Kinship Konnection, LLC
715 ELM STREET, Fresno, TX 77545 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 14
- Ages
- 9-17
- Hours
- -
- Director / administrator
- Markena Qiana Kelley
- Phone
- (832) 422-3841
- Regulated since
- Jul 21, 2022
- HHSC IDs
- Operation 1390366 · number 1729764
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 7 | 1 | Illness & medication (1), Supervision & ratios (3), Staff background & training (3) |
| 2025 | 37 | 6 | Cleanliness & sanitation (11), Illness & medication (1), Supervision & ratios (10), Safety & premises (2), Staff background & training (3), Records & paperwork (2), Other (8) |
| 2024 | 22 | 6 | Cleanliness & sanitation (3), Illness & medication (5), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (1), Records & paperwork (1), Other (6) |
| 2023 | 28 | 6 | Cleanliness & sanitation (4), Illness & medication (1), Supervision & ratios (8), Discipline & child guidance (2), Safety & premises (1), Staff background & training (5), Records & paperwork (3), Other (4) |
| 2022 | 1 | 0 | Staff background & training (1) |
| 2021 | 3 | 0 | Cleanliness & sanitation (1), Safety & premises (1), Other (1) |
Enforcement actions
- Seen Oct 1, 2026 — Corrective action in effect (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 28, 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.
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Aug 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 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 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
An employee completed twelve hours of on-the-job training on 05/11/24, 05/12/24, 04/14/24, and 05/15/24; although his BGC eligibility letter was not received until 05/16/24.
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 2026-03-04. Correction verified 2026-03-27.
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Supervision & ratios
An employee's file was observed to contain the drug test results belonging to another individual.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-02-25.
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Illness & medication
The strength of a medication was not listed on the medication administration log, that is signed by operation staff.
HHSC 748.2151(c)(4) — Medication record - must include medication name, strength and dosage
HHSC risk weight: Medium High. Corrected 2026-03-04. Correction verified 2026-03-27.
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Supervision & ratios
An open bag of sugar was observed in the kitchen cabinet.
HHSC 748.3443(a)(4) — Food Preparation-Food items must be stored in a container that is protected from insects & rodents
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-25.
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Staff background & training
An employee was observed to be delinquent in annual trainings related to Normalcy, Trauma Informed Care, and Psychotropic Medication.
HHSC 748.935(a)(2) — Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
HHSC risk weight: Medium. Corrected 2026-03-04. Correction verified 2026-03-27.
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Staff background & training
A review of an employee's personnel file did not include documentation of current CPR certification.
HHSC 748.989(a) — Documentation of first-aid and CPR certification-Document completion of each training requirement in the appropriate personnel records
HHSC risk weight: Medium Low. Corrected 2026-02-25. Correction verified 2026-03-27.
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Staff background & training Serious
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Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2026 Report · Deficiencies cited
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Supervision & ratios
Staff re-wrote a serious incident report to not include all pertaining information that occurred on the day of the incident.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-04-02. Correction verified 2026-04-02.
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Supervision & ratios
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Jan 7, 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 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2025 Report · Deficiencies cited
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Illness & medication
A child's medication review recommended a medication be given 2 times a day at double the original dosage, however the child continued to receive the medication 3 times a day at the original dosage prescribed by a medical professional.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2026-01-23. Correction verified 2026-03-27.
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Illness & medication
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 5, 2025 Report · 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 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Report · Deficiencies cited (self-report)
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Other
A child had 3 unauthorized absences, and the trigger review was not completed.
HHSC 748.457(a) — Unauthorized Absence - Triggered Review of childs unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
HHSC risk weight: Medium High. Corrected 2026-01-16. Correction verified 2026-01-15.
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Other
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Nov 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 31, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Dirt in the pantry was observed; cleaning did not resolve.
HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
HHSC risk weight: Medium High. Corrected 2025-11-07. Correction verified 2025-11-19.
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Cleanliness & sanitation
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Oct 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2025 Inspection · Deficiencies cited
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Other Serious
One employee file was observed to be missing a preemployment drug screening.
HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
HHSC risk weight: High. Corrected 2025-10-31. Correction verified 2025-10-31.
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Supervision & ratios Serious
Upon arrival for inspection (10:20am), the home was empty, and no staff was available to allow us to enter the operation.
HHSC 745.8411(b)(2) — Responsibilities - Provides access to all areas of the operation
HHSC risk weight: High. Corrected 2025-10-31. Correction verified 2025-10-31.
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Supervision & ratios
Observed multiple names on the people list classified as employees that did not appear on the staff roaster that was provided.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-10-31. Correction verified 2025-10-31.
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Cleanliness & sanitation
Couches in the living room were observed with exposed cushioning and the left side back of the couch is broken.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-11-07. Correction verified 2025-10-31.
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Cleanliness & sanitation
The floor of the pantry was observed to be dirt. During a visit on 9/11/2025, a warning was given regarding the condition of the floor in the pantry, furthermore, the same issue was noted in the health inspection report. We also observed staff pick up a bag of chips that was stored on the ground in the pantry upon opening it for inspection.
HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-10-31.
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Safety & premises
The vehicle used to transport children was observed with three cracked windows, the air conditioner did not work past the front two seats, rear passenger seats were observed to be lifted from the floor and able to overturn, both passenger side tires with worn tread, no covering on the floor or side door panels exposing metal, broken seat belt covers, the foot board being held up with zip ties, and trash throughout each row.
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 2025-10-31. Correction verified 2025-10-31.
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Staff background & training
Pre-Employment Affidavit was observed to not be in one of the employee files.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
HHSC risk weight: Medium. Corrected 2025-10-31. Correction verified 2025-10-31.
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Staff background & training
One employee was observed to not have a high school diploma in his employee file.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2025-10-31. Correction verified 2025-10-31.
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Safety & premises
One employee file reviewed did not contain documentation showing that all previous employers were contacted.
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2025-10-31. Correction verified 2025-10-31.
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Staff background & training
One employee was observed to have a CPR certificate that expired.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-10-31.
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Other Serious
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Oct 24, 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 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 25, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios
The operation did not write an incident report for the incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-10-08. Correction verified 2025-10-03.
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Supervision & ratios
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Sep 18, 2025 Inspection · Deficiencies cited
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Supervision & ratios
During the walk through i observed beef patties not being thawed out properly. It was corrected by the staff placing the meat in a leak proof bag and placing it in the refrigerator
HHSC 748.3441(m) — Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-09-18.
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Supervision & ratios
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Sep 11, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walk through, leftover construction supplies were observed upstairs , an electrical outlet in the floor of the living room was sunken in and appears to be unsafe, the floor of the pantry was grimy, and the recreation area /garage had a glass shard, trash, and wood pallets, additionally, a pipe was observed with duct tape hanging off of adjacent to a hole in the ceiling.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-09-18. Correction verified 2025-10-24.
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Other
During the inspection, the game room adjacent to the front door was observed with no light other than sunlight.
HHSC 748.3307(b)(2) — Physical Site-Common use rooms, such as dining rooms, living rooms, laundry rooms, and gymnasiums must be lighted to avoid accidents
HHSC risk weight: Medium High. Corrected 2025-09-25. Correction verified 2025-10-24.
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Other
During the walkthrough, multiple mattresses were observed without waterproof mattress covers.
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 2025-09-11. Correction verified 2025-10-24.
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Cleanliness & sanitation
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Sep 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Multiple bunk bed rails were observed to be broken or missing.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-09-11.
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Cleanliness & sanitation
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Aug 19, 2025 Assessment · Deficiencies cited
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Supervision & ratios
Operation failed to get a fire inspection conducted timely last inspection was 05/24/2024. Operation was previously cited on 7/17/2025 for this standard.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2025-08-29. Correction verified 2025-08-28.
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Supervision & ratios
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Aug 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 29, 2025 Report · Deficiencies cited
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Cleanliness & sanitation
Top bunk bed safety guard rail is damaged and present a hazard to the children's safety.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-08-26. Correction verified 2025-08-26.
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Cleanliness & sanitation
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Jul 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Assessment · Deficiencies cited
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Supervision & ratios
Operation failed to get a fire inspection conducted timely last inspection was 05/24/2024.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2025-07-31. Correction verified 2025-07-31.
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Supervision & ratios
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Jul 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 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 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the walkthrough of the operation, several maintenance issues were observed, including damaged or missing blinds, chipped or missing baseboards, holes and chipped paint on walls, a loose upstairs doorknob, and a bathroom hanging off the hinges. Water was not running in one bathroom, and several tiles were missing from the kitchen floor.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-06-20. Correction verified 2025-06-20.
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Cleanliness & sanitation
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
Several elements were missing from one child involved incident report. Such as interventions used, both medical and any actions taken in response to the incident, The time frame the incident occurred, the child's age, and Date of Admission were also not included in the report.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2025-07-18. Correction verified 2025-07-18.
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Records & paperwork
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May 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 10, 2025 Report · Deficiencies cited
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Supervision & ratios
The serious incident report was missing the address and phone number.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2025-06-20. Correction verified 2025-07-01.
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Cleanliness & sanitation
The kitchen drawers were stained and unclean, one of the children's bathroom smelled like urine, the paint on the laundry room cabinet was observed to be chipped and peeling off.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-06-20. Correction verified 2025-07-01.
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Cleanliness & sanitation
The door to the refrigerator and the plastic basketball storage bin was observed to be broken.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-06-20. Correction verified 2025-07-01.
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Supervision & ratios
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May 1, 2025 Assessment · Deficiencies cited
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Supervision & ratios
Operation failed to report quarterly EBI numbers for 1st quarter January-March 2025.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2025-05-02. Correction verified 2025-05-07.
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Supervision & ratios
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Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Multiple damages to the property were observed during the walkthrough.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-05-06. Correction verified 2025-05-07.
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Supervision & ratios
Broken glass pieces were observed scattered in the back yard of the operation.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-05-07.
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Other
No trespassing sign posted does not include all required information.
HHSC 748.3319(a) — Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted.
HHSC risk weight: Medium. Corrected 2025-04-29. Correction verified 2025-05-07.
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Records & paperwork
File doesn t include Affidavit Form 2912
HHSC 748.363(8) — Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
HHSC risk weight: Medium. Corrected 2025-04-29. Correction verified 2025-05-06.
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Cleanliness & sanitation
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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 (self-report)
No violations cited on this visit.
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Apr 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 27, 2025 Report · Deficiencies cited
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Other Serious
A child in care incurred injuries during a restraint.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-12.
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Other Serious
A child in care was restrained with his arms pulled behind his back.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-12.
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Other Serious
A witness observed a child in care being restrained in the prone position for 1-2 minutes.
HHSC 748.2605(b)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-12.
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Other Serious
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Mar 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Inspection · Deficiencies cited
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Supervision & ratios
There is not a thermometer in the freezer.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-24.
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Supervision & ratios
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Feb 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2025 Report · Deficiencies cited
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Cleanliness & sanitation Serious
A child in care was denied food until the child completed the assigned chore.
HHSC 748.1101(b)(4)(A)(iv) — Children's rights-Free from being denied food, sleep, a bathroom, mail, or family visits as punishment
HHSC risk weight: High. Corrected 2025-03-14. Correction verified 2025-04-22.
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Cleanliness & sanitation Serious
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Feb 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2024 Inspection
No violations cited on this visit.
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Dec 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · Deficiencies cited
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Supervision & ratios
The operation has not completed their quarterly EBI report.
HHSC 748.2953(a) — Evaluation-Quarterly, operation must collect, document, & review aggregate numbers of emergency behavior interventions by type of intervention
HHSC risk weight: Medium. Corrected 2024-12-02. Correction verified 2024-12-10.
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Cleanliness & sanitation
Bathroom cleaner was found in an unlocked cabinet.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2024-12-02. Correction verified 2024-12-10.
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Supervision & ratios
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Nov 14, 2024 Report · Deficiencies cited
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Records & paperwork
A child was on an unauthorized absence, and it was reported more than 6 hours from when the absence was discovered.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2024-12-12. Correction verified 2025-01-28.
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Records & paperwork
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Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Inspection · Deficiencies cited
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Illness & medication
The Medication record does not reflect and accurate count of the medication dispensed to children in care.
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 2024-09-18. Correction verified 2024-10-09.
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Illness & medication
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Aug 13, 2024 Inspection · Deficiencies cited
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Other
In review of a child's file, there is no documentation that the child's rights were reviewed with the child.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2024-08-19. Correction verified 2024-09-11.
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Illness & medication
Children in care are is not receiving their medication as prescribed due to medication running out in addition to a change in the script.
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 2024-08-19. Correction verified 2024-09-11.
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Illness & medication
Multiple child's medications records show that they children are not getting medications as prescribed.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-08-19. Correction verified 2024-09-11.
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Illness & medication
Medication records show that medications have been administered but has not been recording on the medication logs.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-08-19. Correction verified 2024-09-11.
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Illness & medication
Multiple children have medications that do not have a medication log/ record.
HHSC 748.2151(g) — Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
HHSC risk weight: Medium Low. Corrected 2024-08-19. Correction verified 2024-09-11.
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Supervision & ratios
In the backyard of the operation the brick wall is falling apart, there is a line protruding out of the ground, and the gutter are cluttered.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-08-19. Correction verified 2024-09-11.
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Cleanliness & sanitation
One of the dressers in a child's bedrooms has nails sticking out of the insides and the bed has nails sticking out on the side.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2024-08-13. Correction verified 2024-09-11.
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Other
During the walk through, the bedroom windows do not have coverings.
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 2024-08-19. Correction verified 2024-09-11.
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Safety & premises Serious
The bedrail on the top bunk is detached from the bedframe.
HHSC 748.3369(e) — Bedding-Bunk bed must have attached bedrails; bedrails & the mattress supports must not be an entrapment hazard
HHSC risk weight: High. Corrected 2024-08-19. Correction verified 2024-09-11.
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Cleanliness & sanitation
There were no paper in 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 2024-08-19. Correction verified 2024-09-11.
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Supervision & ratios
The operation does not have daily indoor and outdoor recreational activities for the children to participate in.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2024-08-19. Correction verified 2024-09-11.
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Other
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Jun 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
Based off the information obtained during the investigation, there was sufficient evidence to support that abuse occurred at the operation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-06.
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Discipline & child guidance Serious
A child in care was choked and punched by a staff member
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-06.
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Other Serious
A child in care was restrained in a prone position.
HHSC 748.2461(b)(1) — Short Personal Restraint-Caregiver may not use a prone or supine restraint
HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-06.
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Other Serious
The child's arms were place behind him during restraint.
HHSC 748.2461(b)(6) — Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-06.
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Discipline & child guidance Serious
-
Apr 4, 2024 Report · Deficiencies cited
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Supervision & ratios
During the course of the investigation, it was determined that staff were below the required ratio during at least 30 minutes.
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 2024-05-10. Correction verified 2024-05-29.
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Other Serious
During the course of the investigation, it was determined that a caregiver used prohibited punishment to discipline a child.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-05-29.
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Other
During the course of the investigation it was determined that a caregiver allowed a child to discipline another child.
HHSC 748.2311 — Discipline-person in care must not discipline or punish another person in care
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-05-29.
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Supervision & ratios
-
Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
During the course of the investigation it was determined that a caregiver was not aware of a child's past behaviors and did not provide the level of supervision needed to ensure child safety.
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 2024-03-08. Correction verified 2024-05-29.
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Supervision & ratios Serious
-
Dec 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 18, 2023 Inspection · Deficiencies cited
-
Staff background & training
During the inspection it was found that a staff record was missing documentation of a TB skin test
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-09-25. Correction verified 2023-09-19.
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Records & paperwork
Four of Four EBI records reviewed did not have staff debriefing completed in the EBI reports.
HHSC 748.2855(b) — EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
HHSC risk weight: Medium High. Corrected 2023-09-29. Correction verified 2024-05-29.
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Cleanliness & sanitation
During the walk through it was observed that the closets had clothing hanging rods that were not properly secured and could be removed and potentially used as a weapon. Additionally, a bathroom sink was observed to be stained with red hair dye.
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 2023-09-20.
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Staff background & training
During the inspection it was found that one staff record reviewed was missing the notarized Licensing Affidavit for Applicants for Employment form
HHSC 748.363(7) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-09-25. Correction verified 2023-09-19.
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Staff background & training
-
Sep 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The operation was not clean there were insects and trash on the floor throughout the operation. It was not in good repair due to holes in the walls downstairs, and a shower knob falling off upon turning it as well as a storage doorknob falling off.
HHSC 748.3303(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-08-21. Correction verified 2023-08-11.
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Cleanliness & sanitation
-
Aug 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, personnel records reviewed contained the following issues the date of hire on the staff list was not accurate. A job description was inaccurate regarding the requirements for the position and mentioned agency homes which not applicable. A different agency's name was used in the treatment services policy.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Cleanliness & sanitation
The operation was not clean there were insects and trash on the floor throughout the operation. It was not in good repair due to holes in the walls downstairs, and a shower knob falling off upon turning it as well as a storage doorknob falling off.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2024-05-29.
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Supervision & ratios
The operation was observed to have insects such as roaches and gnats throughout the first floor in the children's restroom and in the pantry.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2023-07-28. Correction verified 2023-08-11.
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Cleanliness & sanitation
All children's bathrooms were observed to not have anything available to dry their hands with.
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 2023-07-28. Correction verified 2023-08-11.
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Staff background & training
In 2 out of 8 files reviewed there was no training record available outlining the training hours.
HHSC 748.363(11) — Personnel records-Include record of training and training hours
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Records & paperwork
In 1 out of 8 files there was no job description for the treatment specialist. In a different file there was an inaccurate job description. It was for a caregiver however this staff is listed as the house supervisor on the staff list roster.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Records & paperwork
1 out of 8 files reviewed did not include a notarized Licensing Affidavit for applicants for Employment form.
HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Supervision & ratios
The annual summary log was observed to not have the time and date the absence was discovered or how long the child was away from the operation.
HHSC 748.453(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Staff background & training
There is no indication in the treatment director's file that they have any experience providing treatment services for children with an emotional disorder, including one year in a residential setting. Also, the position requirements in the job description states that it is 2 years of relevant experience working with youth.
HHSC 748.605(c) — Treatment director-must meet specific professional qualifications if most prevalent population is children with emotional disorders
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
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Staff background & training
During the inspection two of seven staff records reviewed did not have adequate proof of a high school diploma or GED
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-07-28. Correction verified 2023-08-11.
-
Supervision & ratios
-
Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2023 Report · Deficiencies cited
-
Supervision & ratios
A caregiver left another caregiver out of ratio with 7 youth in care when they left the operation in an attempt to locate 2 residents on AWOL.
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 2023-09-05. Correction verified 2023-09-18.
-
Supervision & ratios
-
Jun 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
During the review of this investigation, it was found that a caregiver used a prohibited restraint on a child in care. The caregiver admitted to holding the child down with his hands on the child?s chest for ten minutes. During the administration the child stated that he could not breathe, and this heard by another child who witnessed the incident.
HHSC 748.2605(a)(1) — Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso
HHSC risk weight: High. Corrected 2023-07-21. Correction verified 2023-07-21.
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Supervision & ratios Serious
-
May 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 4, 2023 Report · Deficiencies cited
-
Supervision & ratios
Service Plans for children involved in the investigation did not have specific and detailed instructions about the level of supervision for staff to properly supervise the children who needed more attention.
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 2024-01-17. Correction verified 2024-05-29.
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Other Serious
Service Plans that indicated a child having high risk behaviors did not include a plan that would minimize the risk of harm to children in care.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2024-01-17. Correction verified 2024-05-29.
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Supervision & ratios
The Administrator implemented a plan which did not properly address the level of supervision needed to address the high risk behaviors some children in care were having.
HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2024-01-17. Correction verified 2024-05-29.
-
Supervision & ratios
-
Apr 26, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
During the investigation it was found that a staff member used excessive physical force and slapped a child in care, putting them at risk for physical injury.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2023-07-07. Correction verified 2023-07-21.
-
Discipline & child guidance Serious
During the investigation it was found that a staff member hit a child in care on the back of the head.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2023-07-07. Correction verified 2023-07-21.
-
Other
During the investigation it was found that a staff member used profane language to threaten a child in care
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-07-07. Correction verified 2023-07-21.
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Other Serious
During the investigation it was found that a staff member improperly restrained a child in care by holding the child around the neck with the child's hands behind their back
HHSC 748.2605(a)(2) — Personal Restraints Prohibited-Restraints that obstruct child's airway
HHSC risk weight: High. Corrected 2023-07-07. Correction verified 2023-07-21.
-
Discipline & child guidance Serious
-
Apr 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2023 Report · Deficiencies cited
-
Safety & premises
It was observed that the downstairs fire extinguisher in the kitchen area had not had an annually inspection.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2023-05-08. Correction verified 2023-04-26.
-
Safety & premises
-
Mar 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2023 Inspection
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2023 Report · Deficiencies cited
-
Illness & medication
It was found that a staff member did a restraint in a non-emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-03-10. Correction verified 2023-03-14.
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Other
It was found that a staff used a restraint as a disciplinary example for another resident in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-03-10. Correction verified 2023-03-14.
-
Illness & medication
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Inspection · Deficiencies cited
-
Staff background & training
The operation had never validated their people list. The operation received their permit on 1/31/22.
HHSC 745.651(2)(A) — Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-06-21.
-
Staff background & training
-
Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2021 Inspection · Deficiencies cited
-
Other
During the inspection; an observation of the children bedroom's did not have area to store clothes and belongings.
HHSC 748.1101(b)(3)(J) — Children's rights-The right to personal space in the child's bedroom to store child's clothes and belongings
HHSC risk weight: Medium Low. Corrected 2022-01-24. Correction verified 2021-12-29.
-
Cleanliness & sanitation
During the inspection; 2 out of the 14 beds were observed to have missing wood along with a nail showing and bed missing steps for a child to access the top bunk.The children bathroom located downstairs is not properly flushing, calming room missing has hole in the wall, and the splashguard located in the child's upstairs shower is detached. A storage closet was observed unsecured located in a child's bedroom.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2022-01-24. Correction verified 2021-12-29.
-
Safety & premises
During the inspection; an observation of the left rear tire pressure was low and passenger side view mirror missing bottom glass.
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 2022-01-24. Correction verified 2021-12-29.
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Other
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.