Hearthstone Support LLC
16443 BOSS GASTON RD, Sugar Land, TX 77498 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 20
- Ages
- 6-17
- Hours
- -
- Phone
- (713) 357-7517
- Regulated since
- Jul 1, 2026
- HHSC IDs
- Operation 1501618 · number 1813303
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 13 | 3 | Illness & medication (3), Supervision & ratios (3), Safety & premises (2), Staff background & training (1), Records & paperwork (3), Other (1) |
| 2025 | 3 | 0 | Cleanliness & sanitation (1), Supervision & ratios (1), Staff background & training (1) |
Inspections, investigations & assessments
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Sep 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 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 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2026 Inspection · 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.
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Jul 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2026 Report · Deficiencies cited (self-report)
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Safety & premises Serious
Based on the information obtained during the investigation staff did not take the appropriate actions to intervene and prevent the victim from gaining access to harmful items.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2026-08-26. Correction verified 2026-08-25.
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Safety & premises Serious
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Jul 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2026 Inspection · Deficiencies cited
-
Illness & medication
1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2026-05-19. Correction verified 2026-06-08.
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Illness & medication
-
May 16, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the first serious incident report mentions two staff witnesses but does not include their names and resident witness(es) initials and/or first names are not listed in the report. The second incident report does not include one staff member or residents as a witness and the one resident named in the report has their full name in the report.
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 2026-07-20. Correction verified 2026-07-22.
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Records & paperwork
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Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Inspection · Deficiencies cited
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Records & paperwork
While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.
HHSC 748.1501(b)(2) — Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled
HHSC risk weight: Medium Low. Corrected 2026-04-08. Correction verified 2026-06-09.
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Illness & medication
It was observed, while reviewing children's records, immunization records were missing from two of the children's files.
HHSC 748.1539(b) — Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
HHSC risk weight: Medium Low. Corrected 2026-04-08. Correction verified 2026-06-08.
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Illness & medication
The operation failed to report a hospitalization timely.
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 2026-04-01. Correction verified 2026-06-08.
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Records & paperwork
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Mar 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Inspection · Deficiencies cited
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Safety & premises
During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.
HHSC 748.3113(a) — Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers
HHSC risk weight: Medium High. Corrected 2026-03-05. Correction verified 2026-06-09.
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Supervision & ratios
During the walkthrough of the operation, two children's bed were missing top sheet.
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 at inspection. Corrected 2026-03-05.
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Safety & premises
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Feb 24, 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 17, 2026 Report · No deficiencies cited (self-report)
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 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
Three children in care voiced witnessing the same staff sleeping.
HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HHSC risk weight: High. Corrected 2026-04-08. Correction verified 2026-04-21.
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Supervision & ratios Serious
Child in care left the operation without staff being aware.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-04-08. Correction verified 2026-04-22.
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Supervision & ratios Serious
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Jan 20, 2026 Report · Deficiencies cited (self-report)
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Other
A suicide screening was not administered after a child in care was observed with self-inflicted injuries.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2026-03-09. Correction verified 2026-03-10.
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Records & paperwork
A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.
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 2026-03-09. Correction verified 2026-03-10.
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Staff background & training
Documentation verifying completion of required suicide prevention training was not available for staff.
HHSC 748.939(c)(4) — Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source
HHSC risk weight: Medium Low. Corrected 2026-03-09. Correction verified 2026-03-10.
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Other
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Jan 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Assessment · 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 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios
The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-11-28. Correction verified 2025-11-26.
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Supervision & ratios
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Nov 12, 2025 Inspection · Deficiencies cited
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Staff background & training
1 out of 3 child records was missing proof of child orientation and required signature.
HHSC 748.1209(d) — Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
HHSC risk weight: Low. Corrected 2025-11-14. Correction verified 2025-11-14.
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Cleanliness & sanitation
Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-11-12.
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Staff background & training
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Nov 4, 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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Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2025 Inspection · 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 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.