
-
Records & paperwork Serious
-
Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2024 Report
No violations cited on this visit.
-
Nov 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2024 Inspection · Deficiencies cited
-
Records & paperwork
Three of three child files did not have documentation that parents were notified of service plan meeting at least two weeks before the meeting. Two files had documentation that had incorrect dates while the other file had no documentation at all.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2024-11-08. Correction verified 2024-11-04.
-
Records & paperwork
-
Oct 28, 2024 Report
No violations cited on this visit.
-
Oct 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-09-27. Correction verified 2024-11-06.
-
Discipline & child guidance Serious
Through interviews it was determined that a staff member threatened corporal punishment to a child if a child behaved the way they did again.
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 2024-09-27. Correction verified 2024-11-06.
-
Discipline & child guidance
On 8/14/24 children and staff witnessed an incident where there were concerns that a staff physically assaulted a child in care. This was not reported to Licensing until 8/20/24.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-11-06.
-
Discipline & child guidance Serious
-
Aug 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2024 Report · Deficiencies cited
-
Other
Through multiple interviews of staff and children it was determined that staff have been heard using profane and abusive language towards children.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-11-06.
-
Other
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Six children and three staff who were interviewed report on 7/7/24 three children were placed on 1:1 observation and the rest of the unit was out of ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-08-16. Correction verified 2024-08-27.
-
Supervision & ratios Serious
A child in care was left unsupervised in a hallway by themselves. The child accessed a hospital gown and used the strings to tie around their neck. After the child was placed on 1:1 observation, the staff assigned to the child responded to incident involving another child and brought the child on 1:1 to the other child's room and was not providing 1:1 observation.
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 2024-08-16. Correction verified 2024-08-27.
-
Supervision & ratios
-
Jul 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Report
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2024 Report · Deficiencies cited
-
Supervision & ratios
Observation logs of a child in care note that one staff member was conducting the checks, as staff initialed that time. However, through interviews it was determined that staff was not making those checks and it was another staff. Additionally, the incident report for a child self-harming on 6/10/24 note it took place at 2:25 pm; however, the observation logs note at 1:30 the child was self-harming. This would indicate one of the documents is not accurate.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-22. Correction verified 2024-08-27.
-
Supervision & ratios
-
Jun 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2024 Inspection · Deficiencies cited
-
Other
Three of three children's files did not have documentation of dental exams being completed within the last year. No dental had been scheduled for the children.
HHSC 748.1225(b) — Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
HHSC risk weight: Medium Low. Corrected 2024-06-21. Correction verified 2024-07-02.
-
Illness & medication
In a serious incident report reviewed it was noted a child swallowed a zipper and was taken to the emergency room for X-rays. This was not reported to RCCR.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-06-06. Correction verified 2024-07-02.
-
Staff background & training
It could not be verified that a staff had 50 hours of annual training for 2023. The staff's onling training showed less than 15 hours and other trainings did not have the number of hours.
HHSC 748.930(a)(2) — Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training
HHSC risk weight: Medium High. Corrected 2024-06-21. Correction verified 2024-07-02.
-
Other
-
Jun 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 11, 2024 Report · Deficiencies cited
-
Records & paperwork Serious
Staff sitting in the hallway observing children in their bedrooms did not notice when one child went into another child's room, where the two children appeared to have engaged in inappropriate physical contact with each other. This was observed by a different staff member.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-07-01. Correction verified 2024-07-02.
-
Records & paperwork Serious
-
May 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Report · Deficiencies cited
-
Safety & premises Serious
Staff did not intervene appropriately on children who were playing a potentially dangerous game of seeing how long they could hold their hands in fire ant beds. Multiple interviews indicate staff saw what the children were doing and redirected but did not continue to redirect or prevent children from gaining access to other ant beds. Two child had serious reactions to the ant bites and had to be taken to the emergency room.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-06-19. Correction verified 2024-07-02.
-
Safety & premises Serious
-
Apr 29, 2024 Report · Deficiencies cited
-
Records & paperwork
A child in care attempted suicide on 4/24/24 and this was not reported to Residential Childcare Regulation until 4/28/24.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2024-06-19. Correction verified 2024-07-02.
-
Records & paperwork
-
Apr 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2024 Report · Recorded (self-report)
No violations cited on this visit.
-
Apr 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2024 Report · Deficiencies cited
-
Supervision & ratios
Two out of two staff interviewed regarding ratio report ratio was not being maintained during an incident as there were more than 10 children outside with two staff. One of two children interviewed regarding ratio report ratio was not being maintained during an incident as there were more than ten children outside with two staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-05-17. Correction verified 2024-05-21.
-
Supervision & ratios
Observation logs for several children note each child was inside the unit and calm during the same time the children were involved in an altercation outside the unit. Staff who report being inside the unit were completing observation logs on children who were reported to be outside the unit. A staff who says they were outside the unit, handling the physical altercation between children documented and initialed off on a child's observation log that the child was calm and inside and the same time the child was reportedly involved in an altercation outside the unit.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-05-17. Correction verified 2024-05-21.
-
Supervision & ratios
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2024 Report · Deficiencies cited (self-report)
-
Other
Multiple staff and children in care indicated that a staff used profane language at a child in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-04-05.
-
Other
-
Mar 11, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
A staff member admitted to threatening pulling the hair of a child in care.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-03-08. Correction verified 2024-04-05.
-
Discipline & child guidance Serious
-
Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 24, 2024 Report · Deficiencies cited
-
Other
During the course of interviewing children four of five indicated that staff is using derogatory language that is belittling to children in care. The children also indicated that staff curse in general.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2024-03-29. Correction verified 2024-04-05.
-
Other
-
Feb 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2024 Report · Deficiencies cited
-
Records & paperwork
Through interviews it was determined that several children and one staff reported that another staff member encouraged a child to fight another child who had been bullying and antagonizing other residents.
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 2024-03-29. Correction verified 2024-04-05.
-
Other Serious
Two children engaged in an altercation for several minutes. Staff were present and did not intervene to separate the children to ensure their safety. Both children sustained injuries from this altercation.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-03-29. Correction verified 2024-04-05.
-
Records & paperwork
-
Feb 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
4 out of 4 interviews noted there were only 2 staff in ratio for 24 children the morning of 2.15.24.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-22. Correction verified 2024-03-26.
-
Supervision & ratios
-
Feb 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 13, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation
3 children and 3 staff have received undercooked and/or molded items served in the cafeteria.
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 2024-03-13. Correction verified 2024-03-26.
-
Cleanliness & sanitation
-
Feb 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the walk through of Unit I 24 children were observed with 3 staff. Two children were in the hall out of the sight of staff.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-14. Correction verified 2024-03-26.
-
Supervision & ratios
-
Feb 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Report · Deficiencies cited
-
Illness & medication
A child, admitted on 1.26.24, did not receive their ADHD medication until 2.6.24. While the medication was pending review on 1.26.24, it was approved by the psychiatrist on 1.27.24.
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 2024-02-23. Correction verified 2024-03-26.
-
Illness & medication
2 entries on the MARs log for 1 child did not have the actual medication error documented.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2024-02-23. Correction verified 2024-03-26.
-
Illness & medication
-
Feb 1, 2024 Report · Deficiencies cited
-
Supervision & ratios
During interviews with caregivers and children it was evident the operation had not maintained the required 1:5 ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-23. Correction verified 2024-03-01.
-
Supervision & ratios
-
Feb 1, 2024 Report · Deficiencies cited
-
Other Serious
After reviewing the information it was determined a child rose to the level of Suicide Attempt, but did not get assessed by a medical person that falls under the definition of a Mental Health Specialist.
HHSC 748.125(g)(2)(B) — You must not leave the child alone until a mental health professional assesses the child, in the event of a suicide attempt.
HHSC risk weight: High. Corrected 2024-03-14. Correction verified 2024-04-05.
-
Supervision & ratios
A child in care made a suicide attempt in November 2023 by wrapping something around their neck and their face was discolored as a result of this. This was not reported by the operation to Child Care Regulation.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2024-02-14. Correction verified 2024-03-06.
-
Other Serious
-
Jan 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2024 Report · Deficiencies cited
-
Illness & medication
During the course of the investigation it was found one of the victim's and another child were in an altercation and the other child was choked. This was not reported to Licensing and was found during the investigation process.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-26.
-
Illness & medication
-
Jan 27, 2024 Report · Deficiencies cited
-
Safety & premises
Through interviews of staff and children it was determined that a caregiver did not use a permitted type of emergency behavior intervention when they had their legs wrapped around a child's waist.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2024-04-15. Correction verified 2024-04-15.
-
Safety & premises
-
Jan 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
Two children were able to gain entry into a bathroom that is supposed to remain locked and only have one child at a time in there. While in the bathroom the two children had inappropriate contact with each other.
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 2024-03-25. Correction verified 2024-04-05.
-
Cleanliness & sanitation Serious
-
Jan 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was observed by staff that another staff struck a child in care after that child hit that staff.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-04-15. Correction verified 2024-04-15.
-
Discipline & child guidance
During review of operation documentation, a nurse's note was reviewed regarding an incident where a child was hit by a staff member on 1/17/24. This was not reported by the operation until 1/20/24. The staff that witnessed the incident did not report at all.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-03-26.
-
Discipline & child guidance Serious
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Inspection · Deficiencies cited
-
Records & paperwork
In one of the employee files reviewed, references were not documented to verify or discuss the applicant's suitability to work with or around children.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2024-01-29. Correction verified 2024-01-29.
-
Records & paperwork
-
Jan 18, 2024 Report · Deficiencies cited
-
Other
It was found two staff got into a verbal altercation waking children up in the middle of the night due to yelling and cussing.
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 2024-03-15. Correction verified 2024-03-26.
-
Other
-
Jan 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Statements from children in care and staff members stated that the operation only had one staff member for twelve residents.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-03-22. Correction verified 2024-03-26.
-
Other
Statements provided by both children in care and staff members stated that profane language is being used and directed at children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-03-22. Correction verified 2024-03-26.
-
Supervision & ratios
-
Jan 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2024 Report · Deficiencies cited
-
Other
A caregiver did not demonstrate prudent judgment or self-control when they cursed around a child, made intimating comments and stood in front of a child in an intimidating way.
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 2024-02-23. Correction verified 2024-03-06.
-
Other
-
Jan 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2024 Report
No violations cited on this visit.
-
Jan 4, 2024 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Throughout the course of the investigation five children and four staff interviewed stated that a staff member purposely spilled iced coffee on a child in care.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2024-03-15. Correction verified 2024-03-26.
-
Discipline & child guidance Serious
-
Jan 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 28, 2023 Report · Deficiencies cited
-
Illness & medication
A nurse at the operation administered medication to a child that was the medication of another child. Child was unable to receive their own prescribed medication due to this error.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-03-01.
-
Illness & medication
Several entries for a child's medication record did not have signature or initials to show the child was given the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2024-02-08. Correction verified 2024-03-01.
-
Illness & medication
An incident of a child receiving another child's medication occurred on 12/26/23. The incident report was not provided to the DFPS investigator until 1/22/24, after multiple requests for the documentation.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2024-02-08. Correction verified 2024-03-01.
-
Illness & medication
-
Dec 22, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-04-01. Correction verified 2024-04-05.
-
Discipline & child guidance Serious
-
Dec 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Report · Deficiencies cited
-
Supervision & ratios
While reviewing documentation it was noted that a child's psych eval was signed and dated prior to the child presenting at the operation and not the date that the evaluation occurred.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2024-03-05. Correction verified 2024-03-26.
-
Supervision & ratios
Two children in care were put on a safety plan that included them to remain 10ft apart at all times. It was determined that this was not implemented at all times.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2024-03-05. Correction verified 2024-03-26.
-
Supervision & ratios
-
Dec 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2023 Report · Deficiencies cited
-
Supervision & ratios
During interviews it was evident the operation had not maintained the required 1:5 ratio. Ratios documented were 4:31 with a child on 1 to 1 supervision and 2:32 with a child on 1 to 1 supervision.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-02-13. Correction verified 2024-02-13.
-
Supervision & ratios
-
Dec 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2023 Report
No violations cited on this visit.
-
Dec 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation
There was inappropriate graffiti on multiple bathroom walls in one of the units.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-11-03. Correction verified 2023-12-01.
-
Cleanliness & sanitation
-
Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2023 Report · Deficiencies cited
-
Records & paperwork
A child in care had a suicide attempt on 9/30/23. This was not reported until 10/3/23.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2024-02-02. Correction verified 2024-04-15.
-
Records & paperwork
-
Oct 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care with a history of inappropriate boundaries was able to gain access to another child's room and acted out on that child. It was during a time when the hallway was not monitored by staff.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-12-11. Correction verified 2024-01-19.
-
Discipline & child guidance Serious
-
Sep 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
In Reviewing the Service Plan and Admission Assessment several required items were determined to be missing. Some of the items included Safety Plan for High Risk Behaviors, Life Skills for children, Supervision, Family Information, Manging Conservator information, and Discipline.
HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement
HHSC risk weight: Medium. Corrected 2023-11-24. Correction verified 2024-01-19.
-
Safety & premises
Information gathered during the course of the investigation determined a child was restrained in order to get them to comply in two separate incidents.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2023-11-24. Correction verified 2024-01-19.
-
Records & paperwork
In reviewing the Serious Incident Reports from both incidents items were found to be missing such as treating doctor, names of police officer, names of child witnesses and how to identify them, complete information of staff involved.
HHSC 748.311(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2023-11-24. Correction verified 2024-01-19.
-
Supervision & ratios
-
Sep 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2023 Inspection · Deficiencies cited
-
Other
Two of two child files reviewed did not have a placement agreement.
HHSC 748.1205(a)(15) — Admission Documentation-Includes a copy of the placement agreement, if applicable.
HHSC risk weight: Low. Corrected 2023-08-25. Correction verified 2023-12-14.
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Other
Two of two child files reviewed did not have results of past dental exams that had been done. There is no documentation showing a dental exam had been completed within required time frames.
HHSC 748.1225(b) — Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
HHSC risk weight: Medium Low. Corrected 2023-08-25. Correction verified 2023-12-14.
-
Supervision & ratios
The operation has not had a severe weather drill since March 18, 2022.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2023-08-25. Correction verified 2023-12-14.
-
Other
-
Aug 15, 2023 Report · Deficiencies cited
-
Illness & medication Serious
A child in care was injected with Toradol 3 times in a 3 day span without their parent being notified they were being administered the medication. The operation noted the medication was covered by the "Consent for Emergency Medical Treatment/ Advance Directive" form, however, the medication was administered 2 days after the child initially began feeling chest pains and shortness of pain.
HHSC 748.2003(a) — Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them
HHSC risk weight: High. Corrected 2023-10-06. Correction verified 2023-11-08.
-
Illness & medication Serious
-
Aug 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
Through interviews it was determined that a staff member did engage in inappropriate contact with a child in care in such a way that meets Texas Family Code and Texas Administrative Code definitions of abuse.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-10-20. Correction verified 2023-11-08.
-
Food & allergies
A staff member did not demonstrate prudent judgment when they allowed a child in care to use their personal phone to access social media platforms. Additionally the staff used social media while working. The staff brought fast food to a child in care without prior approval to do so and ignored the appearance of favoritism to one specific child in care.
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 2023-10-20. Correction verified 2023-11-08.
-
Discipline & child guidance Serious
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care was not free from abuse when a staff member pulled the child to the ground by their hair.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-11-28. Correction verified 2023-12-01.
-
Discipline & child guidance Serious
-
Jul 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2023 Report · Deficiencies cited
-
Supervision & ratios
Through interviews it was determined that appropriate ratio was not being maintained when one staff was left alone on one side of the unit with 12 children.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2023-10-25. Correction verified 2023-11-08.
-
Discipline & child guidance Serious
Through interviews it was determined five children in care were able to assault another child in care due to a lack of supervision by caregivers. The child that was assaulted sustained serious injuries.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-10-25. Correction verified 2023-11-08.
-
Supervision & ratios
-
Jul 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2023 Report · Deficiencies cited
-
Supervision & ratios
There were multiple reports that ratio was not being maintained on a day when a child was found unresponsive with clothing around their neck. It was reported there was at least one child on 1:1 supervision, leaving 4 staff to supervise the remaining 28 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-12-29. Correction verified 2024-01-19.
-
Supervision & ratios Serious
Caregivers were unaware that a child in care, who had history of suicidal gestures, went into the restroom until the door was opened for another child. The child was found unresponsive with clothing around their neck. Additionally two children were placed on 1:1 precaution and one caregiver was observed to be watching both children, which would not meet the 1:1 criteria.
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 2023-12-29. Correction verified 2024-01-19.
-
Supervision & ratios
-
Jul 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2023 Report
No violations cited on this visit.
-
Jun 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined within this DFPS investigation that children in care were not free from abuse or neglect when staff allowed children to fight each other and staff dragged a child out of their room.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-09-29. Correction verified 2023-11-08.
-
Discipline & child guidance Serious
-
Jun 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2023 Report · Deficiencies cited
-
Supervision & ratios
Through interviews with staff and children it was determined unit 1 was out of ratio on the day an incident between two children occurred. Multiple reports were that one staff was supervising 12 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-07-31. Correction verified 2023-08-25.
-
Other Serious
Two children were able to engage in consensual inappropriate sexual contact with each other. One of the children was on a side of the unit they were not assigned to and was in another child's bedroom, which is not allowed. Both children had history of inappropriate boundaries and due to a lack of being appropriately supervised, they were able to engage in inappropriate behavior.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-07-31. Correction verified 2023-08-25.
-
Supervision & ratios
-
Jun 13, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
It was discovered that there were only two caregivers with 14 children. This left the group out of ratio. During a second walkthrough it was found that 1 of 3 units were out of ratio. There were 24 children with 3 caregivers. Two nurses were on the unit found to be working in the nurse station at the time.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2023-06-29. Correction verified 2023-07-03.
-
Supervision & ratios
-
Jun 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Report · Deficiencies cited (self-report)
-
Records & paperwork
Documentation was requested in person, through phone call, and through email over multiple times throughout this investigation and two other investigations.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2023-08-11. Correction verified 2023-08-11.
-
Supervision & ratios Serious
It was determined that two children in care were missing from the operation for about 15 minutes before staff realized they were gone. It was also determined that staff did not realize a door that was supposed to be secured was left opened and children were able to leave the building.
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 2023-08-11. Correction verified 2023-08-11.
-
Records & paperwork
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 27, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Two children's service plans did not have any information regarding supervision requirements.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-08-07. Correction verified 2023-08-03.
-
Safety & premises
A child in care was restrained to keep them from going out of a fence.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2023-08-07. Correction verified 2023-08-03.
-
Records & paperwork
In reviewing the Serious Incident Reports, items were found to be missing; names of all staff involved and names of all witnesses (outside of children directly involved).
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2023-08-07. Correction verified 2023-07-27.
-
Other
The log was requested 10 days after the runaway, the 5/27/2023 runs were not documented on the log.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2023-08-07. Correction verified 2023-07-27.
-
Other Serious
Three children in care who were on restriction got out of the locked home and locked fence and ran away. None of the staff interviewed could say who was responsible for the children involved in the incident.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-08-07. Correction verified 2023-08-03.
-
Supervision & ratios
-
May 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 23, 2023 Report · Deficiencies cited
-
Supervision & ratios
One of the units had 28 children on the unit. One child required 1:1 supervision. For a period of time there were 3 other staff to supervise the remaining 27 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-06-02. Correction verified 2023-06-29.
-
Supervision & ratios
-
May 20, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
There's sufficient evidence to show that staff members were on their phones while counted in ratio and supervising children.
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 2023-07-07. Correction verified 2023-07-12.
-
Supervision & ratios Serious
-
May 19, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
It was discovered that there were only two caregivers with 14 children. This left the group out of ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2023-05-26. Correction verified 2023-06-13.
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Safety & premises
It was observed that a caregiver restrained a child in care without an emergency situation occuring and did not attempt to de-escaltate.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2023-05-26. Correction verified 2023-06-13.
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Supervision & ratios
-
May 18, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Through interviews of staff and children it was determined the residential treatment center units (1, 2, and 5) are frequentlly out of ratio, with times where one staff is supervising 20 children.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-05-22. Correction verified 2023-06-29.
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Supervision & ratios Serious
The administrator of record is not a full time employee of the operation.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-06-16. Correction verified 2023-06-29.
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Staff background & training
The operation did not maintain true and accurate records as staff training records showed staff did 6 days of orientation in 2 days or less, that staff did 40 hours of observation in one day, staff signed that they did 40 hours of observation but no form was filled out, and training documentation noted staff did CPI training on 2/27/23 but the CPI card notes the training being done on 2/28/23.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-06-29.
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Supervision & ratios
The operation has had a new CEO since April 2023 that would need to be added as a new controlling person. As of 5/18/23 this person still was not added as a controlling person.
HHSC 748.153(3)(B) — Notification - New controlling person
HHSC risk weight: Medium High. Corrected 2023-05-22. Correction verified 2023-06-29.
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Discipline & child guidance
An incident report reviewed showed an incident was documented on 5/7/23 that two children were involved in non consensual sexual activity and this was not reported to Licensing.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2023-05-22. Correction verified 2023-06-29.
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Other
It was noted there were several pillows being used by children that did not have pillow cases. The pillows had vinyl coverings that were ripped. Several beds did not have sheets.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-06-29.
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Supervision & ratios
-
May 16, 2023 Report · Deficiencies cited
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Supervision & ratios
By several caregiver's own admission, it was stated that administrative personnel have breached this standard by sending staff from cottage to cottage while under-staffed to create the illusion they are in ratio when Licensing personnel are on the Operation's premises.
HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2023-06-06. Correction verified 2023-06-13.
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Supervision & ratios
-
May 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 8, 2023 Report · Deficiencies cited (self-report)
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Staff background & training Serious
A current staff member providing direct care services did not have an active background check. The background check was inactivated on 4.20.23.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-06-12. Correction verified 2023-05-16.
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Supervision & ratios
Based on interviews and the staffing schedule, there were at least 3 times a unit was out of ratio due to not having enough workers in the unit.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-06-12. Correction verified 2023-06-29.
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Supervision & ratios
Based on the staffing schedule and interviews, there were at least 6 times that unqualified caregivers were placed in ratio with the children.
HHSC 748.1011 — Child/caregiver ratio-Includes only qualified caregivers working directly with a child or group of children
HHSC risk weight: Medium High. Corrected 2023-06-12. Correction verified 2023-06-29.
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Supervision & ratios
Based on interviews and the staffing schedule, there were at least 4 occasions where staff were documented to have worked who did not actually work that unit.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-06-12. Correction verified 2023-06-29.
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Staff background & training
At least 3 caregivers did not have their pre-service training completed for trauma informed care. Refer to pre-service normalcy training as well, 748.748.881(7).
HHSC 748.881(6) — General pre-service training curriculum-Includes trauma informed care
HHSC risk weight: Medium. Corrected 2023-06-12. Correction verified 2023-06-29.
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Staff background & training
At least 2 caregivers did not have annual trauma informed care training. Refer to TIC annual training as well, 748.930(b)(3).
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-06-12. Correction verified 2023-06-29.
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Staff background & training Serious
-
May 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined through interviews that a staff member did push a child, making the child fall and hit their head. It was determined by DFPS this meets to definition for abuse.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-03. Correction verified 2023-07-12.
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Safety & premises
A caregiver did not consider permitted types of emergency behavior intervention when they pushed a child to stop them from trying to fight another child. The child was pushed into another child, who fell and hit their head.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-07-03. Correction verified 2023-07-12.
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Discipline & child guidance Serious
-
Apr 8, 2023 Report · Deficiencies cited
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Supervision & ratios
Through interviews of children and staff it was determined when an incident occurred on 4/4/23 the unit was not in ratio. There were 30 children on the unit and only 4 direct care staff could be confirmed to be working when the incident occurred.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-06-09. Correction verified 2023-07-12.
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Supervision & ratios
A child's service plan did not have specific information about the level of supervision the child would have at the operation.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-06-09. Correction verified 2023-07-12.
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Other Serious
Staff were not aware and accountable of a child's activities when the child was able to obtain a razor and cut themselves seriously enough to where the child required medical attention and had stitches for the injury.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-06-09. Correction verified 2023-07-12.
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Supervision & ratios
-
Apr 7, 2023 Report · Deficiencies cited
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Food & allergies
Rubbing alcohol was not stored in a way that was inaccessible to children in care. A child in care was able to obtain access to the bottle. Several children then ingested the rubbing alcohol. One of the children became sick and required medical attention.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2023-08-04. Correction verified 2023-08-25.
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Food & allergies
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Mar 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2023 Report · Deficiencies cited (self-report)
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Other
A staff member used profane, threatening language to a child in care after a child used inappropriate language.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-05-05. Correction verified 2023-05-05.
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Other
Staff did not demonstrate prudent judgment or self control when they threw a binder on to the ground and cornered a child for a negative comment the child made.
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 2023-05-05. Correction verified 2023-05-05.
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Other
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Mar 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2023 Report · Deficiencies cited
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Other Serious
Through interviews of staff and children it was determined that during a physical altercation between children at least one, possibly two staff responding to the incident did not assist in intervening on the children fighting. One of the children involved sustained multiple injuries including bruising and swelling to their face.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-05-03. Correction verified 2023-05-05.
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Other Serious
-
Mar 13, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
During the course of the investigation it was determined a staff member encouraged children in care to show staff their private parts and requested that the children engage in inappropriate sexual activity. Additionally, the staff was observed touching themselves inappropriately.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-08-11. Correction verified 2023-08-25.
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Discipline & child guidance
On the morning of 3/11/23, children in care reported allegations of sexual abuse of by a caregiver. This was not reported to Licensing until 3/13/23. A report made by one of the administrative staff did not include sufficient details of the abuse to be referred to the appropriate investigative program.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2023-08-11. Correction verified 2023-08-25.
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Supervision & ratios
Through interviews it was determined a staff member did not demonstrate prudent judgment when they violated professional boundaries between children in care and caregivers. Staff made promises to children in care of drugs, money, phones, jewelry, and marriage. Additionally, the staff promised to take the children out of the operation.
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 2023-08-11. Correction verified 2023-08-25.
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Discipline & child guidance Serious
-
Mar 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2023 Inspection · Deficiencies cited
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Other
4 of the 4 child files reviewed did not have documentation that a vision or hearing screening was conducted.
HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
HHSC risk weight: Medium High. Corrected 2023-02-28. Correction verified 2023-04-18.
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Other
-
Feb 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Report · Deficiencies cited
-
Other Serious
Through interviews of children and staff it was determined a child's sweatshirt was pulled over a child's face/mouth during the course of a restraint.
HHSC 748.2605(a)(2) — Personal Restraints Prohibited-Restraints that obstruct child's airway
HHSC risk weight: High. Corrected 2023-04-28. Correction verified 2023-05-05.
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Cleanliness & sanitation
Staff did not exercise prudent judgment when having children in care clean up another child's excrement as incentive for those children to be able to go on an outing.
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 2023-04-28. Correction verified 2023-05-05.
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Other Serious
-
Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined a child in care was neglectfully supervised at the operation when they were able to obtain and ingest several different medications, that required the child to be hospitalized.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-03. Correction verified 2023-07-12.
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Illness & medication Serious
Medication was not kept inaccessible other than employees responsible for storing the medication, as a child was able to obtain 6 bottles of medication and ingested an unknown amount of medication, requiring that child to be hospitalized.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2023-07-03. Correction verified 2023-07-12.
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Discipline & child guidance Serious
-
Jan 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Report · Deficiencies cited
-
Other
During the course of the investigation through interviews with children and staff it was determined staff members are making belittling remarks to children such as telling them to shut up, calling them bullies, saying their hair is "nappy", saying children are annoying, that children stink, and commenting that children have not "washed between their legs."
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2023-03-13. Correction verified 2023-03-07.
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Food & allergies
During the course of this investigation through interviews of children and staff it was determined that some staff did not demonstrate prudent judgment or self control when they got mad, yelled, and punched a wall or meal cart. Additionally, another staff member has made threatening comments to children in care which does not demonstrate prudent judgment.
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 2023-03-13. Correction verified 2023-03-07.
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Other
-
Jan 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Report · Deficiencies cited
-
Records & paperwork
In reviewing the Serious Incident Report several items were found to be missing. Names of all staff and children involved, names of all witnesses, description of the differences between the children in size, weight, mental level.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2022-11-21. Correction verified 2022-11-22.
-
Supervision & ratios Serious
It was determined through the course of the investigation two children were in a physical altercation. During the time of separation in an attempt to de-escalate, one of the children came in where the other child was still upset and staff admitted to not intervening to ensure there would be no further altercations which allowed another altercation to occur and left one of the children with an injury.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-11-21. Correction verified 2022-11-22.
-
Records & paperwork
-
Sep 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
After reviewing documentation, it was determined that this was reported after 24 hours of being injured and receiving medical care.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2022-09-21. Correction verified 2022-09-21.
-
Illness & medication
-
Jul 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
On multiple occasions at the operation, a staff member sexually abused a child resident who was left in this staff member's care.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected at inspection. Corrected 2022-01-11.
-
Discipline & child guidance Serious
-
Oct 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 8, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2021 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
During the course of the investigation, staff admitted to reaching hand down victim child's pants to retrieve bouncy ball.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2021-11-11. Correction verified 2021-11-08.
-
Illness & medication
During the course of the investigation, it was determined that the caregiver restrained the child for an inappropriate reason.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2021-11-11. Correction verified 2021-11-08.
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Discipline & child guidance Serious
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.