Shiloh Treatment Center
4774 DEL BELLO RD, Manvel, TX 77578 · Brazoria County
Program
- Type
- General residential operation
- Licensed capacity
- 60
- Ages
- 3-17
- Hours
- -
- Director / administrator
- Deena Hill
- Phone
- (281) 489-1290
- Regulated since
- Oct 12, 1996
- HHSC IDs
- Operation 142844 · number 517689
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Illness & medication (1) |
| 2025 | 30 | 7 | Illness & medication (2), Supervision & ratios (10), Discipline & child guidance (3), Safety & premises (1), Staff background & training (6), Records & paperwork (5), Other (3) |
| 2024 | 9 | 2 | Cleanliness & sanitation (2), Discipline & child guidance (2), Staff background & training (1), Records & paperwork (1), Other (3) |
| 2023 | 4 | 1 | Cleanliness & sanitation (1), Illness & medication (1), Discipline & child guidance (1), Staff background & training (1) |
| 2022 | 14 | 5 | Cleanliness & sanitation (2), Illness & medication (1), Supervision & ratios (1), Discipline & child guidance (2), Staff background & training (3), Other (5) |
| 2021 | 2 | 1 | Supervision & ratios (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
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Sep 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
A child was seen on 6/16/2026 by a medical professional for injuries sustain to their right hand & left thumb after a physical altercation. This incident was not reported to Licensing until 6/22/2026.
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 2026-07-30.
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Illness & medication
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Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2025 Report · Deficiencies cited
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Supervision & ratios
Two operational staff members completed an EBI transport for a child by dragging the child across the living room area of the home.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios
The details documented in the operational Emergency Personal Restraint Report are inconsistent with the events observed in the operational video recording.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-11-04. Correction verified 2026-03-10.
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Discipline & child guidance Serious
An operational staff member responded to a child in a physically aggressive manner by pushing the child as a means of discipline prior to conducting an inappropriate restraint.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-11-04. Correction verified 2026-03-10.
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Safety & premises
Staff did not attempt de-escalation or a lesser intervention prior to utilizing a restraint.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios
An operational staff member failed to release a youth from a physical hold, when the youth was no longer displaying behavior that exhibited that the child was a danger to himself or others.
HHSC 748.2553(2)(C) — EBI Release-Child released from personal restraint as soon as child is not a danger to self or others
HHSC risk weight: Medium High. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios Serious
Two caregivers were involved in a physical restraint of a child, and staff members failed to ensure that signs of distress were monitored appropriately during the restraint.
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 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios Serious
An operational staff member placed a child in a prone and supine position during a restraint on a couch. The staff member failed to discontinue the restraint when the child verbally indicated that he was having difficulty with breathing.
HHSC 748.2605(a)(2) — Personal Restraints Prohibited-Restraints that obstruct child's airway
HHSC risk weight: High. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios Serious
An operational staff member exceeded the required time limit when utilizing prone and supine restraints as required in Minimum Standards.
HHSC 748.2801(2)(B) — EBI Time Limits-Prone or supine personal restraint hold may not exceed one minute.
HHSC risk weight: High. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios
The operation failed to complete an incident report related to a non-routine incident concerning aggression and an EBI incident that occurred between a youth and two operational staff members.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-11-04. Correction verified 2026-03-10.
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Supervision & ratios
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Aug 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The operation did not have an overall annual EBI evaluation for review.
HHSC 748.2951(d) — Evaluation-Results of each overall annual evaluation made available to Licensing for review.
HHSC risk weight: Medium. Corrected 2025-08-12. Correction verified 2025-08-12.
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Staff background & training
During a monitoring inspection a staff record reviewed did not contain a copy of a high school diploma to indicate that they qualify for their position at the operation.
HHSC 748.363(2) — Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position
HHSC risk weight: Medium. Corrected 2025-08-12. Correction verified 2025-08-12.
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Records & paperwork
During a monitoring inspection staff files reviewed did not include the personnel's job description.
HHSC 748.363(4) — Personnel records-Personnel records-Include current job description.
HHSC risk weight: Medium. Corrected 2025-08-12. Correction verified 2025-08-12.
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Other
The unauthorized absence log does not have the required components such as the child's age, gender or date of admission.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-08-12. Correction verified 2025-08-12.
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Other
During a monitoring inspection, it was found that one out of four staff files reviewed there was no documentation of any contact with the applicant's previous employers.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2025-08-12. Correction verified 2025-08-12.
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Supervision & ratios
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Jul 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
During a DFPS investigation, it was found a 13-year-old child in care was neglectfully supervised when a caregiver repeatedly failed to de-escalate her.
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 2025-09-01. Correction verified 2025-08-29.
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Discipline & child guidance Serious
A caregiver aggressively shoved a 13-year-old child in care on three occasions during a struggle over the caregiver's personal items.
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 2025-09-01. Correction verified 2025-08-29.
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Supervision & ratios Serious
A 13-year-old child with documented high-risk behaviors was not adequately supervised, and proper de-escalation techniques were not utilized by direct care staff.
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 2025-09-01. Correction verified 2025-08-29.
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Discipline & child guidance Serious
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Jun 13, 2025 Inspection · Deficiencies cited
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Records & paperwork
The review of two children records found that both children who are over the age of 6 did not sign the Child's Rights statement acknowledging they have read and understood the listed rights.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2025-06-27. Correction verified 2025-06-26.
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Records & paperwork
The review of two children records found normalcy was not addressed in the children's service plan.
HHSC 748.1337(b)(1)(A)(vi)(I) — Initial Service Plan - Normalcy - Include plans for social, extracurricular, recreation, and leisure activities
HHSC risk weight: Medium. Corrected 2025-06-27. Correction verified 2025-06-26.
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Records & paperwork
One of the children records reviewed found the last service plan review was completed on February 20, 2025.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2025-06-27. Correction verified 2025-06-26.
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Illness & medication
The review of two restraint reports showed the basis for EBI was not 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 2025-06-27. Correction verified 2025-06-28.
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Records & paperwork
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Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2025 Inspection · Deficiencies cited
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Illness & medication
Immunization record was missing from one of the children's records reviewed.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2025-03-04. Correction verified 2025-03-04.
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Staff background & training
Documentation of suicidal training that covers the risk factors, protective factors, and warning signs of suicide was missing in three staff records reviewed.
HHSC 748.125(c)(1)(A) — Caregivers and employees must complete 1hr annual suicide training with curriculum that includes risk & protective factors, and warning signs.
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-03-04.
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Other
Two children did not received their dental exam within 90 days of admission.
HHSC 748.1501(a)(1) — Dental care-Children in care must receive dental care initially according to the requirements in 748.1225
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-03-04.
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Records & paperwork
Three children records reviewed were missing TB screening results.
HHSC 748.1583(b) — TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility
HHSC risk weight: Medium Low. Corrected 2025-03-04. Correction verified 2025-03-04.
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Staff background & training
One staff record reviewed missing proof of education.
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 2025-03-04. Correction verified 2025-03-04.
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Staff background & training
Two staff records reviewed were missing documentation of the results of any contact with an applicant's previous employers. Two other records did not include results of contact from all previous employers prior to application date.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2025-03-04. Correction verified 2025-03-04.
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Staff background & training
One staff record reviewed is missing documentation of supervised experience training.
HHSC 748.861(b)(3) — Pre-Service Training - Supervised experience must be documented in personnel record
HHSC risk weight: Medium. Corrected 2025-03-04. Correction verified 2025-03-04.
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Staff background & training
Four staff records reviewed were missing documentation of current CPR/First Aid certificate.
HHSC 748.983(b) — First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification
HHSC risk weight: Medium High. Corrected 2025-03-04. Correction verified 2025-03-04.
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Illness & medication
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Feb 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2025 Report · Deficiencies cited
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Supervision & ratios
All eleven interviewed children reported that they were not familiar with the administrator's name since their placement. Five of seven direct care staff identified someone else as the administrator. Additionally, all staff reported that staff meetings have been conducted by shift supervisors or trainers. The administrator acknowledged that her school responsibilities may have limited her involvement in her role at the RTC.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2025-02-18. Correction verified 2025-02-20.
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Supervision & ratios
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Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2024 Report · Deficiencies cited
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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 child was injured by a staff member after an accident.
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 2025-01-03. Correction verified 2025-01-03.
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Discipline & child guidance Serious
The staff used corporal punishment as a means to get a child to comply.
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 2025-01-03. Correction verified 2025-01-03.
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Other
A staff member did not use prudent judgement and self-control while trying to de-escalate a child having maladaptive behaviors which led to the child being injured.
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 2025-01-03. Correction verified 2025-01-03.
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Discipline & child guidance Serious
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Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2024 Inspection · Deficiencies cited
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Staff background & training
While reviewing staff files, 4 out of 6 staff files did not contain job descriptions.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-07.
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Other
The last weather drill was not completed within the last six months.
HHSC 748.3239(b) — Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-07.
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Other
One of the two first aid kits did not contain tweezers.
HHSC 748.3273(9) — First Aid Kits-Each one must contain tweezers
HHSC risk weight: Medium Low. Corrected 2024-03-08. Correction verified 2024-03-07.
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Cleanliness & sanitation
When conducting a walk through in the girl's unit, it was observed that one of the hand washing sinks did not have sufficient hot water pressure.
HHSC 748.3395(b)(3) — Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
HHSC risk weight: Medium Low. Corrected 2024-03-08. Correction verified 2024-03-07.
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Cleanliness & sanitation
While conducting a walkthrough of the girls unit, it was observed that the cleaning supplies were accessible and not locked back.
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 2024-02-23.
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Records & paperwork
While reviewing employee files, it was observed that 1 out of the 6 files reviewed did not conduct reference checks.
HHSC 748.753(d)(1) — Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
HHSC risk weight: Medium Low. Corrected 2024-03-08. Correction verified 2024-03-07.
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Staff background & training
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Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2023 Report · Deficiencies cited (self-report)
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Discipline & child guidance
Operation did not report a child's allegation of abuse by a staff member until four days after the allegations were made.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2024-01-18.
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Discipline & child guidance
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Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2023 Report · Deficiencies cited
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Illness & medication Serious
There was a delay in the child receiving medical care.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2023-06-13. Correction verified 2023-06-09.
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Illness & medication Serious
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Mar 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walkthrough it was observed in room #4 a dresser drawer and a window blind were damaged. In Room#2 the window blind was damaged. Work orders were submitted on 3/16/2023 during the inspection.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-03-23. Correction verified 2023-03-20.
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Cleanliness & sanitation
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Feb 24, 2023 Inspection · Deficiencies cited
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Staff background & training
The parent orientation does not have any information on the frequency of notifications that will be made to parents.
HHSC 748.1211(b)(2)(B) — Parent Orientation-Must review & provide written materials on type & frequency of notifications made to parents
HHSC risk weight: Medium Low. Corrected 2023-03-03. Correction verified 2023-03-03.
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Staff background & training
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Feb 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 18, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
Operation employees failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in TFC ?261.001 and further defined in TAC Rule ?707.801, which resulted in an immediate danger to a child's physical health and safety.
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 2022-08-26. Correction verified 2022-09-15.
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Other
A staff member removed items from a child's bedroom as punishment.
HHSC 748.1101(b)(3)(I) — Children's rights-The right to have personal items in the child's room and get additional items within reasonable limits
HHSC risk weight: Medium Low. Corrected 2022-08-26. Correction verified 2022-09-15.
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Supervision & ratios
A staff member failed to accurately depict the incident when completing the incident report. The staff member did not detail the role they played in the incident or the harm they caused to the child. The staff member falsified records by omitting dragging the child and portraying the child as the aggressor.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-08-26. Correction verified 2022-09-15.
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Other Serious
A staff member grabbed a child by the arm and dragged them off a couch and down a hallway. Then the staff member pushed the child into a bedroom.
HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-09-15.
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Other Serious
A staff member pulled a child by their hair.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-09-15.
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Discipline & child guidance
A staff member witnessed a serious incident and did not immediately report it.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-09-15.
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Other
A staff member failed to utilize proper de-escalation techniques when they realized a child was having a crisis and instead of professionally assisting the child, exhibited physical aggression to the 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 2022-08-26. Correction verified 2022-09-15.
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Other Serious
A staff member recognized another staff members actions were inappropriate and still failed to intervene.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-09-15.
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Discipline & child guidance Serious
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Feb 15, 2022 Inspection · Deficiencies cited
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Staff background & training
Operation failed to assure staff Background checks are being verified every 3 months.
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 2022-02-25. Correction verified 2022-02-28.
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Illness & medication
Medication log does not have what time the residence medication is being given.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2022-02-25. Correction verified 2022-03-11.
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Cleanliness & sanitation
During the walkthrough two bottle of cleaning supply where left in unlocked cabinets.
HHSC 748.3421(3) — Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-15.
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Staff background & training
Staff member only has 1 hour of the T.I.C training when the requirement is 2 hourss.
HHSC 748.931(a)(1)(B)(i) — Annual Training-Must include 2 hours on trauma informed care
HHSC risk weight: Medium High. Corrected 2022-02-25. Correction verified 2022-02-28.
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Staff background & training
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Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
There are 4 staff members currently working in the homes that do not have background checks.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-01-24.
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Cleanliness & sanitation
During the walkthrough I observed toilets in 58C to not be cleaned properly, and the refrigerator door to be dirty. In house 58B I observed a cloth mattress to be without a mattress cover and exposed wire trimming.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2022-01-12. Correction verified 2022-01-10.
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Staff background & training Serious
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Dec 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2021 Assessment · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2021 Inspection · Deficiencies cited
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Supervision & ratios Serious
The operations policy advises that the facility administers drug test quarterly but multiple staff have not had drug test in a number of years.
HHSC 745.4151(a) — Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy
HHSC risk weight: High. Corrected 2021-10-18. Correction verified 2021-10-19.
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Supervision & ratios
One staff file lacks an valid drivers license/
HHSC 748.4111(a) — Transportation records-Must maintain on file at the operation the name of each driver and a copy of that person's valid driver's license
HHSC risk weight: Low. Corrected at inspection. Corrected 2021-10-18.
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Supervision & ratios Serious
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Sep 25, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 13, 2021 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.