Dream Residential Treatment Center, INC.
4506 S RIDGEWALK DR, Houston, TX 77053 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 18
- Ages
- 10-17
- Hours
- -
- Director / administrator
- Ella Louise Samuel
- Phone
- (832) 328-8968
- Regulated since
- Jun 14, 2021
- HHSC IDs
- Operation 1353062 · number 1706226
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 1 | 1 | Illness & medication (1) |
| 2024 | 17 | 6 | Cleanliness & sanitation (2), Illness & medication (3), Supervision & ratios (4), Safety & premises (1), Staff background & training (1), Records & paperwork (5), Other (1) |
| 2023 | 5 | 1 | Illness & medication (1), Supervision & ratios (1), Records & paperwork (1), Other (2) |
| 2022 | 9 | 7 | Cleanliness & sanitation (1), Illness & medication (3), Discipline & child guidance (1), Safety & premises (1), Other (3) |
| 2021 | 12 | 7 | Discipline & child guidance (3), Staff background & training (2), Records & paperwork (5), Other (2) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2026 Report
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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Jul 15, 2026 Report · 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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May 26, 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 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Inspection
No violations cited on this visit.
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Sep 5, 2025 Inspection · Deficiencies cited
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Illness & medication Serious
One med record reviewed did not contain a time of administration.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-09-05.
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Illness & medication Serious
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Sep 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 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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Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two children record reviewed indicated child, caregiver, and CPS worker did not participate or reviewed the child's service plan.
HHSC 748.1339(c) — Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities
HHSC risk weight: Low. Corrected 2024-12-30. Correction verified 2024-12-27.
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Records & paperwork
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Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 11, 2024 Report · Deficiencies cited (self-report)
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Safety & premises
According to interviews with residents and staff, residents ride the bus to and from school daily and walk to and from the bus stop on their own. The children's service plan specifies that they are to be transported to and from school by shelter staff due to their history of running and/or leaving school or assigned areas without permission.
HHSC 748.1351 — Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
HHSC risk weight: Medium Low. Corrected 2025-01-02. Correction verified 2025-01-02.
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Records & paperwork
The facility became aware of the missing children at 10:00AM, but the incident was not reported to licensing, law-enforcement, and CPS until 6:30PM.
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 2025-01-02. Correction verified 2025-01-02.
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Supervision & ratios Serious
Three residents left the facility without staff knowledge while under supervision.
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 2025-01-02. Correction verified 2025-02-19.
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Safety & premises
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Dec 7, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
The couch in the game room was observed to have a hole in the material.
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 2024-12-13. Correction verified 2024-12-16.
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Cleanliness & sanitation Serious
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Dec 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 20, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork
During the review of documents obtained, the victim child's service plan was not signed by any of the participating parties.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2025-01-21. Correction verified 2025-01-24.
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Records & paperwork
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Nov 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 6, 2024 Inspection · Deficiencies cited
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Other
The children's service plans are missing the signatures of persons who participated in the completion of the service plan.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2024-09-13. Correction verified 2024-09-13.
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Supervision & ratios Serious
The operation Gas inspection expired in Jan 2024.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2024-09-13. Correction verified 2024-09-13.
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Supervision & ratios
The thermometer in the refrigerator reads that 46.
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 2024-09-13. Correction verified 2024-09-13.
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Other
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Jul 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2024 Inspection · Deficiencies cited
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Records & paperwork
A child right form has not been by the child.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2024-06-20. Correction verified 2024-06-20.
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Illness & medication
The medication log does not have an accurate count of remaining medication.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-06-20. Correction verified 2024-06-20.
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Cleanliness & sanitation Serious
During walk through, it was observed that the far left window, on the back of the home, was missing a screen.
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 2024-06-20. Correction verified 2024-06-20.
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Records & paperwork
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Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2024 Report · Deficiencies cited
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Records & paperwork Serious
Records reviewed did not documented how identified high-risks behaviors will be mitigated.
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 2024-06-27. Correction verified 2024-06-25.
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Supervision & ratios
Records reviewed show service plans not signed by all required parties as a form of acknowledgment or a child's refusal to sign is not noted.
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 2024-06-27. Correction verified 2024-06-25.
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Illness & medication
Medication logs reviewed listed "N/A" as reason for medication.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2024-06-27. Correction verified 2024-06-25.
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Illness & medication Serious
There is no medication error report completed for a medication log that shows a change in medication dosage prescribed vs. the dosage of medication administered.
HHSC 748.2203(c)(5) — Medication Error-Document the health-care professional's medical recommendations
HHSC risk weight: Medium High. Corrected 2024-06-27. Correction verified 2024-06-25.
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Staff background & training
Records reviewed show multiple staff members did not renew annual trainings timely.
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 2024-06-27. Correction verified 2024-06-25.
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Records & paperwork Serious
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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 (self-report)
No violations cited on this visit.
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Jan 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2023 Inspection · Deficiencies cited
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Supervision & ratios
The operation has not conducted a weather drill.
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 2023-09-15. Correction verified 2023-09-13.
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Records & paperwork
Staff file is missing an Affidavit for Employment.
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 2023-09-15. Correction verified 2023-09-13.
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Supervision & ratios
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Aug 31, 2023 Report · Deficiencies cited (self-report)
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Illness & medication Serious
The operation failed to report a serious incident in time.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2023-09-29. Correction verified 2023-09-28.
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Illness & medication Serious
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Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2023 Report · Deficiencies cited
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Other
An overnight shift staff member did not follow the RTC's policy when they prefilled out the bed check log form, notating all children were asleep the entire night until 6am.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2023-07-05. Correction verified 2023-07-11.
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Other
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Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2023 Report · Deficiencies cited
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Other
In review of two child service plans, it was found that service plans are being reviewed after 90 days from the last service plan.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-04-14. Correction verified 2023-04-13.
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Other
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Jan 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2022 Inspection · Deficiencies cited
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Other
A child in care in missing documentation of the TB exam.
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 2022-12-23. Correction verified 2022-12-23.
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Other
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Dec 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2022 Report · Deficiencies cited (self-report)
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Safety & premises Serious
Both the front and rear exit doors from the facility required a code/key to leave building.
HHSC 748.3237(c) — Safety Practices-Children must be able to open emergency exit doors easily from inside, unless written approval on file from fire inspector
HHSC risk weight: Medium High. Corrected 2022-11-21. Correction verified 2022-11-29.
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Safety & premises Serious
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Jul 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2022 Report · Deficiencies cited
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Other Serious
Three out of three youth interviewed stated staff will get in their personal space as a means of intimidating or getting them to comply.
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2022-09-30. Correction verified 2022-09-30.
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Other Serious
Two out of three youth interviewed stated multiple staff have twisted their arms behind their back and held them in this position as a restraint.
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 2022-09-30. Correction verified 2022-09-30.
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Other Serious
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Jul 25, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
There is a whole in the upstairs bathroom
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2022-08-01. Correction verified 2022-10-05.
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Cleanliness & sanitation Serious
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Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2022 Inspection · Deficiencies cited
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Illness & medication Serious
During the medication review, it was found that the Medication log for one of the 5 children shows that he should have a remaining 7 pills and the count reflects a remaining 6.
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 2022-04-11. Correction verified 2022-04-19.
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Illness & medication Serious
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Jan 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2022 Report · Deficiencies cited
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Illness & medication
Two out of the four medication records reviewed were missing the health professionals name or had the wrong health care professional's name on the form and did not reflect the medication.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2022-02-04. Correction verified 2022-01-31.
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Illness & medication Serious
Four medication records were reviewed and all of them contained medication count errors.
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 2022-02-04. Correction verified 2022-01-31.
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Illness & medication
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Jan 2, 2022 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
Staff put residents at risk for substantial physical injury when she failed to remove both from an unsafe environment. Staff continued to put resident at risk by allowing another resident to restrain and hit the resident numerous times without removing either from the situation, resulting in the resident receiving a black eye due to the other resident striking him in the face with no intervention from Staff. Staff continued to put resident at risk by allowing him to remain present after resident broke the glass. Due to the severity of the situation, resident was transported to the hospital because he had major cuts on his arm and lost a lot of blood.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2022-05-06. Correction verified 2022-05-09.
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Discipline & child guidance Serious
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Dec 31, 2021 Inspection · Deficiencies cited
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Records & paperwork
One of the two child files reviewed is missing a signed statement for the child's rights.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2022-01-07. Correction verified 2022-01-05.
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Other
One of the two child files reviewed were missing documentation of a TB screening.
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 2022-01-07. Correction verified 2022-01-04.
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Discipline & child guidance
Both staff files reviewed were missing a signed statement for reporting and suspected incident of child abuse, neglect or exploitation.
HHSC 748.363(8) — Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
HHSC risk weight: Medium. Corrected 2022-01-07. Correction verified 2022-01-05.
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Records & paperwork Serious
Trigger review has not been conducted for a child who has run away more than 3 times within a 60 day period.
HHSC 748.461(1) — Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
HHSC risk weight: Medium High. Corrected 2022-01-07. Correction verified 2022-01-05.
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Records & paperwork
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Dec 13, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 8, 2021 Report · Deficiencies cited
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Records & paperwork
Staff did not report to Licensing that a child ran away within the 6 hour timeframe.
HHSC 748.303(a)(9)(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 2021-10-29. Correction verified 2021-11-01.
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Records & paperwork
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Oct 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2021 Report · Deficiencies cited (self-report)
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Records & paperwork
Unauthorized Absence Log is missing pertinent information required by standards: (1) gender, DOA, (2) time the unauthorized absence was discovered, (4) the name of the caregiver responsible for the child at the time the child?s absence was discovered, (5) the intake report number,if a report was made to Licensing or the DFPS, and (6) whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report, if applicable.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2021-12-03. Correction verified 2021-11-30.
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Other Serious
Two children have more than three documented Unauthorized Absences, with no documented Triggered Review.
HHSC 748.457(a) — Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
HHSC risk weight: Medium High. Corrected 2021-12-03. Correction verified 2021-11-30.
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Records & paperwork Serious
Children reported that 2 children were smoking vape pens in the game room and a child in care was able to offer drugs to other children in care in their bedroom.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2021-12-03. Correction verified 2021-11-30.
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Records & paperwork
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Sep 19, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 12, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
Staff members use corporal punishment by punching a child and pushing another.
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 2022-01-14. Correction verified 2022-01-14.
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Discipline & child guidance Serious
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Aug 19, 2021 Report · Deficiencies cited
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Staff background & training Serious
A background check for a maintenance person was submitted on 12/01/2021 as a Contracted Service Provider. It was cancelled by the operation on 12/16/2020 but the person was still allowed to be at the operation performing work for the operation.
HHSC 745.621(a)(3) — AP Initial background checks submitted - At the time you contract with someone who requires a background check
HHSC risk weight: High. Corrected 2021-12-17. Correction verified 2021-12-20.
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Discipline & child guidance Serious
The owner of the operation was negligent in their duty by allowing a contracted person to continue being present at the facility, despite admitting knowledge that the contracted person was not allowed to be on the property, and in doing so exposed the children placed at the facility at immediate risk of harm.
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 2021-12-17. Correction verified 2021-12-17.
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Staff background & training Serious
The permit holder allowed a contractor access to the facility with children in care without a background check.
HHSC 748.3(a) — The permit holder must ensure compliance with applicable minimum standards rules
HHSC risk weight: High. Corrected 2021-12-17. Correction verified 2021-12-20.
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Staff background & training Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via 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.