Trinity Guidance Residential Treatment Center
8702 ROCKY KNOLL LN, Rosenberg, TX 77469 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 11
- Ages
- 7-17
- Hours
- -
- Phone
- (281) 762-2983
- Regulated since
- Dec 21, 2023
- HHSC IDs
- Operation 1430168 · number 1760975
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 44 | 6 | Illness & medication (20), Supervision & ratios (14), Staff background & training (2), Records & paperwork (4), Other (4) |
| 2025 | 18 | 6 | Illness & medication (2), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (2), Staff background & training (2), Records & paperwork (2), Other (4) |
| 2024 | 2 | 0 | Supervision & ratios (2) |
| 2023 | 30 | 4 | Supervision & ratios (10), Staff background & training (18), Other (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
-
Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During the investigation, information obtained through multiple interviews indicated that the child's 1:1 supervision was not implemented following multiple incidents of runaway behavior as stated in the service plan.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2026-09-17. Correction verified 2026-09-16.
-
Supervision & ratios Serious
-
Jul 29, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During the investigation, information obtained through multiple interviews indicated that the child's 1:1 supervision was not implemented following multiple incidents of runaway behavior as stated in the service plan.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2026-09-17. Correction verified 2026-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Report · Deficiencies cited
-
Other Serious
Staff and children confirm staff were sitting in the car when two children engaged in an altercation at the park. Both children sustained an injury.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2026-07-24. Correction verified 2026-08-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Jun 24, 2026 Report · Deficiencies cited
-
Other Serious
Staff and children confirm staff were sitting in the car when two children engaged in an altercation at the park. Both children sustained an injury.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2026-07-24. Correction verified 2026-08-03.
-
Other Serious
-
Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operations unauthorized absence log reflects that a child who eloped on 6/20/26 had only been gone for 24 minutes, however that information is not supported as true by the incident reports reviewed or staff. The unauthorized absence record not being complete as it does not mention the time the child returned.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Records & paperwork
The incident report for children eloping from placement does not contain any details pertaining to the nature of the incident. The incident report does not contain when the child returned to the placement.
HHSC 748.311(6) — Serious Incident Documentation-Includes nature of the incident
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Supervision & ratios
A staff member who is not a certified lifeguard took children swimming at a location that did not have a certified lifeguard present.
HHSC 748.3751(b)(1) — Swimming activities-If 6 or fewer children swimming away from operation, 1 adult in ratio must be able to swim or trained to carry out water rescue
HHSC risk weight: Medium High. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Records & paperwork
There is no documentation debriefing for the elopement.
HHSC 748.455(c) — Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 21, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operations unauthorized absence log reflects that a child who eloped on 6/20/26 had only been gone for 24 minutes, however that information is not supported as true by the incident reports reviewed or staff. The unauthorized absence record not being complete as it does not mention the time the child returned.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Records & paperwork
The incident report for children eloping from placement does not contain any details pertaining to the nature of the incident. The incident report does not contain when the child returned to the placement.
HHSC 748.311(6) — Serious Incident Documentation-Includes nature of the incident
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Supervision & ratios
A staff member who is not a certified lifeguard took children swimming at a location that did not have a certified lifeguard present.
HHSC 748.3751(b)(1) — Swimming activities-If 6 or fewer children swimming away from operation, 1 adult in ratio must be able to swim or trained to carry out water rescue
HHSC risk weight: Medium High. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Records & paperwork
There is no documentation debriefing for the elopement.
HHSC 748.455(c) — Unauthorized Absence-debriefing must be documented in child?s record, including routine activity that would be inappt for child to return to and why
HHSC risk weight: Medium. Corrected 2026-08-21. Correction verified 2026-09-02.
-
Supervision & ratios
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 29, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was discovered that the SIR report for one child indicated the child was injured while horse playing at the park on the splash pad, and later states on the same document the child was injured as a result of trying to rebound the basketball. The second incident report indicates another child's hand was injured while playing basketball; however, the child's medical documentation indicated the child's hand was injured due to a physical assault.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-03.
-
Illness & medication
One of the two child caseworkers interviewed denied being told that the child's hand was fractured.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-03.
-
Supervision & ratios
Two serious incident reports were provided regarding two children being injured while playing basketball, that were missing (1) the telephone number for the operation, One of the two were missing the (2) time the incident occurred and (3) the date of admission. Both documents were missing (5) the other children involved/witnessing the incident and (9) the treating licensed health-care professional's name, findings, and treatment.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 29, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
It was discovered that the SIR report for one child indicated the child was injured while horse playing at the park on the splash pad, and later states on the same document the child was injured as a result of trying to rebound the basketball. The second incident report indicates another child's hand was injured while playing basketball; however, the child's medical documentation indicated the child's hand was injured due to a physical assault.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-03.
-
Illness & medication
One of the two child caseworkers interviewed denied being told that the child's hand was fractured.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-03.
-
Supervision & ratios
Two serious incident reports were provided regarding two children being injured while playing basketball, that were missing (1) the telephone number for the operation, One of the two were missing the (2) time the incident occurred and (3) the date of admission. Both documents were missing (5) the other children involved/witnessing the incident and (9) the treating licensed health-care professional's name, findings, and treatment.
HHSC 748.311(5) — Serious Incident Documentation-Includes names or other means of identifying witnesses to the incident, if any
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-03.
-
Supervision & ratios
-
May 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2026 Inspection · Deficiencies cited
-
Other
Child was admitted 08/08/25 and child rights not signed till 01/29/2026.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-05-25.
-
Other
-
May 11, 2026 Inspection · Deficiencies cited
-
Other
Child was admitted 08/08/25 and child rights not signed till 01/29/2026.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-05-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2026 Report · Deficiencies cited
-
Illness & medication
The operation failed to report an incident involving a child in care who was diagnosed with a concussion and fractured nose on 03/23/26 following an altercation with another resident on 03/22/26.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-20. Correction verified 2026-04-15.
-
Illness & medication
A child in care was diagnosed with a concussion and a fractured nose on 03/23/26; however, this was not reported to the child's caseworker until 03/24/26.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-04-20. Correction verified 2026-04-15.
-
Illness & medication
-
Mar 25, 2026 Report · Deficiencies cited
-
Illness & medication
The operation failed to report an incident involving a child in care who was diagnosed with a concussion and fractured nose on 03/23/26 following an altercation with another resident on 03/22/26.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-20. Correction verified 2026-04-15.
-
Illness & medication
A child in care was diagnosed with a concussion and a fractured nose on 03/23/26; however, this was not reported to the child's caseworker until 03/24/26.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-04-20. Correction verified 2026-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2026 Report · Deficiencies cited
-
Supervision & ratios
While reviewing serious incidents related to the investigation, it was noted that pertinent information was missing from the report such as time, date, person making the report, and the name of child.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-14.
-
Illness & medication
While reviewing records at the facility a serious incident report was received by staff detailing an incident on 3/11/2026 that a child did not receive his AM medication as prescribed by a physician due to the pharmacy not being able to fill the prescription timely.
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 2026-04-13. Correction verified 2026-04-07.
-
Illness & medication
While reviewing the medication log it was noted the name and signature of the person who administered the medication was not present on the log.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 11, 2026 Report · Deficiencies cited
-
Supervision & ratios
While reviewing serious incidents related to the investigation, it was noted that pertinent information was missing from the report such as time, date, person making the report, and the name of child.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-14.
-
Illness & medication
While reviewing records at the facility a serious incident report was received by staff detailing an incident on 3/11/2026 that a child did not receive his AM medication as prescribed by a physician due to the pharmacy not being able to fill the prescription timely.
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 2026-04-13. Correction verified 2026-04-07.
-
Illness & medication
While reviewing the medication log it was noted the name and signature of the person who administered the medication was not present on the log.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-04-13. Correction verified 2026-04-14.
-
Supervision & ratios
-
Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2026 Report · Deficiencies cited
-
Illness & medication
During a review of medications, it was observed that two out of five medication logs did not match the corresponding medication counts.
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 2026-05-01. Correction verified 2026-05-12.
-
Illness & medication
-
Feb 24, 2026 Report · Deficiencies cited
-
Illness & medication
During a review of medications, it was observed that two out of five medication logs did not match the corresponding medication counts.
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 2026-05-01. Correction verified 2026-05-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2026 Report · Deficiencies cited
-
Supervision & ratios
The operation is not approved to provide treatment services for autism spectrum disorder, however during an investigation it was found that treatment services for autism spectrum disorder are being provided.
HHSC 748.63(1) — Types of services-Operation must only provide services listed on permit
HHSC risk weight: Medium. Corrected 2026-04-07. Correction verified 2026-03-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 14, 2026 Report · Deficiencies cited
-
Supervision & ratios
The operation is not approved to provide treatment services for autism spectrum disorder, however during an investigation it was found that treatment services for autism spectrum disorder are being provided.
HHSC 748.63(1) — Types of services-Operation must only provide services listed on permit
HHSC risk weight: Medium. Corrected 2026-04-07. Correction verified 2026-03-30.
-
Supervision & ratios
-
Feb 12, 2026 Report · Deficiencies cited
-
Illness & medication
A review of the intake, serious incident report, and the medical records indicated that Licensing was notified outside the 24-hour time frame.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-14. Correction verified 2026-04-16.
-
Illness & medication
Case workers of the victim were not notified in a timely manner of medical treatment received by children.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-04-16. Correction verified 2026-04-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 12, 2026 Report · Deficiencies cited
-
Illness & medication
A review of the intake, serious incident report, and the medical records indicated that Licensing was notified outside the 24-hour time frame.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-14. Correction verified 2026-04-16.
-
Illness & medication
Case workers of the victim were not notified in a timely manner of medical treatment received by children.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-04-16. Correction verified 2026-04-16.
-
Illness & medication
-
Feb 10, 2026 Report · Deficiencies cited
-
Illness & medication
The medication log reviewed and staff interviewed confirmed a medication was not administered to a child as prescribed.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-23.
-
Illness & medication
The medication log reviewed did not have a name and signature of the person who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-03-31. Correction verified 2026-04-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 10, 2026 Report · Deficiencies cited
-
Illness & medication
The medication log reviewed and staff interviewed confirmed a medication was not administered to a child as prescribed.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-23.
-
Illness & medication
The medication log reviewed did not have a name and signature of the person who administered the medication.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-03-31. Correction verified 2026-04-23.
-
Illness & medication
-
Jan 15, 2026 Report · Deficiencies cited
-
Staff background & training Serious
A staff member did not have a completed background check prior to working at the operation.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-12.
-
Staff background & training Serious
-
Jan 15, 2026 Report · Deficiencies cited
-
Staff background & training Serious
A staff member did not have a completed background check prior to working at the operation.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Dec 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
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
-
Sep 13, 2025 Inspection · Deficiencies cited
-
Illness & medication
A medication record for a child in care is not accurately updated to advised if a medication was taken, missed or refused, however the remaining amount reflect as if one medication was taken.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-10-30.
-
Illness & medication
-
Sep 13, 2025 Inspection · Deficiencies cited
-
Illness & medication
A medication record for a child in care is not accurately updated to advised if a medication was taken, missed or refused, however the remaining amount reflect as if one medication was taken.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-10-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Sep 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
Three fire extinguishers observed at the operations were last serviced in July of 2024.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-08-27.
-
Supervision & ratios
-
Aug 20, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
Three fire extinguishers observed at the operations were last serviced in July of 2024.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2025-08-27. Correction verified 2025-08-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2025 Report · Deficiencies cited
-
Safety & premises
It was determined that a child in care was spending the day and night at another placement and was being transferred by placement staff.
HHSC 748.1481(a) — Release of Child-Except in emergency, only release child to parent, parent's designee, law enforcement, or person authorized by law to take child
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-18.
-
Other
It was determined that staff lacked prudent judgement by allowing a child in care to spend the day and nights at a sister RTC, which was not the child's permanent placement and there was no documentation in place allowing this.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 23, 2025 Report · Deficiencies cited
-
Safety & premises
It was determined that a child in care was spending the day and night at another placement and was being transferred by placement staff.
HHSC 748.1481(a) — Release of Child-Except in emergency, only release child to parent, parent's designee, law enforcement, or person authorized by law to take child
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-18.
-
Other
It was determined that staff lacked prudent judgement by allowing a child in care to spend the day and nights at a sister RTC, which was not the child's permanent placement and there was no documentation in place allowing this.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-18.
-
Safety & premises
-
Jul 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2025 Report · Deficiencies cited
-
Records & paperwork
A staff member reported they were not informed a child in care was not to drink soda after being discharged from the hospital and therefore allowed the child to drink soda. This resulted in the child returning to the hospital.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2025-09-02. Correction verified 2025-10-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jul 13, 2025 Report · Deficiencies cited
-
Records & paperwork
A staff member reported they were not informed a child in care was not to drink soda after being discharged from the hospital and therefore allowed the child to drink soda. This resulted in the child returning to the hospital.
HHSC 748.685(c)(5) — Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HHSC risk weight: Medium High. Corrected 2025-09-02. Correction verified 2025-10-07.
-
Records & paperwork
-
Jul 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2025 Inspection · Deficiencies cited
-
Staff background & training
There are several staff personnel with active background checks that no long work for the operation.
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 2025-01-31. Correction verified 2025-02-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 28, 2025 Inspection · Deficiencies cited
-
Staff background & training
There are several staff personnel with active background checks that no long work for the operation.
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 2025-01-31. Correction verified 2025-02-26.
-
Staff background & training
-
Jan 16, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member inappropriately supervised a child in care which led them to be able to jump out of a bedroom window.
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 2025-03-31. Correction verified 2025-04-15.
-
Discipline & child guidance Serious
-
Jan 16, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member inappropriately supervised a child in care which led them to be able to jump out of a bedroom window.
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 2025-03-31. Correction verified 2025-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jan 12, 2025 Report · Deficiencies cited
-
Other Serious
Multiple person interviewed advised of children being restrained with their hand behind their backs.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2025-02-14. Correction verified 2025-02-26.
-
Supervision & ratios Serious
Child was able to just out of window due to lack of supervision.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-02-14. Correction verified 2025-02-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Jan 12, 2025 Report · Deficiencies cited
-
Other Serious
Multiple person interviewed advised of children being restrained with their hand behind their backs.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2025-02-14. Correction verified 2025-02-26.
-
Supervision & ratios Serious
Child was able to just out of window due to lack of supervision.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-02-14. Correction verified 2025-02-26.
-
Other Serious
-
Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
It was determined that the operation failed to report a child arrest. An intake (78855200) was received from law enforcement and not the operation to report a child arrest.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2024-05-20. Correction verified 2024-08-15.
-
Supervision & ratios
-
May 13, 2024 Assessment · Deficiencies cited
-
Supervision & ratios
It was determined that the operation failed to report a child arrest. An intake (78855200) was received from law enforcement and not the operation to report a child arrest.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2024-05-20. Correction verified 2024-08-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2024 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2023 Inspection · Deficiencies cited
-
Staff background & training
It was found that the last time the operation validated background checks was in January 2023.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Supervision & ratios
It was found that the operation has not been updating their menu.
HHSC 748.1703(c) — Menus-must date menus and keep copies for 90 days
HHSC risk weight: Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records did not have the date of employment.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records reviewed that the Affidavit was not notarized.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training Serious
It was found in two out of two staff files that were reviewed that there was no proof of a request for a background check.
HHSC 748.363(9) — Personnel records-Include proof of request for background checks
HHSC risk weight: High. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Supervision & ratios
It was found that the operation did not have a written plan that included both indoor and outdoor activities per day.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records reviewed there was no documentation of high school diploma or GED.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found that in two out of two staff records did not have documentation of an orientation.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in one of the two staff records reviewed that there was no documentation of preservice training.
HHSC 748.864(d) — Pre-Service Training-Document the completion of each training requirement in the appropriate personnel record.
HHSC risk weight: Medium Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in 1 of the staff files reviewed that a direct care staff did not have a CPR certificate.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2023-04-21. Correction verified 2023-06-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Apr 14, 2023 Inspection · Deficiencies cited
-
Staff background & training
It was found that the last time the operation validated background checks was in January 2023.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Supervision & ratios
It was found that the operation has not been updating their menu.
HHSC 748.1703(c) — Menus-must date menus and keep copies for 90 days
HHSC risk weight: Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records did not have the date of employment.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records reviewed that the Affidavit was not notarized.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training Serious
It was found in two out of two staff files that were reviewed that there was no proof of a request for a background check.
HHSC 748.363(9) — Personnel records-Include proof of request for background checks
HHSC risk weight: High. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Supervision & ratios
It was found that the operation did not have a written plan that included both indoor and outdoor activities per day.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in two out of two staff records reviewed there was no documentation of high school diploma or GED.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found that in two out of two staff records did not have documentation of an orientation.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in one of the two staff records reviewed that there was no documentation of preservice training.
HHSC 748.864(d) — Pre-Service Training-Document the completion of each training requirement in the appropriate personnel record.
HHSC risk weight: Medium Low. Corrected 2023-04-21. Correction verified 2023-04-21.
-
Staff background & training
It was found in 1 of the staff files reviewed that a direct care staff did not have a CPR certificate.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2023-04-21. Correction verified 2023-06-21.
-
Staff background & training
-
Jan 6, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
It was found at the inspection that there was no background check done for Administrator or owner.
HHSC 745.621(a)(1) — Initial background checks submitted - At the time you submit your application
HHSC risk weight: High. Corrected 2023-01-09. Correction verified 2023-01-06.
-
Supervision & ratios
It was found that the operations policy included treatment services which was not allowed due to providing only emergency services. The demographic served was inconsistent throughout the operation's policy.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-01-20. Correction verified 2023-01-13.
-
Supervision & ratios
It was found that no food substitutions were found on the menu provided by the operation at inspection.
HHSC 748.1703(b) — Menus-must document food substitutions on the menu that are of comparable food value
HHSC risk weight: Low. Corrected 2023-01-20. Correction verified 2023-01-12.
-
Other
It was found that the last health inspection was completed 12/15/2021.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2023-01-20. Correction verified 2023-01-13.
-
Supervision & ratios
It was found at inspection that the operation did not have a recreational calendar for residents.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2023-01-20. Correction verified 2023-01-13.
-
Staff background & training Serious
-
Jan 6, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
It was found at the inspection that there was no background check done for Administrator or owner.
HHSC 745.621(a)(1) — Initial background checks submitted - At the time you submit your application
HHSC risk weight: High. Corrected 2023-01-09. Correction verified 2023-01-06.
-
Supervision & ratios
It was found that the operations policy included treatment services which was not allowed due to providing only emergency services. The demographic served was inconsistent throughout the operation's policy.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-01-20. Correction verified 2023-01-13.
-
Supervision & ratios
It was found that no food substitutions were found on the menu provided by the operation at inspection.
HHSC 748.1703(b) — Menus-must document food substitutions on the menu that are of comparable food value
HHSC risk weight: Low. Corrected 2023-01-20. Correction verified 2023-01-12.
-
Other
It was found that the last health inspection was completed 12/15/2021.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2023-01-20. Correction verified 2023-01-13.
-
Supervision & ratios
It was found at inspection that the operation did not have a recreational calendar for residents.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2023-01-20. Correction verified 2023-01-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.