Azleway Valley View
15892 COUNTY ROAD 26, Tyler, TX 75707 · Smith County
Program
- Type
- General residential operation
- Licensed capacity
- 68
- Ages
- 6-18
- Hours
- 12:00 AM-
- Director / administrator
- Chester Amidon
- Phone
- (903) 566-8444
- Regulated since
- Jan 7, 2011
- HHSC IDs
- Operation 558469 · number 1064466
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 1 | Cleanliness & sanitation (1), Supervision & ratios (4), Other (1) |
| 2025 | 18 | 3 | Cleanliness & sanitation (2), Illness & medication (3), Supervision & ratios (7), Safety & premises (2), Staff background & training (1), Records & paperwork (1), Other (2) |
| 2024 | 25 | 3 | Cleanliness & sanitation (5), Illness & medication (9), Supervision & ratios (5), Food & allergies (1), Staff background & training (1), Other (4) |
| 2023 | 23 | 1 | Cleanliness & sanitation (7), Illness & medication (3), Supervision & ratios (8), Other (5) |
| 2022 | 7 | 0 | Illness & medication (2), Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (1), Records & paperwork (2) |
| 2021 | 1 | 0 | Other (1) |
Inspections, investigations & assessments
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Sep 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2026 Report · No deficiencies cited
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 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a physical site inspection, one gallon of milk in the cottage refrigerator expired on 5/18/2026. A remaining loaf of bread stored in the bread cabinet had mold.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-06-16.
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Cleanliness & sanitation
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2026 Report · Deficiencies cited
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Other Serious
A child in care was unaccounted for, for approximately 3 hours after school.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-06-19. Correction verified 2026-06-30.
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Supervision & ratios
Caregivers at the operation did not communicate or confirm who was going to pick a child up after school. The child was left unattended for approximately three hours.
HHSC 748.685(d)(3) — Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-30.
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Supervision & ratios
A child in care was off campus and did not have a phone number to call to be picked up.
HHSC 748.685(d)(4) — Supervision caregiver responsibility- Child participating in unsupervised activity - caregiver must give child way to contact him/her in an emergency
HHSC risk weight: Medium High. Corrected 2026-06-19. Correction verified 2026-06-30.
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Other Serious
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May 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2026 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 04/09/2026 it was determined that: 1. the Administrator failed to ensure compliance with the current HM Plan; and 2. 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: ? Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and ? Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-10.
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Supervision & ratios
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Assessment · 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 2, 2026 Inspection · Deficiencies cited
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Supervision & ratios
There were no menus in either house on campus. The operation has not been utilizing menus due to grocery changes every week.
HHSC 748.1703(a) — Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves
HHSC risk weight: Low. Corrected 2026-03-11. Correction verified 2026-03-10.
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Supervision & ratios
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Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · 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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Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation
During a heightened monitoring visit to the operation on 08/14/2025, some donuts, with a best if used by date of 08/04/25, located on the counter in the kitchen were observed to have mold on them.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-08.
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Cleanliness & sanitation
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Roughhousing between two residents escalated. One resident placed the other in a headlock and transitioned to placing hands around the neck and choking. The caregiver delayed to de-escalate and intervene.
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 2025-09-19. Correction verified 2025-09-23.
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Supervision & ratios Serious
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Report · Deficiencies cited
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Supervision & ratios
The residents and staff witnessed a caregiver threatening placements and inappropriate discipline at the operation.
HHSC 748.1101(b)(4)(A)(vi) — Children's rights- To be free from being threatened with the loss of placement or shelter as punishment
HHSC risk weight: Medium. Corrected 2025-08-29. Correction verified 2025-08-29.
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Supervision & ratios
An employee at the operation was using profanity towards the residents and in the presence of direct care staff.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2025-08-29. Correction verified 2025-08-29.
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Safety & premises
One of the facility vans had a protruding wire sticking out of the second seat and a sliding door that came off the hinges when the door was opened. This was corrected at the initial inspection, but residents were transported in this vehicle for several weeks before the issues were fixed.
HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-07-30.
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Supervision & ratios
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation
During a walk-through of the operation, it was observed that conditions of a cabin were not clean. The boy's rooms were observed to be cluttered, the bathroom toilet dispenser was broken off, dirty dishes were observed in the kitchen sink and a liquid was observed on one of the bedroom floors.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-06-03. Correction verified 2025-06-03.
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Cleanliness & sanitation
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May 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care reported seeing a caregiver sleeping while on night duty. The child called out to the caregiver while getting a drink of water and initially received no response until being woken. One caregiver reported observing the same caregiver sleeping on duty when coming on shift. This occurred on two separate occasions. One caregiver also reported observing a separate caregiver sleeping in the office.
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 2025-06-17. Correction verified 2025-06-17.
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Supervision & ratios Serious
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Apr 23, 2025 Inspection
No violations cited on this visit.
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Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
After a series of events including attempted property destruction, defiance, bullying, and fighting, 3 out of 4 residents reported they did not feel safe at the operation due to a lack of protection from physical altercations and/or bullying.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2025-05-28. Correction verified 2025-06-17.
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Supervision & ratios Serious
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Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Report · Deficiencies cited (self-report)
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Safety & premises
An Emergency Admission Assessment was not completed for the victim child in this case.
HHSC 748.1269(a) — Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
HHSC risk weight: Medium. Corrected 2025-05-07. Correction verified 2025-05-08.
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Other
A preliminary service plan was not provided for the victim child in this case.
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 2025-05-07. Correction verified 2025-05-08.
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Safety & premises
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Mar 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2025 Report · Deficiencies cited
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Illness & medication
During the investigation, I observed a child's service plan lacking the results of the most recent Psychological Evaluation or attempts to schedule a new one.
HHSC 748.1337(b)(1)(A)(vii) — Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications
HHSC risk weight: Low. Corrected 2025-05-12. Correction verified 2025-05-12.
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Other
During the investigation, I observed six child service plans lacked specific goals in multiple areas.
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 2025-05-12. Correction verified 2025-05-12.
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Records & paperwork
During the investigation, I observed a child's service plan failed to record when the plan was provided to the child's parent entity.
HHSC 748.1349(a)(2) — Initial Service Plan-Give copy or summary of plan to child's parents
HHSC risk weight: Low. Corrected 2025-05-12. Correction verified 2025-05-12.
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Supervision & ratios
During the investigation, I observed the service plan for one child did not include his signature or documentation of refusal.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-05-12. Correction verified 2025-05-12.
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Supervision & ratios
During the investigation, I observed the service plans for three children did not include available CAN's results and accurate recommendations.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-05-12. Correction verified 2025-05-12.
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Illness & medication
During the investigation, I observed the medication logs for one child's medication failed to document an administration of this medication on 12/21/24.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2025-05-12. Correction verified 2025-05-12.
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Illness & medication
During the investigation, I observed one child's medication log contained an entry for which no time of administration was recorded.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2025-05-12. Correction verified 2025-05-12.
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Staff background & training
During the investigation, I observed two staff failed to take Trauma Informed Care training in 2024.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2025-05-12. Correction verified 2025-05-12.
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Illness & medication
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2024 Inspection · Deficiencies cited
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Illness & medication
One child's medication log did not include the reason the medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-12-27. Correction verified 2024-12-25.
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Illness & medication
The medication count for one of the residents did not match the medication documentation log
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2024-12-25.
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Illness & medication
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Dec 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 31, 2024 Report · Deficiencies cited
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Cleanliness & sanitation
During the walk through of the operation it was found that there were no towels at the sinks in the one of the bathrooms.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-11-18.
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Cleanliness & sanitation
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Oct 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2024 Inspection · Deficiencies cited
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Illness & medication
During the inspection, I observed a medication log for a child included documentation of one medication administration on 9/30/24 that staff confirmed did not occur as the medication did not return with the child from his last visit and the operation was not in posession of the medication at the time of this inspection.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-10-04. Correction verified 2024-11-06.
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Illness & medication
During the inspection, I observed the operation last administered a prescription nasal spray on 9/27/24 prior to the child's visit. The medication was not administered again following that date as it did not return to the operation from the visit. As of the date of the inspection, the operation was not in posession of this prescription medication and the child has not received an administration since 9/27/24
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-10-04. Correction verified 2024-11-06.
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Illness & medication
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Sep 24, 2024 Report · Deficiencies cited (self-report)
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Illness & medication
A child was seriously injured on 9/22/24, and the parent was not notified until 9/23/24, a day after the child was verified safe.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2024-10-23. Correction verified 2025-01-14.
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Illness & medication
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Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During the monitoring inspection, the operation was not able to provide all documents when requested such as discharge summaries for two children.
HHSC 748.1437(1) — Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
HHSC risk weight: Medium Low. Corrected 2024-09-23. Correction verified 2024-09-23.
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Supervision & ratios
During the monitoring inspection, the operation did not provide documents, when requested. Copies of the admissions assessments were provided after the conclusion of the inspection, but discharge summaries were never produced.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2024-09-30. Correction verified 2024-09-23.
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Supervision & ratios
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Sep 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a walk through of the operation one bathroom was found not to have hand towels at the sink. Staff corrected this issue at the time of the inspection.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-08-08.
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Cleanliness & sanitation
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Aug 6, 2024 Report · Deficiencies cited
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Illness & medication Serious
The investigation revealed that a child in care suffered an injury which was not promptly addressed. The child, having injured his hand, was seen by a doctor who recommended an X-ray. However, the X-ray was not performed until two weeks following this recommendation.
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 2024-09-06. Correction verified 2024-09-06.
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Illness & medication
The investigation revealed that the operation did not inform the permanency specialist/conservator of a child in care's fractured hand. The permanency specialist/conservator remained unaware until the inspector brought it to her attention.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2024-09-06. Correction verified 2024-09-06.
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Illness & medication Serious
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Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2024 Inspection · Deficiencies cited
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Illness & medication
During the monitoring inspection, there was one medication record that did not have documentation of the medication (Escitalopram 10mg) administered to the child on the evening of 4/27/2024.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-05-03. Correction verified 2024-05-03.
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Cleanliness & sanitation
During the monitoring inspection, there was rotten fruit observed in the refrigerator.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-05-03.
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Illness & medication
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Mar 24, 2024 Report · Deficiencies cited
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Supervision & ratios
During the ANE Investigation, it was reported the operation staff permitted a child to go into the staff office, close, and lock the door, behind him. At that time, the child had access to child records that are stored in the staff office.
HHSC 748.393(b)(4) — Active child record - Ensure record is locked and kept in a safe location or locations
HHSC risk weight: Medium. Corrected 2024-05-03. Correction verified 2024-05-03.
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Supervision & ratios
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Mar 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Report · Deficiencies cited
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Staff background & training Serious
During the investigation, it was found that a child in care restrained another child in care. The child in care who conducted the restraint does not have the necessary training in restraints.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2024-04-09. Correction verified 2024-04-10.
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Other
During the investigation, it was learned that the caregiver for the children did not try to intervene in anyway when the altercation started including the verbal altercation.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-10.
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Supervision & ratios Serious
During the investigation, it was learned that no one was monitoring the child while he was being restrained.
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 2024-04-09. Correction verified 2024-04-10.
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Other
During the investigation, it was learned that a post discussion with the child was not held after he was restrained.
HHSC 748.2851(b) — EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
HHSC risk weight: Medium. Corrected 2024-04-09. Correction verified 2024-04-10.
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Other
During the investigation, it was found that the staff member on duty did not intervene when two children began physically fighting. This resulted in a child in care having to intervene in order to stop the altercation. The staff member lacked prudent judgement in not trying to stop the altercation between the two children.
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 2024-04-09. Correction verified 2024-04-10.
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Staff background & training Serious
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Feb 26, 2024 Report · Deficiencies cited
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Supervision & ratios
The operation failed to comply with the safety plan implemented during the ANE investigation.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2024-04-01. Correction verified 2024-04-02.
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Supervision & ratios
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Jan 25, 2024 Inspection · Deficiencies cited
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Illness & medication
During the monitoring inspection, one child's medication records was missing the reason medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-02-01. Correction verified 2024-01-30.
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Other
During the monitoring inspection, the first aid kit was missing tweezers.
HHSC 748.3273(9) — First Aid Kits-Each one must contain tweezers
HHSC risk weight: Medium Low. Corrected 2024-02-01. Correction verified 2024-01-30.
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Cleanliness & sanitation
During the monitoring inspection, a window located next to the front door was observed to have a crack. There was also a toilet in the home that was observed to be dirty and needing to be cleaned.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-02-01. Correction verified 2024-01-30.
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Food & allergies
During the monitoring inspection, a bottle of Pine-Sol was observed to be in the common area and accessible to a child in care.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-01-25.
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Cleanliness & sanitation
During the monitoring inspection, a package of spinash that was found rotten, expired, and almost liquified in the refrigerator.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-01-25.
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Illness & medication
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Oct 23, 2023 Inspection · Deficiencies cited
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Illness & medication
During the investigation inspection, medication records were reviewed, and it was observed that one child's medication record was inaccurate. The record indicated the medication had 26 doses remaining, while the package only contained 25 doses. It was also observed that the balance on the medication record was wrong and there was not a deduction after each dose provided. This was previously cited at the monitoring inspection completed in May of this year.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-26.
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Cleanliness & sanitation
During the investigation inspection, two of the three bathrooms had empty paper towel dispensers and no personal towels or hand dryers for use. This was previously citated at the last inspection completed earlier this month.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-26.
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Supervision & ratios
During the investigation inspection, there was a bowl of food (corn) uncovered and stored in the refrigerator.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2023-10-30. Correction verified 2023-10-26.
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Illness & medication
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Oct 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2023 Inspection · Deficiencies cited
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Supervision & ratios
Upon reviewing fire inspections, it is noticed that their most recent fire drill was done outside of the 6 months on 4/2/2023. This was corrected at the inspection by the operation conducting a fire drill.
HHSC 748.3239(a) — Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-10-12.
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Supervision & ratios
Upon reviewing documents, it is noticed that the operation did not have documentation or had conducted a severe weather drill. This was also corrected at the inspection by having a severe weather drill conducted by the operation.
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 at inspection. Corrected 2023-10-12.
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Cleanliness & sanitation
During the walk through of the inspection, it is noticed that the pantry door had a hole and the ledge of it was coming off.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2023-10-19. Correction verified 2023-10-16.
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Supervision & ratios
During the walk through of the operation, it is noticed that 2 of the boys bedrooms did not have pillow cases on the pillow. This was corrected at the inspection by one pillow being removed from the room and a pillow case being added to the other pillow.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-10-12.
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Cleanliness & sanitation
During the walk through of the operation, it is noticed that 2 of the restrooms did not have toilet paper in the bathrooms. This was corrected during the inspection by rolls of toilet paper being added to those bathrooms.
HHSC 748.3393(d) — Toilets-Toilets must be equipped with toilet paper at all times
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2023-10-12.
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Supervision & ratios
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Sep 25, 2023 Inspection · Deficiencies cited
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Illness & medication
There was nothing written on a child's medication record for "reason the medication was prescribed".
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-29.
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Cleanliness & sanitation
The kids' bathroom on the right side of the facility had mold in the shower floor and doors. There were soiled walls and baseboards around the large trash can, and the vents were covered with dust.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-29.
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Other
Four beds in use had no mattress protectors.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-29.
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Other
Two of the children's beds (in use) had no pillowcases.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-29.
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Cleanliness & sanitation
There were 4 tomatoes with mold in the refrigerator and several packets of snack sandwiches covered in mold. Also, a large bag of shredded cheese was completely opened in the same drawer.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2023-09-29. Correction verified 2023-09-29.
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Illness & medication
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Sep 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2023 Report · Deficiencies cited
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Other
A caregiver argued with children in care, and then she commented "at least I have a home to go home to" - which was demeaning to the boys in the facility.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2023-11-22. Correction verified 2023-11-28.
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Other
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Sep 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection, I observed a hole in the surround of a shower stall, and the operation did not show a maintenance request on file for the damage.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-08.
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Cleanliness & sanitation
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May 21, 2023 Inspection · Deficiencies cited
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Illness & medication
During the unannounced after hours inspection, it was observed that a child's medication record and actual medication count did not match. The medication record reflected there were 24 doses remaining while the package only contained 23 doses.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-05-31. Correction verified 2023-05-30.
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Illness & medication
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May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 13, 2023 Inspection · Deficiencies cited
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Other
During the inspection, I observed the curtains in one bedroom to be suspended in such a way that the curtains did not adequately cover the window to provide requisite privacy or sufficiently block light for rest.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2023-04-20. Correction verified 2023-06-01.
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Cleanliness & sanitation
During the inspection, I observed a sink a cottage bathroom with a broken hot water knob preventing its use. The operation repaired the knob while I was there for the inspection.
HHSC 748.3395(a) — Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-04-13.
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Other
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Apr 8, 2023 Report · Deficiencies cited
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Supervision & ratios
In reviewing the documentation, I observed that the resident's service plan did discuss or assess documented behaviors that resulted in increased supervision levels as documented in the operation's corrective actions to a previous investigation.
HHSC 748.1385(2) — Service Plan Review-Must identify any new needs and strategies or techniques to meet these needs, including instructions to employees
HHSC risk weight: Medium Low. Corrected 2023-05-22. Correction verified 2023-05-23.
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Supervision & ratios Serious
During the course of this investigation, evidence indicates that a staff failed to properly supervise children in care, resulting in a resident having inappropriate contact with a minor online and several residents being able to congregate, contact this same minor, and call the police without the staff's awareness.
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 2023-05-15. Correction verified 2023-06-01.
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Supervision & ratios
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Mar 3, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2023 Inspection · Deficiencies cited
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Supervision & ratios
The operation is equipped with an electric smoke detection system, and the operation was not able to produce documentation of annual testing of the system by an approved party.
HHSC 748.3111(b) — Smoke Detector-Company licensed by State Fire Marshal or fire inspector must test electronic smoke alarm system annually; documentation required
HHSC risk weight: Medium. Corrected 2023-01-20. Correction verified 2023-01-13.
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Other
During the inspection, I observed pillow cases and sheets missing from a number of the children's beds.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected 2023-01-20. Correction verified 2023-01-20.
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Supervision & ratios
During the inspection, I observed no thermometer in the refrigerator. The operation replaced the thermometer during the inspection.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-01-10.
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Supervision & ratios
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Nov 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2022 Inspection · Deficiencies cited
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Records & paperwork
In three of the four records reviewed, there was either no date for a copy of the service plan being provided to the children, no child's signature, or no documentation that a copy was provided to the child.
HHSC 748.1349(a)(1) — Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older
HHSC risk weight: Low. Corrected 2022-11-07. Correction verified 2022-11-07.
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Illness & medication
There were several medication sheets for two boys that did not state the reason the medications were prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-11-07. Correction verified 2022-11-07.
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Illness & medication
There were over 5 places found where a staff failed to sign when medicatoins were given. The timeframe ranged from late 2021 to May of 2022.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2022-11-07. Correction verified 2022-11-07.
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Records & paperwork
The facility did not have any record of severe weather drills.
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 2022-11-07. Correction verified 2022-11-07.
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Records & paperwork
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Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 7, 2022 Report · Deficiencies cited (self-report)
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Discipline & child guidance
A young man with a history of sexual abuse and a pre-occupation with pornography did not receive adequate supervision. This resulted in sexually inappropriate behaviors and solicitation of younger kids.
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 2022-10-28. Correction verified 2022-10-21.
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Discipline & child guidance
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Jun 17, 2022 Inspection · Deficiencies cited
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Safety & premises
There was one first aid kit in the house, but none in the vehicles to transport the boys. There should always be one available for the vehicle that is taking the kids on an outing. There should be a minimum of two at the Valley View Cottage.
HHSC 748.3271 — First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips
HHSC risk weight: Medium. Corrected 2022-06-24. Correction verified 2022-06-24.
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Supervision & ratios
The one first aid kit at the operation was missing a thermometer - as required by minimum standards.
HHSC 748.3273(8) — First Aid Kits-Each one must contain thermometer
HHSC risk weight: Medium Low. Corrected 2022-06-24. Correction verified 2022-06-24.
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Safety & premises
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Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2021 Inspection · Deficiencies cited
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Other
Two beds did not have protective convers separating the mattress and the sheet. There was also one pillow case missing.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2021-12-10. Correction verified 2021-12-10.
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Other
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Nov 29, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2021 Report · No deficiencies cited
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.