Garden Of Hope Of Central Texas Killeen
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 8
- Ages
- 0-17
- Hours
- -
- Director / administrator
- Tina Jean Capito
- Phone
- (254) 432-2117
- Regulated since
- Dec 3, 2021
- HHSC IDs
- Operation 1367747 · number 1715496
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2023 | 10 | 4 | Supervision & ratios (8), Food & allergies (2) |
| 2022 | 46 | 16 | Illness & medication (2), Supervision & ratios (18), Safety & premises (4), Staff background & training (6), Records & paperwork (8), Other (8) |
| 2021 | 2 | 2 | Supervision & ratios (2) |
Inspections, investigations & assessments
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2023 Report · Deficiencies cited
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Food & allergies Serious
It was determined food provided to a child in care was not of good quality when it was observed there was an insect in their food.
HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HHSC risk weight: High. Corrected 2023-12-29. Correction verified 2024-01-11.
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Supervision & ratios Serious
A caregiver was not providing appropriate supervision to children when it was determined staff was sleeping and they were the only caregiver present.
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 2023-12-29. Correction verified 2024-01-11.
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Food & allergies Serious
-
Nov 18, 2023 Report · Deficiencies cited
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Food & allergies Serious
It was determined food provided to a child in care was not of good quality when it was observed there was an insect in their food.
HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HHSC risk weight: High. Corrected 2023-12-29. Correction verified 2024-01-11.
-
Supervision & ratios Serious
A caregiver was not providing appropriate supervision to children when it was determined staff was sleeping and they were the only caregiver present.
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 2023-12-29. Correction verified 2024-01-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Food & allergies Serious
-
Nov 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2023 Report · Deficiencies cited
-
Supervision & ratios
Four service plans reviewed for this investigation had the exact same narrative for instructions on supervision and behavior techniques for children in care, indicating the service plans are not individualized and specific to each child in care.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-11-13.
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Supervision & ratios
-
Aug 10, 2023 Report · Deficiencies cited
-
Supervision & ratios
Four service plans reviewed for this investigation had the exact same narrative for instructions on supervision and behavior techniques for children in care, indicating the service plans are not individualized and specific to each child in care.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-10-06. Correction verified 2023-11-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the walk through it was found one staff had 7 children with two of those children under the age of 5 placing the facility out of ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-07-03. Correction verified 2023-07-14.
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Supervision & ratios
-
Jun 27, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the walk through it was found one staff had 7 children with two of those children under the age of 5 placing the facility out of ratio.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2023-07-03. Correction verified 2023-07-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
3 Child charts were reviewed for Supervision in Preliminary Service plans continued to be cut and pasted with the same supervision instructions for all children.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2023-02-13. Correction verified 2023-01-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 18, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
3 Child charts were reviewed for Supervision in Preliminary Service plans continued to be cut and pasted with the same supervision instructions for all children.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2023-02-13. Correction verified 2023-01-19.
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Supervision & ratios
-
Dec 8, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
9 Child charts were reviewed for Supervision in Preliminary Service plans and Initial Services plans dated after 11-15-22 the day of the last Team Inspection. Preliminary and Initial Plans were cut an pasted with the same supervision instructions for all children.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2022-12-15. Correction verified 2023-02-17.
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Supervision & ratios
Review of the Serious Incident Reports verified incidents occurred but were not documented or reviewed in a timely manner. One of the reports was written on 10/30/22 even though the incident occurred on 10/2/22.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-15. Correction verified 2023-01-18.
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Supervision & ratios
-
Dec 8, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
9 Child charts were reviewed for Supervision in Preliminary Service plans and Initial Services plans dated after 11-15-22 the day of the last Team Inspection. Preliminary and Initial Plans were cut an pasted with the same supervision instructions for all children.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2022-12-15. Correction verified 2023-02-17.
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Supervision & ratios
Review of the Serious Incident Reports verified incidents occurred but were not documented or reviewed in a timely manner. One of the reports was written on 10/30/22 even though the incident occurred on 10/2/22.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-15. Correction verified 2023-01-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2022 Inspection · Deficiencies cited
-
Staff background & training
Reviewed background checks. Several People were no longer with the facility but had not been inactivated.
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 2022-11-17. Correction verified 2022-12-07.
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Other
In reviewing the Service Plans for two different children it was found the information on care was not individualized to each child.
HHSC 748.1337(b)(1)(D) — Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-12-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Nov 15, 2022 Inspection · Deficiencies cited
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Staff background & training
Reviewed background checks. Several People were no longer with the facility but had not been inactivated.
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 2022-11-17. Correction verified 2022-12-07.
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Other
In reviewing the Service Plans for two different children it was found the information on care was not individualized to each child.
HHSC 748.1337(b)(1)(D) — Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-12-07.
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Staff background & training
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Nov 7, 2022 Report · Deficiencies cited (self-report)
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Staff background & training
During the interview process it was determined a staff was no longer employed and their background check was still active. It was also observed the background list had been validated on 1/2/23 after the person had stopped employment.
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 2023-01-09. Correction verified 2023-01-05.
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Staff background & training
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Nov 7, 2022 Report · Deficiencies cited (self-report)
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Staff background & training
During the interview process it was determined a staff was no longer employed and their background check was still active. It was also observed the background list had been validated on 1/2/23 after the person had stopped employment.
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 2023-01-09. Correction verified 2023-01-05.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Nov 7, 2022 Report · Deficiencies cited
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Supervision & ratios
Staff falsified agency documentation information by pre-filling daily logs.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-07. Correction verified 2022-12-08.
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Illness & medication Serious
A child who died of RSV, COVID and pneumonia was observed by multiple individuals to have had a runny nose and coughing. This child was never evaluated or treated for the reported symptoms by a medical physician before the child's death.
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 2023-05-19. Correction verified 2023-05-24.
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Supervision & ratios Serious
Review of video footage confirmed staff did not complete 30-minute bed checks as required per operation policy.
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 2022-12-07. Correction verified 2022-12-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Nov 7, 2022 Report · Deficiencies cited
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Supervision & ratios
Staff falsified agency documentation information by pre-filling daily logs.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-07. Correction verified 2022-12-08.
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Illness & medication Serious
A child who died of RSV, COVID and pneumonia was observed by multiple individuals to have had a runny nose and coughing. This child was never evaluated or treated for the reported symptoms by a medical physician before the child's death.
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 2023-05-19. Correction verified 2023-05-24.
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Supervision & ratios Serious
Review of video footage confirmed staff did not complete 30-minute bed checks as required per operation policy.
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 2022-12-07. Correction verified 2022-12-08.
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Supervision & ratios
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Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2022 Report · Deficiencies cited
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Supervision & ratios
Review of the Serious Incident Reports verified incidents occurred but were not documented or reviewed in a timely manner. One of the reports was written on 10/30/22 even though the incident occurred on 10/2/22.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-09. Correction verified 2022-12-08.
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Safety & premises Serious
The video showed a child was sitting in a stroller unfastened, stood up, then sat down as the caregiver was looking at their phone and then went to care for other children leaving the child unfastened.
HHSC 748.1755(2) — Safety straps-must be fastened when infant is using a high chair, swing, stroller, infant carrier, rocker, bouncer seat, or similar type of equipment
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-08.
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Records & paperwork
Emails reviewed in Impact showed the Investigator requested the documentation at least 4 times before receiving the documentation.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-12-09. Correction verified 2022-12-08.
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Other Serious
The video showed a caregiver looking at the phone while two toddlers began to fight, looked over at them, and then walked over to another child instead of separating the two toddlers allowing one to bite the other.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 13, 2022 Report · Deficiencies cited
-
Supervision & ratios
Review of the Serious Incident Reports verified incidents occurred but were not documented or reviewed in a timely manner. One of the reports was written on 10/30/22 even though the incident occurred on 10/2/22.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-12-09. Correction verified 2022-12-08.
-
Safety & premises Serious
The video showed a child was sitting in a stroller unfastened, stood up, then sat down as the caregiver was looking at their phone and then went to care for other children leaving the child unfastened.
HHSC 748.1755(2) — Safety straps-must be fastened when infant is using a high chair, swing, stroller, infant carrier, rocker, bouncer seat, or similar type of equipment
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-08.
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Records & paperwork
Emails reviewed in Impact showed the Investigator requested the documentation at least 4 times before receiving the documentation.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-12-09. Correction verified 2022-12-08.
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Other Serious
The video showed a caregiver looking at the phone while two toddlers began to fight, looked over at them, and then walked over to another child instead of separating the two toddlers allowing one to bite the other.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-08.
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Supervision & ratios
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Oct 3, 2022 Report · Deficiencies cited
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Records & paperwork
In reviewing the Serious Incident Report required information was found to be missing. A means of identfying the witnesses to the incident. The full names of the adults involved and their roles in relation to the child(ren). The name of the child. Any other witnesses and a way to identify, example other children present. Review of the information for the Serious Incident Report and comparison of the testimonies found discrepancies on what occurred the day of the incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-12-08. Correction verified 2022-12-08.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Oct 3, 2022 Report · Deficiencies cited
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Records & paperwork
In reviewing the Serious Incident Report required information was found to be missing. A means of identfying the witnesses to the incident. The full names of the adults involved and their roles in relation to the child(ren). The name of the child. Any other witnesses and a way to identify, example other children present. Review of the information for the Serious Incident Report and comparison of the testimonies found discrepancies on what occurred the day of the incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-12-08. Correction verified 2022-12-08.
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Records & paperwork
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Sep 18, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
During the walk through a toddler was observed in a stroller and began to fall over the side.
HHSC 748.1755(2) — Safety straps-must be fastened when infant is using a high chair, swing, stroller, infant carrier, rocker, bouncer seat, or similar type of equipment
HHSC risk weight: High. Corrected at inspection. Corrected 2022-09-30.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
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Sep 18, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
During the walk through a toddler was observed in a stroller and began to fall over the side.
HHSC 748.1755(2) — Safety straps-must be fastened when infant is using a high chair, swing, stroller, infant carrier, rocker, bouncer seat, or similar type of equipment
HHSC risk weight: High. Corrected at inspection. Corrected 2022-09-30.
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Safety & premises Serious
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Sep 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2022 Report · Deficiencies cited
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Records & paperwork
It was noted that service plan notice of meetings was not being completed in children's records 2 weeks prior to the time the meeting was occurring.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected at inspection. Corrected 2022-07-28.
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Supervision & ratios
The operation had services that were being recommended in service plans that were not being provided.
HHSC 748.1387 — Service Plan Review-Must comply with notification, participation, implementation, and documentation requirements for an initial service plan
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2022-07-28.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Jul 26, 2022 Report · Deficiencies cited
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Records & paperwork
It was noted that service plan notice of meetings was not being completed in children's records 2 weeks prior to the time the meeting was occurring.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected at inspection. Corrected 2022-07-28.
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Supervision & ratios
The operation had services that were being recommended in service plans that were not being provided.
HHSC 748.1387 — Service Plan Review-Must comply with notification, participation, implementation, and documentation requirements for an initial service plan
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2022-07-28.
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Records & paperwork
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Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 11, 2022 Report · Deficiencies cited
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Supervision & ratios
A child in care has asthma and allergies that require an EpiPen. The staff who care for the child were not aware the child had asthma until there was an asthma attack. Staff also did not know the child had an EpiPen and what they were allergic to.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2022-09-14. Correction verified 2022-09-16.
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Other Serious
A staff member with information relevant to the investigation was called 4 times during the investigation. The administrator was notified of the need to interview the staff and told licensing that they were available to speak, yet the staff still did not answer the phone or return the calls during the course of the investigation.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2022-09-14. Correction verified 2022-09-16.
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Supervision & ratios
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Jul 11, 2022 Report · Deficiencies cited
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Supervision & ratios
A child in care has asthma and allergies that require an EpiPen. The staff who care for the child were not aware the child had asthma until there was an asthma attack. Staff also did not know the child had an EpiPen and what they were allergic to.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2022-09-14. Correction verified 2022-09-16.
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Other Serious
A staff member with information relevant to the investigation was called 4 times during the investigation. The administrator was notified of the need to interview the staff and told licensing that they were available to speak, yet the staff still did not answer the phone or return the calls during the course of the investigation.
HHSC HRC42.04412(a) - Interference with an investigation — HRC42.04412(a) - Interference with an investigation
HHSC risk weight: High. Corrected 2022-09-14. Correction verified 2022-09-16.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 18, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios
It was noted that incident reports reviewed did not have disclose any information about a fight or restraint when reviewed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-04-13. Correction verified 2022-04-07.
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Other Serious
It was noted a staff restrained a child in an inappropriate way.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2022-04-13. Correction verified 2022-04-07.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Mar 18, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios
It was noted that incident reports reviewed did not have disclose any information about a fight or restraint when reviewed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-04-13. Correction verified 2022-04-07.
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Other Serious
It was noted a staff restrained a child in an inappropriate way.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2022-04-13. Correction verified 2022-04-07.
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Supervision & ratios
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 9, 2022 Report · Deficiencies cited
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Staff background & training Serious
During the review of the background checks, it was found the Administrator did not have a current background check on file for the facility.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-04-13. Correction verified 2022-04-12.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Mar 9, 2022 Report · Deficiencies cited
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Staff background & training Serious
During the review of the background checks, it was found the Administrator did not have a current background check on file for the facility.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-04-13. Correction verified 2022-04-12.
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Staff background & training Serious
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Mar 9, 2022 Report · Deficiencies cited
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Supervision & ratios
It was noted that a child plan did not give full supervision instructions for a child in care.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2022-04-27. Correction verified 2022-04-27.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Mar 9, 2022 Report · Deficiencies cited
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Supervision & ratios
It was noted that a child plan did not give full supervision instructions for a child in care.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2022-04-27. Correction verified 2022-04-27.
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Supervision & ratios
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Mar 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 4, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 4, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 28, 2022 Inspection · Deficiencies cited
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Records & paperwork
It was noted that the placement agreement did not have the anticipated length of time in care filled out or reason for placement on a child record.
HHSC 748.1207(a)(3) — Placement agreement-Must include the reason for placement & anticipated length of time in care
HHSC risk weight: Low. Corrected 2022-02-04. Correction verified 2022-02-01.
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Records & paperwork
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Jan 28, 2022 Inspection · Deficiencies cited
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Records & paperwork
It was noted that the placement agreement did not have the anticipated length of time in care filled out or reason for placement on a child record.
HHSC 748.1207(a)(3) — Placement agreement-Must include the reason for placement & anticipated length of time in care
HHSC risk weight: Low. Corrected 2022-02-04. Correction verified 2022-02-01.
HHSC inspection history · no longer published by HHSC; kept here
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Records & paperwork
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Nov 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 15, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 15, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 25, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 9, 2021 Report · Deficiencies cited
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Supervision & ratios Serious
It was noted a child in care was not supervised as required during a DFPS investigation.
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 2021-12-23. Correction verified 2021-11-19.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Sep 9, 2021 Report · Deficiencies cited
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Supervision & ratios Serious
It was noted a child in care was not supervised as required during a DFPS investigation.
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 2021-12-23. Correction verified 2021-11-19.
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Supervision & ratios Serious
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Jun 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.