RecordWell Data

Bair Foundation Of Texas

None, None, TX

90cited violations
30serious
306inspections & investigations
0enforcement actions

Program

Type
Child-placing agency
Ages
-
Hours
08:30 AM-04:30 PM
Director / administrator
Caitlin Delcambre
Phone
(210) 494-3415
Regulated since
Jan 3, 1990
HHSC IDs
Operation 107901 · number 247527- 347
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202642 Illness & medication (2), Other (2)
20252414 Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (2), Discipline & child guidance (2), Staff background & training (6), Other (8)
2024206 Illness & medication (6), Supervision & ratios (6), Staff background & training (6), Other (2)
2023368 Illness & medication (2), Supervision & ratios (8), Discipline & child guidance (2), Safety & premises (6), Staff background & training (2), Records & paperwork (2), Other (14)
202260 Illness & medication (2), Supervision & ratios (2), Records & paperwork (2)

Inspections, investigations & assessments

  1. Aug 31, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Aug 31, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  3. Aug 27, 2026 Report

    No violations cited on this visit.

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

  4. Aug 27, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  5. Jul 20, 2026 Inspection · Deficiencies cited
    • Other

      Home study did not include the interviews or interview attempts for the new husband's 3 adult children and did not assess their quality of relationship.

      HHSC 749.3633(a)(2) — Adoptive Home Screening-Update screening after a major life change in the adoptive family

      HHSC risk weight: Medium High. Corrected 2026-07-30. Correction verified 2026-07-30.

    HHSC inspection history

  6. Jul 20, 2026 Inspection · Deficiencies cited
    • Other

      Home study did not include the interviews or interview attempts for the new husband's 3 adult children and did not assess their quality of relationship.

      HHSC 749.3633(a)(2) — Adoptive Home Screening-Update screening after a major life change in the adoptive family

      HHSC risk weight: Medium High. Corrected 2026-07-30. Correction verified 2026-07-30.

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

  7. Jun 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Jun 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  9. May 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. May 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  11. Apr 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  12. Apr 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  13. Apr 13, 2026 Assessment

    No violations cited on this visit.

    HHSC inspection history

  14. Apr 13, 2026 Assessment

    No violations cited on this visit.

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

  15. Mar 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  16. Mar 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  19. Feb 26, 2026 Assessment · Deficiencies cited
    • Illness & medication Serious

      A child?s medication was observed stored inside the foster parent?s purse without a lock and was not secured in a locked container. The medication was locked at the end of the foster home visit and corrected at inspection.

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

      HHSC risk weight: High. Corrected 2026-02-26. Correction verified 2026-02-24.

    HHSC inspection history

  20. Feb 26, 2026 Assessment · Deficiencies cited
    • Illness & medication Serious

      A child?s medication was observed stored inside the foster parent?s purse without a lock and was not secured in a locked container. The medication was locked at the end of the foster home visit and corrected at inspection.

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

      HHSC risk weight: High. Corrected 2026-02-26. Correction verified 2026-02-24.

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

  21. Feb 18, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  22. Feb 18, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. Jan 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. Jan 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  25. Dec 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  26. Dec 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  28. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  30. Nov 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  31. Nov 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  32. Nov 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  33. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  35. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  36. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  37. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Oct 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  39. Oct 10, 2025 Assessment

    No violations cited on this visit.

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

  40. Oct 10, 2025 Assessment

    No violations cited on this visit.

    HHSC inspection history

  41. Sep 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  42. Sep 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  43. Sep 18, 2025 Assessment · Deficiencies cited
    • Illness & medication Serious

      During the inspection, medication was observed inside a weekly organizer, which was placed in an unlocked drawer.

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

      HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-09-24.

    HHSC inspection history

  44. Sep 18, 2025 Assessment · Deficiencies cited
    • Illness & medication Serious

      During the inspection, medication was observed inside a weekly organizer, which was placed in an unlocked drawer.

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

      HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-09-24.

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

  45. Sep 18, 2025 Report · Deficiencies cited
    • Staff background & training

      It was confirmed by both the caregiver and the case manager that a caregiver who administered psychotropic medication did not have the required annual training.

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

      HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-11-07.

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

  46. Sep 18, 2025 Report · Deficiencies cited
    • Staff background & training

      It was confirmed by both the caregiver and the case manager that a caregiver who administered psychotropic medication did not have the required annual training.

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

      HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-11-07.

    HHSC inspection history

  47. Sep 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  48. Sep 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. Sep 6, 2025 Report · Deficiencies cited
    • Staff background & training Serious

      The background role was ran as a frequent visitor when it should have been run as a household member when the change occurred.

      HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation

      HHSC risk weight: High. Corrected 2025-10-22. Correction verified 2025-10-27.

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

  50. Sep 6, 2025 Report · Deficiencies cited
    • Staff background & training Serious

      The background role was ran as a frequent visitor when it should have been run as a household member when the change occurred.

      HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation

      HHSC risk weight: High. Corrected 2025-10-22. Correction verified 2025-10-27.

    HHSC inspection history

  51. Sep 3, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  52. Sep 3, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  53. Sep 2, 2025 Report · Deficiencies cited
    • Other Serious

      Video shows foster parent using various types of prohibited discipline on the child in care to include slapping her in face with flash cards, grabbing the child in care's face, and yanking of the child in care's arms.

      HHSC 749.1951(b)(2) — Disciplinary Measures-Must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2025-10-03. Correction verified 2025-10-01.

    • Discipline & child guidance Serious

      The foster mom lifted the child in care up off her feet by holding under the child?s chin and pulling her back.

      HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other Serious

      The foster mom pulled the child in care's head back by grabbing and pulling her ponytail.

      HHSC 749.1957(6) — Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other

      The foster mom is observed yelling in the face of the child in care.

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

      HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other Serious

      The foster mom aggressively yanked the VCs arms during the EBI. Bruising was found on her wrists and right arm.

      HHSC 749.2151(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Supervision & ratios

      EBI?s are not approved technique for this operation.

      HHSC 749.2231(a)(1) — Successive Interventions-Caregiver may successively use emergency behavior interventions on a child only if allowed by agency policies

      HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-10-27.

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

  54. Sep 2, 2025 Report · Deficiencies cited
    • Other Serious

      Video shows foster parent using various types of prohibited discipline on the child in care to include slapping her in face with flash cards, grabbing the child in care's face, and yanking of the child in care's arms.

      HHSC 749.1951(b)(2) — Disciplinary Measures-Must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2025-10-03. Correction verified 2025-10-01.

    • Discipline & child guidance Serious

      The foster mom lifted the child in care up off her feet by holding under the child?s chin and pulling her back.

      HHSC 749.1957(1) — Other Prohibited Discipline-Any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline or punishment

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other Serious

      The foster mom pulled the child in care's head back by grabbing and pulling her ponytail.

      HHSC 749.1957(6) — Other Prohibited Discipline-Pinching, pulling hair, biting, or shaking a child

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other

      The foster mom is observed yelling in the face of the child in care.

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

      HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Other Serious

      The foster mom aggressively yanked the VCs arms during the EBI. Bruising was found on her wrists and right arm.

      HHSC 749.2151(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-10-27.

    • Supervision & ratios

      EBI?s are not approved technique for this operation.

      HHSC 749.2231(a)(1) — Successive Interventions-Caregiver may successively use emergency behavior interventions on a child only if allowed by agency policies

      HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-10-27.

    HHSC inspection history

  55. Aug 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  56. Aug 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Aug 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  58. Aug 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  59. Jul 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  60. Jul 24, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  61. Jul 23, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  62. Jul 23, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  63. Jun 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  64. Jun 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  65. Jun 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Jun 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  67. Jun 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  68. Jun 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  69. Jun 11, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  70. Jun 11, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  71. May 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  72. May 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  73. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  74. May 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  75. May 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. May 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  77. Apr 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  78. Apr 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Apr 8, 2025 Assessment · Deficiencies cited
    • Illness & medication

      During a review conducted on April 8, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on February 7, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium -high weighted citation in a pattern/trend category on 2/7/25. Specifically, the operation was cited for 749.503(a)(2)(A): Serious Incident Reporting- The foster parents did not report the child in care critical illness to the agency within 24 hours, it is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500.

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

      HHSC risk weight: Medium High. Corrected 2025-04-09. Correction verified 2025-04-09.

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

  80. Apr 8, 2025 Assessment · Deficiencies cited
    • Illness & medication

      During a review conducted on April 8, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on February 7, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium -high weighted citation in a pattern/trend category on 2/7/25. Specifically, the operation was cited for 749.503(a)(2)(A): Serious Incident Reporting- The foster parents did not report the child in care critical illness to the agency within 24 hours, it is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500.

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

      HHSC risk weight: Medium High. Corrected 2025-04-09. Correction verified 2025-04-09.

    HHSC inspection history

  81. Mar 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Mar 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  83. Mar 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  84. Mar 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Mar 4, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  86. Mar 4, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Feb 21, 2025 Assessment · Deficiencies cited
    • Staff background & training Serious

      Foster parent's son and niece both visit every Thursday. They both meet the criteria definition of what a frequent visitor is, and both did not have a background check completed prior to their visits.

      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 2025-02-26. Correction verified 2025-03-04.

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

  88. Feb 21, 2025 Assessment · Deficiencies cited
    • Staff background & training Serious

      Foster parent's son and niece both visit every Thursday. They both meet the criteria definition of what a frequent visitor is, and both did not have a background check completed prior to their visits.

      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 2025-02-26. Correction verified 2025-03-04.

    HHSC inspection history

  89. Jan 16, 2025 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Kitchen curtain needs to be washed. Bedroom needs to have walls cleaned. Screen on the outside of the foster childs bedroom in the back yard is torn.

      HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-01-31.

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

  90. Jan 16, 2025 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Kitchen curtain needs to be washed. Bedroom needs to have walls cleaned. Screen on the outside of the foster childs bedroom in the back yard is torn.

      HHSC 749.3041(1) — Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair

      HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-01-31.

    HHSC inspection history

  91. Jan 12, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  92. Jan 12, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  93. Jan 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  94. Jan 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  95. Dec 30, 2024 Assessment · Deficiencies cited
    • Illness & medication Serious

      Unsecured medications (approximately 5 bottles) to include old prescription medications were observed in the foster parent's bedroom bathroom medication cabinet.

      HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication

      HHSC risk weight: High. Corrected 2025-01-02. Correction verified 2025-01-12.

    HHSC inspection history

  96. Dec 30, 2024 Assessment · Deficiencies cited
    • Illness & medication Serious

      Unsecured medications (approximately 5 bottles) to include old prescription medications were observed in the foster parent's bedroom bathroom medication cabinet.

      HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication

      HHSC risk weight: High. Corrected 2025-01-02. Correction verified 2025-01-12.

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

  97. Dec 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  98. Dec 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  101. Dec 12, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

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

  102. Dec 12, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  103. Dec 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  104. Dec 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  105. Nov 22, 2024 Assessment · Deficiencies cited
    • Other

      A new controlling person was not added to the controlling person list within the required timeframe.

      HHSC 749.153(a)(3)(B) — Notfication - New controlling person

      HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-11-25.

    HHSC inspection history

  106. Nov 22, 2024 Assessment · Deficiencies cited
    • Other

      A new controlling person was not added to the controlling person list within the required timeframe.

      HHSC 749.153(a)(3)(B) — Notfication - New controlling person

      HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-11-25.

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

  107. Nov 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  108. Nov 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  109. Nov 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  110. Nov 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  111. Nov 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  112. Nov 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  113. Nov 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  114. Nov 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  115. Oct 29, 2024 Assessment · Deficiencies cited
    • Illness & medication Serious

      The foster parent doesn't ensure the children in care take their medication as prescribed by admitting she does not always observe the children take their medication.

      HHSC 749.1463(b)(5) — Administration of Medication-Ensure the child has taken the medication as prescribed

      HHSC risk weight: High. Corrected 2024-11-04. Correction verified 2024-11-18.

    HHSC inspection history

  116. Oct 29, 2024 Assessment · Deficiencies cited
    • Illness & medication Serious

      The foster parent doesn't ensure the children in care take their medication as prescribed by admitting she does not always observe the children take their medication.

      HHSC 749.1463(b)(5) — Administration of Medication-Ensure the child has taken the medication as prescribed

      HHSC risk weight: High. Corrected 2024-11-04. Correction verified 2024-11-18.

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

  117. Oct 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  118. Oct 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  119. Oct 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  120. Oct 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  121. Oct 7, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on September 27, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium-high weighted citation in a pattern/trend category on 09/27/2024. Specifically, the operation was cited for 749.2593(c)(6): Supervision- The caregiver did not follow the child's behavior management plan written in the child's service plan. The operation has not met compliance yet, it is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500.

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

      HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-08.

    HHSC inspection history

  122. Oct 7, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on September 27, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium-high weighted citation in a pattern/trend category on 09/27/2024. Specifically, the operation was cited for 749.2593(c)(6): Supervision- The caregiver did not follow the child's behavior management plan written in the child's service plan. The operation has not met compliance yet, it is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $500.

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

      HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-08.

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

  123. Oct 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  124. Oct 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  125. Sep 27, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      Licensing was not notified about personal restraint changes in operation's behavior intervention policy.

      HHSC 749.153(a)(2)(B) — Notfication - At least 15 days in advance - Changes to policies and procedures required by 749.103(b)

      HHSC risk weight: Medium Low. Corrected 2024-10-11. Correction verified 2024-10-11.

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

  126. Sep 27, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      Licensing was not notified about personal restraint changes in operation's behavior intervention policy.

      HHSC 749.153(a)(2)(B) — Notfication - At least 15 days in advance - Changes to policies and procedures required by 749.103(b)

      HHSC risk weight: Medium Low. Corrected 2024-10-11. Correction verified 2024-10-11.

    HHSC inspection history

  127. Sep 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  128. Sep 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  129. Sep 10, 2024 Assessment · Deficiencies cited
    • Staff background & training

      A healthcare professional has not been found to teach the instructor led portion of the psychotropic medication training.

      HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.

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

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

  130. Sep 10, 2024 Assessment · Deficiencies cited
    • Staff background & training

      A healthcare professional has not been found to teach the instructor led portion of the psychotropic medication training.

      HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.

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

    HHSC inspection history

  131. Aug 7, 2024 Inspection · Deficiencies cited
    • Staff background & training

      Psychotropic medication training is not being instructor led by a healthcare professional.

      HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.

      HHSC risk weight: Medium High. Corrected 2024-08-21. Correction verified 2024-08-21.

    HHSC inspection history

  132. Aug 7, 2024 Inspection · Deficiencies cited
    • Staff background & training

      Psychotropic medication training is not being instructor led by a healthcare professional.

      HHSC 749.939(d) — Training Criteria-A health-care professional or a pharmacist must lead the training in administering psychotropic medication.

      HHSC risk weight: Medium High. Corrected 2024-08-21. Correction verified 2024-08-21.

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

  133. Jul 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  134. Jul 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  135. Jul 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  136. Jul 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  137. Jul 8, 2024 Inspection · Deficiencies cited
    • Illness & medication Serious

      Two PM medications were not administered to child in care for 1 day.

      HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders

      HHSC risk weight: High. Corrected 2024-07-08. Correction verified 2024-07-25.

    HHSC inspection history

  138. Jul 8, 2024 Inspection · Deficiencies cited
    • Illness & medication Serious

      Two PM medications were not administered to child in care for 1 day.

      HHSC 749.1463(b)(3) — AP Administration of Medication-Administer medications according to label instructions or a prescribing health-care professional's subsequent orders

      HHSC risk weight: High. Corrected 2024-07-08. Correction verified 2024-07-25.

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

  139. Jun 28, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Jun 28, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

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

  141. Jun 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  142. Jun 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  143. Jun 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  144. Jun 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  145. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  146. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  147. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  148. Apr 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  149. Apr 11, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  150. Apr 11, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  151. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  152. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  153. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  154. Apr 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  155. Apr 3, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on April 3, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

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

    HHSC inspection history

  156. Apr 3, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on April 3, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

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

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

  157. Apr 1, 2024 Assessment · Deficiencies cited
    • Staff background & training

      Staff member who has not been employed with the agency since 10/6/2023 was not inactivated until 3/27/2024.

      HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

      HHSC risk weight: Medium. Corrected 2024-04-15. Correction verified 2024-04-03.

    HHSC inspection history

  158. Apr 1, 2024 Assessment · Deficiencies cited
    • Staff background & training

      Staff member who has not been employed with the agency since 10/6/2023 was not inactivated until 3/27/2024.

      HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

      HHSC risk weight: Medium. Corrected 2024-04-15. Correction verified 2024-04-03.

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

  159. Mar 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  160. Mar 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  161. Mar 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  162. Mar 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  163. Jan 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  164. Jan 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  165. Nov 30, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

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

  166. Nov 30, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  167. Nov 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  168. Nov 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  169. Nov 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  170. Nov 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  171. Oct 2, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 2, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2023-10-03. Correction verified 2023-10-03.

    HHSC inspection history

  172. Oct 2, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on October 2, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2023-10-03. Correction verified 2023-10-03.

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

  173. Sep 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  174. Sep 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  175. Aug 23, 2023 Report · Deficiencies cited
    • Other

      The foster parent used a seclusion restraint by leaving the child alone in a room and preventing her from leaving by holding the door shut.

      HHSC 749.1021(1) — Children's Rights prohibited techniques-Prohibited from using chemical restraints, mechanical restraints, and seclusion on a child

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      Both foster parents confirmed the use of discipline techniques that are against the agency's policy and procedures.

      HHSC 749.1951(b)(1) — Disciplinary Measures-Must be consistent with agency policies & procedures

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Safety & premises

      Both foster parents confirmed the use of an emergency behavior intervention as a means to get the child in care to comply on multiple occasions.

      HHSC 749.2063(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other Serious

      The foster parent confirmed pulling the child in care by her wrists upstairs while the child in care complained of pain.

      HHSC 749.2151(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      The foster parent confirmed that he used a restraint by holding the child in care on the arm of a chair for 20 minutes preventing her from leaving the hold.

      HHSC 749.2153(2)(C) — EBI Release-Child released from personal restraint as soon as child not a danger to self or others

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Safety & premises

      According to the agency, no emergency behavior intervention documentation has been completed for any of the interventions used in the foster home.

      HHSC 749.2305(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Records & paperwork

      The guardian of the child in care stated that she did not know interventions have been used on the child in care.

      HHSC 749.2307(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      The foster parent confirmed that she had the bedroom door removed on multiple occasions due to the child's behavior.

      HHSC 749.3023(c)(3) — Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom

      HHSC risk weight: Medium Low. Corrected 2023-10-30. Correction verified 2023-10-24.

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

  176. Aug 23, 2023 Report · Deficiencies cited
    • Other

      The foster parent used a seclusion restraint by leaving the child alone in a room and preventing her from leaving by holding the door shut.

      HHSC 749.1021(1) — Children's Rights prohibited techniques-Prohibited from using chemical restraints, mechanical restraints, and seclusion on a child

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      Both foster parents confirmed the use of discipline techniques that are against the agency's policy and procedures.

      HHSC 749.1951(b)(1) — Disciplinary Measures-Must be consistent with agency policies & procedures

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Safety & premises

      Both foster parents confirmed the use of an emergency behavior intervention as a means to get the child in care to comply on multiple occasions.

      HHSC 749.2063(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other Serious

      The foster parent confirmed pulling the child in care by her wrists upstairs while the child in care complained of pain.

      HHSC 749.2151(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      The foster parent confirmed that he used a restraint by holding the child in care on the arm of a chair for 20 minutes preventing her from leaving the hold.

      HHSC 749.2153(2)(C) — EBI Release-Child released from personal restraint as soon as child not a danger to self or others

      HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Safety & premises

      According to the agency, no emergency behavior intervention documentation has been completed for any of the interventions used in the foster home.

      HHSC 749.2305(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Records & paperwork

      The guardian of the child in care stated that she did not know interventions have been used on the child in care.

      HHSC 749.2307(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.

      HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-24.

    • Other

      The foster parent confirmed that she had the bedroom door removed on multiple occasions due to the child's behavior.

      HHSC 749.3023(c)(3) — Bedrooms-foster children or any other household members may not use a room that does not have doors for privacy as a bedroom

      HHSC risk weight: Medium Low. Corrected 2023-10-30. Correction verified 2023-10-24.

    HHSC inspection history

  177. Aug 23, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  178. Aug 23, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  179. Aug 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  180. Aug 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  181. Aug 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  182. Aug 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  183. Aug 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  184. Aug 11, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  185. Jul 24, 2023 Assessment · Deficiencies cited
    • Illness & medication Serious

      Over the counter medication was left out in unlocked left kitchen cabinet.

      HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication

      HHSC risk weight: High. Corrected 2023-08-02. Correction verified 2023-07-28.

    • Other

      One of the 5 dogs did not have a current rabies vaccination.

      HHSC 749.3663(b) — Adoptive Home Care/Safety-Pets vaccinated and treated as recommended by vet

      HHSC risk weight: Medium High. Corrected 2023-08-09. Correction verified 2023-07-28.

    HHSC inspection history

  186. Jul 24, 2023 Assessment · Deficiencies cited
    • Illness & medication Serious

      Over the counter medication was left out in unlocked left kitchen cabinet.

      HHSC 749.1521(2) — Medication Storage-Keep medication inaccessible other than to caregivers responsible for stored medication

      HHSC risk weight: High. Corrected 2023-08-02. Correction verified 2023-07-28.

    • Other

      One of the 5 dogs did not have a current rabies vaccination.

      HHSC 749.3663(b) — Adoptive Home Care/Safety-Pets vaccinated and treated as recommended by vet

      HHSC risk weight: Medium High. Corrected 2023-08-09. Correction verified 2023-07-28.

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

  187. Jul 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  188. Jul 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  189. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  190. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  191. Jun 9, 2023 Report · Deficiencies cited
    • Supervision & ratios

      When conducting an inspection of the home and requesting documentation of the child the foster parent had no documentation provided from the facility.

      HHSC 749.1115(b) — Information to provide caregivers-By child's admission, inform caregivers of any special needs, such as medical, dietary, supervision needs/condition

      HHSC risk weight: Medium High. Corrected 2023-08-21. Correction verified 2023-08-18.

    • Other

      when reviewing documentation day care was not provided in a timely manner as stated in the agencies policy.

      HHSC 749.121(7) — Rights & responsibilities of CPA and foster parents - Type and amount of services available to foster parents

      HHSC risk weight: Medium. Corrected 2023-08-21. Correction verified 2023-08-18.

    • Safety & premises

      When requesting for documentation on subsequent pre-placement visits there was none available.

      HHSC 749.1281(a)(3) — Subsequent Placement-If move is not an emergency, child placement management staff must comply with the pre-placement requirements in 749.1251

      HHSC risk weight: Medium. Corrected 2023-08-21. Correction verified 2023-08-18.

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

  192. Jun 9, 2023 Report · Deficiencies cited
    • Supervision & ratios

      When conducting an inspection of the home and requesting documentation of the child the foster parent had no documentation provided from the facility.

      HHSC 749.1115(b) — Information to provide caregivers-By child's admission, inform caregivers of any special needs, such as medical, dietary, supervision needs/condition

      HHSC risk weight: Medium High. Corrected 2023-08-21. Correction verified 2023-08-18.

    • Other

      when reviewing documentation day care was not provided in a timely manner as stated in the agencies policy.

      HHSC 749.121(7) — Rights & responsibilities of CPA and foster parents - Type and amount of services available to foster parents

      HHSC risk weight: Medium. Corrected 2023-08-21. Correction verified 2023-08-18.

    • Safety & premises

      When requesting for documentation on subsequent pre-placement visits there was none available.

      HHSC 749.1281(a)(3) — Subsequent Placement-If move is not an emergency, child placement management staff must comply with the pre-placement requirements in 749.1251

      HHSC risk weight: Medium. Corrected 2023-08-21. Correction verified 2023-08-18.

    HHSC inspection history

  193. Jun 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  194. Jun 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  195. Jun 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  196. Jun 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  197. May 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  198. May 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  199. May 20, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      A foster child ran away from (and returned to) the foster home on a Friday night and then again two days later. The foster parent indicated the operation did not implement any type of extra supervision nor notify the foster parent that the operation would discharge the foster child the next day.

      HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child

      HHSC risk weight: High. Corrected 2023-06-26. Correction verified 2023-06-23.

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

  200. May 20, 2023 Report · Deficiencies cited
    • Supervision & ratios Serious

      A foster child ran away from (and returned to) the foster home on a Friday night and then again two days later. The foster parent indicated the operation did not implement any type of extra supervision nor notify the foster parent that the operation would discharge the foster child the next day.

      HHSC 749.2593(a)(3) — Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child

      HHSC risk weight: High. Corrected 2023-06-26. Correction verified 2023-06-23.

    HHSC inspection history

  201. May 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  202. May 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  203. May 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  204. May 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  205. Apr 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  206. Apr 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  207. Apr 19, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  208. Apr 19, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  209. Apr 18, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      Three foster parents do not have active background checks completed.

      HHSC 745.621(a)(3) — AP Initial background checks submitted - At the time you contract with someone who requires a background check

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

    • Discipline & child guidance

      Operation did not call in to report when they became aware of an allegation made by child in care being hit by the foster parent.

      HHSC 749.503(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 2023-04-25. Correction verified 2023-04-20.

    HHSC inspection history

  210. Apr 18, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      Three foster parents do not have active background checks completed.

      HHSC 745.621(a)(3) — AP Initial background checks submitted - At the time you contract with someone who requires a background check

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

    • Discipline & child guidance

      Operation did not call in to report when they became aware of an allegation made by child in care being hit by the foster parent.

      HHSC 749.503(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 2023-04-25. Correction verified 2023-04-20.

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

  211. Apr 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  212. Apr 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  213. Mar 31, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2023-04-01. Correction verified 2023-04-01.

    HHSC inspection history

  214. Mar 31, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on March 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2023-04-01. Correction verified 2023-04-01.

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

  215. Mar 4, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  216. Mar 4, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  217. Mar 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  218. Mar 2, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  219. Mar 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  220. Mar 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  221. Feb 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  222. Feb 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  223. Feb 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  224. Feb 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  225. Jan 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  226. Jan 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  227. Jan 24, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  228. Jan 24, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  229. Jan 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  230. Jan 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  231. Dec 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  232. Dec 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  233. Dec 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  234. Dec 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  235. Dec 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  236. Dec 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  237. Dec 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  238. Dec 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  239. Dec 3, 2022 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Child in care ran away from the home on 12/01/2022 at 11pm, this was not reported to Licensing until 12/02/2022 at 9:14am. The child in care is 15 years old and the runaway was reported 10 hours later, exceeding the 6-hour timeframe to report.

      HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.

      HHSC risk weight: Medium. Corrected 2023-02-14. Correction verified 2023-02-14.

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

  240. Dec 3, 2022 Report · Deficiencies cited (self-report)
    • Records & paperwork

      Child in care ran away from the home on 12/01/2022 at 11pm, this was not reported to Licensing until 12/02/2022 at 9:14am. The child in care is 15 years old and the runaway was reported 10 hours later, exceeding the 6-hour timeframe to report.

      HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.

      HHSC risk weight: Medium. Corrected 2023-02-14. Correction verified 2023-02-14.

    HHSC inspection history

  241. Nov 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  242. Nov 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  243. Nov 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  244. Nov 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  245. Oct 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  246. Oct 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  247. Oct 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  248. Oct 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  249. Sep 30, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 30, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2022-10-01. Correction verified 2022-10-01.

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

  250. Sep 30, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on September 30, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

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

      HHSC risk weight: Medium High. Corrected 2022-10-01. Correction verified 2022-10-01.

    HHSC inspection history

  251. Sep 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  252. Sep 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  253. Aug 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  254. Aug 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  255. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  256. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  257. Jun 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  258. Jun 9, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  259. Jun 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  260. Jun 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  261. Jun 4, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  262. Jun 4, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  263. May 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  264. May 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  265. May 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  266. May 27, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  267. May 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  268. May 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  269. May 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  270. May 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  271. May 4, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  272. May 4, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  273. Apr 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  274. Apr 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  275. Apr 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  276. Apr 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  277. Mar 4, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  278. Mar 4, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  279. Feb 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  280. Feb 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  281. Jan 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  282. Jan 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  283. Jan 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  284. Jan 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  285. Jan 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  286. Jan 22, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  287. Jan 13, 2022 Inspection · Deficiencies cited
    • Illness & medication

      Failure to report a serious incident.

      HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease

      HHSC risk weight: Medium. Corrected 2022-01-20. Correction verified 2022-01-20.

    HHSC inspection history

  288. Jan 13, 2022 Inspection · Deficiencies cited
    • Illness & medication

      Failure to report a serious incident.

      HHSC 749.503(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease

      HHSC risk weight: Medium. Corrected 2022-01-20. Correction verified 2022-01-20.

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

  289. Jan 5, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  290. Jan 5, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  291. Dec 29, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  292. Dec 29, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  293. Dec 27, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  294. Dec 27, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  295. Dec 16, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  296. Dec 16, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  297. Dec 14, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  298. Dec 14, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  299. Dec 1, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  300. Dec 1, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  301. Nov 30, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  302. Nov 30, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  303. Oct 18, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  304. Oct 18, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  305. Sep 27, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  306. Sep 27, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

Get the full file

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

Email the request Printable letter (fax or mail)

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

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

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