RecordWell Data

New Horizons Ranch Residential Treatment Center

850 F M 574 W, Goldthwaite, TX 76844 · Mills County

106cited violations
22serious
551inspections & investigations
0enforcement actions

Program

Type
General residential operation
Licensed capacity
68
Ages
6-17
Hours
-
Director / administrator
Michael J. Redden
Phone
(325) 203-4004
Regulated since
Feb 5, 1987
HHSC IDs
Operation 94715 · number 40724
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026224 Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (2), Discipline & child guidance (2), Other (12)
2025186 Illness & medication (4), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (4), Other (6)
2024184 Illness & medication (6), Supervision & ratios (2), Safety & premises (4), Records & paperwork (2), Other (4)
2023244 Illness & medication (2), Supervision & ratios (4), Safety & premises (2), Staff background & training (2), Other (14)
2022162 Illness & medication (6), Supervision & ratios (4), Records & paperwork (2), Other (4)
202182 Illness & medication (2), Discipline & child guidance (2), Food & allergies (2), Other (2)

Inspections, investigations & assessments

  1. Sep 24, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  2. Sep 24, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Sep 12, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Sep 2, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  5. Sep 2, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. Jul 28, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  7. Jul 28, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Jul 28, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  9. Jul 28, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Jul 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  11. Jul 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  12. Jul 17, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Jul 17, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  14. Jul 15, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Jul 15, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  16. Jul 10, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  17. Jul 10, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  18. Jul 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  19. Jul 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Jul 7, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  21. Jul 7, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  22. Jul 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. Jul 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  24. Jun 30, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  25. Jun 30, 2026 Report

    No violations cited on this visit.

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

  26. Jun 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  27. Jun 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  28. Jun 11, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  29. Jun 11, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  30. Jun 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  31. Jun 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  32. Jun 9, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  33. Jun 9, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  34. Jun 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  35. Jun 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  36. Jun 5, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Jun 5, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  38. Jun 4, 2026 Report · Deficiencies cited (self-report)
    • Other

      During the course of the investigation, it was found and corroborated by 4 children in care and 2 staff members, that a staff member yelled, "Shut the f*** up", to children in care during "Med box", as the children were being loud and had already been asked multiple times to be quiet. Additionally, 1 case worker also stated to being informed that their child has overheard a staff cursing to a child on one occasion.

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

      HHSC risk weight: Medium High. Corrected 2026-07-03. Correction verified 2026-07-03.

    HHSC inspection history

  39. Jun 4, 2026 Report · Deficiencies cited (self-report)
    • Other

      During the course of the investigation, it was found and corroborated by 4 children in care and 2 staff members, that a staff member yelled, "Shut the f*** up", to children in care during "Med box", as the children were being loud and had already been asked multiple times to be quiet. Additionally, 1 case worker also stated to being informed that their child has overheard a staff cursing to a child on one occasion.

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

      HHSC risk weight: Medium High. Corrected 2026-07-03. Correction verified 2026-07-03.

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

  40. Jun 4, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  41. Jun 4, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. May 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  43. May 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  44. May 27, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. May 27, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  46. May 26, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  47. May 26, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. May 21, 2026 Inspection · Deficiencies cited
    • Illness & medication

      Three out of four restraint reports noted a child being restained for a non emergency situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2026-05-29. Correction verified 2026-06-01.

    • Cleanliness & sanitation

      In two seperate houses, the cleaning supplies in the bathroom cabinet were assessable to children in care.

      HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-21.

    HHSC inspection history

  49. May 21, 2026 Inspection · Deficiencies cited
    • Illness & medication

      Three out of four restraint reports noted a child being restained for a non emergency situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2026-05-29. Correction verified 2026-06-01.

    • Cleanliness & sanitation

      In two seperate houses, the cleaning supplies in the bathroom cabinet were assessable to children in care.

      HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-21.

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

  50. May 21, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  51. May 21, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  52. Apr 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  53. Apr 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  54. Apr 24, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Apr 24, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  56. Apr 22, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  57. Apr 22, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Apr 21, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  59. Apr 21, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  60. Apr 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  61. Apr 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  62. Apr 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  63. Apr 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  64. Apr 9, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Apr 9, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  66. Apr 9, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  67. Apr 9, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  68. Apr 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  69. Apr 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Apr 6, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  71. Apr 6, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  72. Apr 2, 2026 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Multiple children and staff witnessed staff put a child into a chokehold.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other

      A staff member called a child derogatory names.

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

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Illness & medication

      A staff member initiated a restraint outside an emergency situation

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other Serious

      Multiple children and staff witnessed a staff member slam a child to the ground while initiating a restraint.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other

      A staff admitted to not stopping another staff when a child was placed in a chokehold.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

    HHSC inspection history

  73. Apr 2, 2026 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Multiple children and staff witnessed staff put a child into a chokehold.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other

      A staff member called a child derogatory names.

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

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Illness & medication

      A staff member initiated a restraint outside an emergency situation

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other Serious

      Multiple children and staff witnessed a staff member slam a child to the ground while initiating a restraint.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-05-22.

    • Other

      A staff admitted to not stopping another staff when a child was placed in a chokehold.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2026-05-15. Correction verified 2026-05-22.

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

  74. Mar 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Mar 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  76. Mar 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  77. Mar 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  78. Mar 10, 2026 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      During the course of the investigation, it was determined that a preliminary service plan indicated that a child requires "constant supervision" due to self-harming behaviors. This plan was not followed when this child was left unattended for a couple of minutes giving this child an opportunity to run away with another resident.

      HHSC 748.1331(f) — Preliminary Service Plan-Implement and follow the preliminary service plan

      HHSC risk weight: Medium. Corrected 2026-04-15. Correction verified 2026-04-16.

    HHSC inspection history

  79. Mar 10, 2026 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      During the course of the investigation, it was determined that a preliminary service plan indicated that a child requires "constant supervision" due to self-harming behaviors. This plan was not followed when this child was left unattended for a couple of minutes giving this child an opportunity to run away with another resident.

      HHSC 748.1331(f) — Preliminary Service Plan-Implement and follow the preliminary service plan

      HHSC risk weight: Medium. Corrected 2026-04-15. Correction verified 2026-04-16.

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

  80. Mar 8, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  81. Mar 8, 2026 Report

    No violations cited on this visit.

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

  82. Mar 5, 2026 Inspection · Deficiencies cited
    • Other

      A child in care was missing several months of suicide screenings.

      HHSC 748.125(d)(4)(C) — Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.

      HHSC risk weight: Medium. Corrected 2026-03-18. Correction verified 2026-03-18.

    • Other

      The swings and playground area did not have 9 inches of loose-fill materials.

      HHSC 748.3563(d) — Protective Surfacing-Must ensure 9 inches of the loose-fill materials are maintained at all times

      HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-03-18.

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

  83. Mar 5, 2026 Inspection · Deficiencies cited
    • Other

      A child in care was missing several months of suicide screenings.

      HHSC 748.125(d)(4)(C) — Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center.

      HHSC risk weight: Medium. Corrected 2026-03-18. Correction verified 2026-03-18.

    • Other

      The swings and playground area did not have 9 inches of loose-fill materials.

      HHSC 748.3563(d) — Protective Surfacing-Must ensure 9 inches of the loose-fill materials are maintained at all times

      HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-03-18.

    HHSC inspection history

  84. Feb 24, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  85. Feb 24, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  86. Feb 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Feb 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  88. Jan 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  89. Jan 12, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Jan 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Jan 9, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  92. Jan 8, 2026 Report

    No violations cited on this visit.

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

  93. Jan 8, 2026 Report

    No violations cited on this visit.

    HHSC inspection history

  94. Jan 6, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  95. Jan 6, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  96. Dec 23, 2025 Report · Deficiencies cited
    • Discipline & child guidance Serious

      I child in care was subjected to corporal punishment by a caregiver.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2026-02-26. Correction verified 2026-02-25.

    HHSC inspection history

  97. Dec 23, 2025 Report · Deficiencies cited
    • Discipline & child guidance Serious

      I child in care was subjected to corporal punishment by a caregiver.

      HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

      HHSC risk weight: High. Corrected 2026-02-26. Correction verified 2026-02-25.

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

  98. Dec 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  99. Dec 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Dec 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  101. Dec 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  102. Dec 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  103. Dec 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  104. Dec 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  105. Dec 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  106. Nov 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  107. Nov 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  108. Nov 5, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  109. Nov 5, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  110. Oct 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  111. Oct 27, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  112. Oct 21, 2025 Report · Deficiencies cited
    • Other Serious

      A child in care received a serious physical injury during a restraint.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-11-26. Correction verified 2025-12-16.

    HHSC inspection history

  113. Oct 21, 2025 Report · Deficiencies cited
    • Other Serious

      A child in care received a serious physical injury during a restraint.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-11-26. Correction verified 2025-12-16.

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

  114. Oct 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  115. Oct 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  116. Oct 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  117. Oct 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  118. Oct 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  119. Oct 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  120. Oct 7, 2025 Report

    No violations cited on this visit.

    HHSC inspection history

  121. Oct 7, 2025 Report

    No violations cited on this visit.

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

  122. Sep 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  123. Sep 23, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  124. Sep 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  125. Sep 19, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  126. Sep 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  127. Sep 18, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  128. Sep 18, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  129. Sep 18, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  130. Sep 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  131. Sep 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  132. Aug 28, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  133. Aug 28, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  134. Aug 19, 2025 Report · Deficiencies cited
    • Illness & medication

      The basis for a child in care being restrained was for noncompliance and not an emergency situation or to administer medication.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-25.

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

  135. Aug 19, 2025 Report · Deficiencies cited
    • Illness & medication

      The basis for a child in care being restrained was for noncompliance and not an emergency situation or to administer medication.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-25.

    HHSC inspection history

  136. Aug 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  137. Aug 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  138. Aug 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  139. Aug 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Jul 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  141. Jul 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  142. Jul 30, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  143. Jul 30, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  144. Jul 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  145. Jul 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  146. Jul 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  147. Jul 21, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  148. Jul 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  149. Jul 15, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  150. Jul 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  151. Jul 3, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  152. Jul 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  153. Jul 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  154. Jun 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  155. Jun 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  156. Jun 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  157. Jun 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  158. Jun 13, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  159. Jun 13, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  160. Jun 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  161. Jun 10, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  162. May 29, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  163. May 29, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  164. May 19, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  165. May 19, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  166. May 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  167. May 16, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  168. May 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  169. May 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  170. May 15, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  171. May 15, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  172. May 14, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  173. May 14, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  174. May 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  175. May 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  176. May 4, 2025 Report · Deficiencies cited
    • Safety & premises

      A child in care was restrained for only being verbally aggressive.

      HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention

      HHSC risk weight: Medium High. Corrected 2025-06-02. Correction verified 2025-06-04.

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

  177. May 4, 2025 Report · Deficiencies cited
    • Safety & premises

      A child in care was restrained for only being verbally aggressive.

      HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention

      HHSC risk weight: Medium High. Corrected 2025-06-02. Correction verified 2025-06-04.

    HHSC inspection history

  178. Apr 28, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  179. Apr 28, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  180. Apr 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  181. Apr 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  182. Apr 22, 2025 Report · Deficiencies cited (self-report)
    • Safety & premises

      The triggered review completed did not contain information required throughout standard 748.2907.

      HHSC 748.2907(5) — Triggered Reviews-Must include a written plan for reducing the need for emergency behavior intervention

      HHSC risk weight: Medium High. Corrected 2025-05-27. Correction verified 2025-05-27.

    HHSC inspection history

  183. Apr 22, 2025 Report · Deficiencies cited (self-report)
    • Safety & premises

      The triggered review completed did not contain information required throughout standard 748.2907.

      HHSC 748.2907(5) — Triggered Reviews-Must include a written plan for reducing the need for emergency behavior intervention

      HHSC risk weight: Medium High. Corrected 2025-05-27. Correction verified 2025-05-27.

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

  184. Apr 17, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  185. Apr 17, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  186. Apr 10, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  187. Apr 10, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  188. Apr 9, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  189. Apr 9, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  190. Mar 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  191. Mar 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  192. Mar 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  193. Mar 23, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  194. Mar 17, 2025 Report · Deficiencies cited
    • Supervision & ratios

      The incident report was not accurate to the true events of the actual incident. A staff member denied monitoring a restraint even though the incident report indicated the staff did monitor a restraint.

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

      HHSC risk weight: Medium. Corrected 2025-05-02. Correction verified 2025-05-16.

    • Other

      A child in care that was not in danger or a danger to others was restrained inappropriately by a caregiver.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2025-05-02. Correction verified 2025-05-16.

    • Other Serious

      A child in care was seriously bruised from a restraint conducted by a caregiver.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-16.

    HHSC inspection history

  195. Mar 17, 2025 Report · Deficiencies cited
    • Supervision & ratios

      The incident report was not accurate to the true events of the actual incident. A staff member denied monitoring a restraint even though the incident report indicated the staff did monitor a restraint.

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

      HHSC risk weight: Medium. Corrected 2025-05-02. Correction verified 2025-05-16.

    • Other

      A child in care that was not in danger or a danger to others was restrained inappropriately by a caregiver.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2025-05-02. Correction verified 2025-05-16.

    • Other Serious

      A child in care was seriously bruised from a restraint conducted by a caregiver.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-16.

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

  196. Mar 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  197. Mar 14, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  198. Mar 11, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  199. Mar 11, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  200. Mar 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  201. Mar 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  202. Feb 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  203. Feb 26, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  204. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  205. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  206. Feb 25, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  207. Feb 25, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  208. Feb 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  209. Feb 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  210. Feb 6, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  211. Feb 6, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  212. Feb 3, 2025 Inspection · Deficiencies cited
    • Illness & medication

      During an unanounnced follow up inspection 2 out of 3 medical logs for children in care did not have an accurate count of medications.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-02-03.

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

  213. Feb 3, 2025 Inspection · Deficiencies cited
    • Illness & medication

      During an unanounnced follow up inspection 2 out of 3 medical logs for children in care did not have an accurate count of medications.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-02-03.

    HHSC inspection history

  214. Jan 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  215. Jan 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  216. Jan 28, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  217. Jan 28, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  218. Jan 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  219. Jan 17, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  220. Dec 23, 2024 Inspection · Deficiencies cited
    • Illness & medication

      The medication count for a child in care was did not have an accurate count of the prescribed medication.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-02-03.

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

  221. Dec 23, 2024 Inspection · Deficiencies cited
    • Illness & medication

      The medication count for a child in care was did not have an accurate count of the prescribed medication.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2025-02-03.

    HHSC inspection history

  222. Dec 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  223. Dec 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  224. Dec 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  225. Dec 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  226. Nov 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  227. Nov 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  228. Nov 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  229. Nov 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  230. Oct 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  231. Oct 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  232. Oct 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  233. Oct 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  234. Oct 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  235. Oct 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  236. Oct 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  237. Oct 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  238. Oct 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  239. Oct 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  240. Sep 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  241. Sep 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  242. Aug 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  243. Aug 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  244. Aug 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  245. Aug 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  246. Aug 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  247. Aug 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  248. Aug 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  249. Aug 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  250. Aug 21, 2024 Inspection

    No violations cited on this visit.

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

  251. Aug 21, 2024 Inspection

    No violations cited on this visit.

    HHSC inspection history

  252. Aug 20, 2024 Report · Deficiencies cited
    • Illness & medication Serious

      An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

      HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.

      HHSC risk weight: High. Corrected 2024-09-24. Correction verified 2024-11-06.

    HHSC inspection history

  253. Aug 20, 2024 Report · Deficiencies cited
    • Illness & medication Serious

      An investigation determined a child should have received medical attention on 8/18/24, but was not seen until 8/19/24.

      HHSC 748.1553 — Child must be immediately treated by health prof, contact emergency svs or take child to ER for injury/illness requiring treatment by a health prof.

      HHSC risk weight: High. Corrected 2024-09-24. Correction verified 2024-11-06.

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

  254. Aug 19, 2024 Report · Deficiencies cited
    • Illness & medication

      A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

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

    • Other

      A staff member restrained a child without attempting de-escalation.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2024-09-18. Correction verified 2024-09-30.

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

  255. Aug 19, 2024 Report · Deficiencies cited
    • Illness & medication

      A staff member used emergency behavior intervention on a child in care for a non-emergency situation.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

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

    • Other

      A staff member restrained a child without attempting de-escalation.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2024-09-18. Correction verified 2024-09-30.

    HHSC inspection history

  256. Aug 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  257. Aug 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  258. Aug 4, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  259. Aug 4, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  260. Jul 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  261. Jul 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  262. Jul 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  263. Jul 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  264. Jul 11, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  265. Jul 11, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  266. Jul 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  267. Jul 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  268. May 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  269. May 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  270. May 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  271. May 14, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  272. Apr 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  273. Apr 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  274. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  275. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  276. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  277. Apr 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  278. Apr 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  279. Apr 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  280. Apr 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  281. Apr 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  282. Apr 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  283. Apr 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  284. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  285. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  286. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  287. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  288. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  289. Mar 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  290. Mar 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  291. Mar 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  292. Mar 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  293. Mar 12, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  294. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  295. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  296. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  297. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  298. Mar 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  299. Mar 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  300. Mar 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  301. Mar 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  302. Feb 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  303. Feb 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  304. Feb 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  305. Feb 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  306. Feb 24, 2024 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

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

      HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-22.

    • Records & paperwork

      3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

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

      HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-22.

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

  307. Feb 24, 2024 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      1 child's service plan contained the name of two other individuals. Additionally, the unauthorized absence log contained the wrong staff member's name responsible for a child who ran away.

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

      HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-22.

    • Records & paperwork

      3 serious incident reports regarding an unauthorized absence did not have the time and/or date of the notification to the case worker and/or law enforcement officer and the names of those they spoke to.

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

      HHSC risk weight: Medium. Corrected 2024-03-29. Correction verified 2024-03-22.

    HHSC inspection history

  308. Feb 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  309. Feb 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  310. Feb 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  311. Feb 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  312. Feb 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  313. Feb 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  314. Feb 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  315. Feb 15, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  316. Feb 11, 2024 Report · Deficiencies cited (self-report)
    • Safety & premises

      During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

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

      HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-07.

    HHSC inspection history

  317. Feb 11, 2024 Report · Deficiencies cited (self-report)
    • Safety & premises

      During the course of the investigation, it was determined that a hazardous item was left in reach of a child.

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

      HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-07.

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

  318. Feb 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  319. Feb 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  320. Jan 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  321. Jan 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  322. Jan 11, 2024 Report · Deficiencies cited
    • Safety & premises

      It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

      HHSC 748.2463(1) — Emergency Behavior Intervention-Never used as punishment

      HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-03-22.

    • Other Serious

      It was noted that during an investigation, a child was not properly restrained.

      HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child

      HHSC risk weight: High. Corrected 2024-03-15. Correction verified 2024-03-22.

    HHSC inspection history

  323. Jan 11, 2024 Report · Deficiencies cited
    • Safety & premises

      It was noted during an investigation that a child in care was being restrained which resulted in a child being restrained inappropriately as the child in care resisted.

      HHSC 748.2463(1) — Emergency Behavior Intervention-Never used as punishment

      HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-03-22.

    • Other Serious

      It was noted that during an investigation, a child was not properly restrained.

      HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child

      HHSC risk weight: High. Corrected 2024-03-15. Correction verified 2024-03-22.

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

  324. Jan 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  325. Jan 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  326. Dec 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  327. Dec 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  328. Dec 10, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  329. Dec 10, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  330. Dec 7, 2023 Report · Deficiencies cited
    • Other

      It was noted in this investigation that a child in care was grabbed by the front of the shirt.

      HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child

      HHSC risk weight: Medium High. Corrected 2024-01-12. Correction verified 2024-01-11.

    • Other

      It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

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

      HHSC risk weight: Medium High. Corrected 2024-01-12. Correction verified 2024-01-11.

    HHSC inspection history

  331. Dec 7, 2023 Report · Deficiencies cited
    • Other

      It was noted in this investigation that a child in care was grabbed by the front of the shirt.

      HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child

      HHSC risk weight: Medium High. Corrected 2024-01-12. Correction verified 2024-01-11.

    • Other

      It was noted during the investigation that profane language was used during an incident that had escalated on a child in care.

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

      HHSC risk weight: Medium High. Corrected 2024-01-12. Correction verified 2024-01-11.

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

  332. Nov 30, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-02-09. Correction verified 2024-02-09.

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

  333. Nov 30, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      Records were requested on 12/4/23 (by email), on 12/7/23 (by email), and on 12/18 (by email & by phone). Records were provided by the operation on 12/18/23.

      HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction

      HHSC risk weight: Medium. Corrected 2024-02-09. Correction verified 2024-02-09.

    HHSC inspection history

  334. Nov 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  335. Nov 16, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  336. Nov 13, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  337. Nov 13, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  338. Nov 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  339. Nov 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  340. Nov 4, 2023 Report · Deficiencies cited (self-report)
    • Other

      The suicide screening indicates it was done 13 days late.

      HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.

      HHSC risk weight: Medium High. Corrected 2023-12-29. Correction verified 2023-12-29.

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

  341. Nov 4, 2023 Report · Deficiencies cited (self-report)
    • Other

      The suicide screening indicates it was done 13 days late.

      HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.

      HHSC risk weight: Medium High. Corrected 2023-12-29. Correction verified 2023-12-29.

    HHSC inspection history

  342. Oct 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  343. Oct 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  344. Oct 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  345. Oct 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  346. Oct 22, 2023 Report · Deficiencies cited (self-report)
    • Other

      A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-12-29. Correction verified 2023-12-29.

    HHSC inspection history

  347. Oct 22, 2023 Report · Deficiencies cited (self-report)
    • Other

      A staff member allowed children to go to an unauthorized outdoor area. As a result, the children ran away and committed inappropriate physical contact with each other.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-12-29. Correction verified 2023-12-29.

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

  348. Oct 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  349. Oct 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  350. Oct 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  351. Oct 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  352. Oct 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  353. Oct 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  354. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  355. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  356. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  357. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  358. Sep 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  359. Sep 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  360. Sep 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  361. Sep 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  362. Sep 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  363. Sep 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  364. Sep 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  365. Sep 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  366. Sep 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  367. Sep 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  368. Sep 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  369. Sep 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  370. Sep 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  371. Sep 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  372. Sep 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  373. Sep 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  374. Sep 19, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  375. Sep 19, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  376. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  377. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  378. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  379. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  380. Sep 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  381. Sep 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  382. Sep 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  383. Sep 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  384. Sep 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  385. Sep 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  386. Sep 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  387. Sep 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  388. Aug 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  389. Aug 30, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  390. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  391. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  392. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  393. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  394. Aug 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  395. Aug 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  396. Aug 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  397. Aug 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  398. Aug 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  399. Aug 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  400. Aug 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  401. Aug 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  402. Aug 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  403. Aug 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  404. Aug 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  405. Aug 7, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  406. Jul 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  407. Jul 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  408. Jul 31, 2023 Report · Deficiencies cited
    • Other

      Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

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

      HHSC risk weight: Medium High. Corrected 2023-09-13. Correction verified 2023-09-15.

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

  409. Jul 31, 2023 Report · Deficiencies cited
    • Other

      Three children and two staff stated that staff will use curse words around children. Staff said they will repeat what children say as a way to have them rethink their own words.

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

      HHSC risk weight: Medium High. Corrected 2023-09-13. Correction verified 2023-09-15.

    HHSC inspection history

  410. Jul 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  411. Jul 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  412. Jul 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  413. Jul 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  414. Jul 6, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      A screw driver and fishing tackle box with hooks were observed in a child's bedroom. This was correct at inspection, picked up and given to staff who locked them in a closet appropriately.

      HHSC 748.3021 — Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-06.

    HHSC inspection history

  415. Jul 6, 2023 Inspection · Deficiencies cited
    • Supervision & ratios

      A screw driver and fishing tackle box with hooks were observed in a child's bedroom. This was correct at inspection, picked up and given to staff who locked them in a closet appropriately.

      HHSC 748.3021 — Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-06.

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

  416. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  417. Jun 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  418. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  419. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  420. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  421. Jun 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  422. Jun 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  423. Jun 21, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  424. Jun 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  425. Jun 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  426. Jun 15, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  427. Jun 15, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  428. May 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  429. May 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  430. May 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  431. May 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  432. May 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  433. May 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  434. Apr 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  435. Apr 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  436. Apr 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  437. Apr 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  438. Apr 12, 2023 Report · Deficiencies cited
    • Illness & medication

      Four children described examples of being restrained for not following directions or situations that were not an emergency.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-06-22. Correction verified 2023-06-22.

    • Safety & premises Serious

      Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-06-22. Correction verified 2023-06-22.

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

  439. Apr 12, 2023 Report · Deficiencies cited
    • Illness & medication

      Four children described examples of being restrained for not following directions or situations that were not an emergency.

      HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication

      HHSC risk weight: Medium High. Corrected 2023-06-22. Correction verified 2023-06-22.

    • Safety & premises Serious

      Four children described excessive force being used during restraints, such as being slammed against a wall or floor, arms twisting back, and being bent over.

      HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force

      HHSC risk weight: High. Corrected 2023-06-22. Correction verified 2023-06-22.

    HHSC inspection history

  440. Apr 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  441. Apr 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  442. Mar 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  443. Mar 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  444. Mar 9, 2023 Report · Deficiencies cited
    • Other

      Upon reviewing letters and pictures from a caregiver it was determined that the caregiver has maintained an inappropriate relationship with a child in care.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-05-22. Correction verified 2023-05-22.

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

  445. Mar 9, 2023 Report · Deficiencies cited
    • Other

      Upon reviewing letters and pictures from a caregiver it was determined that the caregiver has maintained an inappropriate relationship with a child in care.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-05-22. Correction verified 2023-05-22.

    HHSC inspection history

  446. Feb 17, 2023 Inspection · Deficiencies cited
    • Staff background & training

      7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

      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 at inspection. Corrected 2023-02-17.

    • Other Serious

      A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

      HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others

      HHSC risk weight: High. Corrected 2023-02-22. Correction verified 2023-02-23.

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

  447. Feb 17, 2023 Inspection · Deficiencies cited
    • Staff background & training

      7 previous staff members who are no longer employed at the operation were not inactivated within 7 days of unemployment. The administrator inactivated these staff during the inspection.

      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 at inspection. Corrected 2023-02-17.

    • Other Serious

      A child with high-risk behaviors noted did not have a plan to address these behaviors in their service plan.

      HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others

      HHSC risk weight: High. Corrected 2023-02-22. Correction verified 2023-02-23.

    HHSC inspection history

  448. Feb 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  449. Feb 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  450. Jan 18, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  451. Jan 18, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  452. Dec 25, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  453. Dec 25, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  454. Dec 19, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  455. Dec 19, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  456. Dec 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  457. Dec 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  458. Dec 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  459. Dec 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  460. Nov 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  461. Nov 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  462. Nov 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  463. Nov 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  464. Nov 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  465. Nov 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  466. Nov 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  467. Nov 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  468. Oct 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  469. Oct 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  470. Oct 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  471. Oct 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  472. Oct 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  473. Oct 11, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  474. Oct 3, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  475. Oct 3, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  476. Oct 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  477. Oct 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  478. Sep 30, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  479. Sep 30, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  480. Sep 26, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

      HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-26.

    HHSC inspection history

  481. Sep 26, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      One child did not have a TB test documented in their record. The child was at a doctor's appointment and recieved a test today. The results will be done in 48 hours.

      HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-09-26.

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

  482. Sep 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  483. Sep 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  484. Sep 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  485. Sep 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  486. Sep 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  487. Sep 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  488. Aug 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  489. Aug 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  490. Aug 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  491. Aug 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  492. Aug 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  493. Aug 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  494. Aug 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  495. Aug 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  496. Jul 30, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  497. Jul 30, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  498. Jul 13, 2022 Inspection · Deficiencies cited
    • Illness & medication

      4 out of 10 medication logs did not have the required signature of the person who administered the dose.

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

      HHSC risk weight: Medium. Corrected 2022-07-28. Correction verified 2022-07-28.

    HHSC inspection history

  499. Jul 13, 2022 Inspection · Deficiencies cited
    • Illness & medication

      4 out of 10 medication logs did not have the required signature of the person who administered the dose.

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

      HHSC risk weight: Medium. Corrected 2022-07-28. Correction verified 2022-07-28.

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

  500. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  501. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  502. Jun 7, 2022 Report · Deficiencies cited
    • Supervision & ratios Serious

      A child in care assisted staff by monitoring a restraint conducted on another child in care.

      HHSC 748.2601(a) — Personal Restraint Monitor-Qualified caregiver monitors child for signs of physical distress & ensures ample respiration, circulation, well-being

      HHSC risk weight: High. Corrected 2022-07-22. Correction verified 2022-07-22.

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

  503. Jun 7, 2022 Report · Deficiencies cited
    • Supervision & ratios Serious

      A child in care assisted staff by monitoring a restraint conducted on another child in care.

      HHSC 748.2601(a) — Personal Restraint Monitor-Qualified caregiver monitors child for signs of physical distress & ensures ample respiration, circulation, well-being

      HHSC risk weight: High. Corrected 2022-07-22. Correction verified 2022-07-22.

    HHSC inspection history

  504. May 20, 2022 Report · Deficiencies cited (self-report)
    • Other

      2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

      HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others

      HHSC risk weight: Medium High. Corrected 2022-06-22. Correction verified 2022-06-29.

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

  505. May 20, 2022 Report · Deficiencies cited (self-report)
    • Other

      2 children's service plans noted high-risk behaviors but did not include specific plans that address these behaviors.

      HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others

      HHSC risk weight: Medium High. Corrected 2022-06-22. Correction verified 2022-06-29.

    HHSC inspection history

  506. May 19, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  507. May 19, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  508. May 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  509. May 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  510. May 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  511. May 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  512. May 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  513. May 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  514. May 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  515. May 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  516. Apr 27, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  517. Apr 27, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  518. Apr 25, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  519. Apr 25, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  520. Apr 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  521. Apr 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  522. Apr 8, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-06-24. Correction verified 2022-06-24.

    HHSC inspection history

  523. Apr 8, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A few of The Ranch's policies were not followed regarding this incident. -Night staff members were sleeping. -Staff sleeping was not reported, and staff is trained to report this. -Concerns that hadn't been handled and needed more attention were not relayed to higher-up Supervisors/chain of command.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-06-24. Correction verified 2022-06-24.

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

  524. Mar 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  525. Mar 24, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  526. Mar 16, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  527. Mar 16, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  528. Mar 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  529. Mar 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  530. Feb 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  531. Feb 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  532. Feb 28, 2022 Inspection · Deficiencies cited
    • Illness & medication

      A caregiver was administering medication without having a signature on the medication file.

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

      HHSC risk weight: Medium. Corrected 2022-03-23. Correction verified 2022-03-23.

    HHSC inspection history

  533. Feb 28, 2022 Inspection · Deficiencies cited
    • Illness & medication

      A caregiver was administering medication without having a signature on the medication file.

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

      HHSC risk weight: Medium. Corrected 2022-03-23. Correction verified 2022-03-23.

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

  534. Feb 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  535. Feb 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  536. Feb 16, 2022 Report · Deficiencies cited
    • Illness & medication

      A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

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

      HHSC risk weight: Medium High. Corrected 2022-04-07. Correction verified 2022-04-21.

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

  537. Feb 16, 2022 Report · Deficiencies cited
    • Illness & medication

      A child in care's prescription label was altered by a staff member. The instructions stated take 1 tablet by mouth every morning but morning was mark through and night was written by pen.

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

      HHSC risk weight: Medium High. Corrected 2022-04-07. Correction verified 2022-04-21.

    HHSC inspection history

  538. Jan 29, 2022 Report · Deficiencies cited (self-report)
    • Other

      It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

      HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional

      HHSC risk weight: Medium High. Corrected 2022-03-18. Correction verified 2022-03-21.

    HHSC inspection history

  539. Jan 29, 2022 Report · Deficiencies cited (self-report)
    • Other

      It was found that the child in care was not seen for a follow up medical appointment as it was requested by the ER doctor at the time of discharge.

      HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional

      HHSC risk weight: Medium High. Corrected 2022-03-18. Correction verified 2022-03-21.

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

  540. Dec 29, 2021 Report · Deficiencies cited (self-report)
    • Illness & medication

      A report to licensing that a child contracted a communicable disease was not made within 24 hours.

      HHSC 748.303(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 2022-01-28. Correction verified 2022-01-28.

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

  541. Dec 29, 2021 Report · Deficiencies cited (self-report)
    • Illness & medication

      A report to licensing that a child contracted a communicable disease was not made within 24 hours.

      HHSC 748.303(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 2022-01-28. Correction verified 2022-01-28.

    HHSC inspection history

  542. Nov 20, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  543. Nov 20, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  544. Nov 6, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  545. Nov 6, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  546. Sep 21, 2021 Report · Deficiencies cited
    • Discipline & child guidance Serious

      The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-07-01. Correction verified 2022-06-30.

    • Food & allergies

      A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

      HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs

      HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-06-30.

    • Other

      Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

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

      HHSC risk weight: Medium. Corrected 2022-07-01. Correction verified 2022-06-30.

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

  547. Sep 21, 2021 Report · Deficiencies cited
    • Discipline & child guidance Serious

      The operation/staff failed to provide the level of monitoring and oversight necessary to help ensure a child's compliance with their diabetic treatment regimen. Staff was not aware of the child's supervision needs during blood sugar checks, which directly led to the child being hospitalized.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2022-07-01. Correction verified 2022-06-30.

    • Food & allergies

      A child with a history of struggling with medical compliance, was made responsible for monitoring their blood sugar levels. The child was also able to sneak snacks, as other children in care reported.

      HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs

      HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-06-30.

    • Other

      Staff was unaware of a child's medical needs outlined in the service plan, which resulted in the child's medical needs not being properly met.

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

      HHSC risk weight: Medium. Corrected 2022-07-01. Correction verified 2022-06-30.

    HHSC inspection history

  548. Aug 17, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  549. Aug 17, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  550. Jul 30, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

  551. Jul 30, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

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.