Pinecrest Emergency Care Services
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 16
- Ages
- 8-17
- Hours
- -
- Director / administrator
- John Kyles
- Phone
- (713) 631-3501
- Regulated since
- Aug 6, 2021
- HHSC IDs
- Operation 1370089 · number 1716984
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 6 | 1 | Illness & medication (1), Supervision & ratios (1), Staff background & training (1), Records & paperwork (1), Other (2) |
| 2024 | 7 | 1 | Staff background & training (5), Records & paperwork (2) |
| 2023 | 8 | 2 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (1), Food & allergies (1), Other (4) |
| 2022 | 6 | 3 | Illness & medication (2), Supervision & ratios (3), Discipline & child guidance (1) |
| 2021 | 1 | 0 | Supervision & ratios (1) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2026 Inspection · 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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Feb 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2026 Inspection · 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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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2025 Report · No deficiencies cited
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 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 11, 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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Jul 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2025 Report · Deficiencies cited
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Illness & medication
One of the children's medication log was missing the time, name, and signature of the staff who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2025-09-15. Correction verified 2025-09-15.
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Staff background & training
One of the staff's TIC training was taken on 2/1/2024 then again on 7/23/2025. The training was taken 5 months late.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2025-09-15. Correction verified 2025-09-15.
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Illness & medication
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Report · Deficiencies cited
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Records & paperwork
A caregiver failed to show competency and prudent judgment when video recording a child exhibiting escalated behaviors and engaging in property destruction. The footage was captured on the caregiver?s cell phone and shared with another employee. While recording the event, the caregiver failed to preserve the child?s privacy, was unable to intervene for the safety of the children in care, and failed to maintain the facility.
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 2025-07-09. Correction verified 2025-07-08.
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Records & paperwork
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Mar 30, 2025 Inspection · 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 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A designated spot to shelter in place was not indicated on the evacuation diagram for the operation.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-01-24.
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Supervision & ratios
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Jan 13, 2025 Inspection · Deficiencies cited
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Other Serious
During the walkthrough of the facility, evidence of water leak was observed in the kitchen and resident room ceiling.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2025-01-17. Correction verified 2025-01-24.
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Other
During the walkthrough of the facility, one battery operated camera was observed mounted on the wall in the children's restroom (lobby). Staff was not able to provide inspector with written approval from CVS caseworker or any approved waiver to use camera in children restroom area.
HHSC 748.3353(b)(1) — Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera
HHSC risk weight: Medium Low. Corrected 2025-01-17. Correction verified 2025-01-24.
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Other Serious
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Jan 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two out of three employee files reviewed did not include a signed and notarized Affidavit for Employment.
HHSC 748.363(7) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2024-08-26. Correction verified 2024-08-23.
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Staff background & training
Three out of three employee files reviewed did not contain verification of EBI training being completed every 6 months.
HHSC 748.936(1) — Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HHSC risk weight: Medium High. Corrected 2024-08-26. Correction verified 2024-08-23.
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Staff background & training
Five employees of the operation completed a different EBI curriculum than what's utilized at the operation evidenced by training certificates reviewed.
HHSC 748.941(c)(3)(B) — Training Criteria-Training must require each participant to demonstrate the physical EBI techniques, if the GRO allows the use of EBI.
HHSC risk weight: Medium High. Corrected 2024-08-26. Correction verified 2024-08-27.
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Records & paperwork
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Aug 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2024 Inspection · Deficiencies cited
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Records & paperwork
One of three employee files reviewed did not contain documentation of the reference checks completed on the employee.
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 2024-07-08. Correction verified 2024-07-02.
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Records & paperwork
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Jun 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2024 Report · Deficiencies cited
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Staff background & training Serious
This standard was reviewed and the Operation is deemed to be not in compliance hereof.
HHSC 745.621(a)(7) — AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
HHSC risk weight: High. Corrected 2024-03-05. Correction verified 2024-03-05.
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Staff background & training Serious
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Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · Deficiencies cited
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Staff background & training
One staff file reviewed did not have a current CPR/First aid training.
HHSC 748.911(b)(3)(B) — One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi or Adult CPR if serving children 0 to 17.
HHSC risk weight: Medium High. Corrected 2024-02-15. Correction verified 2024-02-15.
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Staff background & training
One staff file reviewed did not have a current normalcy training.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2024-02-15. Correction verified 2024-02-15.
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Staff background & training
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Jan 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 1, 2023 Report · Deficiencies cited
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Other Serious
During the course of this investigation, it was determined that the safety and well-being of the child was compromised in contravention to the provisions of the child's Safety Plan.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-01-10. Correction verified 2024-01-10.
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Other Serious
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Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 2, 2023 Inspection · Deficiencies cited
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Food & allergies
The menu was observed to be outdated in addition there were no snacks or food sustitutions on the menu.
HHSC 748.1703(b) — Menus-must document food substitutions on the menu that are of comparable food value
HHSC risk weight: Low. Corrected 2023-10-09. Correction verified 2023-10-09.
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Cleanliness & sanitation
One of the dressers in a child's bedroom was observed to be broken, it was missing a knob and had a protruding nail in addition the first drawer was broken and was missing the part of the drawer that is needed to hold the child's clothing in it.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-10-09. Correction verified 2023-10-09.
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Food & allergies
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Sep 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2023 Report
No violations cited on this visit.
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Sep 21, 2023 Report · Deficiencies cited
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Illness & medication
During the course of this investigation, it was determined that staff utilizes restraints for non emergency situations such as kids cursing staff or not listening to staff.
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 2023-11-24. Correction verified 2023-11-24.
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Illness & medication
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Sep 20, 2023 Report · Deficiencies cited
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Other
The caregivers did not explain to the child what they needed to do to be released from the EBI.
HHSC 748.2551(f) — EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-27.
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Other Serious
A child in care was restrained longer than 30 minutes.
HHSC 748.2801(2)(A) — EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
HHSC risk weight: High. Corrected 2023-10-27. Correction verified 2023-12-27.
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Other
The caregivers involved in the EBI did not conduct a post discussion with the child after the EBI.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-27.
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Other
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Aug 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 3, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2023 Report
No violations cited on this visit.
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Apr 20, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During the inspection cups with children names were in the kitchen after being used and not disposed.
HHSC 748.3441(d) — Food Preparation-Must only use disposable, single-use items if the operation lacks adequate facilities for sanitizing dishes and utensils
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-04-20.
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Supervision & ratios
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Jan 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Supervision needs for the group of children required a closer supervision for more than 3 of the children. Specifically one child had a service plan which required a 1:5 ratio while sleeping. There were two other children whose ratio should have been elevated based on their history.
HHSC 748.1009(2) — Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
HHSC risk weight: High. Corrected 2022-12-05. Correction verified 2022-12-05.
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Discipline & child guidance Serious
Children in care were neglectfully supervised when one staff member left another staff out of ratio and neither staff called the administrator.
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 2023-08-12. Correction verified 2023-08-12.
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Illness & medication
During an after hours visit at the operation, the medicine cabinet was observed to be unlocked.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2022-12-05. Correction verified 2022-12-05.
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Supervision & ratios
A caregiver failed to inform the administration that his co-worker left the operation during the shift and that he was working alone. Another caregiver failed to inform the administration that he was leaving his shift early.
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 2022-12-05. Correction verified 2022-12-05.
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Supervision & ratios Serious
Operation was not in compliance with a child's supervision requirements.
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 2022-12-05. Correction verified 2022-12-05.
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Supervision & ratios Serious
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May 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · Deficiencies cited
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Illness & medication
1 of out 8 medication records was not updated with the amount administered within 2 hours.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-05-06. Correction verified 2022-05-18.
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Illness & medication
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Mar 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2021 Report · Deficiencies cited
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Supervision & ratios
During the walk through it was observed that the South hallway exit door did not have a verified inspection tag for the fire extinguisher hanging (photos taken).
HHSC 748.3117(b) — Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
HHSC risk weight: Medium Low. Corrected 2021-09-03. Correction verified 2021-09-03.
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Supervision & ratios
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.